Permit (53) CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2019-00157
T
IG AR f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2019
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 110
Project: Board of Nursing Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Adding(2)new private offices&enlarging(1)existing office for TI.
Contractor: BUILT ENVIRONMENTS NORTHWEST Owner: PARKLAND DEVELOPMENT
PO BOX 160 16083 SW UPPER BOONES FERRY RD,
GLADSTONE, OR 97027 STE
TIGARD, OR 97224
PHONE: 503-650-4084 PHONE: 503-639-0108
FAX: 503-650-4104
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 07/03/2019 $102.00
Occupancy Grp: B Occupancy Load: 32 Permit Fee-Additions,Alterations, 07/03/2019 $408.32
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/03/2019 $49.00
Stories: 0 Height: 0 ft Plan Review 07/03/2019 $265.41
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/03/2019 $163.33
Value: $22,000 Info Process/Archiving-Lg$2.00(over 07/03/2019 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $994.06
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 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 m- obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. .2344.
Issued By: /4 Permittee Signaturg
Ca11603.639.4176 by 7:00 a.m.for the next avai a le inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion• the project.
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application
Commercial FOR OFFICE LSE ONLY
City of Tigard REC
� Received
Date/B • I►V /�� ■/1' %/P I� i
111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
C �Q� . A $ Related Permit:
Phone: 503-718-2439 Fax: 503-598-19( 207 Date/B : ' J
p ',UL. See Page 2 for
T I G A R D
Inspection Line: 503-639-4175 r Date Ready/By: tuns:
Internet: www.tigard-or.gov 't i aA1:1L. Notified/Method: Supplemental Information
(wry
LL '. .., .--77.1-,:—.. -11-..i- 4.6.646.," :""=.t.:' 74 1 Osie b6�►.� $ K ::41
❑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 E Other: equipment,materials,labor,overhead,and the profit for the
tt r'�t work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
E Accessory building E Multi-family Number of bedrooms:
1=1 Master builder El Other:
Number of bathrooms:
t,. t �� t 1• , Total number of floors:
Job site address: 16083 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.#: 110 I Project name: St. of Oregon-Board of Nursing T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Upper Boones Ferry Rd &SW 72nd Ave. Other structure area: square feet
I `1 -° t to&a i ,i v CIAf,,=tl9 : i !"4..--
Subdivision:
-Subdivision: I 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
i equipment,materials,labor,overhead,and the profit for the
d� f6J t -4 ' work indicated on this application.
Interior nan
tet improvement: add 2 new private offices &enlarge 1 existing Valuation: $22,000.00
office. Existing building area: 49,963 square feet
New building area: 49,963 square feet
tat t"';.•.'''.1...i"%"4, t.i e TENANT ' '4 Number of stories: 3
Name: Parkland Development, LLC (Su Moran) Type of construction: I I B
Address: 16083 SW Upper Boones Ferry Rd, Suite 120 Occupancy groups:
City/State/ZIP: Tigard, Oregon 97224 Existing: B
Phone:(503)639-0108Fax:(503)639-0709 New: B
Business name: LRS Architects Structural plan review fee(or deposit):
Contact name: Peter Kim
Address: 720 NW Davis St., Suite 300 FLS plan review fee(if applicable):
City/State/ZIP: Portland, Oregon 97209 Total fees due upon application:
Ainotmt-received:j- ,,
Phone:( 503)221-1121 I Fax: :( 503)221-2077 ,
LThes0LAR PANEL SYSTEM°
E-mail: pkim@Irsarchitects.com
..„.r..,,,.4
Commercial and residential prescriptive installation of
'' �,• 1\a. - roof-top mounted PhotoVoltaic Solar Panel System.
Buss name: Built Environments Northwest Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 135 E Hereford St. Solar Installation Specialty Code checklist.
plan review
fee(includes
City/State/ZIP: Gladstone, Oregon 97027 Permit $180.00
and administrative fees):
Phone:(503) 650-44086 Fax:(503 ) 650-4104 State surcharge(12%of permit fee): $21.60
CCB Lic.: 79970 Total fee due upon application: $201.60
Authorized signttture: , s�-'1� �'r This permit application expires if a permit is not obtained
�,,...-- � � within 180 days after it has been accepted as complete.
Print name: Peter Kim Date: 07.03.2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.1114 Accessibility: Barrier Removal Improvement Plan
gm
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] $ 22,000.00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 5,500.00
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
larttts:TOTAL(shall equal line [2] of Valuation Computation): $
The building is fully accessible.
No further ADA upgrade is required.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
71 ., , City of Tigard • BUILDING DIVISION
■ Over-The-Counter (OTC) Building & Fire Protection System Permit
TR;<;n IZ I) Appointment Checklist
Permit Record#: 6 tti/w 7-r, f s--7
�_._ Contact Name: Phone_#:
Business Name: Lke.S GLj! - 5 Appt. Date/Time: "7 ,3j, lam: 00Ai
Site Address: /LAO n , tv L( ; / i,, � Bldg/Suite #: //e, Q� vi
1 Project Name: ,` , L •
2 New Tenant? ' /'/Yes 0 No
Project Description: PAMd f i &k, ,'!6 D �iGw Otic //s 6Ar 1 T
Existing Use: 13 New Use: S
MMD Required: 0 Yes 0 No Related Record#:
APPLICATION SPECIFIC INFO MAN ,
GENERAL INFORMATION -
Class of Work: Q.1] 1 Occupancy Group: 11 Type of Construction: j'� p-
Type
Type of Use: Occupancy Load: q -re—, Oregon Specialty Code: an 4
SPECIFICS
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: Accessory Structure: Covered Porch:
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: g e--S Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor. _
Total Project Valuation: $.„9/1s, (200_..,0 QOQ.�� . ''.� *� =
�k:
IOL„E,> $ "J -al....-. DC Prov Rvw,COM TI Ping
IM . _ Permit Fee—Add,Alt,Demo
_ �r Y•' r -" ... _., ... -. - NMa -i _ .. -
Project Valuation $ v'ra Plan Review,Structural
Up to$4,999 $0.00 $ a Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ ---- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
_ ` "....... _
1
I:\Building\Forms\OTC_BUP_FPS_070118.docx 74.‘oed
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday,June 24, 2019 11:58 AM
To: 'Peter Kim'
Cc: #Building Permit Technicians; 219221 Fanno Creek B St of Oregon
Subject: RE: Fanno Creek Bldg. B - Suite 110 TI
Hello Peter
I have scheduled the OTC appointment for Wednesday, July 3, at 10:00am.
Here is a list of submittal items needed for an OTC plan review appointment:
• Building permit application completed including address
• (3) copies of construction plans/floor plans
• Contractor identified on the permit application
• Funds to pay for all permit fees at the appointment.
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Peter Kim [mailto:pkim@Irsarchitects.com]
Sent: Monday,June 24, 2019 11:48 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; 219221 Fanno Creek B St of Oregon
<219221@lrsarchitects.com>
Subject: RE: Fanno Creek Bldg. B-Suite 110 TI
Caution! This message was sent from outside your organization. Allow sender I Block sender
Hi Julie,
Thank you for prompt response.
I'll take the July 3 at 10:00 am slot.
Sincerely,
Peter Kim I LRS Architects I Portland Shanghai
971.242.8176 direct• 720 NW Davis Street Suite 300• Portland,OR 97209•www.lrsarchitects.com • vCard
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Monday,June 24, 2019 11:45 AM
To: Peter Kim <pkim@lrsarchitects.com>
1
Front1 DSTS
Subject: Peter Kim, LRS Architects, 971-242-8176, 16083 SW Upper Boones Ferry, Suite 110
Location: CR=_3_Permit_Center
Start: Wed 7/3/2019 10:00 AM
End: Wed 7/3/2019 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR_-_3_Permit_Center
Scope of Work: Demolition and new walls for TI.
Tenant Name: Board of Nursing.
Existing Use: Office
New Use: Office
1
City of Tigard
Iliq " COMMUNITY DEVELOPMENT DEPARTMENT
■
T I c A RD Building Permit Review — Commercial - No Land Use
Building Permit #: fxrat c s /S 7
Site Address: 160g3 yw U ff~ t'e,:,v, V—r r7, Suite/Bldg#: It 0
Project Name: SQL.o i kr'.j4r, vt_/1, df- iv"."1!) `0.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review j t>c, c Y
Proposal: , - ,, 2„ r.+k. c! 'Cir ` t .\ t- t. I -e�-s ' l'L,d. uI ' S "f-1.
Existing Business Activity: 0it,{
Proposed� po� Business Activity: 041'i-) ;,t
C--SK``r--erify site address/suite# exists and active in permit syssttem�
U 4iver Terrace Neighborhood: ❑ Yes li d'No
2 Zoning: 1'f �/
Ltd'PPermitted Use: Ltd Yes ❑ No ❑ Spec Space
[ 'Confirm no land use required.
2/
Business License: ��
Exists: CI Yes [ No,applicant notified to obtain business license
Notes: A1,,nNA}"\-ii— r1-0,x
ii
Approved by Planning: Date: 7-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: J/1_,ilt_____.
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning CIPe oordinator lading
Workflow Sign-off: . Sign-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: ,„,,A-01,.._,24, Adtz, A _ ,__ Date:
-
I:\Building\Forms\BldgPermitRvwCOM 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 Ap.I cant:
Revision Notice 2: Date Sent to pplicant:
Revision Notice 3: Date Se o Applicant:
❑ SDC Fees Entered: W.: Co Trans Dev Tax: 0 Yes 0 N/A
igard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK to Issue P- it
Approved b Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx