Permit CITY OF TIGARD BUILDING PERMIT
114 COMMUNITY DEVELOPMENT Permit#: BUP2022-00138
Date Issued: 6/9/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135DD04403
Jurisdiction: Tigard
Site address: 11950 SW GREENBURG RD 100
Project: SW Family Physicians Subdivision: None Lot: None
Project Description: TI to add accessible bathroom and move partition walls.
Contractor: OUR HOUSE CONTRACTING LLC Owner: ZALTANA CG LLC
13220 SW 6TH ST 11950 SW GREENBURG RD
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/09/2022 $641.29
Occupancy Grp: B Occupancy Load: 1 Demolition
12%State Surcharge-Building 06/09/2022 $76.95
Dwelling Units: 0 Plan Review 05/25/2022 $416.84
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/09/2022 $256.52
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/09/2022 $10.00
Value: $42,000 11x17)
DC Provision Review,COM TI-Ping 06/09/2022 $110.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,511.60
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 503.232.1987Se' ""
or 1.800.332.2344.
Issued By: ���� Permittee Signature:
y ? 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.
Building Permit Application
Commercial RECEIVED
City of Tigard RDved /A s- j fie �9(/)-)--cot ir
Date/By:eeel !� /w 13125 SW Hall Blvd.;Tigard;OR 97223- MAY 2 � 2U22 PlanDate/By:Review
111111 : Phone: 503-71'8-2439 Fax: 503-598-1960 G.' .Z,�� Related Permit:
TIGARD Inspection Line: 503-639-4175 CI n/OF T GARL DateReadyBy: ie 4i Juns H See age2for
Internet: www.tigard-or.gov lfled/Method: Supplemental Information
UILDING DIVISION' �,. ,
TYPE OF WORK REQUIRED 1 ATA: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 ail
ri Addition/alteration/replacement Q Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling aCommercial/industrial Valuation: $
❑Accessory building , 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11950 SW Greenburg Rd New dwelling area:. square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
I
Suite/bldg./apt.#: tie) , r Project name: 11950-TI Stu (1'414ff r7 Covered porch area: square feet
�ti�Cross street/directions to job site: 1C i a Deck area: square feet
Other structure area: square feet
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REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Loi#: 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
DESCRIPTION OF WORK work indicated on this application.
Add accessible bathroom,move partition walls as per layout Valuation: S 42000
Existingh.uiiding area: 2026 square feet
New building area: 2026 square feet
( PROPERTY OWNER � ❑ TENANT Number of stories: 1 story
Name: Cynthia Gulick Type of construction: TI
Address: 7620 SW 37th Ave Occupancy groups:
City/State/ZIP: Portland,OR 97219
Existing:
. Phone:( 503 ) 793-2698 Fax:( ) r New:
❑ APPLICANT ® CONTACT PERSON
BUILDING PERMIT FEES*
Business name: Our House Contracting (Please refer to fee schedule)
Structural plan revie..,fee(nr.lcpne:t):
Contact name: Steve Purves
FLS plan review fee(if applicable):
Address: 11125 SW-106th Ave
City/State/ZIP: Tigard,OR 97223
Total fees due upon application:
Phone:( 503 )380-0008 Fax: :( ) Amount received:
E-mail: steve cr ourhousec intracting.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Busmess name: Our House Contracting
Submit two(2)sets of reef plan w;th evituvvtien details
and fire department access,along with the 241(}Oregon
Address: 13230 SW 6th Ave Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton,OR 97005 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503 )535-9175 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 2204 *.
Total fee due upon application: $201.60
Authorized signau,.` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
print name: p. D1 c I Date * Fee methodology set.by Tri-County Building Industry
`�� Service Board.
I:\Building\Permits\BUP COM PennitApp4oc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
n Accessibility: Barrier Removal Tmnrnvement Plan
Commercial & Multi-Family - Additions or Alterations
' 'G A R" 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) F,rery project for renntratinn alteratinn or mnrlifiratinn to affected.hnilrlinac 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] $ t 0 i V 00
MULTIPLIER(25%barrier removal requirement): x .25
'FOrAL BUDGET FOR BARRIER REMOVAL: [2] $ 0 V
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:
(r) An arresslhle rnnre to the altered are:
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 1 Q ,
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(Rl \XIhen nnceihlr,ardrditinnal arreccihle Clemente ciirh ae etnranae and
wi r --------- ^ - -
alarms: $
TOTAL(shall equal line[2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 q Plan C»hmittal RPr1»irPmp►ntc
JL. ZN�� V�+i RJifiiVVNi n.e was�i.�if OftVV
Commercial & Multi-Family - New, Additions or Alterations
i i or\R u . 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# 0 project name El site address El suite number
n n n 1 _t
U GV11111Y U applicant 1 an-i\. L� ✓done.111 tribcr
B. North arrow. 1
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
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2. EROSION CONTROL- PLANS-AND-DETAILS.
I
3. I UII..DWNG PLANS: See the"Nan 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.
I:\Building\Permits\BUY_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Cithmittal RPilh
�;iirpomcontc Matrix
Commercial & Multi-Family - New, Additions or Alterations
T 1 G A R C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of PIans
(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
lec ui-a.l
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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.
1:\Building\Permits\RUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: l'Su,,202_2,0U/?
Site Address: `kct SO SW a'eeribkl Suite/Bldg#:
Project Name: . .e7t,rtcC Terow, v rev' nsF-
(Name commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /
Proposal: [.1 . ksr\
Existing Business Activity: v`'1 `Ce
Proposed Business Activity: 0-c
erify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes K7 No
Zoning: Mti -G®Q
lg Permitted Use: Efres ❑ No ❑ Spec Space
onfirm no land use required.
4 Business License:
Exists: ❑ Yes CNo,applicant was provided a business license application
Notes:
Approved by Planning: I3J I Date: 5 12J 1 217
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: C 4 2 c/ZZ
Site Plans:
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: 'f Planning .U.-Permit Coordinator �Thilding
Workflow Sign-off: [SSign-off for Planning(include notes from planning review)
Route Application Documents: ifr Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_111819.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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes / N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes /1 N/A
/OK to Issue Permit
Approved by Permit Coordinator: ArYDate: (Q �S f 2D li
1:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_111819.docx