Permit (47) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
IN
Permit#: BUP2016-00225
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/13/2016
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 400
Project: Everest Institute Subdivision: ASHBROOK FARM Lot: 5
Project Description: TI-Create dental lab inside existing vocational school
Contractor: R& H CONSTRUCTION CO Owner: PLAZA WEST OWNER LLC
1530 SW TAYLOR ST BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97205-1819 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-228-7177 PHONE:
FAX: 503-224-3638
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 07/13/2016 $357.00
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 07/13/2016 $1,806.59
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/13/2016 $216.79
Stories: 5 Height: 0 ft Plan Review 07/13/2016 $1,174.28
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/13/2016 $722.64
Value: $216,000 Info Process/Archiving-Lg$2.00(over 07/13/2016 $14.00
11x17)
Metro Const.Excise Tax 07/13/2016 $259.20
Floor Areas:
Total Area: 1702
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,550.50
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se1t f••h in OAR
952-001-'• ..-• OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 •10.332.2 44.
Is ued By: / .// Permittee Signature: ,4 ,, �'
Call 503.639.4175 by 7:00 a.m.for the next available ins•ect on ate. ,
This permit card shall be kept in a conspicuous place on the job site until comp tion o the project.
Approved plans are required on the job site at the time of each insp. tion.
Lilding Application
A lication
Commercial HE( pF /F " FOR OFFICE USE ONLY
ReceCity of Tigard Dateivd tU IOW Permit No.: .. Y�/4 .9—a<
13125 SW Hall Blvd.,Tigard,OR 4;4/3 1 3 2016 Pate/B :
111 C Phone: 503.718.2439 Fax: 503 598.1960 DateB,Mw�tl �� Other Permit:
T I G A R D Inspection Line: 503.639.4175 iyy(„`.�.F t x l , ,. : Date R:.. Juris: 0 See Page 2 for
Internet: www.tigard-orgod;: t JI 1,111 1„; .ki f" ;0 Nc. Notified/Method. Supplemental Information
TYPE OF WORK REQUIRED DATA;1-.AND'2-1AMILYDWELL [G
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
�� CATEGORY OE CONSTRUCTION " work indicated on this application.
0 1-and 2-family dwelling Valuation: $
®Commercial/industrial
0 Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
ae
k,�\I-,*„--
" lot SITE INFORM ijOM•AID LOCATIONTotal number of floors:
Job site address:9600 S.W.Oak Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:Everest-Dental Lab Covered porch area: square feet
Cross street/directions to job site:95th Ave Deck area: square feet
Other structure area: square feet
I 1' , DATA-COMMERCIAL 'i C4CKLEST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S135BD00100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESC work indicated on this application.
Demolition of existing tenant improvements,two classrooms, to allow for the Valuation: $$216,000.00
space to be converted into one new dental training lab for the Everest Institute Existing building area: 16807 square feet
on the 4th floor of the building. New building area: 0 square feet
PGIPERTI' OWNER= TENAJS r' Number of stories: 5
Name:Everest Institute Type of construction: Assumed 2B
CrN Address:9600 S.W.Oak Street,Suit3 400 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: B
Phone:( ) Fax:( ) New: B
,y "1 i4 APPLICANT I a 04 CONTACT PERSON ;h, HUILIMNG PplRMTf I E *
O Business name:R&H Construction Company (1 tj e wh tthile
Q Structural plan review fee(or deposit):
Contact name:Byron Topol
FLS plan review fee(if applicable):
Address:1530 SW Taylor Street
tCity/State/ZIP:Portland,OR 97205 Total fees due upon application:
Amount received:
M Phone:(503)972-5551 Fax::(503)224-3638
IN., -- E-mail:btopol@rhconst.com PII QVOLTAIC LAR' 1 TE FEES*
Commercial and residential prescriptive installation of
.. r ".'4 , , , roof-top mounted Photo Voltaic Solar Panel System.
Business name:R&H Construction Company Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
ei Address:1530 SW Taylor Street Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97205 Permit fee(includes plan review
t and administrative fees): $180.00
Phone:(503)972-5551 Fax:(503)224-3638 State surcharge(12%of permit fee): $21.60
CCB lie.:38304 Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
t r+l, if .14—e within 180 days after it has been accepted as complete.
Print name:Byron Topol , Date:6/29/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM itApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 77 0 c901 (,�-00 a'
Site Address: QO 'j,j ocSI- Suite/Bldg#: Y(O
Project Name: er-a4- jyJc ,ie
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: L.::-.Ti -' t -� ' l
c-
Existing Business Activity: /"?rsO, �Lrt/itOS
Proposed Business Activity: li 1/
Verify site address/suite#exists and active in permit sys m.
N `''ver Terrace Neighborhood: ❑ Yes LVJ No
fI/Zoning: / 1UF—/
g'/Permitted Use: ❑ Yes ❑ No ❑ Spec Space
V onfirm no land use required.
It? Business License:
Exists: IV Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: `-- ---- -----.:7 -t Date:
��J3//(e
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7/ 3(ll
1 6
Site Plans: #
Building Plans: # �)
Building Permit#: Enter building permit#above.
Workflow Routing: `Planning alEeralktfettoriElinarDp Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ]Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: l
By Permit Technician: C�� Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse o60116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: -' Date:
Notes:
Revisions (after Building Sub al only)
Revision Notice 1: D ate i t to Applicant:
Revision Notice 2: Date Sent to = •slicant:
Revision Notice 3: Date Sent to App t:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: E Yes ❑ N/A
. d Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ /A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 070915.docx
1111
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 210000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ _ 2510
ELEMENTS: In choosing which accessible elements to provide under this section,prio ty shall s. given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(0 Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System em Permit
Appointment Checklist
Permit Record#: Pa01 (Q -bog-23-
Contact
bya--23Contact Name: v„ , Phone #: 1503 ?Ze i-/- O?7 /-
Business Name: Appointment Date:
Site Address: a ,Op . Ott--12, c - d U Bldg/Suite#: i/ac)
Project Name: ,igulleff
Project Description: 0473,.,.0.2.,ti- ..„A.e_o-- .� jyge, , I 14_4,
Existing Use: New Use:
MMD Required: 0 Yes ❑ No Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: "'”' Type of Construction:
Type of Use: f41A.,7Occupancy Load: Oregon Specialty Code: 'grk
SPECIFICS
Number of Stories: 05-- Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: R OZ.. Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: I.ND Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $2(id,Cr
$ i� ')C Prov Rvw,COM TI—Ping
$ A(o.'S Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ Ara. re 12%State Surcharge
Project Valuation $ kitmss, 'Ian Review,Structural
Up to$4,999 $0.00 $ ../,/ir. ' an Review,Fire Life Safety
$5,000-$74,999 $90.00 $ A rs Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ 2 ,,,2 Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 4-5 TAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9600 SW OAK ST 400, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00225
Chip Barnett
Violation Summary:
Inspector Contractor