Permit (230) o CITY OF TIGARD BUILDING PERMIT
I N I..- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00071
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/29/2012
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY S
Project: Gentle Dental Subdivision: 2004 -015 PARTITION PLAT Lot: 1
Project Description: TI
Contractor: BNK CONSTRUCTION INC Owner: SN PROPERTIES PARTNERSHIP
45 82ND DR, SUITE 53B 1121 SW SALMON ST
GLADSTONE, OR 97027 PORTLAND, OR 97205
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, 10/29/2012 $1,256.95
Demolition
Occupancy Grp: B Occupancy Load: 33 Plan Review 04/12/2012 $817.02
Dwelling Units: 0 Plan Review - Fire Life Safety 04/12/2012 $502.78
Stories: 0 Height: 0 ft DC Provision Review, COM TI - Ping 10/29/2012 $160.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - LRP 10/29/2012 $24.00
Value: $125,000 12% State Surcharge - Building 10/29/2012 $150.83
Info Process /Archiving - Lg $2.00 (over 10/29/2012 $62.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 10/29/2012 $1.50
11x17)
Total Area: 0 Metro Const. Excise Tax - Commercial 10/29/2012 $150.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,125.08
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No 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
day ON :Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 through 0• - 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. •87 or 1.800.332.2344.
sued By: L .... `/' Permittee Signature: /, .
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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.
p; t CItZ ; ;j,�'..l t1i i
Building Permit Applici Q0.n- , , tt.
Commercial FOR OFFICE USE ONLY
City of Tigard 1102 T j UV Received
Date/By: �I
Y r- j Permit No.: i o?ol�/ ,.. 7/
IIII
r' ° 13125 SW Hall Blvd., Tigar R 97223 Plan Review
Phone: 503.718.2439 Fax 5 3.598.1960 l ! Date/By: 2� I Other Permit:
TIGARD Inspection Line: 503.639 ' ' Date Ready /By r Juris: la See Page 2 for
Internet: wwty. Tigard- or.gov Notified/Method: y , T Supplemental Information
_ �)� LA) —
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 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: ` 200 S \44 QHC. \c.. \cat \C'xy4W0.y, 5TH • S New dwelling area: square feet
City /State /ZIP: T\ en As . , O'. 0 0 - 22. 1 A Garage /carport area: square feet
Suite/bldg. /apt. no.: S Project name: C^ `C:),�ZA{�. Covered porch area: square feet
Cross street/directions to job site: c,tx/ 'C \fie- ■ G ,.W∎ -'\ ? Deck area: square feet
`` Other structure area: square feet
REQUIRED DA TA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ \25 000
C' IEtiSNL� - � , S� ►^� Existing building area:.' 'Z„ square feet
r New building area: ...... square feet
❑ PROPERTY OWNER `TENANT Number of stories: P
Name: III Type of construction: V J
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New: 4�
I2+ APPLICANT f- CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:�M \-t Structural plan review fee (or deposit):
Contact name: COQ\ S .?..\g� FLS plan review fee (if applicable):
Address: \ 3y0U \Vie 'E "V • .e . 202.
Total fees due upon application:
City /State /ZIP: W,_5;z, 0/ CA- e\ \►t�,3
Amount received:
Phone: ( 6 - X160 Fax: : (0\8) H60 - 0
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR .41,11* roof -top mounted PhotoVoltaic Solar Panel System.
Business name: tot) t 4 tkTi 0 IJ 1 Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: sib 69- 02-. `a-rt- 6 Solar Installation Specialty Code checklist.
City /State /ZIP: aLf}O p tJ s_ a_ 9 7Oa -, Permit fee (includes plan review $180.00
and administrative fees):
Phone: (6)2 - '5 -- 7.... O s t t Fax: (5b5 557 togs- State surcharge (12% of permit fee): $21.60
CCB tic.: le7 555-
Total fee due upon application: $201.60
'4='-------- Th permit application expires if a permit is not obtained
Authorized signature: p PP p p
within 180 days after it has been accepted as complete.
Print name: \1N.\ Date: kv k0! f 2_ * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02/COM/WEB)
.)
/la ala o 5
III
: Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: �-.P 2019. - 0007( ❑ Expedited Review
Plan Submittal Date: 4 (11111P%
To the Applicant:
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact L4 at 503- 7182QQd or `'" I @tigard- or.gov)
C3 Zon r(?' Permitted Use Yes Et No ❑
Lr Land Use Required: Yes ❑ No Er
(explain below)
e ( / r;
Notes: _4/ - . h_. _ �,a / .,A__ _. '' / , / � g
I p /J / 74,4-fii
Approved ❑ Not Approved Date: 44
Permit Coordinator Review (contact Albert Shields at 503 718 - 2426 or albert@tigard- or.gov)
Notes:
Routed back to Building Division Date:
.. 1 /1 g /7 A / l ; 0
I: \CURPLN
Perm Place _Transmittal
!1� C '1V:AiU .MVI( Ifl8
DATE 4/10/12 QL V Si. dO A. 10
City of Tigard ZIOZ I I ddb
Attn: Building Division ,��i�
13125 SW Hall Blvd.
Tigard, OR 97223
503 - 718 -2439
RE: Gentle Dental —16200 Southwest Pacific Highways, Ste. S — Tigard, OR
We are enclosing the following: Sent Via:
® Plans ® Fed Ex El UPS ID DHL ❑ CalOvemight
Applications ❑ Other: Tracking #:
❑ Comments /Corrections
1:1 Permit I] Hand Delivered (print name):
❑ Other: Check Signature of Reciept
® For Submittal ❑ For Permit ❑ As Requested
❑ For RE- Submittal ❑ For Construction ❑ To Be Completed & Returned
❑ For Revision ❑ For Your Reference /Records ❑ Return Red -Lines
❑ For Approval ❑ Payment ❑ Other:
Enclosed is:
- (1) Building permit application
- (3) original sets of plans for building plan check
- (1) Check to the City of Tigard for the amount of $1,319.80
Hello,
Please find enclosed the items mentioned above for building plan review for building permits.
If there is anything missing or any issues with this submittal, please give me a call right away.
Regards,
Chris Harris
Permit Place, Inc
Project Manager
818.786.8960 office
818.606.4364 cell
chris @permitplace.com
13400 Riverside Dr. • Suite 202 • Sherman Oaks, CA 91423.818/786 -8960
1
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COMcheck Software Version 3.9.0
Interior Lighting Compliance k > ^��' ���� ri
Certificate rJO�s�n�a ��a1 «e 1 ° '� ''
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Oregon Energy Efficiency Specialty Code . `
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Section 1: Project Information � b O. P ► , �'
• Project Type: New Construction
Project Title : GENTLE DENTAL
Construction Site: Owner /Agent: Designer /Contractor:
le TIGARD TOWNE SQUARE SHOPPING ERIC LANCIAULT RONALD ATHAY P.E.
�' CENTER ERIC LANCIAULT ARCHITECT ATHAY & ASSOCIATES
'' 16200 SOUTHWEST PACIFIC HIGHWAY CAMAS, WA 98607 , VANCOUVER, WA 98665
SUITE S 360.833.0585
TIGARD, OR 97055
Section 2: Interior Lighting and Power Calculation
A B C D
Floor Area Allowed Allowed Watts
Watts / ft2
CLINIC (Health Care - Clinic) 3306 0.89 2942
Total Allowed Watts = 2942
Section 3: Interior Lighting Fixture Schedule
A B C D E
Fixture ID : Description / Lamp / Wattage Per Lamp / Ballast Lamps/ # of Fixture (C X D)
Fixture Fixtures Watt.
` CLINIC ( Health Care - Clinic 3306 sq.ft.) '
Linear Fluorescent 1: A: 2'X4' LAY -IN FLUOR. / 48" T8 32W / Electronic 2 15 62 930
Linear Fluorescent 2: AE: 2'X4' LAY -IN FLUOR. / 48" T8 32W / Electronic 2 7 62 434
Linear Fluorescent 3: AL: 2'X4' LAY -IN FLUOR. / 48" T8 32W / Electronic 2 16 62 992
Compact Fluorescent 1: B: REC. FLUOR. DN. LT. / Triple 4 -pin 26W / Electronic 1 4 29 116
Compact Fluorescent 2: C: REC. FLUOR. DN. LT. / Quad 2 -pin 13W / Electronic 1 6 13 78
Compact Fluorescent 3: D: FLUOR PENDANT. / Quad 2 -pin 13W / Electronic 1 4 13 52
Linear Fluorescent 4: E: 48" SURF. FLUOR. / 48" T8 32W / Electronic 1 1 62 62
Total Proposed Watts = 2664
Section 4: Requirements Checklist
In the following requirements, the relevant code section reference is shown in (]. ' +' denotes that more details exist in the specified code
section. Checkboxes identify requirements that the applicant has not acknowledged as being met. Check marked requirements identify those
the applicant acknowledges are met or excepted from compliance. 'Plans reference page /section' identifies where in the plans/specs the
requirement can be verified as being satisfied.
Lj,ghting Wattage:
1. [505.1 +] Total proposed watts must be less than or equal to total allowed watts.
Allowed Wattage: 2942 Proposed Wattage: 2664
Complies: YES
andatory Requirements:
2. [505.4] Exit signs. Internally illuminated exit signs shall not exceed 5 watts per side.
Plans reference page /section:
i
U 3. [505.2.2.3 +] Daylight zone control. All daylight zones are provided with individual controls that control the lights independent of general
area lighting in the non - daylight zone. In all individual daylight zones larger than 350 sq.ft., automatic daylight controls is provided.
Project Title: GENTLE DENTAL Report date: 04/03/12
Data filename: G: \LANCIAULT\GENTLE DENTAL TIGARD \ENERGY CODE FORMS \TIGARD GD.cck Page 1 of
Automatic daylight sensing controls reduce the light output of the controlled luminaires at least 50 percent, and provide an automatic
OFF control, while maintaining a uniform level of illumination. Contiguous daylight zones adjacent to vertical fenestration may be
controlled by a single controlling device provided that they do not include zones facing more than two adjacent cardinal orientations
(i.e., north, east, south, west). Daylight zones under skylights shall be controlled separately from daylight zones adjacent to vertical
fenestration.
Plans reference page /section:
[505.2.1 +] Interior lighting controls. At least one local shutoff lighting control has been provided for every 2,000 square feet of lit floor
area and each area enclosed by walls or floor -to- ceiling partitions. The required controls are located within the area served by the
controls or are a remote switch that identifies the lights served and indicates their status.
Plans reference page /section:
O 5. [505.2.3 +] Sleeping unit controls. Master switch at entry to hotel /motel guest room.
Plans reference page /section:
O 6. [505.2.1.1] Egress lighting. Egress illumination is controlled by a combination of listed emergency relay and occupancy sensors to shut
off during periods that the building space served by the means of egress is unoccupied.
Plans reference page /section:
❑ 7. [505.2.2 +] Additional controls. Each area that is required to have a manual control shall have additional controls that meet the
requirements of Sections 505.2.2.1 and 505.2.2.2.
Plans reference page /section:
❑ 8. [505.2.2.1 +] Light reduction controls. Each space required to have a manual control also allows for reducing the connected lighting load
by at least 50 percent by either
1) controlling (dimming or multi -level switching) all luminaires; or
2) dual switching of alternate rows of luminaires, altemate luminaires, or alternate lamps; or
3) switching the middle lamp luminaires independently of other lamps; or
4) switching each luminaire or each lamp.
Plans reference page /section:
❑ 9. [505.2.2.2] Buildings larger than 2,000 square feet are equipped with an automatic control device to shut off lighting in those areas. This
automatic control device shall function on either:
1) a scheduled basis, using time -of -day, with an independent program schedule that controls the interior lighting in areas that do not
exceed 10,000 square feet and are not more than one floor; or
2) an occupant sensor that shall turn lighting off within 30 minutes of an occupant leaving a space; or
3) a signal from another control or alarm system that indicates the area is unoccupied.
Plans reference page /section:
o 10.[505.2.2] Occupancy sensors in rooms that include daylight zones are required to have Manual ON activation.
Plans reference page /section:
V 1.[505.2.2] An occupant sensor control device is installed that automatically turns lighting off within 30 minutes of all occupants leaving a
space.
Plans reference page /section:
O 12. [505.2.2] Additional controls. An occupant sensor control device that automatically turns lighting off within 30 minutes of all occupants
leaving a space or a locally activated switch that automatically turns lighting off within 30 minutes of being activated is installed in all
storage and supply rooms up to 1000 square feet.
Plans reference page /section:
Li 13.[505.2.2.2.1] Occupant override. Automatic lighting shutoff operating on a time -of -day scheduled basis incorporates an override
switching device that: 1) is readily accessible, 2) is located so that a person using the device can see the lights or the area controlled
by that switch, or so that the area being lit is annunciated, 3) is manually operated, 4) allows the lighting to remain on for no more than
2 hours when an override is initiated, and 5) controls an area not exceeding 2,000 square feet.
Plans reference page /section:
Li 14. [505.2.2.2.2] Holiday scheduling. Automatic lighting shutoff operating on a time - of-day scheduled basis has an automatic holiday
scheduling feature that tums off all loads for at least 24 hours, then resumes the normally scheduled operation.
Plans reference page /section:
O 15. [505.2.4 +] Exterior lighting controls. Lighting not designated for dusk -to -dawn operation shall be controlled by either a combination of a
photosensor and a time switch, or an astronomical time switch. Lighting designated for dusk -to -dawn operation shall be controlled by
an astronomical time switch or photosensor.
Plans reference page /section:
Project Title: GENTLE DENTAL Report date: 04/03/12
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1
A
• • 16.[505.3] Tandem wiring. The following luminaires located within the same area shall be tandem wired:
1. Fluorescent luminaires equipped with one, three or odd- numbered lamp configurations, that are recess- mounted within 10 feet
center - to-center of each other.
2. Fluorescent luminaires equipped with one, three or any odd - numbered lamp configuration, that are pendant- or surface- mounted
within 1 foot edge- to-edge of each other.
Plans reference page /section:
D 17. [505.5.1 +] Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent
of the control of the nonexempt lighting.
Plans reference page /section:
• 18.[505.7 +] Each dwelling unit in a building is metered separately.
Plans reference page /section:
Interior Lighting PASSES: Design 9% better than code.
Section 5: Compliance Statement
Compliance Statement: The proposed lighting design represented in this document is consistent with the building plans, specifications
and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the Oregon Energy
Efficiency Specialty Code requirements in COMcheck Version 3.9.0 and to comply with the mandatory requirements in the Requirements
Checklist.
Ro+nALo A?LuAK 1 a. E. - �i� 2 i 1 y
Name - Title Si ature Dat
Project Title: GENTLE DENTAL Report date: 04/03/12
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