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Permit (22) CITY OF TIGARD BUILDING PERMIT Fg' '. COMMUNITY DEVELOPMENT Permit#: BUP2016-00236 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2016 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16125 SW 72ND AVE Project: St.Jude Medical Center Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: TI for existing tenant:Moving wall for room expansion. Contractor: HALLMARK INTERIORS INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1010 ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-698-2438 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 07/20/2016 $90.00 Occupancy Grp: B Occupancy Load: 200 Permit Fee-Additions,Alterations, 07/20/2016 $301.85 Demolition Dwelling Units: 0 12%State Surcharge-Building 07/20/2016 $36.22 Stories: 0 Height: 0 ft Plan Review 07/20/2016 $196.20 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/20/2016 $120.74 Value: $15,000 Info Process/Archiving-Lg$2.00(over 07/20/2016 $2.00 11x17) Floor Areas: Total Area: 20000 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $747.01 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes 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 set forth in OAR 952-001-0010 through OAR 952-001-0090./ You may obtain a co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' ,. mittee Signature: LM�r . _s 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. v Building Permit Application Commercial .„ 1.0R OI F1Cr USE onl.l City of Tigard CI E Received Date/B : 1 47 El Il' Permit No.: i / 0 i i _ L. 1 13125 SW Hall Blvd.,Tigard,OR 9723, gl Plan R / g Phone: 503-718-2439 Fax: 503-59 �2 2 016 Date/B //��(• ME Related Permit: " �� T 1 G A R D .. '1 Inspection Line: 503-639 4175 Date Rea I��glii See® Page 2 for Internet: www.tigard-or.gov Li!1 ' Notified/method:`7 �� Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. o 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: o Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I (e I)..5 %) --1)Y ti .) New dwelling area: square feet City/State/ZIP: 44 Al ©c , GI-)}) (I Garage/carport area: square feet Suite/bldg./apt.#: Project name: '3T 1 j J-@. -\v\J i Le..A -.1� Covered porch area: square feet Cross street/directions to job site: � Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 2s u 3 A B CCU)00 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. �� 1CPu t/N S� b ✓� Valuation: $ ooc 00 r. � Existing building area: square feet New building area: square feet 0 PROPERTY OWNER fy7 TENANT Number of stories: Name: ' 1.--- J i2 cam. \ Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT i21 CONTACT PERSON BUILDING PERMIT FEES* Business name: --j"--c refer to fee sclredul l `�,‘.. Structural plan review fee(or deposit): Contact name: r-{)0 iN 8�.��— Address: I v-3. �j`� FLS plan review fee(if applicable)_ City/State/ZIP: 40A k n 9.--7)-).-4Total fees due upon application: Phone: Amount received: �is) 9Sty—?394, Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1 ..L A_ �L>� f 1/ 1/ [ 1O G /,G� Submit two(2)sets of roof plan with connection details Address: Po `� and fire department access,along with the 2010 Oregon �( �!��Q Solar Installation Specialty Code checklist. City/State/ZIP: ClLAc }—I ft.t) X32 erxi Permit fee(includes plan review $180.00 Phone:(�)(Q 96 -- 1.1.58- Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB Lie.: Cl 1 gta-- 11)/9/17 Total fee due upon application: $201.60 Authorized signature: 1rV This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Gc-c)0,A ''' ',0(‘-.40"-- Date: 'c).op * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP_COMPermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be 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: $ (f) 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 Rev.12/18/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !pi . " Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. El map&tax lot# ❑ project name ❑ site address 0 suite number ❑ zoning ❑ applicant name 0 phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. 4. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey with (1) additional full set of architecture drawings. 1:\Building\Pemuts\BUP_COM_PemvtApp.doc Rev.12/18/2014 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire &Rescue),if applicable. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - N o Land Use Building Permit #: ey,,,2►j/ 6 Site Address: t1.2S 121 Suite/Bldg#: Project Name: . TUc MIC;, (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: RZpp(YI tX1rinclkt TV( mahtcFadUY1/1- Existing Business Activity: Lt tY1clo11ri J (exist)K1) Proposed Business Activity: (4 (►nd�k aP (s0(r, XVerify site address/suite# exists and active in permit system. At River Terrace Neighborhood: Cl Yes No . Zoning: (— a V' Permitted Use: 1 Yes ❑ No ❑ Spec Space f Confirm no land use required. .154 Business License: Exists: R'Yes El No,applicant notified to obtain business license Notes: Approved by Planning: tfklAj Date: 112,6 ((to 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: 7A/// Site Plans: # /44- Building j$-Building Plans: # Building Permit#: mer building permit#above. Workflow Routing: E—.p1anning El Permit Coordinator Workflow Sign-off: g-51F--off for Planning(include notes from planning review) Route Application Documents: ding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By PermitTechnician: � Date: 7 //../ I:\Building\Forms\BldgPennitRvw_COM_NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPemutRvw_COM NoLandUse_070915.docx IN 14 City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit r I c;n P.« Appointment Checklist Permit Record#: Contact Name: j j►j L � d Phone #: S� -�,� —'t 5-(9 O Business Name: Appointment Date: 7/, // 7 Site Address: /6 425 yi.,j ? �`« ,�. Bldg/Suite #: -- Project Name: 3. �r�(I cP. 62„7-ice- Project Description: ZitAlr.ksly ctivirk /mcon 1 hvo rvj Existing Use: ,�� New Use: 6 MMD Required: ❑ Yes Related Record#: APPLICATffI)' "�i aat` ? r * GENERAL INFORMATION Class of Work: �_ Occupancy Group: L Type of Construction: Type of Use: l Occupancy Load: d 0-) Oregon Specialty Code: 2C..14.. SPECIFICS Number of Stories: ( 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: '2046C.: 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: te6 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: $ l � • °r ICCEZDC Prov Rvw,COM TI—Ping $ ( _ „ermit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ ( 7-2,2%State Surcharge Project Valuation $ s!�ct‘,.z-) Plan Review,Structural Up to$4,999 $0.00 $ ' Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ 2.,dita Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $351.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ TAL FEES DUE 77r I:\Building\Forms\OTC_BUP_FPS_020916.docx