Permit CITY OF TIGARD BUILDING PERMIT
a111 COMMUNITY DEVELOPMENT Permit#: BUP2017 00229
Date Issued: 08/24/2017
'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 201
Project: Medical Evaluation Specialists Subdivision: None Lot: None
Project Description: TI-New partitions,exam&consultation rooms&break room,no demo.
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC
21360 NW AMBERWOOD DR 9430 NW KAISER RD
HILLSBORO, OR 97124-9321 PORTLAND, OR 97231
PHONE: 503-645-8531 PHONE:
FAX: 503-645-5397
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 08/24/2017 $91.00
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/24/2017 $752.04
Occupancy Grp: B Occupancy Load: 25 Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/24/2017 $90.24
Stories: 2 Height: 0 ft Plan Review 08/24/2017 $488.83
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2017 $300.82
Value: $53,000 Info Process/Archiving-Lg$2.00(over 08/24/2017 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,734.93
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 f m e the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are s t fo in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .23 1987 0 :+0.332.2344\
Issued By: ' _ Permittee Signature:
1503.639.4175 by 7:00 a.m.for the next available inspection dl•.
This permit card shall be kept in a conspicuous place on the job site until compl=,on of the • •sect.
Approved plans are required on the job site at the time of each inspe tion.
Building Permit Application
CommercialRECEIVED FOR OFFICE USE ONLY
City of Tigard Date/Byd a 16--I i Ilf) Permit No.:, y7 BOO,q g'?
iii 13125 SW Hall Blvd.,Tigard,OR 9722 r � Plan Revie yy
III 1111111
Phone: 503.718.2439 Fax: 503.598.1'i t G e) 7 Date/By: • "f S, ! Other Permit:
T I G A R D Inspection Line: 503.639.4175 d /�{y y y Date Ready/By: /t i Jam: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF i 3:-tSli! jtified/Method: d �7 Supplemental Information
TYPE OF WORK (52}AAALiiREQ!4( ! D DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0..Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 'ICommercial/industrial
❑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 addre 13z0 Si,L, }--j(\Zk 7 V�. Su _, Z; New dwelling area: square feet
City/State/ZIP: • \CVA C--tZ z3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Mit.c\Itca e\k,i. 00, `c"6" S-Covered porch area: square feet
zCross street/directions to job site: •� 'kek Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ( Lot no.: Permit fees*are based on the value of the work performed.
25 `�\����\/�� Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 1 ly equipment,materials,labor,overhead,and the profit for the
``,,'' ll J DESCRIPTION OF WORK /� /,,� work indicated on this application. y�6�
LAW ��r d�S � /� ei
CIJY�f i / ���//l�r Valuation: $ .55:060
Existing building area: 15— square feet
sak �[ GpVy ` xV/_) Der,yL 1
New building area:Z,L•t•7 square feet
0 PROPERTY OWNER toiC TENANT Number of stories: 3
Name s( t E, �1�, � 4�Lia Type of construction: \"
Address: 32 3� t- ��'r17 j r g)._ 'J5-,,i_,.. ze l Occupancy groups: f
City/State/ZIP:"Ti c ct 't1 l Az ell 113 Existing:
Phone:( ) _(( Fax:( ) New:
0 APPLICANT piCONTACT PERSON BUILDING PERMIT FEES*
Business name: ® (Please refer to fee schedule)
( Structural plan review fee(or deposit):
Contact name: /` .(y ' ?_.t- ,t J
t 3 gel ` S, 1 "k ,,� _t ' FLS plan review fee(if applicable):
Address: S
City/State/ZIP: Cl,,( 1, CZ_ q 2.,442.,441 � Total fees due upon application:
Phone:(5-03 22L . 1 Z 5
Fax:
` 70 Amount received:
E-mail:� `� CA®t\AMC� 1ry,L PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V T
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: \ c...o\\V.\ 1\---‘ Coyvs;ky-LkL C)rl Submit two )sets of roof plan with connecti•• '-tails
and fire depart -• access,along with t.- 110 Oregon
Address: 2 13( ��O \‘‘v/\.L ,,--t.„3 4( 'C Solar Installation Spe ': s Code • cklist.
-
City/State/ZIP: \ Permit fee(includes .e ' .view $180.00
`\y�p) � t L-� l Z and admi r rative fees
Phone:( it4',• Os 3\ Fax:5D3 j _1...t J^. 'S 3 State surcharge 2%of permit fee): ) $21.60
CCB lie.: 3 t i i l \ClTota ee due u ca[ tion: $201.60
Authorized signature: / J'�L J This permit application expires if a permit is not obtained
r 11�L within 180 days after it has been accepted as complete.
Print name: ���- ,�' V r` Date: I 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) /_ C, ^
114 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] $
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 PernutApp.doc 03/03/2011
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #:
Site Address: 732-0 S vd ttVY) Zc k-.Lr QcL Suite/Bldg#: '
Project Name: 1\f1 E`cL c I E i ctLvoi h See UcA.Li s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Jam/ ti , YUAN e01( .4-+t»n) , `e x GI r'n . cl Co r S f O-
ro , (Ng k coo"1-N ` (3 v► l v S
Existing Business Activity: p 6 tCi ce,1.CP(,C
Proposed Business Activity: QCC tt
7 Verify site address/suite# exists and active in permit system.
gi River Terrace Nei borrhood: ❑ Yes ❑ No
Vi Zoning: 1'
APermitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes t9 No,applicant notified to obtain business license
Notes:
Approved by Planning: ! v l Date: t9//
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 051/
//
Original Submittal Date: 0 S 7
Site Plans: # 3
Building Plans: # 3
Building Permit#: ErEnter building permit#above.
Workflow Routing: Er Planning ld'Budding
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: &e--
By Permit Technician: Date: ��6—/2
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Release•: 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 Ap. -.nt:
❑ SDC Fees Entered: Wash . rans Dev Tax: ❑ Yes MI /A
'gard Trans SDC: ❑ Yes ❑ N
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
INI Over-The-Counter (OTC) Building & Fire Protection System Permit
T 14 R r) Appointment Checklist
Permit Record#:
Contact Name: `I, J LAA."). Phone#: 5o3-9D l'- a labs
Business Name: " lb Appt. Date/Time: t//s (a� /t '&)'9.4I
Site Address: 73 ap SA) 4)h Bldg/Suite#: ego 1
Project Name: '„yeQ 4.J �J L ts.;,t New Tenant? yi Yes 0 No
Project Description: „Q1 tots.t4 , n 41 �d p� T c `� g/ayy
0
Existing Use: c New Use: ' cr
MMD Required: ❑ eso Related Record#: a
GENERAL INFORMATION
Class of Work: pH- Occupancy Group: a Type of Construction: N• G
24-'Type of Use: l� Occupancy Load: � ' Oregon Specialty Code: .„ f 9-.
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: 7/f g I Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback–Left Sideyard Setback–Front
Sideyard Setback–Right Sideyard Setback–Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: 5: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Y 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: $ S? , ()DQ �j 1,11h
. , , . . t
$ q )- DC Prov Rvw,COM TI–Ping
$ 0 Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ • a .a 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ 3 O 0 , 83 Plan Review,Fire Life Safety
$5,000 $74,999 $91.00 $ /a — Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $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
$ Other:
Building Staff: $ Other:
Date/Time: $ j 73 *Gj 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:
7320 SW HUNZIKER RD 201 , TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00229
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor