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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00094 TiGARb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/23/2010 Parcel: 2S 102AA01400 Jurisdiction: Tigard Site address: 8925 SW CENTER ST Subdivision: Lot: 0 Project: Luke -Dorf Inc Project Description: Building B, remodel and addition of 1,536 sq ft to existing building for office and medical office use. Owner: FEES LUKE -DORF INC Description • Date Amount 10313 SW 69TH AVE Permit Fee - COM - New Construction 07/23/2010 $1,931.92 TIGARD, OR 97223 12% State Surcharge - Building 07/23/2010 $231.83 PHONE: 503 - 726 -3700 Metro Const. Excise Tax - Commercial 07/23/2010 $418.97 Use Plan Review 07/23/2010 $1,255.75 Contractor: Plan Review - Fire Life Safety 07/23/2010 • $772.77 EFRAIN PALOMARES PEREZ CDC Bldg Review, COM 07/23/2010 $143.50 470 NW YONIA CT CDC Plan Review, COM 07/23/2010 $143.50 HILLSBORO, OR 97124 CDC Plan Review, COM - LRP 07/23/2010 $42.00 PHONE: 503- 547 -5261 Erosion Control 07/23/2010 $112.00 FAX: Erosion Plan Review CWS 07/23/2010 $36.40 Erosion Plan Review COT 07/23/2010 $36.40 Specifics: TDT - Transportation Development Tax 07/23/2010 $17,254.00 Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 2 Height: 28 ft Bedrooms: 0 Bathrooms: 0 Value: $349,142 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $22,379.04 Required: Required Items and Reports (Conditions) 1 BUP Ersn Cntrl 681 -4444 Fire Sprinkler: No Parapet: No 2 BUP Structural Observation Fire Alarm: No Protected Corridors: No 3 BUP . Special Inspection (see plans) Smoke Detectors: No Manual Pull Stations: No 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by nal in 503.24 or 1.800 44. Issued By: z - Permittee Signature: V a CaII 503.639.4175 by 7:00 a.m. for an inspection that business da . 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. t Building Permit Application ► aap - 0000 3 Commercial FOR OFFICE USE ONLY City of Tigard Reccisul Date Ety: . m �i Permit Nu.: \ u6'10l0 �" 000 III a • Phone: SW 0 H all Blvd.. Tigard, OR 97223 Plan Review 1110:1111 Phone: 503.639.41 1 Fax: 503.59)1.1960 Date�Tiv Other Pemrit:. T I GA - It D Inspection Line: 503.639.4175 Date Ready.By: ® See Page 2 for int ern www.tigard- or.eov Notified Method: / � Supplemental Information tj U/ -6.hr jtivi ., , TYPE OF WORK REQUIRED DATA: I- AND: 2- FAMIi,YDWELLING , ❑ New construction I ❑ Demolition Permit fees" are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all 0 Addition /alteration /replacement 1 ❑ Other: equipment. materials, labor. overhead. and the profit for the CATEGORY OF CONSTRUCTION ' :,'t work indicated on this application. ❑ 1- and 2- fancily dwelling ; 0 Commercialiindustrial Valuation: $ ❑ .Accessory building I ❑ Multi - family Number of bedrooms: ❑ Master builder I ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION: - ` ,, • Total number of floors: Job site address: 8925 SW Center St Bu t L ©1 f.ty e , or4 . PL S New dwelling arca: square feet City /State /ZiP: Tigard OR 97223 Garage /'carport area: square feet Suiteiblde.!apt. no.: Project name: Luke -Dorf Campus Covered porch area: square feet Cross street/directions to job site: SW Center St & Greenburg Rd Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL. USE' CHECKL1sT : Subdivision: Kingston Lot no.: 1400 Permit fees* are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 2S102AA equipment, materials. labor, overhead. and the profit for the ' ' . ' DESCRIPTION OF WORK work indicated on this application. Remodel and addition to existing building for office & medical office use. Valuation: $$349.142.00 Existing building area: 1,954 square feet New building area: 1,536 square feet ® PROPERTY OWNER ( ® TENANT t Number of stories: 2 Name: Howard Spanhock (Luke -Dorf. Inc.) i Type of construction: VII L Address: 11895 SW Greenburg Rd I Occupancy groups: I City State/ZIP: Tigard OR 97223 _ Existing: B Phone: (5031726 -3700 ( Fax: (503)726 -3701 New B Co APPLICANT •.CONTACT PERSON . NOTICE Business name: Scott I Edwards Architecture All contractors and subcontractors are required to he Contact name: Jennifer Marsicek / Jesse Grader licensed with the Oregon Construction Contractors Board I under ORS 701 and may he required to be licensed in the .Address: 2525 E Burnside St ' jurisdiction in which work is being performed. if the City/State/ZIP: /' Sta[e %ZIP: Portland OR 97214 applicant is exempt from licensing. the following reasons aPPly: Phone: (503) 226 -3617 I Fax: : 1503) 226 -3715 . E -mail: jenniferg seallp.com / jesse(ii seallp.com . CONTRACTOR Business name: 'Efrain Palomares BUILDING PERMIT FEES* .' • Address: 470 NW Yonia Ct (Please reforo fee sehedaty Structural plan review fee (or deposit): CityState/ZiP: Hillsboro ORA 71AI" FLS plan review fee (if applicable): Phone: (503) 547 -5261 f ' Fax: ( ) CCB lie.: 181617 Total fees due upon application: Amount received: Authorized signatu 4101.p✓ This permit application expires if a permit is not obtained -- within 180 days after it has been accepted as complete. Print name: , ClRIeryJ d Date: 05. (0. 2t7/47 • Fee methodology set by Tri- County Building Industry Service Board. 1: "Bwidins•Permits BUP -C OM PermitApp.doc 10 :01:09 4411- 46131)11102:COM: WFlt) 4 Building Division Accessibility: Barrier Removal Improvement Plan TI GARD 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 altcrations,in terms of cosy and scope. (2) Alterations made to the path of travel to an altered arca may be deemed disproportionate to the overall alteration when the cost exceeds twenty -five per -cent (25 °`o). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: 111 $ 349,142 MULTIPLIER (25% barrier removal requirement): x .23 TOTAL BUDGET FOR BARRIER REMOVAL: [2] S 87,286 ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements than will provide the greatest access. Elements shall be provided in the following order: (a) Parking S 60,030 (b) ,-fin accessible entrance: S 7,452 (c) An accessible route to the altered area: $ 24,840 (d) At least one accessible restroom for each sex or a single unisex restroom: 5 12,500 (e) accessible telephones: S (f) Accessible drinking fountains: and, S (g) When possible, additional accessible elements such as storage and alarms: 5 TOTAL (shall equal line [2) of Valuation Computation): 5 104,822 1 Rialding\.Pcmmit:' ti4.'P (.(1 \( 1 'enrit:\ p duc UC!23fUH •