Permit .14 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00248
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/23/2011
T l GARI? Parcel: 2S101AB00100
Jurisdiction: TIGARD
Site address: 12025 SW 70TH AVE
Project: Dr. Sunil Thanik Subdivision: 1996 -024 PARTITION PLAT Lot: 2
Project Description: Ti for new interior partition walls, ceiling grid, light fixtures, ADA restrooms, dental chairs & sinks.
Contractor: BNK CONSTRUCTION INC Owner: SUNIL THANIK
45 82ND DR SUITE 53B 470 SW 6TH ST.
GLADSTONE, OR 97027 LAKE OSWEGO, OR 97034
PHONE: 503 - 557 -0866 PHONE: 503 - 699 -6628
FAX: 503 - 557 -1085
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/23/2011 $256.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/23/2011 $38.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/23/2011 $2,495.15
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/23/2011 $299.42
Value: $330,000 Plan Review 11/23/2011 $1,621.85
Plan Review- Fire Life Safety 11/23/2011 $998.06
Info Process /Archiving - Lg $2.00 (over 11/23/2011 $12.00
Floor Areas: 11x17)
Metro Const. Excise Tax - Commercial 11/23/2011 $396.00
Total Area: 0 Use
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,116.48
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued Bp(///
p;,f r / ' 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
Commerciall REcElvED Received . FOR OFFICE USE ONLY .
n
City of Tigard DateB : ` /� p r Permit Ne N. 0 4
I - ° 13125 SW Hall Blvd., Tigard, OR 97223 ��II Plan Review
Phone: 503.718.2439 Fax: 503.598.196t1 O V Z O DateB : ( � • _ Other Permit:
TIGARD Inspection Line: 503.639 Date Ready /By: 0 See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGA RD Notified/Method: Supplemental Information
111 :Jlh; D� �t'�
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z : ,T, OF WORK= -,; EU DA,,, .AND 2= dz :AlVIIL.I- DWELLING «: :,.
tip._.. �.< �... ».o�... a,. a :.ate . �"`» » .. 4 .„ . � - �,.m..,. „ .x.»�., . <s•. , .,..,.:: °. ..» .
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
" work indicated on this nation
sA. <, ��". = G.*6 iiI O 1 GONSTRiICT4"; �-" application.
- ❑ J" and 2- family dwelling ® Commercial /industrial Valuation: $
1-
❑ Accessory building l=1 Multi-family Number of bedrooms:
❑ Master builder III Other: Number of bathrooms:
-:_ . a:° ., JOB< „S p �. ;. :: ' <” . :::w Total number of floors:
` ii _> ITE° INFORMAT I A ND L CAT
r
Job site address: 12025 SW 70 Ave New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Dr. Sunil Thanik Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• REQUIRED °i , 1 GQ114MERCIAI j,§X ACHECI�I IST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
ax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
'" >�� `.�, - :ad o... „�.`,,°± ". ,3, <r Y , \>•
work ind icated on this °� �, ": � rDESGRIPTIOlY. =% -WORK application.
^� rr�i, c �' i . r, <. "`�' �3's ,»�`^.`,.'3,:,, > -, .
New interior partition walls, new ceiling grid & light fixtures, new ADA Valuation: $$330,000.00
restrooms, new dental chairs & sinks. Existing building area: 3396 square feet
New building area: 3396 square feet
- --
Number of stones 1
°f: ®: -P PE
. RUR7l ER'-- TE],A]
Name: Dr. Sunil Thanik Type of construction: VB - Sprinkled
Address: 470 SW 6 St. Occupancy groups:
•
City /State /ZIP: Lake Oswego, OR 97034 Existing: B
Phone: (503)699 -6628 Fax: (503)699 -6634
New: B
APPLICA ` n.. , ONTt1{ 1 ,PERSON:'
®,. .� ,, =�:; �F" �. C U4I� DING ; �.;_
rte;::
' , , "•. <: "'` '?, (P l ease" r e r - l ofe e s c %i e d u le) ' ,`_< »_:_-__:'.::,=ter :?-
Business name: Toni King & Associates 3 ' "°
Structural plan review fee (or deposit):
Contact name: Eliza Allen
Address: 330 SE MLK Blvd. Suite 350 FLS plan review fee (if applicable):
City /State /ZIP: Portland, OR 97214 Total fees due upon application:
6 Phone: (503) 235 -0243 Fax: : (503) 546 -5698 Amount received: /7 6 4F.
;, %PH"OTOI PANEL SY TEIl4 FEES*, `F
E -mail: ea @tonikingassociates.com • -Vg; ,�. r a -; ; ', :3 e :. *,:<: > _, .., ,,
», »,;;4; x„ ,;, ; ,. >A,r:° _ -- ^:;,.w =:. • Commercial and residential prescriptive installation of
a ,mom;,,
CON1'I2 0# '': t -M - ".�,, <... �`• `'f ,, roof -top mounted Photo Voltaic Solar Panel System.
._.. rd» ��., »> M- „ _.. » - ,..,, �. :. ",�
Business name: BnK Construction Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 45 82nd Ave. Suite 53B Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: Gladstone, OR 97027 and administrative fees): $180.00
Phone: (503) 557 -0866 Fax: (503) 557 -1085 State surcharge (12% of permit fee): $21.60
CCB lie.: 0107555
Total fee due upon application: $201.60
Authorized signature: /'"%j This permit application expires if a permit is not obtained
r. it within 180 days after it has been accepted as complete.
Print name: Eliza Allen / • Date: je - 2011 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T( I I /02 /COM /WEB)
•
/oto.s ,�. ��
Building Division
.11 . Development Code Provision Review
T[GARp Commercial Projects - No Associated Land Use Case
Building Permit No: jCExpedited Review
Plan Submittal Date: /(/a3///
To the Applicant:
➢ 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. ' i
Planning Review (contact_` r� at 503- 718 -�4 O or ) @ tigard- or.gov)
0 Zoning l� G (O Permitted Usc Yes No ❑
/
k Land Use Required: Yes ❑ No !% (explain below)
Notes:
Approved ❑ Not Approved Date: // �� /7r
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN