Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2014-00018
T 1(i A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2014
Parcel: 1 S 126 DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD A
Project: Dr.Gebeau Dental Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: TI for new dental office.
Contractor: NORWEST CONTRACTORS INC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
PO BOX 25305 BY NORRIS&STEVENS
PORTLAND, OR 97298-0305 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503-291-6986 PHONE:
FAX: 503-291-7036
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 01/30/2014 $1,619.35
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/30/2014 $194.32
Dwelling Units: 0 Plan Review 01/27/2014 $1,052.58
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/27/2014 $647.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 01/30/2014 $278.00
Value: $185,000 DC Provision Review,COM TI-LRP 01/30/2014 $41.00
Info Process/Archiving-Lg$2.00(over 01/30/2014 $30.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 01/30/2014 $222.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,084.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors: Yes
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� ' Permittee Signature:
175 by 7:00 a.m.for the next available inspection d •.
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 CEI\1 Ei) FOR UI1 PI('I? LSE ONL1
j� rj FOR
City of Tigard �` Date/13 : PermitNo.: f / OlK `,�+ ;
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi „i
Phone: 503.718.2439 Fax: 503.598.19(10 2'1 2014 Date/By: Or ' ♦/ i 1/ Other Permit:
I [> Inspection Line: 503.639.4175 J Date ReadyBy: / kris: H See Page 2 for
Internet: www.tigard-or.gov �,r• Not�ed/Method: I/�C1 (� e, j- Supplemental Information
IN af TYPE OF 1N REQU I r 1 g-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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: 5
❑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:9370 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A Project name:Dr.Gebeau Dental Covered porch area: square feet
Cross street/directions to job site:SW Hall Blvd and SW Greenburg Rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S126DB02800 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.
Tenant improvement within existing building for a new dental office. No changes Valuation: $185,000
to site/exterior of building. No structural changes. No Change of Occupancy. Existing building area: T/I square feet
New building area: 2,233 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: VB
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Fig Studio Architecture and Interiors (please refer fo fee schedule)
Structural plan review fee(or deposit):
Contact name:Jeff Guggenheim
FLS plan review fee(if applicable):
Address:925 NW 19's Ave.,Suite F
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Phone:(503)272-1566 I Fax: :( )
Amount received: 0/r -kip. .J'
E-mail:jeff@figstudiopdx.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Conunercial and - idential prescriptive'i . ...on of
roof-top mounted • otoVoltaic Solar P. ys -m.
Business name:Norwest Contractors Submit two(2)sets o roof plan with c• I I- ion details
and fire department : a s,along w'. the 2010 Oregon
Address:4820 SW Scholls Ferry Rd Solar Installation Specia ' Code ecklist.
City/State/ZIP:Portland,OR 97225 Permit fee(includes . review $180.00
and admini 1 r,i fees):
Phone:(503)291-6986 Fax:( )
State surcharge(12% permit $21.60
CCB lie.:89425
Total fee du upon application: $201.60
Authorized signature: This permit application expires it a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jeff Guggenheim) Date:1/27/14 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
L
Building Permit Number: /pct/ 007- rxxv
" Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: c 37p izeenbutij 12.d . # �
Verify site address is valid.
Project Name : DR. Cie42e i u Qr real .
Planning Review
Proposal: Ink 121012- FeAnode4 -for he-w MCG1I6ei oThGP 1C�GC '•
"Zoning: MUE—I
LW'Permitted Use Nr Yes ❑ No ❑ Spec Space
R Land Use Required ❑ Yes g No
Notes: no U U/tnI„ (1f u<j.
Approved by: ATV\ 461k-(,k- Date: I //1 It T
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: //027/8 By:
Site Plans: #
Building Plans: #
Create Case Record#: B"Ester case#above for Building Permit Number.
Workflow Routing: Planning ❑ Engineering ❑ Permit Coordinator L�t3uilding
Workflow Sign-off: -off for Planning staff,including notes from planning review(page 1)
Route Application Documents:JV4❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
oal plan review routing form.
g'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: e--ciArd4, Date: /A-2/i y
Notes:
L\Building\Formsl BIdgPermitRvw_COM_NoLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9370 SW GREENBURG RD A, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
April 30, 2014 at 9:12:10 AM
BUP2014-00018
Chip Barnett
Violation Summary:
Inspector Contractor