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Permit
BUILDING PERMIT o CITY OF TIGARD 1 11- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00254 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/20/2013 Parcel: 1 S 135BA00102 Jurisdiction: TIGARD Site address: 10164 SW WASHINGTON SQUARE RD Project: Hannah Pet Clinic Subdivision: MYERS ESTATES Lot: 5 Project Description: TI for Vet Clinic • Contractor: BROCKAMP & JAEGER INC Owner: PPR SQUARE TOO LLC 15796 S BOARDWALK ST PO BOX 847 OREGON CITY, OR 97045 CARLSBAD, CA 92018 PHONE: 503 - 655 -9151 PHONE: FAX: Specifics:. - FEES :Description..' .- Date Amount Type of Use: COM . Class of Work: ALT Type of Const: IIIB . Permit Fee :Additions, Alterations, - ' 03/20/2013 $1,589.15 'Demolition. Occupancy Grp: B Occupancy Load: 159 12 %State Surcharge - Building 03/20/2013 $190.70 Dwelling Units: 0 Plan Review 12/13/2012 $1,032.95 Stories: 0 Height: 0 : ft Plan Review - Fire Life Safety 12/13/2012 $635.66 Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 03/20/2013 $24.00 Value: $180,000 11x17) Info Process /Archiving - Sm $0.50 (up to 03/20/2013 $1.50 11x17) Floor Areas: Metro Const. Excise Tax - Commercial 03/20/2013 $216.00 • Use Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,689.96 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: No 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 By: Al,,a1A/gy Permittee Signature: • ���yyy vvv"` Call 503.639.4175 by 7:00 a.m. for the next available ins ction d e. This permit card shall be kept In a conspicuous place on the job site ntil completion of the project. Approved plans are required on the job site at the time of each inspection. 'Building Permit Applicatior ;ECEIVED - Commercial FOR OFFICE USE ONLY City of Tigard DEC 13 2012 Received . No.: a� IN • Date /By: 1 9- I ( i / at a.. 4) 13125 SW Hall Blvd., Tigard, OR 97223 / TIGARD Plan Revi r 7 C Phone: 503.718.2439 Fax: 503.598.1961 TIGARD Date /B : �/�! t ( 13 Other Permit: It TI G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready /B See Page 2 for Internet: www.tigard- or.gov Notified /Method: � A t � �� ® Supplemental Information p. TYPE OF WORK RE • IRED DATA: 1- AND 2- FAMILY DWELLING El New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all vv Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the A work indicated on this application. CATEGORY OF CONSTRUCTION 4 ❑ 1- and 2- family dwelling 0 Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: M(71 c \1 ` � ..trn'1 Sr, f-o ' A, Imo( -- New dwelling area: square feet City/State/ZIP: " nor ©) q • Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1 } .` , l ' .1 4 2,44 \\'I .l -r'Y1� Covered porch area: square feet s \ Cross street/directions to job site: rc TQQ I t1- Deck area: square feet (9 %) 1 � 11 N r - oil &I' � (- ± � & Q , l 6 -1 Other structure area: square feet oo,, rv REQUIRED DATA: COMMERCIAL -USE CHECKLIST I Subdivision: I 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. I P, -A 1- �(n (hiei lP.0 f A / rpo.cP. �C ri- Valuation: $ Igo. (> V e.A- Min i n i C.. Existing building area: 35 L.T l square feet 1 ` New building area: square feet ❑ PROPERTY OWNER I gi TENANT Number of stories: Name: 1 -1" ' •1ef. sC6 Type of construction: — 'b Address: 7(n I() . 5- I ( .re . Occupancy groups: City/State /ZIP: To—' —V\ c ld ( D� ( 4 1 7_8 r7 Existing: Phone: 060) ?A 1 80 Fax: ( ) New: Ig APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: S � '91�ef']�� ` on S(olr,41 +S Structural plan review fee (or deposit): Contact name: „ ( f\; �- "J� ' ' Address: 13 Q /��� c +l�l` ip FLS plan review fee (if applicable): (� [ , Total fees due upon application: 1 City/State /ZIP: ?err - t 1 f ,a 1)-0...., 7,9■71-J7 ,,,,,,„ ei, 64. Phone: (so3) 7( of)— 1 3 5- / 3 ax: : (. ) �a — /q( Amount received: fc t2 . 9 - rA21 � �� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Ur E -mail: /fir Commercial and residential prescriptive installation of CONTRACTOR roof -top •.unted PhotoVoltaic Solar Panel em. Business name: a J B,e 4 s'..C�r . .e /M G Submit two ets of roof plan with c.. ection details and fire departure .cress, along • the 2010 Oregon Address: 4S)9 5. ae, 0w1 t!� Solar Installation Spec : 4 CO • • checklist. City/State /ZIP: Gay ,, Cr T, OA_ ?? a4 Permit fee (includ eview $180.00 and ad'- • istrative fee Phone: (503) ($'i I Fax: (ro.3) esG . s- s,./4, State surchar (12% of permit fee): til. .60 CCB lic.: pa 36 _ T..1 fee due upon application: $201.60 A uthorized signature: ��� Thi . ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: lei- _ t„ i 7 ate: 'a /S /�a o � . � . �J Fee methodology set by Tri-County Building Industry Y 1 y Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02/COM/WEB) lig u Building Division Development Code Provision Review T 1 G A R D Commercial Projects - No Associated Land Use Case Building Permit No: J O7o la -°° -25g ❑ Expedited Review Plan Submittal Date: i( //3// Z 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 (e I CJ at 503- 718- .7 or die of I L @tigard- or.gov) Proposal: P,h a.n q r. D 'St -cru .5 a. Je r 0 r'. e .. 44 d 12.e.-4- a ; / i Df -KiCE/ vtf ci ;A;c..? 4 - PrirsnA.l Seri∎Ces (9.- .0..-L:r15 ) ca./ a (( ; el dui ; 1 i" (- See v?L - i " t cd:. -ti j '',2 d ap-4 a K It Zoning M U. C— Permitted Use Yes No ❑ Land Use Required: es co No ❑ Notes: ?J 6k-- a vi ; r.-L a t v-e (4 i-t d . r /� A w, 4- o 4: -I; c a 4i on i S v-e i ..e `r Vim_ C avl 5 e of (LsP . ,., -,6,: ( c,d cLpp L ca,, 0.6 „,.--t- IA & (). :2 /.2 - c ' Approved Not Approved Date: 1.a - as) ` l a, / 1i ✓ ) 0 i M .d (rm 0 c ) 01D - JUJodt.) Q - 1 p p rtrre d /' 02.2 - /cL REVISED 10/4/12 a ,.• r 0 ' EC D� �p, 12805 S'.E. Foster Road Symons Engineering Consultants, Inc. RECEIV� Por /and. OR 97236 (503) 760-1353 SEC 1 3 2 072 Fax 762 -1962 BUILD D G TRAN&'MITTAL N ISION TO: Community Development DATE: December 13, 2012 FIRM: City of Tigard VIA: Delivery 13125.S'W Hall Blvd Tigard. OR 97223 FROM: Larry Shirts PROJECT: Hannah Society Washington Sqr. Mall Too PROJECT No: 12-30 COP /ES DATE DESCR IPT ION REMARKS 3 Sets 12/13/12 T - Title Sheet Issued for Permit (24x36) Al - First & Second Floor Existing / CC Demo Plans A2 - First & Second Floor Egress Plans 44 & F /L /S & Partial Code Study A3 - First & Second Floor Plans & 66 Wall Types '� A4 - Enlarged Restroom Plan, Section " & ADA Details A5 - Schedules " A6 - First Floor Reflected Ceiling Plan " A7 - Interior Elevation Plan " A8 - Interior Elevations " A9 - Interior Elevations " El - First & Second Floor Electrical " Layout Plans S1 - Ceiling Framing Plan, Schedule " & Detail 2 Ea. 12/12 Office Ceiling Joist Calcs " 1 Ea. 12/13/12 Building Permit Application " 1 Ea. 12/11/12 Check #30201 CC: Hannah Society - 4 Sets of Plans & Transmittal F.• 112 -3OI cityj!.dnc FOR OFFICE USE ONLY — SITE ADDRESS: /1°// -4t) ZZ) h 7a This form is recognized by most building departments in the Tri -County area for transmitting tnformati . Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT I II v � Transmittal Letter T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: V). `(1 0 8S0 DATE ;:;. % f•\ ti DEPT: BUILDING DIVISION -. . JAN 082013 FROM: L- c 1 f \ CITY OF TIGARD BUILDING DIVIS i COMPANY: l f\(\• c ` ` , i ■ I ' PHONE: 60 - 3(9 '-7-) By: RE: (Sile"f(d(e "mall 4 s' dQ_- (Permit " �oJ q HC ' n 1e 0 . #�S ) (ro�ect name or subdivision nme and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 5 Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): RE' ARKS: ∎, , , J , , !, _ j /'alt std- -1 _, ._..111, ,,, * 6-41,-, • — .- r / , FOR O FICE SE ONLY Routed to Permit Technician-• Date: 1 12 4 ( 772-, Initials 1 Fees Due: ❑ Yes la No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal r L tt Letter T Inc':•R D all Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti a ov TO: DA ' RECEIVED: " DEPT: ILDING DIVISION RE':T1VFC ICT 2 3 2013 FROM: • V) 621 3 CITY OF TIGARD COMPANY: '&°9 - 9-9 a5(2 BUILDING,MO . ! PHONE: • //-- RE: /0/ �P �� Ll -!� ' (fit P a--G'®2 ST (Site Address) (Permit Number) Q41-10)■-Let PET- C t � (Project name or subdivision name : d l%t numbe ATTACHED ARE THE FOLLOW G ITEMS: Copies: Description: Copie . Description: Additional set(s) of pl. s. _ Revisions: Cross section(s) and etails. Wall bracing and/or lateral analysis. Floor/roof framing Basement and retaining walls. Beam calculation-. Engineer's calculations. Other(e 7n): REMARKS: mac. I Q►`{ I ( PHA S FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑No Fee Description: Amount Due: $ Special Instructions: Reprint Permit(per PE): ❑ Yes I ❑No _ ❑ Done Applicant Notified: Date: Initials: ('\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10164 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Building 299 Final inspection 2014-02-13 00:00:00 BUP2012-00254 PASS - C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10164 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Building 910 Sprinkler rough-in/test 05/30/2013 00:00 BUP2012-00254 NA Front lobby (uprights only) Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10164 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Building 910 Sprinkler rough-in/test 05/30/2013 00:00 BUP2012-00254 NA Front lobby (uprights only) Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10164 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Building 275 Framing 05/30/2013 00:00 BUP2012-00254 PART Phase I Ok to cover with electrical approval Violation Summary: Inspector Contractor