Permit (151) CITY OF TIGARD BUILDING PERMIT
11
COMMUNITY DEVELOPMENT
Permit#: BUP2017-00101
Date Issued: 04/20/2017
Tt G. RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 185
Project: Elevation Chiropractic&Rehabilitation Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: Construct non-bearing partitions to create(1)admn office and(3)additional consulting rooms. New ADA compliant
reception desk and small built-in casework with sink.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ATHERTON REALTY PARTNERSHIP
4080 SE INTERNATIONAL WAY B113 2100 S WOLF
MILWAUKIE, OR 97222 DES PLAINES, IL 60018
PHONE: 503-653-5704 PHONE: 503-279-1726
FAX: 503-653-5729
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 04/20/2017 $90.00
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load: 22 Permit Fee-Additions,Alterations, 04/20/2017 $718.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/20/2017 $86.21
Stories: 2 Height: 0 ft Plan Review 04/20/2017 $466.98
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/20/2017 $287.37
Value: $49,000 Info Process/Archiving-Lg$2.00(over 04/20/2017 $8.00
11x17)
Address Fee 04/20/2017 $50.00
Floor Areas:
Total Area: 1256
Accessory Strutt: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,706.99
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 do.- n accor•a ; 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
d• . ATTENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
:52-001-0010 through OAR 9 '4,0490 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
41,
Issued By: 4/ •/ Permittee Signature: _ �
\ Call 503.639.4176 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 th• project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard • BUILDING DIVISION
IIIOver-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Pdtt P9o/7'"OD/0
Contact Name: Rcy+cr- K 01 Phone #: 4 7/-,2G(,t—p 74,
Business Name: L,I S 4,24,yI'3 Appt. Date/Time: y/dv/17 Q, ,2:vo
Site Address: gt(JJ d?n! 6r-ee,/{ 75
Bldg/Suite#: /
Project Name: <5 ✓✓
Project Description: (�,N AfW,y_b i' ,i44-7 i Nevs -&-c„cr,,� 4'f
�S�YZ
Existing Use: a _ New Use: 6
MMD Required: 0 Yes Related Record#:
GENERAL INFORMATION
Class of Work: `[' Occupancy Group: Type of Construction: •513
Type of Use: CeirAk Occupancy Load: ✓� 1 Oregon Specialty Code: --Z-CA--
SPECIFICS
2aASPECIFICS
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: ‘L,�j‘,,,, 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: (r%C—� 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: $ A—et, ") �'
$ 40`DC Prov Rvw,COM TI—Ping
$ " /e Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 4 12%State Surcharge
i,Z
Project Valuation $ 4 3?) Plan Review,Structural
Up to$4,999 $0.00 $ 7Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ • ,dr. Info 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 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ 56 Misc.Admin FeeAWN-sr*-t
$ Other:
Building Staff: $ Other:
Date/Time: $ t7 . ? TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
a ,p
Building Permit Application
Commercial FOR OFFICE USE ONLY
Received l �/'
City of Tigard t /��.J%7 Permit No.:A / Com6/0
111 . ' EIV PlanR : - i31 ��, w
13125 SW Hall Blvd.,Tigard,O Plan Review
Phone: 503.718.2439 Fax: 50 5 Date/B : Al ry� ' � Other Permit:
TI G A R U Inspection Line: 503.639.4175 Date Ready:y: Janis: ® See Page 2 for
Internet: www.tigard-or.gov APR 2 0 2017 Notified/Method: Supplemental Information
T'1GARD N Page 2 fPermit
DATA:1-AND 2-FAMILY DWELLING
TYP u I 4( �o1`��� 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.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE''INFORMATION AND LOCATION Total number of floors:
Job site address:9900 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:185 Project name:Elevation Chiropractic&Rehabilitation T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenburg Rd&SW Lehman St. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Tenant Improvement:No demolition. Construct non-bearing interior partitions to Valuation: $49,000.00
create 1 admin office and 3 additinoal consultation rooms. New ADA-compliant Existing building area: 46,800 square feet
reception desk and small built-in casework with sink. New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Atherton Realty Partnership c/o Cushman&Wakefield of Oregon Inc. Type of construction: V-B
Address:200 SW Market St.,Suite 200 Occupancy groups:
City/State/ZIP:Portland,OR 97201 Existing: B
Phone:(503)279-1726 Fax:( ) New: B
4 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Peter Kim
FLS plan review fee(if applicable):
Address:720 NW Davis St.,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Phone:(503)221-1121 Fax: :(503)221-2077
Amount received:
E-mail:pkim@lrsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM zEES*
CONTRACTOR Commercial and residential prescriptive installati in of
roof-top mounted PhotoVoltaic Solar P. "ystem.
Business name:Robert-Todd Construction Submit two(2)sets of roof pla connection details
: : -- •e.artment acc- :,a ong with the 2010 Oregon
Address:4080 SE International Way,Suite B-113 Solar Installa r.. seclalty Code checklist.
City/State/ZIP:Milwaukie,OR 97222
Pe ' ee(inc i- .lan review $180.00
and administra'-- fees):
Phone:(503)653-5704 Fax:(503)653-5729 _ S ; °, of.ermit fee . $21.60
CCB lic.:98517 / Total fee due upon application: illiklik $201.60
Authorized sign. it e:- f �����— This permit application expires if a permit is not obtained
� - —�%� within 180 days after it has been accepted as complete.
Print name: eP ter M.Kim ��� Date: 04/20/2017 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM Permi App.doc 02/24/2011 440-4613T(11/02/COM/WEB)
r •
■ 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] $ -46/000.
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,250.00
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): $
Building is 100% accessible and no ADA upgrade is required.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
•
1114
a NIBuilding Division
Plan Submittal Requirements
TI G A R D Commercial & Multi-Family -New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ® map&tax lot# ® project name ® site address ® suite number
® zoning ® applicant name /1 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. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
TI GA RD Commercial & Multi-Family -New,Additions or Alterations
Type of Submittal # of Plans
(Includes new,additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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
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 03/03/2011
City of Tigard
■ ' COMMUNITY DEVELOPMENT DEPARTMENT
'PI
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /J i Pc ? -p D /6/
Site Address: 1 ClOO OA) gi26077hCitA___ ed Suite/Bldg#: MC
Project Name: EietfrA ` U. . 7>
(Name of commercial business(occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7:-/ - P
il
Existing Business Activity: ;/- Com.
Prop sed Business Activity: /hi ;fie,' / C e_c_
Verify site address/suite# exists and active in permit sys .
110 ver Terrace Neighborhood:die-
❑ Yes V No
4ermitted Use: V Yes ❑ No CISpec Space
•nfirm no land use required.
Ir. Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: 42 0/1-9--
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: c90 /7
Site Plans: # 3
Building Plans: # �j
Building Permit#: Er—Enter buildin permit#above.
Workflow Routing: Planning • o • . ilding
Workflow Sign-off: -E' Sign-off for Planning(include notes from planning review)
Route Application Documents: 1uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: D-7-0-6—
By Permit Technician: //0,0_44tr�47/ Date: 9 as/j7
I:\Building\Fonns\BldgPermitRvwCOM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
s"l
Revisions (after Building Submittal on
Revision Notice 1: Date Sent to Al :
Revision Notice 2: Date Spat-t-6-:Applicant:
Revision Notice 3: T1at`e Sent to Applicant:
❑ SDC Fees Entered.---'' Wash Co Trans Dev Tax: ❑ Yes ❑ N/A`--, ,
Tigard Trans SDC: ❑ Yes ❑ N/A
❑ Yes ❑ N/A
E OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9900 SW GREENBURG RD 185, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00101
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor