Permit (100) CITY OF TIGARD BUILDING PERMIT
11111 I COMMUNITY DEVELOPMENT Permit#: BUP2018-00291
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2018
I "}It I� g Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16195 SW 72ND AVE
Project: Option Care Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: New openable partition separating a conference room and breakroom.
Contractor: HOWARD S WRIGHT Owner: PACIFIC REALTY ASSOCIATES LP
1455 NW IRVING STREET#400 ATTN: N PIVEN
PORLAND, OR 97209 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-601-9939 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/05/2018 $487.01
Demolition
Occupancy Grp: B Occupancy Load: 20 12%State Surcharge-Building 11/05/2018 $58.44
Dwelling Units: 0 Plan Review 10/22/2018 $316.56
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 11/05/2018 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $28,000 Info Process/Archiving-Sm$0.50(up to 11/05/2018 $28.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $894.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 i =• -, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi . ion -• -r. 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 callin• 503./:2. =:;or 1.800.332.2344.
Issued By: ' ermittee Signature:
Call 51:13, 414.4. a.m.for the next available inspectioWer
This perrnit 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 Ap•lication
Commercial ;IEIVr., t FOR 01 F1( 1, CSF.O\I.1
City of Tigard j 2018 i Received
fil . y DUl
j Permit No.: ��O �f— /
■IN13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review L f Q
G Phone: 503-718-2439 Fax: 503-5980:p OF TI c a RD Date/By: i O 41..) Related Permit:
TI c ARD Inspection Line: 503-639-4175 . LOING ! �! Date Ready/By: Juns: 0 See Page 2 for
Internet: www.tigard-or.gov LOIN�+ DIVISION Notified/Method: gt) �"�r- I Supplemental Information
TYPE OF WORKREQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction 0 DemolitioK.n I)
'E vs/ t'"' Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION OCT 2 2 2018 work indicated on this application.
` I G pp D Valuation: $
0 1-and 2-family dwelling 7f Commercial/41)ft t' C�
❑Accessory building 0 Multi-famil-5 litniN{J' lt7 t 1 Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ,(, S1f\I -J2►111:- AvE New dwelling area: square feet
City/State/ZIP: irG_ _ / Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 'f t``"r Cake- Covered porch area: square feet
Cross street/directions to job site: �� Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
n CIA J(DESCRIPTION OF WORK work indicated on this applicatiron..41CC (14a 7010.J Valuation: $ GLV
1
OTDO
weak` �� Yeldii yonevx (J1 tiExisting building area: square feet
New building area: square feet
a PROPERTY OWNERTENANT Number of stories:
Name: (" �may}-q�� C Type of construction:
Address: •"; ic.. .,, T irk—SC/0 rJ Occupancy groups:
City/State/ZIP: "g l b.y_ (1 _ t j< Existing:
Phone:( ) Fax:)( ) New:
`APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
.,p�.�1, ' ' ``
Structural plan review fee(or deposit):
(Please refer to fee schedule)
Business name:
Contact name:
Lek S-5-v`y‘1‘144‘.-k—
FLS plan review fee(if applicable):
Address: i W 1 ck 4t
Total fees due upon application:
City/State/ZIP: ....\i(P�tc) l*-63.1.2/r1
Amount received:
Phone:(1. 9 (apt CrlSel Fax: :( )
E-mail: ' M hr a✓ w,C__,,_,COO" PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Citt a. pcf ruc -4'7 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
Phone:( ) Fax: and administrative fees):
( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: ii t Li �"
v /a_c-2____ 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: 1,,,s.0 r- r e- Date: 914 l t ( * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PemiitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114
" Accessibility: Barrier Removal.Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
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): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name El site address ❑ suite number
El zoning ❑ 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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111
® Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TI GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1
T 1 c A R o Building Permit Review — Commercial - IN o Land U s e
IU
Building Permit #: A.4494,10-057141�
Site Address: 1,611S S W Suite/Bldg#:
Project Name: 001%.\ Care.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review I'
Proposal: Mi ipott N "� ke,4 ,-,p3 rti (. ,d /oid
Existing Business Activity: O
CCitt
Proposed Business Activity: 0(44
CVTeerify site address/suite#exists and active in permit syste
L����iRiver Terrace Neighborhood: ❑ Yes 2 No
Ltd' �oriing: I^P
EV ermitted Use: 2Yes ❑ No ❑ Spec Space
C nfirm no land use required.
Business License:
Exists: ❑ Yes o,applicant notified to obtain business license
Notes:
Approved by Planning: ACyJ2_ . Date: 6T-ut-IR
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: /64/)-M
Site Plans: # y'
Building Plans: # 3
Building Permit#: building permit#above. /�,
Workflow Routing: Q.Q.-43<r;4' g ermit Coordinator Y�-43511
Workflow Sign-off: t off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: _
By Permit Technician: Date: 11/42/6
I:\Building\Forms\BldgPernutRvwCOM NoLandUse 060116.docx
V
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 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:
'iii.DC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ;/A
Tigard Trans SDC: 0 YesN/A
Parks SDC: ❑ Yes IN/A
to Issue Permit
Approved by Permit Coordinator: /44/Date: /D
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse 070915.docx
iwr, 11111111111111
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16195 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00291
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor