Permit CITY OF TIGARD BUILDING PERMIT
a: '- COMMUNITY DEVELOPMENTOh
Permit#: BUP2017-00256
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2017
I[C�' It• 9 Parcel: 2S101AB03100
• Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 200
Project: Dr.Steven Gabel MD PC Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: TI for new tenant to Tigard:Spec space to medical clinic.
Contractor: BNK CONSTRUCTION INC Owner: TIGARD TRIANGLE PARTNERS LLC
45 82ND DR, SUITE 53B 18187 SIERA DR
GLADSTONE, OR 97027 LAKE OSWEGO, OR 97034
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/25/2017 $2,374.35
Demolition
Occupancy Grp: B Occupancy Load: 72 12%State Surcharge-Building 10/25/2017 $284.92
Dwelling Units: 0 Plan Review 09/20/2017 $1,543.33
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/25/2017 $361.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/25/2017 $949.74
Value: $310,000 Info Process/Archiving-Lg$2.00(over 10/25/2017 $32.00
11x17)
Metro Const. Excise Tax 10/25/2017 $372.00
Floor Areas: Wash Co Trans Dev Tax 10/25/2017 $63,038.00
Parks SDC Improvement 10/25/2017 $2,105.00
Total Area: 3515 Parks SDC Reimbursement 10/25/2017 $380.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $71,440.34
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 Cen,. Those les are set h 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 503.232. :;7• .800 34,
Issued By: , 4.ii.-1-/4.1''.' Permittee Signature: 41/11 Alle
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
( Im ,ercial FOR OFFICE USE ONLY
City of Tigard R �E1 E I'ceived j Permit No.: a�:7 h%7����`t/
gate/By d! 1J " ✓`�J
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revltw p► t
Phone: 503.718.2439 Fax: 503.598.19602 ry Date/By: 7l' - �� Other Penmt
Inspection Line: 503.639.4175 JJ�� 0 �01�
TIGARD p DateRea� /_ / 1 r ® SeePage2for
Internet: www.tigard-or.gov r` 'y tified/Method:j .)/2„ 4 Supplemental Information
'iTY C 7 M �9 -.i.e.., re4I,� /
1
❑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
pmt t
444 : . , 44 . workindicated on this application.
on
ietttt.: ; . . ,: .= 44 � : 4 ; � 4 : . . .,
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
I=1Accessory building ElMulti-family
❑ Master builder ❑Other: Number of bathrooms:
1 444�4.,
i �*t f :;. ., Totalnumber of floors:
:., .. ... ,.v. :,,. ......
Job site address:12115 New dwelling area: square feet
City/State/ZIP: SW 70th Avenue Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Dr.Gabel MD PC Covered porch area: square feet
Cross street/directions to job site:SW Dartmouth Deck area: square feet
Other structure area: square feet
rrigto
d,. ` # t 1 1 # G A:`1t I d 1 m �'` ¢sa f, "I
w?;.. r, , , i� az i,.5 n .. _
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:25101AB03100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1 ;1 . *� Isfidia 4� '` 'mwmswaoai
1 work indicated on this application.
12-24111111611181111111
, _4444;, ,.. _: ,�,.�> ,„.::: 4.44 �....:: ...........a:c.l..,:,ti:., , 44_:44: `�`. ..:,, .,,�.,,g>.< ;rt_,�., ._y.
First Time tenant build-out on the 2"d floor of a 2-story Valuation: 85310,000
newly constructed office bldg. Existing building area: 21,00 square feet
New building area: 0 square feet
MOMPAit
GIPO
atAMMA
02M021$ �..,. 1t 7 4 ,+k w. X47447 7 fir`` .. :.,..._,_ 1' 444 `t z Number of stories: 2
,_,., , ::.�:: 44:44, ,,�z�: ,., ,:,m
Name: Dr.Steven Gabel(Tenant/one of the bldg owners) Type of construction: VB
Address:900 SE Oak St#203 Occupancy groups:
City/State/ZIP:Hillsboro,OR 97123 Existing: B
Phone:(503)887-7477 Fax:( ) New: B
;; p e, y M - z Pm 1,VMSXNNO :l 4 1.111 3'9 3v P' x r 1 4§w 1 74
, 4444. «:. .„r,„. .m .... .....:. r:: .�:.:: .. ......:. l.p 444:4,. .. :.. ....>, , .,� ;�.:. .....�., �< . :?>_('.: w '� r5�r�,,/,,� ”` i''7744' : 444774,44447707744447447477477
MOSIN
om
Business name:STACK Architecture "` ' "y"'
Structural plan review fee(or deposit):
Contact name:Christopher Spurgin
FLS plan review fee(if applicable):
Address:32 NE 7th Ave
Total fees due upon application:
City/State/ZIP:Portland,OR 97232
Phone:(503)481-1332 Fax: :( ) Amount received
reVE-mail:chris(dstackpdx.com e 1 ` 4,Ann
�. .�.. U 4:444..
Commercial and residential prescriptive installation of
c .E`gvf 1 F i S: *t! µT F`£ 1*,. p
ut. 424. :u 774 ,; ,:, ,,. 4 ,4 : ..: _444 :,: , .:..: 444 ,.444 1 ...,.. .....,a roof-top mounted Photovoltaic Solar Panel System.
Business name:BnK Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:45 82"d Drive Solar Installation Specialty Code checklist.
City/State/ZIP:Gladstone,OR 97027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)557-0866 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:0107555 Total fee due upon application: $201.60
Authorized signature: Z This permit application expires if a permit is not obtained
' within 180 days after it has been accepted as complete.
Print name: �. -S op Il V\ Date: * Fee methodology set by Tri-County Building Industry
CC ,�/��// Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 84/,2c)/7,...,()(-)56
Site Address: /Jilt-- --- --(D---j--k, � ""
-� /�V� _ Suite/Bldg#: .; 20(--).; 20(--)Project Name: � .yp��t'-P� �, 2/ 4'77 �y
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ 0 -74°,32,/r1---
Existing
i3211 -
Existing Business Activity: —Si/, `r . ,
Pro., ed Business Activity: , ylf g/'�ifAr!.l FAWM!/i
P Verify site address/suite#exists and active in permit sys
ay'" ver Terrace Neighborhood: 0 Yes \ No
I/lei oning: (A
U
mitted Use: lkJ Yes GI ❑
Spec Space
ere
firm no land use re uired.
Business License:
n :
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: .:4 yor Date: �lL 7-
J/ -)
/
Revisions (after Building Submittal only)
Reviewer Date
Revision 1:
El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 174/107, 7
Site Plans: # 41/1
Building Plans: # .3
Building Permit#:
nter building permit#above.
Workflow Routing: ..' [--""lei to
anning 't Coordinator u g
Workflow Sign-off: 111. ign-off for Planning(include notes from planning review)
Route Application Documents: D--$'wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,., „
„....... Date: VoL5/ 7
I:\Building\Forms\BldgPermitRvw 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:
►:/,C Fees Entered: Wash Co Trans Dev Tax: es 1:1N/A
Tigard Trans SDC: ❑ Yes ?N/A
Parks SDC: Yes ❑ N/A
OK to Issue Permit l/2�/
Approved by Permit Coordinator:
Date: 9/2.-
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
4
TDT Estimate Steven Gabel MD Hair Restoration 9/27/2017
12115 SW 70th Ave., Suite 200. AMS
TDT RATES EFFECTIVE 7/1/17
TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/17 INSIDE RIVER TERRACE
TSDC CITYWIDE EFFECTIVE 7/1/17 0 Yes j
Project is in River Terrace ? I® No
Former Use
Rate Type Use# ITE Code #Units Rate TDT Amount Description
TDT 1 710 4 -$8,876
TSDC-Imp 1 $37,572 General Office
TSDC-Reim 1 $0
TSDC-RT 1 $0
Total TDT and TSDCs Former Uses $2
$37,572
Proposed Use
Use# ITE Code #Units Rate TDT Amount Description
TDT 1 630 4 $23,768
TSDC-Imp 1 $100,610 Medical Clinic
TSDC-Reim 1 $0
TSDC-RT 1 $0
TDT 2 $0
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
TDT 3 $0
TSDC-Imp 3 $0
TSDC-Reim 3 $0
TSDC-RT 3 $0
$0
Total All TDTs&TSDCs Proposed Uses $100,610
Less: Total All TDTs&TSDCs Former Uses $37,572
Total All TDTs&TSDCs Net Increase $63,038
Total Net County TDT $63,038
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0
Total Net TSDC RT Overlay $0
$63,038
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30/o
Estimated Total Impact
$225,135 $0
Estimated Unmitigated Impact $162,097
$0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% o 30%
Estimated Total Impact
$225,135 $0
Estimated Unmitigated Impact $162,097
$0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
Parks Estimate Steven Gabel MD Hair Restoration 9/27/2017
12115 SW 70th Ave., Suite 200. AMS
ALL PARKS RATES EFFECTIVE 7/1/17
0 Yes
Project is in River Terrace ? ® No
Note: All Neigh-Imp# Units entries=0 if project is in River Terrace;
All Neigh-RT# Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 710 7 $421 $2,947 General Office
Parks-Reim 1 710 7 $76 $532 0
Neigh-Imp 1 710 7 $0 $0 0
Neigh-RT 1 $0 0
2 $0
Total Parks Former Uses $3,479
Proposed Use
Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 630 12 $421 $5,052 Medical Clinic
Parks-Reim 1 630 12 $76 $912 0
Neigh-Imp 1 630 12 $0 $0 0
Neigh-RT 1 $0 0
Parks-Imp 2 $0 0
Parks-Reim 2 $0 0
Neigh-Imp 2 $0 0
Neigh-RT 2 $0 0
Parks-Imp 3 $0
Parks-Reim 3 $0
Neigh-Imp 3 $0
Neigh-RT 3 $0
Total Parks Outside RT Proposed Uses $5,964
Less: Total Parks Outside RT Former Uses $3,479
Total All Parks Outside RT Net Increase $2,485
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $2,105
Total Parks-Reim $380
Total Neigh-Imp $0 $2,485
Total Neigh-RT $0
For Non-Residential Calculations:
Prior Use: General Office=600sf/EE;4233/600=7.06EEs.
Proposed Use: Medical Clinic=350sf/EE; 4233/350=12.09EEs.
Al( EciMAc2 otAlvIAA'F
III " Buv
Accessibility. Barrier
ilding RemovalDiisImionprovement 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°/o).
VALUATION: Total of all renovation,alteration or modification being done, [1] $
excluding painting and wallpapering:
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): ,$
L\Building\Permits\BUP-CONfPcrrnit.App.doc 03/03/2011