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Permit CITY OF TIGARD BUILDING PERMIT "7 I COMMUNITY DEVELOPMENT Permit#: BUP2014-00239 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2014 Parcel: 1S135BD00300 Jurisdiction: TIGARD Site address: 9735 SW SHADY LN 307 Project: Dr.Weinberg Subdivision: ASHBROOK FARM Lot: 5 Project Description: TI for existing tenant. Contractor: ROBERT TODD CONSTRUCTION INC Owner: MCFADDEN,ARTHUR L 4080 SE INTERNATIONAL WAY B113 BY SKLARZ, ERIC MILWAUKIE, OR 97222 621 SW MORRISON ST,STE 800 PORTLAND, OR 97205 PHONE: 503-653-5704 PHONE: FAX: 503-653-5729 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/16/2014 $75.00 Occupancy Grp: B Occupancy Load: 17 DC Provision Review,COM TI-LRP 10/16/2014 $11.00 Dwelling Units: 0 Permit Fee-Additions,Alterations, 10/16/2014 $520.07 Demolition Stories: 3 Height: 0 ft 12%State Surcharge-Building 10/16/2014 $62.41 Bedrooms: 0 Bathrooms: 0 Plan Review 10/16/2014 $338.05 Value: $31,000 Plan Review-Fire Life Safety 10/16/2014 $208.03 Info Process/Archiving-Lg$2.00(over 10/16/2014 $6.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,220.56 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. 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 3-N. 7 or 1.800.332. 44. Issued By: Permittee Signature: ', 3.639.4775 by 7:00 a.m.for the next available inspection da =. `. I /V 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 R i *\\4\ ece ved City of Tigard DateB , Permit No i, a/ Q- , 13125 SW Hall Blvd.,Tigard,OR 9722 +Q ��1 g �O\ Plan Review ' . Phone: 503.718.2439 Fax: 503.598.19 0 C` 16 Date/B :IIVAI _17M1:- a TI G A R D Inspection Line: 503.639.4175 Q �`n 1► D Date Rea' ": See Page 2 for Internet: www.tigard-or.gov 1�1� Notified/Method: Supplemental lntormation TYPE OF WOR�v\ �., 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. ❑ I-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: *V (9f 4;6401 ' '('M 301 New dwelling area: square feet City/State/ZIP: 1 CF 14722-3 Garage/carport area: square feet Suite/bldg.Japt.no.: Project name: /... i,4 _ P— 0 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: Lot no.: Permit fees*are based on the value of the work performed. — Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. 1 I' l e— Ce J j ` ( Valuation: $ 31 177- - (2) l21-brkla Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: d As. ---- -- t Type of construction: Address: , — ■I A `� a 116 =S I. Occupancy groups: City/State/ZIP: ";e) t s i Existing: Phone:( ) Fax:( ) New: APPLICANT ›`CONTACT PERSON BUILDING PERMIT FEES* Business name: 131r . (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: '1'�t, �©''�'1+—��� FLS plan review fee(if applicable): Address: 'f� City/State/ZIP: ` Total fees due upon application: Amount received PhoneZ -,4+7 Fax:: -7 $•s72' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: eM°^xeJ -r.DY`v Commercial and residential prescriptive installation of CON RACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: I,4,,,,,......., Submit two(2)sets of roof plan with connection details .. �'� and fire department access,along with the 2010 Oregon Address: I_ • - , II , ` , ,Ai Solar Installation Specialty Code checklist. City/State/ZIP: , t �. 'if Permit fee(includes plan review $180.00 and administrative feesL Phone: 5e3 --a, 5711 Fax:6003 /G� 15721 State surcharge(12%of permit fee): $21.60 CCB lie.: Q�517 _ Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. --•mar t I ,�y _ * Fee methodology set by Tri County Building Industry Print name: J �L L\�� Date: Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard • ■ COMMUNITY DEVELOPMENT DEPARTMENT FI G ARD Building Permit Review — Commercial - No Land Use Building Permit #: Ottp R01'1_0007,361 Site Address: 9`135 SW Sha8V Ln. Suite/Bldg#: 367 Project Name: Dr. Susan Weinber D. M,�• (Name of commercial business occupying t space. If vacant,enter Spec Space.) Planning Review t� Proposal: P.Xp�( +1.t1 5 b� t15 $� nQW O rara+ory rooms riu lu,ncln room P Existing Business Activity: meal 0O (drri Proposed Business Activity: Csar'11e/ ri Verify site address/suite #exists and active in permit system. Zoning: M U C ermitted Use: Yes ❑ No ❑ Spec Space M Confirm no land use required. Notes: n0 ex+&i of changes proposed Approved by Planning: 10 1 6 11-} PP Y g: � I'1'1 r•/� Date: 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /) h (o Jy Site Plans: # �i�3 Building Plans: # � Building Permit#: ,�, E�n�ter building permit#above. Workflow Routing: L`1�1'la�ning ❑ Permit Coordinator ding Workflow Sign-off: .off for Planning(include notes from planning review) Route Application Documents: Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: O j By Permit Technician: ! Date: /U//6//y I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_071514.docx Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_071514.docx /li0-0111—°'3? y I " Building Division Over-The-Counter (OTC) Building Permit I_ C''^R D Check List Project Description: Tl APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: kter Occupancy Group: Type of Construction: Type of Use**: eajik Occupancy Load: `( Oregon Specialty Code: 20(lc SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: _Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback—Left Sideyard Setback—Front Sideyard Setback—Right Sideyard Setback—Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: r Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: L Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: ,, )) 1 Total Project Valuation: $ 3 t) C..tie) FEES DUE $ ".J, r) DC Prov Rvw,COM TI—Ping $ i( ,Q DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ 20.07 Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ 'y1 12%State Surcharge Up to$4,999 $0.00 $0.00 $ -?,W, Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ (22e5•,TOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Fors\OTC_BUP_070114.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 9735 SW SHADY LN 307, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00239 Chip Barnett Violation Summary: Inspector Contractor