Permit (19) 711 �.E
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00256
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2016
Parcel: 2S112 DA01300
Jurisdiction: Tigard
Site address: 6640 SW REDWOOD LN 300
Project: Portland Clinic Subdivision: 1996-048 PARTITION PLAT Lot: 1
Project Description: Demolition of clinical space for open office installation&minor clinic TI
Contractor: REIMERS&JOLIVETTE INC Owner: PACIFIC REALTY ASSOCIATES
2344 NW 24TH AVE ATTN: N PIVEN
PORTLAND, OR 97210 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-228-7691 PHONE: 503-624-6300
FAX: 503-228-2721
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 08/24/2016 $357.00
Occupancy Grp: B Occupancy Load: 21 Permit Fee-Additions,Alterations, 08/24/2016 $1,709.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/24/2016 $205.19
Stories: 3 Height: 0 ft Plan Review 08/24/2016 $1,111.47
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2016 $683.98
Value: $200,000 Info Process/Archiving-Lg$2.00(over 08/24/2016 $8.00
11x17)
Metro Const.Excise Tax 08/24/2016 $240.00
Floor Areas:
Total Area: 2656
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,315.59
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
952-001-0010AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 3 .1987 or 1.800.332.2344.
Issued Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ; te.
This permit card shall be kept in a conspicuous place on the job site until completion of t'tect.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Ommercial ,' 4 o{ 1, , FOR OM( 1. I SI'O\1.1
City Tigard RDeactee/iBvePermit Permit No.: Pi
/(o,-- sp
13125 SW Hall Blvd.,Tigard,OR 97 �1 �, i
Plan Revie•" pr. 'N 0
_ Phone: 503-718-2439 Fax: 503-598-1960 Date/B : + 101 Related Permit:
T I G A R D Inspection Line: 503-639-4175 y t ,, Date Ready/B': .�► • Jwis: ® See Page 2 for
Internet: www.tigard-or.gov .,,r ; ', t -• -L' Notified/Method: b�� Supplemental Information
oS i t c ::". i ..,c :.,,i#4. :',,
TYPE OF WL S 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS UCTION work indicated on this application.
El1-and 2-family dwelling Commercial/industrial Valuation: $
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ltd 4 0 GJ'. t% 1,04.5V...„
,� -° . New dwelling area: square feet
City/State/ZIP: �O IC)t`', al`7 Z 2.. Garage/carport area: square feet
Suite/bldg./apt.#: ?) Project name"lji t , Covered porch area: square feet
Cross street/directions to job site: k &4 �ijp Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK --• wor indicated on this application.
oU o0..) 6 — �, -.'l . \F .gip$�Ct"°
fi. -rt �.x cp - t,
i` � -rt –{-► I, 1`Po.- Existing building area:Cl$q. square feet
=ii(3c..,*1:1.M_`
N V� New building area: i square feet
0 PROPERTY OWNERB TENANT Number of stories:
Name:--- X /��51 cup( Type of construction: (I .A.
Address: &, 6 W• p ,0 -• Occupancy groups: I
City/State/ZIP: es P 9 72 z 4' Existing:
Phone:(30') \Z24,99•01(O( Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: G r (.Q 'Wt c� (Please refer to fee schedule)
( Structural plan review fee(or deposit):
Contact name: M pg-E4.1 ..) g 0, Lj
5 � . 4_, FLS plan review fee(if applicable):
Address:
P Total fees due upon application:
City/State/ZIP: � 6 701'2--
Phone:(5j) "t ,5�' 4j t 4 1 Fax: :( ) hC (6,.. Amount received:
E-mail: / ��9 /1_ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
O • Commercial and residential prescriptive installation of
CO RACTOR roof-top mounted P . • oltaic Solar Panel Syste s'
Business name � �'d_ v 4Submit two(2)sets of roo n with conne '.n details
r' "v"' and fire department access,alo wit• .e 2010 Oregon
Address:Z3 4 c tt.- Solar Installation Specialty Co'• 0.ecklist.
� Permit fee(mclud9 an revi=City/State/ZIP:� �� (72._ 7 7i�V _ \ $180.00
t and.• tnistraave fees): .
Phone:(,7 Q3) Z 2•6 Fax:( ) State sure:. :- o of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: p j/ / This permit application expires if a permit is not obtained
A within 180 days after it has been accepted as complete.
Print name: re r Date:8)(Z..C� l * Fee methodology set by Tri-County Building Industry
�s arService Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440461 T(11/02/COM/WEB)
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . . 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
. Plan Submittal Requirements
_
Commercial & Multi-Family - New,Additions or Alterations
T I G ARD 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. ❑ map&tax lot# ❑ project name El site address El suite number
❑ zoning ❑ applicant name ❑ 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.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
G
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
711 City of Tigard
■ ~ COMMUNITY DEVELOPMENT DEPARTMENT
T I GA R D Building Permit Review — Commercial - No Land Use
Building Permit #: `3 Luc) 1 4 co asze,
Site Address: 6 Gq 0 SWg e_dVv00 4. Ln L . Suite/Bldg#: 3a°
Project Name: Ihi Pp i-F(cArt a Cil L
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1►?-{-e,,r o r T
Existing Business Activity: 1O(Vj(Y C.r e"k. Of-h L.
Proposed Business Activity: CO ?0"10 f.ci OC-C---i CC,
J`Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: CI No
;t5
Zoning:
IP
/Permitted Use: El Yes ❑ No ❑ Spec Space
Confirm no land use required.
/Business License:
Exists: 0 Yes El No,applicant notified to obtain business license
Notes:
'
Approved by Planning:
Date: g/24/it,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 75�ac!//(p
Site Plans: # 3
Building Plans: # 3
Building Permit#: B Enter building permit#above.
Workflow Routing: Er Planning l uilding
Workflow Sign-off: E" Sign-off for Planning(include notes from planning review)
Route Application Documents: IfrBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 0-7-e____
By Permit Technician: cm, Date: (/at//fo
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
;3_,,:❑ Conditions "Met"NOT prior to issuance of building permit
❑ Approved, Released: —
Notes:
-----
Revisions (after Building Submittal only}=
Revision Notice 1: Date , nt to Applicant:
Revision Notice 2: t ate Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
El SDC Fees Ente d: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes El N/A
Parks SDC: El Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
)11 Over-The-
Counter (OTC) Building & Fire Protection System Permit
t, Appointment Checklist
Permit Record#: P C)Ile_GC��5J(o
Contact Name: /be,,5`/,p t,„ co b f Phone #:
Business Name: ��� �� S"S��'(
647.,,k S Appointment Date: .06
rc.�c p:vt7
Site Address: 0 (54.,J/e,,,,„4.„66,/ 4, Bldg/Suite #:
Project Name: �(�p
/�o,�/G,.,Jd! G/il1i�r
Project Description: He.44 we4.1,Ga ! vi.
Existing Use: New Use:
MMD Required: 0 Yes o `'"�
Related Record#:
GENERAL INFORMATION
Class of Work: I LT- Occupancy Group:
Type of Use: � I Type of Construction:
Occupancy Load: -2 t Oregon Specialty Code: I C 6
SPECIFICS
Number of Stories: I Building Height: I Mixed Use:
Number of Dw Units: Number of Bathrooms: I
FOOTAGES
BUILDING SQ FT-SCHOOL CET SQUAREOTHER I Number of Bedrooms:
Story Square Footage: Accessory Structure:
Basement: Covered Porch:
Garage: Deck:
Total Square Footage: Carport:
SETBACKS Mezzanine:
Sideyard Setback—LeftSideyard Setback—Front
Sideyard Setback—Right I I Sideyard Setback—Back
CONSTRUCTION I I
Exterior Walls: Openings Protected:
N: Firewall Separation:
S: N: S: Occupancy Separation:
W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: =6 Fire Alarms:
Sprinkler Type: Smoke Detectors:
Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Para et:
Hazard Group: Battery Calcs Provided: p
Density: Cut Sheets Provided:
Design Area:
K Factor: _
Total Project Valuation: $ A 249(5:1:2)
$ ,C+ ;wag)C Prov Rvw,COM TI—Ping
DC Provision Review Fee for COM TI(effective 7/1/2015 $ 'MIL Permit Fee—Add,Alt,Demo
) $ _��i 12%State Surcharge
Project Valuation $ ( ."7 Plan Review,Structural
Up to -$4,999999 $0.00 Qo did $ Crr ��►Plan Review,Fire Life Safety
$5,0 - 4, r 00 $ do Info Proc/Arch,Lg(over 11x17$2.00)
$75,000$150,000 and$149,99999r - AS. 00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
3✓ 57 $ 740 Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
$ Other:
Date/Time: $
tb, OTAL FEES DUE
I:\Building\Forms\arc_BUP_FPS_020916.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6640 SW REDWOOD LN 300, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Building BUP2016-00256
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6640 SW REDWOOD LN 300, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Building BUP2016-00256
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor