Permit (63) CITY OF TIGARD BUILDING PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00224
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2017
-TIGARD
Parcel: 25101 BB01400
Jurisdiction: Tigard
Site address: 12070 SW GARDEN PL
Project: Rokke Sports Subdivision: CROW PARK 217 Lot: 2
Project Description: TI-(2)new offices,(3)treatment rooms&(1)physical therapy room.
Contractor: VANOSDEL CONSTRUCTION Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 1057 BY RYAN
BATTLEGROUND, WA 98604 PO BOX 460169
HOUSTON, TX 77056
PHONE: 360-600-9916 PHONE:
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 08/10/2017 $91.00
Permit Fee-Additions,Alterations, 08/10/2017 $804.75
Occupancy Grp: B Occupancy Load: 56
Dwelling Units: Demolition
12%State Surcharge-Building 08/10/2017 $96.57
Stories: 1 Height: ft Plan Review
Bedrooms: 08/10/2017 $523.09
Bathrooms: Plan Review-Fire Life Safety 08/10/2017 $321.90
Value: $59,645 Info Process/Archiving-Lg$2.00(over 08/10/2017
$8.00
11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,845.31
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
952-001-001. - •.. •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: Permittee Signature: j
Call 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.
Building Permit Application
Commercial
C I FOR OFFICE USE ONLY
- City of Tigard FOR
13125 SW Hall Blvd.,Tigard,OR 972A rr Date/B : ���' Permit No.:/ /)c9-6/�,, �
Phone: 503.718.2439 Fax: 503.598 H1 Q 2 7 Plan Review 0
/t)`
Ins ection Line: 503.639.4175 Date/B : t / , Other Permit:
T I G A R D p Date Ready/By: Juns•
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ® See Page 2 for
BUILDING DIVISION Supplemental Information
TYPE OF WORK DIVISION 3 REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 1 ❑Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all
❑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 ❑Multi-family Number of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12070 SW Garden Place
New dwelling area: square feet
City/State/ZIP:Tigard,OR
Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Rokke Sports T.I.
Covered porch area: square feet
Cross street/directions to job site:Park 217 at Hwy.99 and Garden Place
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(roued to the nearest dollarfeet)of all
and square the profit for the
DESCRIPTION OF WORK work indicated on this application.ndlaboroverhead0 ,
Interior Tenant Improvement-(2)new Private Offices, (3)Tratment Rooms,(1) Valuation: $$59,645.00
Physical Therapy Room equipmentExisting building, :a.
buildinrea:,g area: 5610, square feet
New materials
® PROPERTY OWNER I 0;TENANT Number of stories: 1561
Name:GLP c/o Kidder Mathews
Type of construction: III-B
Address:One SW Columbia St.-Suite 950
Occupancy groups:
City/State/ZIP:Portland,OR 97258
Phone:(503)221.9990 Existing: B
Fax:( )
New: B
® APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mildren Design Group,P.C. (Please refer to fee schedule)
Contact name:Betty Sheppeard Structural plan review fee(or deposit):
Address:7650 SW Beveland-Suite 120 FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97223 Total fees due upon application:
Phone:(503)244.0552 I Fax::( ) Amount received:
E-mail:betty@mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Van Osdel Construction Submit two(2)sets of roof plan with connection details
Address:P.O.Box 1057 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604
Permit fee(includes plan review
Phone:(360)687.8636 and administrative fees): $180.00
Fax:( )
CCB lic.:164073 c/4!/g State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Betty K.Sheppeard I Date:08.10.17 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
q
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] $ 59645
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 14911
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 $ 0.00
(b) An accessible entrance: $ 0.00
(c) An accessible route to the altered area: $ 0.00
(d) At least one accessible restroom for each sex or a single unisex
restroom:
$ 0.00
(e) Accessible telephones: $ 0.00
(f) Accessible drinking fountains:and, $ 0.00
(g) When possible,additional accessible elements such as storage and
alarms:
$ 300.00
TOTAL(shall equal line [2] of Valuation Computation): $ 300.00
Tenant space is compliant with the addition of the vertical grab bars.
I:\Building\Permits\BUP-COM PetmitApp.doc 03/03/2011
City of Tigard
ill a COMMUNITY DEVELOPMENT DEPARTMENT
i
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: p d0/ 7— 0,062- -y
Site Address: \Zo7D SW &Ideyi Pta Cee Suite/Bldg#:
Project Name: PO S poY'fs
(Name of commerce business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. t . - 0'( medical of6c.e
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: El Yes < No
Land Use Case#: tA M D2-o i1'-O0D2
ZS Plans Match Approved Land Use:
Site Plan 'r^vr Landscape Plan 0 Other:
N V
Urban Forestry Plan ' Elevation Plan
1 Building Height: Maximum Height Actual Height
rt Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: ❑ Yeslo,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified .No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning:
Iri1g . A 1A1LiLtL Date: 1 pi (
Revisions (after Building Submitt/only) Reviewer
Date
Revision 1:
El Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: � /p(/7
Site Plans: #
Building Plans: # 1
Building Permit#: la-Enter building permit#above.
Workflow Routing: J2-Planning \❑J(F g n UP i t`t oiler /Building
Workflow Sign-off: Ea'Sign-off for Planning(include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans,engineer and
C--- beam calculations and trust details,if applicable,etc.
Notes: v
By Permit Technician: C) (owe-& Date: g/o
�7
I:\Building\Forms\B1dgPernritRvw COM_WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ■ No
LIDA Facility on lot: ❑ Yes L No
❑ NOT Approved by Engineering: Date
Notes: --.0111111111111111111111
Approved by Engineering: Date:
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
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 ' .• cant:
Revision Notice 2: Dat- to App'cant:
Revision Notice 3: Date Sent to Appli t:
❑ SDC Fees Entered: Wash Co Trans Dev Ta : ❑ 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\FormsABldgPermitRvw_COM_WithLandUse_070915.docx
1111 NI
T l c A Ez►) AppCity ooifntTigarment cohd BUILDINGecklist DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Permit Record#: %6u_pc,16,/7—DO 2-
Contact Name: i Phone #:
Business Name: �� �D 3+oZ'��"D$$�
Site Na: �� t 'R'Z"�'a�' Appt. Date/Time: _ g/ , 6 loea)
AddMO 70 til, .0 t , PtdBldg/Suite #:
Project Name: Jar Pa„�-�5 New Tenant? 0 Yes 0 No
Project Description: i7
Existing Use: leaL1/A1 . New Use: ef,(,e,
Related Record#:
MMD Required: Yes 0 No GCJ
APPLICATION SPECIFIC INFORMATION.
GENERAL INFORMATION
Class of Work: [ J)-r Occupancy Group:
Type of Use: [ 13 13 of Construction: I
J��—Irte
13 Occupancy Load: ,.4-g I Oregon Specialty Code: 20 I
SPECIFICS
Number of Stories: I Building Height:
Number of Dw Units:
Number of Bathrooms: I I Mixed Use: f
Number of Bedrooms: lI
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
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 Sideyard Setback—Back
CONSTRUCTION I I
Exterior Walls: Openings Protected:
N:; Firewall Separation:
S:
N: S: Occupancy Separation:
REQUIRED ITEMS W' Access.Parking Spaces:
Fire Sprinklers: h O 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: $ 57 64S" @
$ 9 j �- DC Prov Rvw,COM TI—Ping
$ SO y • 7s- Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ C)c S' 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 �o��. � q
$0.00 $ a O Plan Review,
$5,000-$74,999 $91.00 � 9 Fire Life Safety
$5,0000-74,9,999 $ 2S Info Proc/Arch,Lg(over 11x17$2.00)
$226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
$ Other:
Date/Time:
$ 1 ' 14.6-.3) TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12070 SW GARDEN PL, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00224
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor