Permit it CITY OF TIGARD BUILDING PERMIT
.r- COMMUNITY DEVELOPMENT Permit#: BUP2018-00017
13125 SW Hall Blvd.,Ti Date Issued: 02/07/2018
T[ta:A:td.La and OR 97223 503.718.2439 9
Parcel: 1S126DC80001
Jurisdiction: Tigard
Site address: 9385 SW LOCUST ST
Project: Halsey Street Professional Center Subdivision: LOCUST OFFICE PARK CONDO Lot: 1
Project Description: TI for new tenant:Demolition,new door,and new walls for office reconfiguration.
Contractor: MICHAEL H MALLON Owner: LOCUST STREET CLINIC LLC
10844 SE HAROLD ST 9385 SW LOCUST ST
PORTLAND, OR 97266 TIGARD, OR 97223
PHONE: 503-351-8956 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 02/07/2018 $91.00
Occupancy Grp: B Occupancy Load: 19 Permit Fee-Additions,Alterations, 02/07/2018 $317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/07/2018 $38.05
Stories: 0 Height: 0 ft Plan Review 02/07/2018 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/07/2018 $126.82
Value: $15,645 Info Process/Archiving-Lg$2.00(over 02/07/2018 $18.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $797.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 Center. Those rules are set forth 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 .1987 or 1.800.332.2344.
Issued By: ittee Signature: '/
a 1503.639.4175 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 , I OR Of Ilk E I !sf.ONEN
City of TigardC..gr
':-.4• r t /r"' '-''.
,3,27:sw llall Blvd.Ti2areL OR 97223 1!.'"' ' - ' ' pin' Revicw •
ii4
,.. Phone 503.718.2439 Fax: 503,598.1960 WWI Pc/all i /3461„201 S'"- Lik
Cr-D 7 2-0 LtecTIR:-.3,13-13,
Inspection Line: 503 630.4175
t t_u Juu.,. I 0 See Pae?for .
Intcrim, ss,Nso,,tigard-or.gov :510iiiaMohod. _L-rarif.±upplemencal[information 1
,...
TYPE OF WOW litf-IR'' ..-j"j 1J-1\:6S1''Uls‘f REQUIRED DATA:I AND 2-FANIILY DWELLING
I
0 Nex%construction 0 Demolition i Permit fees*are hosed on the value of the‘vork pertOrmed. j
j) Indicate the%aloe(rounded to the nearest dollar)of all
gAdditiol'alteratiovreplacement D Other:
I equipment.materials,lab)r.overhead.and the profit for the
-- -- — --- i
J work indicated on this application.
CATEGORY OF CONSTRUCTION ----- i
J
- I Valuation: s
' --------. -. — I
0 I-and 2-family dwelling r.4 Commerciallindustrial
0 Accessory building 0 Multi-family Number of bedrooms
' -'
0 Master builder 0 other, I i_Numher of bathrooms:
JOB SITE INFORMATION AND LOCATION I Total number of floors:
.
Joh site address: ' ,...J. .0 v." ...iiNess"),,..; 4.,-.2 , ,./.--.. N , dre
welling area square led
— -- -
City/State/IP: -r,,,,,,,,..,_ 0 K 7.1. -41- 77 1 Garage/carport area: square Icet
Suitc'bldg.apt.no.: I,
1 rojeet name: 41.f.e.froiti ii,„ /Ar__ 45i,r44'overed porch arca: square lect
_ v__ f
------1
Cross street/directions to job site: r?„,./iserr-- of; 47,4 g j *ilt..4 (Z(_.-1 p4ii.0110441/eck area: square feet
Ce-017r Other structure area: square feet
1
I
— MMREQUIRED DATA:COMMERCIAL-USE CilECKLIST
I_Subdivision: ' Iot no.:
I - I Permit fees*are based on the value of the\vork performed
Pf .
I Indicate the value(rounded to the nearest dollar)of all
ax map/parcel nit: i 4 1:1 4C e,0001 ,
fil ecluipment,inalerials,labor.oand verhead. the profit for the
WK.
OF OR _ _____ _____I ‘kon. S ork indicated on this application.
r---
I
, , Valuation: '
i I ' IS 6 ti ---
i 4 its1• L fik, -rr— . ---L.c.4.4., J.1------ J-M,131'QK'' i ---I
iino building
-7 - &11)14 V,eA"4.10 /1 c2A/ - -C1f)0--i jj 4$'4-417, 44-1,4V IAstarca.5 It4V-42 a 1 ri - - ' .14+3 square let
1,42,_3_,- ircr. ybils_L_A.., 1....y...„..f, ____jr4.4„, M7it... Iptvkily ,mrs,orz..7. , (2:,N1—building area: ......0..-- square feet _1
)3(PROPERTY OWNER 1 0 TENANT 1 Number of stories:
I
I
Name: ' Type of construction: V fb
_ V
Awn,:
1- _ ___ Opancy groups: V7 i
-- ccu__
City/Stater/IP:
__ Existing: _ Y+irs,
Phone:( ) Fax:l /
0
___ . ..Jew:____L_____ z_._APPLICAVI 0 CONFACF PE:12.SO\ BUILDING rimin-FEES*
_
, 1 (Pkase refer to fee schededr) I
--Business name: ii7..a-.,.,.r..5F .f ..._:,. , w,7,_Li,4.7a7 .14-\No.. ..„, .:,„_ _____ __ _ ,
I_Structural plan evielee ior depsit):Contact name:
t — i FES plan reN icw fee inapplicable):
, i
—
fool fees due upon application:
(ity/State71P:yoR...c---1 °JCL_ 61 - ;
J--
Amount received: ,
Phone:(50 - (4-04--%?, Ea..::1 ) I
_ ..... ., ..
.
PHOTOVOLTAIC SOLAR PANEL Si SI EA,ELLS*
I- mit) prjz,up(6,ci.to 444.)60-4,AO ci,..,...7- - •
i Commercial and residential preseriptiN c installation of
CONTRACTOR , i' .roof-top mounted PhotoVoltaie Solar Pancl SNSiC111. 1
i
. I Suh71 RN°(2) els of roof plan with connection details
J and tire department access.alone V.ith the 2010 Oregon
1
1ddress: 1 0 e1,1 --g_e ti,„%c,.._:6 &--1-7- Solar InsiallononApecialn.Code checklist.
City/State/11P: () .... 9 7 2-Jo C.. I Permit fee(includes plan revic‘‘
SI80.00
I and administrative fees):
Phone:gcl.. '"?(a)c)— NS kz,e•-,. I Fax:1 1 ' `yrkist.E._ t
J State sureharge(12°I,of permil fee): S21.60
-
CCII lie.: .1-pa-s— ___________
-
- -- - 7/ j total fee duc upon implication: S201.60
Authorized Sigmitu • lit,41,' 411P ie.-- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
------- _
Print mime: ireff.44e,31 i 6 50 1 --7,--Nej, )
-,k ,.../s- _ . Fee methodology set by Eri-County Building Industr)
Service Board.
1.,,Building\Pyrala10$euM, if.p.d ....440‘11 /1/4-2e1 -11;141 6......../21VOM/W[B1
A 1 4.114(7 f 1, /it
!oil 4 City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
r!(. r) Appointment Checklist
Permit Record#: 1/1/90ZOt p.°Jo9 7
Contact Name: �. _' A,� Phone #: 3`v OLt3s
Business Name: % ,ic-c. kJ, f4440 Appt. Date/Time: ?Hi$- Q l j do
Site Address: I3irs--,F.J 4)ito Sir-. Bldg/Suite #:
t ,
Project Name: /76 rfire-e "i ., , New Tenant? Ayes 0 No
Project Description: /�,,L,'ih),.,1 � „4/3- , 44/4 /it 7c,, D
Existing Use: New Use:
MMD Required: 0 Yes , c'No Related Record#:
APPLICATION SPECIFIC IIFORIA.TIO
,.� GENERAL INFORMATION
Class of Work: ) J Occupancy Group: Type of Construction: V—
Occupancy Load: l Oregon Specialty Code: ,),_431 7
T
SPEype CIFICSofUse:
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: 3 4 ). Accessory Structure: Covered Porch:
V y 70
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: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: h 0 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: $ j S'/ 6 14� [ g
$ 9 i — DC Prov Rvw,COM TI—Ping
$ 3 17. o 6 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 32_os 12%State Surcharge
Project Valuation $Q.O 6.O 9 Plan Review,Structural
Up to$4,999 $0.00 $ jag, g0�
-$74 999 Plan Review,Fire Life Safety
$5,000
$91.00 $ 1 , 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: $ 7 9 7 ,o TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
11,1 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: l) $ i& / t�
MULTIPLIER(25%barrier removal requirement): t�
x .25
TOTAL BUDGET FOR BARRIER REMOVAL: {2j $ 1 (
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: $ /„ a w
(d) At least one accessible restroom for each sex or a single unisex 1�
restroom: $ I D, "
(e) Accessible telephones: $
(fl Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms:
TOTAL(shall equal line [2) of Valuation Computation): $
I' /1
WI T? X.- -,/v9iiik-sst., r
X-99 0tfA " &V4--
I:\Building\Permits\BUP-COM YermitApp.doc 03/03/2011
City of Tigard
1111 q COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: /16/9,9-0/y'--eine 7
Site Address: 13$S SW Le c,' CI. Suite/Bldg#: '-------
Project Name: S().,t S pace.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review II.. rr �,�� II p
Proposal: 11 iii Atv it' 1, 19 l oI i��'j nw GteUn j a&o( tv,6✓ elk tut- o t h(,c Seat?. 411 i�itrlr� cv' 4-1u.
�/
1.0.4114)-‘ aJ rtn ht.
L�J/Verify site address/suite# exists and active in permit syste .
Lt^"/River Terrace Neighborhood: III Yes No
LV" Land Use Case#: MN ZOlg-0000L
E flan/s Match Approved Land Use:
A Site Plan fidi Landscape Plan Other:
Urban Forestry Plan Elevation Plan
WPI-Urban
Height: Myitnum Height Actual Height
V/Conditions Met: NI Prior to Submittal El Prior to Permit Issuance
Business License: —/
Exists: 111 Yes Lid No,applicant notified to obtain business license
E Public Facilities Improvement (PFI) Permit: �/
Required: Ill Yes,applicant was notified L' No Applied For: ❑ Yes El No,stop intake
Notes: Nd cluottt i 61:loti. krill-. NI, aJL[ cliff- spa((. S,l-t fl*f n&11. < c4-ly L. e appn,0j,
Approved by Planning: L.1 4,4..._. Date: 2-q-Ig
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: El Approved Cl Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: a/7/i U
Site Plans: # A174-
Building Plans: # _
Building Permit#: nter building— permit#above.
Workflow Routing: a ung ❑ Engineering ❑ Permit Coordinator El Building
Workflow Sign-off: [ ' -off for Planning(include notes from planning review)
Route Application Documents: LTJ"Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
No; itcian:
s:
By 35ate: " ��/e.r
I:\Building\Forms\BldgPennitRvw_COM_WithLandUse 060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
El Easements (encroachments)per engineering conditions of approval and plat(not typ.'al on SDR/CUP)
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ❑ No
Assess Water Quantity Fee in-lieu: El Yes El No
LIDA Facility on lot: ❑ Yes El No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approv-d
Revision 2: ❑ Approved El Not App .ved
Revision 3: El Approved ❑ Not A..roved
Permit Coordinator Review
El Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building S mittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Enter d: Wash Co Trans Dev Tax: El Yes ❑ N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: El Yes El N/A
El OK to Iss a Permit
Approved ,y Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
Frontl DSTS
Subject: Peter Wasch @ Pacific Design Works; 9385 SW Locust St; Halsey Street Professional
Center; 503-310-0438
Location: CR_-_3_Permit_Center
Start: Wed 2/7/2018 10:00 AM
End: Wed 2/7/2018 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Organizer: -Building_OTC
Call Handling Mode 2: 2
TI for new tenant. Demolition, new doors,and new walls for office space.
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9385 SW LOCUST ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00017
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor