Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00057
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/22/2012
Parcel: 1S126DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 412
Project: Oregon Fertility Clinic Subdivision: 1991 -018 PARTITION PLAT Lot: 1
Project Description: TI
Contractor: ROBERT TODD CONSTRUCTION INC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
4080 SE INTERNATIONAL WAY B113 BY NORRIS & STEVENS
MILWAUKIE, OR 97222 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503 - 653 -5704 PHONE:
FAX: 503 - 653 -5729
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/22/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/22/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/22/2012 $301.85
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/22/2012 $36.22
Value: $14,800 Plan Review 03/22/2012 $196.20
Info Process /Archiving - Lg $2.00. (over 03/22/2012 $2.00
11x17)
Floor Areas: Plan Review - Fire Life Safety 03/22/2012 $120.74
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
• Total $730.01
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 Notificati• Center. Ti ose 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 - 1 '32.1987 or 1.: 00.332.2 44.
Issued By: Perm ittee Signature: I //
Cal x. 175 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 FOR OFFICE: USE Oi \I.1'
Received i' ��� 1. P
City of Tigard CEIVED Dateiv : 'Permit No
a 13125 SW Hall Blvd., Tigard,OR 97 Plan Review ` Ir
' C . Phone: 503.718.2439 Fax: 503.598.196 4� 2 2 2012 Date/B : avA� er Permit:
TI GARD
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (romded to the nearest dollar) of all
ISkil ddition/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 ommercial/industrial
Valuation: $
ID Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6 < (a f l �„e N �� � L , r )11,07 New dwelling area: square feet
City/State /ZIP: 1` " Die.- q ?� ?. 2-i Garage /carport area: square feet
Suite/bldg. /apt. no.: .k� lC.(-I 2I Prdject name: () 0 ., ‘ LI_ t t Covered porch area: square feet
Cross street/directions to job site: v T 1 Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK n work indicated on this application.
M -.t�/ dk.?...Q . Vr7" S'1Yl. k it re-e-4 v.'i tn.�_ Valuation: _ Q c)
i_ 1 j _ & t 7 /�� Existing building area square feet
�J TD New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: � , ) Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
8CAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
���� St plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application:
Phone: ( ) Fax: : ( )
Amount received:
E -mail: ' . OTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercr. • .d residential prescriptive installatio. : •
roof -top mount • , • Voltaic Solar Panel em.
Business name: , t, 6e5Vt 1421 „C _ Submit two (2) sets of ro s • an with : ection details
' , �—'� and fire department access, alo th the 2010 Oregon
Address: u ��j ' AV f. • / —1..: Solar Installation Special 'ode the 'st.
��/� t ( 0 2 Permit fee (inc es plan review $180.00
City/State /ZIP:
Y" 1 ' k /ant. z an ministrative fees):
Phone: ( ) I Fax: ( ) o
��� State su arge (12 /o of permit fee): .21.60
CCB lic.:
Total fee due upon application: $201..0
Authorized signature: This permit application expires if a permit is not obtained
��� within 180 days after it has been accepted as complete.
Print name: LAC./ T 1 rt' 1 I Date: * Fe methodology Bo set by Tri -County Building Industry
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 02/24/2011
r* /
(; 42, . I t2
III o Building Division
Development Code Provision Review
r i c n ►i Commercial Projects - No Associated Land Use Case
Building Permit No: t t P5,0/.9).__00 xpedited Review
Plan Submittal Date:
e :::: ly et2p / r2 __
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.
Planning Review (contact at 503 -718- o or r @tigard- or.gov).
/v[ vE
❑ Zoning `I Permitted Use Yes L7 No ❑
❑ Land Use Required: Yes ❑ No L9 (explain below)
Notes: 6.ssrebb C4 ei he i >4.1.5e Al LW ae, 4/t 4,1mmA
Et <proved ❑ Not Approved Date: 3 `L -'/
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albeit @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN