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Permit
'' CITY OF TIGARD BUILDING PERMIT Permit BUP2011 -00265 il ,- COMMUNITY DEVELOPMENT 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12!15/2011 TIGARD Parcel: 1S136CD01002 Jurisdiction: Tigard Site address: 7920 SW PFAFFLE ST Project: Wenyi Jia Dental Office Subdivision: 2006 - 016 PARTITION PLAT Lot: 3 Project Description: TI Contractor: BNK CONSTRUCTION INC Owner: PFAFFLE OFFICE, LLC 45 82ND DR SUITE 53B PCCC LLC GLADSTONE, OR 97027 915 NW TORREYVIEW LN PORTLAND, OR 97228 PHONE: 503 - 557 -0866 PHONE: FAX: 503 - 557 -1085 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 12/15/2011 $160.00 Class of Work: ALT Permit Fee - Additions, Alterations, 12/15/2011 $1,030.65 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12% State Surcharge - Building 12/15/2011 $123.68 Bedrooms: 0 Bathrooms: 0 Plan Review 12/15/2011 $669.92 Value: $90,000 Plan Review Fire Life Safety 12/15/2011 $412.26 DC Provision Review, COM TI - LRP 12/15/2011 $24.00 Info Process /Archiving - Lg $2.00 (over 12/15/2011 $16.00 Floor Areas: 11x17) COT Address Fee 12/15/2011 $50.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,486.51 Required: Required Items and Reports (Conditions) Fire Sprinkler: No 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. ATTEN . ::. •n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001% through OAR 9 101 -0090. u obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B I /` / 1 A-4 i Permittee Signature: I G Call 503.639.4175 by 7:00 a.m. for the next available inspecti 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 `` ® FOR OFFICE USE ONLY V � City of Tigard �O'� Received � DateBv: M M Permit No: :IF ,....a ,....a • II g 13125 SW Hall Blvd., Tigare.,4 Ste) Plan Rev ` s 2 ' ' Phone: 503.718.2439 Fax: .4'''' • . `:' 96Q A � "O Date /B �J�� ©n Other Permit: I { LARD Inspection Line: 503.639.4175 ��V_ Date Ready /By: tuns EI See Page 2 for Internet: www.tigard- or.gov O ON OV Notified /Method: Supplemental Information ■ TYPE OF W ORD. REQUIRED DATA: 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 all ® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' . CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site addressTei '(jSW Pfaffle Street New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Wenyi Jia Dental Office Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet - REQUIRED COMMERCIAL CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: 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. Interior tenant imprevement. 1,200 SF dental office. Valuation: $$90,000.00 Existing building area: 1,200 square feet New building area: square feet ❑ PROPERTY OWNER .0 TENANT - Number of stories: 1 Name: Type of construction: V - Address: Occupancy groups: City /State /ZIP: Existing: B g Phone:( ) Fax: ( ) New: B 0 APPLICANT . ® CONTACT .PERSON BUILDING PERMIT FEES* - Business name: Balogh Architecture (Please rejertojee "sckedule) Structural plan review fee (or deposit): Contact name: A. Byron Balogh FLS plan review fee (if applicable): Address: 2700 SE Harrison Street, Suite A City /State /ZIP: Milwaukie, OR 97222 Total fees due upon application: Amount received: Phone: (503) 654 -8412 Fax: : (503) 654-8436 . E - mail: byron@balogharch.com PHOTOVOLTAIC SOLAR PANEL_SY , TEM FEES* CONTRACTOR Commercial and residential prescripti nstallation of roof -top mounted ',otoVoltaic Ss Panel System. Business name: BnK Construction, Inc. Submit two (2) sets o roof I ._ with connection details and fire department ace ,:, along with the 2010 Oregon Address: 45 82nd Drive, Suite 52B Solar Installation Spe .' y Code checklist. City /State /ZIP: Gladstone, OR 97027 Permit fee dude Ilan review $180.00 a i administ :tive fees): Phone: (503) 557 - 0866 Fax: (503) 557 - 1085 State surch..412% of pe m it fee): $21.60 CCB lie.: 0107555 Total fee due upon application: $201.60 Authorized signature: Thi p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A. Byron Balogh Date: 12/12/11 * Fee methodology set by Tri- County Building Industry Service Board. I:A Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB) _ " Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: @. 9V /74 S L9" Expedited Review Plan Submittal Date: q-// C/ 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 'f approved. . I Planying Review (contact at 503 - 718 - ?7D or @ tigard- or.gov) J Zoning G — P Permitted Use Yes ❑ No ❑ NJ Land Use Required: Yes ❑ No (explain below) � , Notes: I i / 1 1 L/% . _/, / ' _ / - -d i LtiJ' Approved ❑ Not Approved Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov) Notes: ' �I Riga Routed back to Building Division Date: I: \CURPLN