Permit (62) BUILDING PERMIT
CITY OF TIGARD
+ Permit#: BUP2017-00265
III 11,: ' COMMUNITY DEVELOPMENT Date Issued: 11/06/2017
-ftGt, REj 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500 None Lot: None
Project: Centene Corporation Subdivision:
Project Description: TI for new tenant:New walls,doors,partitions,and suspended ceiling repairs for same tenant in suites 500 and
520.
Contractor: RUSSELL CONSTRUCTION INC Owner: GK TRIANGLE CORPORATE PARK III L
20915 SW 105TH AVE ATTN KBS REALTY ADVISORS
TUALATIN, OR 97062 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE:
PHONE: 503-692-9002
FAX: 503-692-9008
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 11/06/2017 $3,776.45
Class of Work: ALT Type of Const: IIB Demolition
Occupancy Grp: B Occupancy Load: 245 12%State Surcharge-Building 11/06/2017 $453.17
Dwelling Units: 0 Plan Review 10/03/2017 $2,454.69
Stories: 5 Height: 0 ft DC Provision Review,COM TI-Ping 11/06/2017 $361.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/06/2017 $1,510.58
Value: $550,000 Info Process/Archiving-Lg$2.00(over 11/06/2017 $66.00
11x17) 11/06/2017 $660.00
Metro Const.Excise Tax
Floor Areas:
Additional Plan Review 11/06/2017 $200.00
Total Area: 12689
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,481.89
Required Items and Reports(Conditions)
Required:
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 Cent- .or 1Those3 e rules4 are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may•% -in a copy of the rules or direct questions to OUNC by calling 503.232. jr
Issued By: ,/ ermi ee e:,e r �/
.AML..1. Ar� Id///ice � "��l
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.
B>' lding Permit Application
- Commercial
FOR OFFICE CSF:ON 1.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: j? ::' '° '
coi■ Ph551960 * I� Plan Revi l i c,A R n Inspection Line: 503.639.4175 III
Permit:
Internet: www ti azd or ov � nn{ Date Ready/ y: " Jam" la See Page 2 for elemental Information
g g 0 C 1_11 1 No'ied/Method• / I u en ormation
"ti. ' ' 4 TYPE OF.WOR 4I "n UIRE`DDAT ,. ,.
�t 1 ��, � , ' �Qd,..k. x,,.„-: A.1-AND 2�AMILY DW�ING
0 New construction ❑Deifitlon Permit fees*are based on the value of the work performed.
El Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Otherequipment,materials,labor,overhead,and the profit for the
CATI ORY :1.=', work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: g
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
" JOB SITE INMRMATION AND LOCATION :n Total number of floors:
Job site address:13221 SW 6801 Parkway, New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:500+520 Project name:Centene Corp
Covered porch area: square feet
Cross street/directions to job site:Sw 66th Ave
Deck area: square feet
near intersection of I-5 and Beaverton-Tigard Hwy
Other structure area: square feet
D OATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S101DA00102 Indicate the value(rounded to the nearest dollar)of all
,.. equipment,materials,labor,overhead,and the profit for the
,DESCRIPTION OF" � work indicated on this application.
"_. Demolition of non-load bearing interior partitions,doors,elect. New walls, pation: $550,000.00
I s suspended ceiling repairs, fight fixture relocation,;;;;;;;;;" —
acles,cabinets Existing building area: 13313 square feet
I relocation of lire sprinklers,have ducting. ew sp i sys em cooling @ Server �- ` New building area: 0 square feet
Number of stories: ]
Name:Centene Corporation
Type of construction: II-A
Address:7700 Forsyth Blvd.
y (Facilities) Occupancy groups:
R
City/State/ZIP:St.Louis,MO 63105
Existing: B
Phone:(314)349-8842 Fax:(S(4.) S-24.24-
.i New: B
APPLICANT , El CONTACT PERSON ;,
u BUILDING PERMIT FEES* ..
Business name:HDL Design Architects (Pleeaere/ersoftie aehedrrk)
Contact name:Heather Larsen Structural plan review fee(or deposit):
Address:1410 Glen View Court FLS plan review fee(if applicable):
City/State/ZIP:Roseville,CA 95747 Total fees due upon application: 4154:Cog
Phone:(916)773-6758 Fax::(916)773-2875 Amount received:
E-mail:heather@hdlaia.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Phone:( ) Fax:( )
and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCB lic.:
Total fee due upon application: $201.60
Authorized signature: -,i 0 This permit application expires if a permit is not obtained
��/� kt __' within 180 days after it has been accepted as complete.
I Print name:Heather Larsen I Date:09-28-2017 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemvts\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
A...
:I 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] $ 500,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 125,000
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 [21 of Valuation Computation): $
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PeR L'NveAvOAl X/174
D•I'nl NE4-5oA1 ont 9-27-17.
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I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
Ill
■
Building Permit Review — Commercial - No Land Use
TIGARD
0.
Building Permit #: Wabi 7 _( 7(.,5
Site Address: /j ) ,Ji.j 6-sliet-tv_ Suite/Bldg#: , C 502 '
Project Name: ( +�'�'ve_ (crpC -hu,J
(Name of commercial busme.s occupying the space. I f vacant,enter Spec Space.)
Planning Review
Proposal: i
Existing Business Activity: VI►)(,Y
Proposed Business Activity: L1 0 e cAp f%1111 L'
Verify site address/suite# exists and active in permit system.
River Terrace Nei hborhood: ❑ Yes N.11--No
fi- Zoning: a.&
N4Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
)4.
Exists: 'Yes ❑ No,applicant notified to obtain business license
Notes:
Approved byPlanning: ) OC',t lLL Date: 10S' 17
PP
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: Id/Vi 7
Site Plans: #
Building Plans: # 3
Building Permit#: nter building permit#above.
Workflow Routing: tanning ermit Coordinator i---- g
Workflow Sign-off: ij.-off for Planning(include notes from planning review)
Route Application Documents: L t uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / '- Date: /6/4/7
l:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse_070915.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:
74DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes i N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: E Yes N/A
II OK to Issue Permit
Approved by Permit Coordinator: /0/iVi ---
Date:
I:\BuildingTonns\B1dgPennitRvw_COM_NoLandUse 070915.docx
IIIDIL Design
• Architecture & Interiors ■
Letter of Transmittal
To: Cltci Of Tt onRp -8 Date: pq -/7
Address: Regarding: egAir E. r
City: HDL Job Number: CeoUposF-
Attention: DAN/VE/f,0
Via: 0 Mail ) Courier
0 Blueprinter 0 Pick Up
0 Fax Number:
Total Pages:
We are sending you:
Herewith 0 Originals 0 Specs 0 Samples
0 Under Separate Cover Prints 0 Shope Cover > lar
For Your:
0 Use 0 Record 'Approval XReview& 0 Distribution to
Comment others
E,T5 Coxi5T1eUG-T1dxi PDeum.6 fi— l'/A cJt. DNe ,x—'r- 6/ A.J
�e-r) Po/e PLA-/J f Ev/EGJ
1 IrPPt!eol-noiV
G-ffmCK_ aPL049-1 $f4'/EW rSES
If enclosures above are not received,please notify us at once.
HD tha <'u hite c.c.
B : A! i.s,if, ,der
d/Lbrat.,....._
1410 Glen View Court,Roseville, CA 95747
• (916)773-6758 ■ Fax(915)773-0518 • heather@hdlaia.com • hdlaia@aol.com
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 500, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00265
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor