Permit (112) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT �• ►, ,
Permit#: BUP2018-00242
T CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' "
ti Date Issued: 10/15/2018
-� ,
Ufi Parcel: 2S101AA02900
�� " Jurisdiction: Tigard
Site address: 12123 SW 69TH AVE
Project: Compass Oncology Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Interior demolition of existing building and TI build-out for new women's cancer treatment center.
Contractor: TURNER CONSTRUCTION CO Owner: MCKESSON SPECIALITY HEALTH
375 HUDSON ST 10101 WOODLANDS FOREST DR
NEW YORK, NY 10014 THE WOODLANDS,TX 77380
PHONE: 503-226-9825
PHONE: 281-863-4723
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 10/15/2018 $23,016.95
Demolition
Occupancy Grp: B Occupancy Load: 403 12%State Surcharge-Building 10/15/2018 $2,762.03
Dwelling Units: 0 Plan Review 09/10/2018 $14,961.02
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/15/2018 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review Addl-Fire Life Safety 10/15/2018 $1.00
Value: $6,000,000 Info Process/Archiving-Lg$2.00(over 10/15/2018 $294.00
11x17)
Metro Const.Excise Tax 10/15/2018 $7,200.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $48,623.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
cg,e.
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.
CITY OF TIGARD BUILDING PERMIT
It-- COMMUNITY DEVELOPMENT Permit#: BUP2018-00242
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2018
Parcel: 2S 101 AA02900
Jurisdiction: Tigard
Site address: 12123 SW 69TH AVE
Project: Compass Oncology Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Interior demolition of existing building,then tenant improvement shall be interior construction for new women's
cancer treatment center.
Contractor: TURNER CONSTRUCTION CO Owner: MCKESSON SPECIALITY HEALTH
375 HUDSON ST 10101 WOODLANDS FOREST DR
NEW YORK, NY 10014 THE WOODLANDS, TX 77380
PHONE: 503-226-9825 PHONE: 281-863-4723
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 10/15/2018 $23,016.95
Demolition
Occupancy Grp: B Occupancy Load: 403 12%State Surcharge-Building 10/15/2018 $2,762.03
Dwelling Units: 0 Plan Review 09/10/2018 $14,961.02
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/15/2018 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review Addl-Fire Life Safety 10/15/2018 $1.00
Value: $6,000,000 Info Process/Archiving-Lg$2.00(over 10/15/2018 $294.00
11x17)
Metro Const.Excise Tax 10/15/2018 $7,200.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $48,623.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 Cen ,se 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 503.232.1 or .80 1.332.2344.
Issued By:
ermittee Signature: V it
Call 50 .. 9., 75 by 7:00 a..mmm....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.
r Building Permit Application
�:ri
Commercial OFFICE USE ONE)'
City of Tigard ReceivedBy / l I kW i� 4/�
a Date/By: Ll Permit
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C� I / /,,
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / ' ® D , 'i Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: /1 - Juris: I Ed See Page 2 for
Internet: www.ti and-or. ov " _. °'` .tified/Method:
g g Supplemental Information
<
El 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
®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
'''''1-4.": 4'..°)'-'
A e R e C n STR :.n 16.?,iwork indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
d 'ITE£'INFO' ~f TION AND ' CAT`aN Total number of floors:
Job site address:12123 SW 69th Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 N.: Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg A Project name:Compal,'" Igy Covered porch area: square feet
Cross street/directions to job site:Corner of SW 69th/S ".th Deck area: square feet
Other structure area: square feet
_ REQU1RFD DA ` ' i',,,,,,",. "' R CICLIST
Subdivision: 1 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
i` ;DES PTIOI OF ,." work indicated on this application.
Interior demolition of existing building,then tenant improvement shall be Valuation: $$6,000,000.00
interior construction for new women's cancer treatment center. Existing building area: 41070 square feet
New building area: square feet
'. 4 ^ A ►a'1 TE ANT Number of stories: 2
Name:McKesson Specialty Health Type of construction: II-B
Address: 10101 Woodlands Forest Dr Occupancy groups:
City/State/ZIP:The Woodlands,TX 77380 Existing: B
Phone:(281)863-4723 Fax:(281)863-6363 New:
APPLICANT K,: "s►�I CONTACT PERSON z.,:,., ` : BUILDING PEPMIT1ERS* $
Business name:CORGAN Architects f lea e re a rr;fie schedule)
Structural plan review fee(or deposit):
Contact name:Dennis Escobar
J ,,JJ��' FLS plan review fee(if applicable):
Address:401 N.Houston St. P 11,1+,47 GT
QCity/State/ZIP:Dallas,TX 75202 r�J� t, j y Total fees due upon application:
Phone:(346)201-6201 •
w.:(,Vlj)S-1 Z— �CJ1
Amount received:
PHOTOV �I,TALC" OLAR P L v *
E-mail:dennis.escobar@corgan.com I � � c Cy. Cr�,h 1S A11TE M¢FEES
w Commercial and residential prescriptive installation of
14 ...... i n r." 4',.'263
Ofi4TRACTO> ,
�� �� r� .,. � ".s., roof-top mounted Photovoltaic Solar Panel System.
Business name:Turner Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
JAddress:1155 SW Morrison St,Suite 600 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97205 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)226-9825 Fax:(503)226-9836 State surcharge(12%of permit fee): $21.60
�/ CCB lic.:69988 c l h`. Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�! within 180 days after it has been accepted as complete.
Print name:Bruce Reid Date:8/30/18 * 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)
• 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] $ 5800000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1450000
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 PermitApp.doc 03/03/2011
•
Building Division
Plan Submittal Requirements
T I GARD Commercial& Multi-Family-New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning El applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
1:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
4
Building Division
Plan Submittal Requirement Matrix
Ti GA RD Commercial& Multi-Family-New,Additions or Alterations
0.f6 •r .,
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
—Electrical _--
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
L\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
'PI
• Building Division
Over-The-Counter (OTC) Plan Review & Permit Process
TIGARD Commercial Projects
For an OTC plan review, the applicant shall submit the following material and information:
1. Permit application must be completed, signed and must have the site address*and suite number,if
applicable,and must provide contractor and current licensing information (Oregon Construction
Contractors Board license and sub-trade license,if applicable)**.
2. Tri-County Commercial Application Checklist must be completed.
3. Applicant must submit two sets of plans that include:
(a) Scale (any standard architectural or engineering only).
(b) Site plan.
(c) Parking lot plan.
(d) Floor plan showing existing walls,etc.
(e) Floor plan showing the revisions.
(f) Sheet of details showing accessible parking stalls,access aisle, signage,curb ramp,interior wall
construction,etc.
(g) Manufacture cut sheets for components in the system,i.e. fire alarm, sprinklers,mechanical
equipment, etc.
(h) Accessibility (see item number 4 below).
4. An amount equal to 25% of the valuation of the work being done shall be budgeted for removal of
existing architectural barriers within the site and building (tenant space). The requirement for
accessibility upgrades is applicable to every permit,except for re-roofing and mechanical system
alterations,unless they affect the usability of the building or facility.
Submit the Barrier Removal Plan form showing the budget for barrier removal. This form is
included in the Commercial TI Building Permit Application packet. Start at the public way and
describe each existing barrier and the cost for its removal.
The plans submitted must show the accessible route,building interior and construction details for:
(a) Sidewalks, curb ramps, accessible parking with adjacent access aisle, signage,ramp, handrails and
a building/facility accessible entrance, and;
(b) Door hardware, doorway width,drinking fountain, sink accessibility in common use areas,i.e.
stairways (lunch room or classrooms) when no elevator is provided,receptionist area,counter
space,reach ranges and restroom facilities.
`` :`c". ,.' ,ft-,,I.,_,,sem,; `r : i ®` ell Rd1 :4.÷:'<:.r, .P .
* Address verification: It is recommended that applicant contact the building permit technicians at
503-718-2439 to verify site address prior to OTC appointment. If the site address and/or suite # do
not exist in the City's parcel database the applicant must contact the City's engineering department for
assignment of a new address and/or suite # and pay $50.00 addressing fee prior to OTC appointment.
** License verification: Applicant may contact the building permit technicians at 503-718-2439 to verify
license information prior to OTC appointment.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 1
SERVICE AVAILABILITY:
Over-the-counter plan review is by appointment only. This service is provided six times weekly and can be
scheduled by calling the building permit technicians at 503-718-2439 for the next available time slot. Two 1-
hour time slots are available each day on Tuesday,Wednesday and Thursday at 10:00 a.m. and 2:00 p.m. .
Walk-in customers will be served with the next available appointment.
APPLICATIONS QUALIFYING FOR OVER-THE-COUNTER REVIEW:
Building:
• Interior modifications that do not involve a change of occupancy
• All occupancies except H,I or facilities regulated by State Licensure
• Non-structural alterations of existing elements only
Mechanical:
• Replacement of existing equipment.
• Units weighing less than 400 pounds unless an engineer's calculations and plans for seismic restraint and
members supporting the equipment are provided.
Sprinklers:
• Modifications to existing systems. Plan review not required for 10 heads or less.
Fire Alarms:
• Modifications of existing system,no additional elements unless battery calculations,element cut sheets
including panel specifications,capacity rating and existing load are provided.
PERMIT ISSUANCE:
Permits will be issued over-the-counter if all work is found to be in conformance with applicable codes
(minor red-lines allowed). If corrections are required,the applicant must obtain another appointment when
all required corrections are completed.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 2
Branden Taggart
From: Albert Shields
Sent: Tuesday, October 02, 2018 6:17 PM
To: Dianna Howse; #Building Permit Technicians
Cc: Tom McGuire; Agnes Lindor
Subject: SDCs DEFERRED - Compass Oncology, BUP2018-00242
FYI—Compass Oncology has elected to defer payment of their TDT to occupancy. Amount is$629,562 but this may be
reduced if they come up with an appropriate traffic study. (There are no TSDCs because the application was submitted
prior to 10/1/18 or Parks because the credit for the former use cancels out the new charge.)
Albert Shields
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
1
TDT Estimate COMPASS ONCOLOGY REVISED 9/11/2018
12123 SW 69TH AVE. AMS
TDT RATES EFFECTIVE 7/1/18
RES:TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/18 INSIDE RIVER TERRACE
NON-RES:TSDC CITYWIDE EFFECTIVE 10/1/18 0 Yes
Project is in River Terrace ? @i No
Permit Submittal 9/4/18
Former Use
Rate Type Use# ITE Code # Units Rate TDT Amount Description
TDT 1 710 41.07 $9,137 $375,257 41070sf Office Bldg.
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
Total TDT and TSDCs Former Uses $375,257
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
TDT 1 630 41.07 $24,466 $1,004,819 41070sf Medical Clinic
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 $0
TDT 2 $0 3275sf Vault to follow
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
Total All TDTs &TSDCs Proposed Uses $1,004,819
Less: Total All TDTs&TSDCs Former Uses $375,257
Total All TDTs&TSDCs Net Increase $629,562
Total Net County TDT $629,562
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0 •
Total Net TSDC RT Overlay $0 $629,562
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $2,248,436 $0
Estimated Unmitigated Impact $1,618,874 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $2,248,436 $0
Estimated Unmitigated Impact $1,618,874 $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 COMPASS ONCOLOGY REVISED 9/11/2018
12123 SW 69TH AVE. AMS
ALL PARKS RATES EFFECTIVE 7/1/18
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 1 710 117.34 $424 $49,752 41070sf Office Bldg.
Parks-Reim 1 710 117.34 $77 $9,035 0
Neigh-Imp 1 710 117.34 $0 $0 0
Neigh-RT 1 $0 0
2 $0
Total Parks Former Uses $58,787
Proposed Use
Use# ITE Code #Units Rate Parks Amount Description
Parks-Imp 1 630 117.34 $424 $49,752 41070sf Medical Clinic
Parks-Reim 1 630 117.34 $77 $9,035 0
Neigh-Imp 1 630 117.34 $0 $0 0
Neigh-RT 1 $0 0
Parks-Imp 2 $0 3275sf Vault to follow
Parks-Reim 2 $0 0
Neigh-Imp 2 $0 0
Neigh-RT 2 $0 0
Total Parks Outside RT Proposed Uses $58,787
Less: Total Parks Outside RT Former Uses $58,787
Total All Parks Outside RT Net Increase $0
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $0
Total Parks-Reim $0
Total Neigh-Imp $0 $0
Total Neigh-RT $0
For Non-Residential Calculations:
Prior Use: General Office=350sf/EE;41070/350=117.34EEs.
Proposed Use: Medical Clinic=350sf/EE;41,070/350=117.34EEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace
City of Tigard
1 COMMUNITY DEVELOPMENT DEPARTMENT
IN,
T 1 c A R n Building Permit Review — Commercial - No Land Use
Building Permit #: ig Ue `104X/2
Site Address: I242-3 SU 61 kg. Suite/Bldg#:
Project Name: Cgnhpass OiColejy
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review f �� ''II ll r� }
Proposal:
Te - dt o F ei�C.i,�h' , L \�i i� 1 M�Iriitrv4 SII Ut ?N11rr
Cons . ,;�� �W i' Cct n,.f C(A .
Existing Business Activity: () 'te
Proposed� Business Activity: p to fldt«G l! J�
9'Verify site address/suite# exists and active in permit system.
E 'RRiver Terrace Neighborhood: E Yes C3 No
L9 Hing: 1'f'tu
Ti yermitted Use: L4Yes ❑ No ❑ Spec Space
W' Confirm no land use required.
Business License:
Business �/
Exists: ❑ Yes Lv1 No,applicant notified to obtain business license
Notes: F6r i4k1`r' it.N0 0nij CA'�SIY (41).\ a'C OW VA-00" (Al Icoj Uk..
Approved by Planning: Le,AAI Ca4A,.. Date: ?"411
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: ' ,
Site Plans: #
Building Plans: #
Building Permit#: ! Enter building permit#above.
Workflow Routing: ► Planning ermit Coordinator Building
Workflow Sign-off: P. Sign-off for Planning(include notes from planning review)
Route Application Documents: e&L.Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /‘-‘9 .1 j. Date: :77 .
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:
DC Fees Entered: Wash Co Trans Dev Tax: : Yes 111 N/A
Tigard Trans SDC: N/A -A"Parks SDC: Yes ❑ N/A
7 41°K to Issue Permit
Approved by Permit Coordinator: Date: l
l44,,,, ,, 4v0-4 44-A4 v 7'kcj /5.14 `'7 * 117C 11 1 8<
X---4(..- A )14,0...1,--tr err cex.
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12123 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00242
Inspection Type: Inspector:
275 Framing Jeff Grove
Result:
PART
Comments:
Segment A
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
$1 : Transmittal
Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /vj17, DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
---r' JAN 3 0 2019
FROM: f ltrri, �►SA-v-UG-f"k cv, CITY 11-. i 1GARD
BUILDING DIVISION
COMPANY: r-- CI C- 7Svt(e--N,--
PHONE:
e -PHONE: SC) .--v`7----3--`Z-2 Z By: {9 j
RE: t2--t23 —c-W k)9 1 o2Ul, Cx.) LIc)
(Site Address) ( ermit Number)
v pc cc Ovkcc n7 W S.- (o,tr --t'v- C-8-1,4
(Project name or subdivision name and lot number)
a
V ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. i<,. Revisions: 4t3.-.)fig cL•H,-I
Cross section(s) and details. Wall bracing and/or lateral analysis.
��
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: a ---*7 — ( a Initials:
Fees Due: ❑ Yes ] N4 Fee Description: Amount Due•'
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T<<;A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gq
TO: o-) DATE RECEI D:
DEPT: BUILDING DIVISION ,TD
JAN 3 0 2019
FROM: ,6-Z4C ,P,,,4 Ci der ( -,-,,,,,,RD
BUIL i.:,}ir'` a DiVi3ION
/
COMPANY: / v/jr 6A/31v vN C.G `
44
PHONE: S_7 —
, G - By:
x333 ( 3 '
RE: ) Av t' z 1. . • : J a . (-�
(Site Address) / \ (Permit Number)
CCompass 011 co IoL �
� (Project dame or subdivision name and ton )b:+ /
A.4i
ATTACHED ARE THE FOLLOWI ,, IT at
Copies: Description: �l (�_!`�1 ies: Description:
Additional set(s) of plans. 3 Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
gA Other(explain):
A
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Tech.' "Ian: Date: Initials:
Fees Due: ❑ No Fee Description: Amount Due:
1)i P)L.\ ,acv: $ j go
$
$
$
Special
Instru' ions:
Re.y t Permit (per PE : ❑ Yes No ❑ Done
Applicant Notified: Date: 4 /qInitials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12123 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00242
Inspection Type: Inspector:
287 Suspended ceiling Jeff Grove
Result:
PART
Comments:
CT room
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12123 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00242
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor