Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00075
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2014
T[K;A R.I� 9 Parcel: 1 S 126DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 603
Project: Dr.Linh Tran Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: TI
Contractor: OREGON BATH&KITCHEN INC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
PO BOX 9277 BY NORRIS&STEVENS
BROOKS,OR 97305 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503-393-6407 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 04/16/2014 $453.95
Demolition
Occupancy Grp: B Occupancy Load: 35 12%State Surcharge-Building 04/16/2014 $54.47
Dwelling Units: 0 Plan Review 04/02/2014 $295.07
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/02/2014 $181.58
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/16/2014 $70.00
Value: $25,000 DC Provision Review,COM TI-LRP 04/16/2014 $10.00
Info Process/Archiving-Lg$2.00(over 04/16/2014 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,077.07
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 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./23�2.19/877 or 1.800.332.2344.
Issued By` Perm/ • ature: ('; -1
C 5 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.
Ffr 7 '
Building Permit Application
Commercial FIEcEIVEf I 1 ()1 I I( 1 I ,t U\I Received � / —
14 "' City of Tigard Date/B : Permit No.: -4 -�/)U 7 S do,
13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 2014 Plan Revie-'
■ 7' �� Te t Other Permit:
Phone: 503-718-2439 Fax: 503-598-19 Date/B : amp/A, Amur •
TIGARD Inspection Line: 503-639-4175 CITVOF TIGARD Date Ready/B : Juris. ® See Page 2 for
Internet: www.tigard-or.gov WILDING ; tifie• ethod: y / supplemental Information
L7ur G OIVI�IOI►' ,,�%, . �
TYPE OF WORK. ` — 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 LOCAT ION Total number of floors:
Job site address: 93?o Grp Ra• Sul4'e_ 6,03 New dwelling area: square feet
City/State/ZIP: Troa, &, OR 9oZ2,y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Dr. Li hil Tnly Covered porch area: square feet
Cross street/directions to job site: 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.: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
r DESCRIPTION OF WORK work indicated on this application.
- / Valuation: $ a5,000
!!!! Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: 'T 1 Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLLICANT -�^ ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:® 1 rmk lake_ J 101uSfl'It.c u.C. - review refer(or deposit):
Structural plan review fee(or deposit):
Contact name: Da–
rN Sufi I P r^9e 1-
FLS plan review fee(if applicable):
Address: 14500 & klak - RtX N F
City/State/ZIP: brooks 0K 97455 Total fees due upon application: �(
�p t Amount received: `1 476
Phone:(5)3 ) '� 5 ` _<97S Fax::N3 ) 393- 2946
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Com -rcial and residential prescriptive installation of
CONTRACTOR roof-top • nted PhotoVoltaic Solar Panel Syste
Business name: OkE 0,0,J 6/3�jt st- k11 TT/ti-,v J c.r— Submit two(2 - of roof plan with conne •. details
and fire department acc- along wi • . e 2010 Oregon
Address: 'b he y[ 9,277 Solar Installation Specialty • c ecklist.
6/L Permit fee(inc : s plan re
City/State/ZIP: �, ( 5 7&� • inistrative fees): $180.00
Phone:( 5) 35.3 &t{p Fax:( ) State arge(12%of permit fee): ` $21.60
CCB lie.: C)7aQ(, j 7//`.5
Total fee due upon appication: 01.60
Authorized signature: r . This permit application expires if a permit is not obtained
�/ within 180 days after it has been accepted as complete.
Print name: C,kr`i S Rtl;c l-r Date: L4/2/ pi * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
4 • Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R[D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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): $
L\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
Building Permit Number: 4--07)090/ -(060 7 5
pp! Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
Site Address: gS,10 SW Greenlourg Rd. &tile, 603
❑Verify site address is valid.
Project Name : D f Li nk Tra n
Planning Review 1
Proposal: lrr}-trio{ +ex r* imptnvemp.,rr . 1(1dv,des 2�Cpoons c _n- II'r o VAC.ayi+
medicos ofticp, space.
/floning: M V E-1.-
D Permitted Use EiYes ❑ o ❑ Spec Space
-X Land Use Required ❑ Yes Ltd No
Notes:
Approved by: -71 m 1_einfbac h Date: 41414
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: By:
Site Plans:
Building Plans: #
Create Case Record#: ❑ Enter case#above for Building Permit Number.
Workflow Routing. ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx