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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00218 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/19/2011 Parcel: 2S 113AB00800 Jurisdiction: Tigard Site address: 15995 SW 74TH AVE 150 Project: Excel Orthodontics Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30 Project Description: TI to partition into (3) offices and install stairs in original planned stairwell that was never built. Contractor: OWNER Owner: DOUDLE, RYAN 15995 SW 74TH AVE SUITE 150 TIGARD, OR 97224 PHONE: PHONE: 971- 249 -0261 FAX: FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - LRP 10/19/2011 $9.00 Class of Work: ALT Permit Fee - Additions, Alterations, 10/19/2011 $210.59 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12% State Surcharge - Building 10/19/2011 $25.27 Bedrooms: 0 Bathrooms: 0 Plan Review 10/19/2011 $136.88 Value: $8,800 Plan Review - Fire Life Safety 10/19/2011 $84.24 DC Provision Review, COM TI - Ping 10/19/2011 $64.00 Info Process /Archiving - Sm Sheet (up to 10/19/2011 $5.50 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $535.48 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit i subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do n accordance • 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 day . ATTENTION: Oregon -w e ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 - 001 -0010 through OAR 952 -r' -0091 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344. Ai sued By: � Permittee Signature: `/ - 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 II RECEIVED Commercial FOR OFFICE USE ONLY City of Tigard O C T 1 2011 Date/By: fp /9 // RP- /,/ Permit No.: / er( 6,9/g 't 13125 SW Hall Blvd., Tigard,OR 9722 Plan Review Phone: 503.718.2439 Fax: 503.59t1960 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 OF TIGARD Date Ready/By: Juri s. ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING El New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (romded to the nearest dollar) of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling X Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 59 C ,t 5 ' 74 t' p C New dwelling area: square feet City /State /ZIP: ' fl `� A RI) I O (t C` j-12:7...1- Garage /carport area: square feet Suite/bldg. /apt. no.: I5 p Project name: E' Ce 1 5-R. r -A ar ,, K ' Covered porch area: square feet Cross street/directions to job site: Deck area: square feet D U K k PeM RD 4 1 L{ tt'` iscAi E Other structure area: square feet N 0ikil -V O 1.1 "'14k 3 r g P Lib La t) toi I.S FT REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 25 3 13 0 $p Indicate the value (romded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. �1.1 ,.1.11 i M P RbvtriENTS i `� 3A- R71 P� Valuation: $ j T 0 pm R ofFt e. r i NT t) 3 D F lrx at. d f Existing building area square feet Re I 0 A r - L , 51 18s % NJ OR /G /Ott- S I R I/JELL- New building area: square feet Er PROPERTY OWNER I r5 TENANT Number of stories: Name: R ,Dated (e _ Type of construction: Address: /5 - f( c S 7e.eth 4 f s eir (To Occupancy groups: City /State /ZIP: r9Qr4 6 1? f7 Z 2-4 Existing: Phone: 671 ) Ziff - OTC° ( Fax: ('t 1( ) Z 02_66- New: APPLICANT K CONTACT PERSON BUILDING PERMIT FEES* Business name: t i k D V review (or (Please ee(ro jee schedule) S tructural plan review fee ( deposit): Contact name: FLS plan review fee (if applicable): Address: City /State /ZIP: Total fees du p Ica ion: Phone: ( ) Fax:: ( ) Amount received: $535 •4S E -mail: PHOTOVOL LAR PANEL SYSTEM FEES* Commercial and residential prescriptive installat 7n of CONTRACTOR roof -top mount:. ' , otoVoltaic Solar Panc : stem. Business name: ry - 0 al.to t .rt..- 'c s P G-n. Paud le Submit two (2) s•ts o roof plan with : ection details Y and fire department ac • - ss, along . • I the 2010 Oregon Address: I 5-q 4S cam. 76/ ? /-h- 5 Pik /TD Solar Installation Specis i Cos checklist. Permit fee (include review City /State /ZIP: Ti a , � Utz i 7 � $180.00 and a d min. - t : tive fees): Phone: (1`71 ) C OZ(( Fax: (q7( ) 2-(fc1' - OZ‘ C State surcharge (12 °/. of pe ' it fee): $21.60 - CCB lic.: Total fee due ..on apple. :on: $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: ,ia ! Date: / Q -I i —/ * Fee methodology set by Tri- County Building Industry - `I 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] $ 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 03/03/2011 11114 ■ " B uilding Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 12efxpedited Review Plan Submittal Date: /0//4/ I I 1 To the Applicant: / �� 5u) 7 - 4- If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. > If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planng Review (contact at 503-718-. or @tigaxd or.gov) IV Zoning X '1' Permitted Use Yes ❑ No ❑ Ei Land Use Required: Yes ❑ No L9 (explain below) Notes: 4'lM�jtlt./ x I i-? '' o 2 Ii E Approved ❑ Not Approved Date: I g // /// Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov) Notes: h Routed back to Building Division Date: I: \CURPLN d 15,(/..1 I. 1$ RECEIVED 7706 7110i5 7645 OCT 1 9 2011 CITY OF TIGARD 61011 BOND $T 1583. BUILDING DIVISION 15874 it000 7720 MO 700 16 711I 770 'F OS , 15v40 r ISee 159-J kftillia il l 140M ' 16a AI i t a ID IWO 1 Oceepaner 1' e ,60.60 __, ,.0.:, , Illawayedk ♦ t *� ! j R g l ♦ + l h y a ♦ ♦ ♦ ♦ Sea ' . : ♦ • t , t 0 a I I R / a s • f 4 a • ' NO � ♦ •: a r sW1 a /' ♦ 1:5 16.:,25 ITY OF TIGARD Approved .... [ V i e t r Ti Mit ? Conditionally Approved [ See Letter to: Follow [ j -LUk i `; 9 C I 6 SW — I 'i aek-V c Att, he; Permit Number. K. er 40, 0 CST ' S c4:-E� By; As • 5'. . i�t�►I�>� Date: Nam OFFICE COPY FLOODPLAIN ' S0-PC1.C- F r . Q i I L'''' cin I ko 0_41 \ ............ . m 132' -0" ' 20' -0" .. -----"l // N - • • `"""' * ( 9 / CONC. PAD 1 ciN ■ tScIct 5 S \A/ - ^-\rE. .. : : : : : : \.. / OFFICE WAREHOUSE AREA = 83 0 S.F. -IC -- G 007 .-- AREA "I FIRST FLOOR OFFICE "1 AREA = 932 SF. �i /� (TWO STORY SECOND FLOOR OFFICE "1 AREA F 932 S.F. - . - `- , FIRST FLOOR OFFICE "2 AREA = 1813 5F. ELECTRICAL • 1 , 0/ . + SECOND FLOOR OFFICE "2 AREA = 1813 5F. TRANSFORMER: • ` . . • ` • b � . ' - REENED 10'acl6' • • • • ' , t /,• D, MPSTER LOCATION 1 . ` l 3 + - . PE. STRIAN ACCESS • .) 4 • . . .• REFE TO SHT. 0.1 !9- / -C ' - 0 . . . ` •INE tom -- HC. PARKIN•� � TE1J NOT- III A: �� 7� OFFICE / 111 REFER TO 5H- - — kMP AREA "2 GYGLE `•`•' • M 0.2 ~ PEDESTRIA•1 / pcFeik (TWO STORY) ® ■ PA : INC RACKS • . • • � IGHT POLE ACCESS — II CSEE - /C -I) P. REFER TO ACCESSIDILITY ' NOTES ON 5HT.0.2 . . • ♦. - or" + HG. PARKING = .11: + ♦� REFER TO SHT. 0.2 8 -- --`_" _ PAYING a �cr ..•------ CONCRETE All ER �`�.� SIDEWALK . � AND CURB c \ BASIN `r _ "` _ 7 ---CATC1-1 (SEE I /C -1) HYDRANT < Al.- . 4411441, 0 O N v 5 4 cL , .r 1 , V) p balk .. , . .. . . ,,,.. ,,,,,,,:,_ ... 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