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Permit I >o CITY OF TIGARD BUILDING PERMIT III I COMMUNITY DEVELOPMENT Permit#: BUP2014-00240 Date Issued: 10/16/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BD00300 Jurisdiction: TIGARD Site address: 9735 SW SHADY LN 308 Project: Westside Endodonitics 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: 10 DC Provision Review,COM TI-LRP 10/16/2014 $11.00 Permit Fee-Additions,Alterations, 10/16/2014 $362.69 Dwelling Units: 0 Demolition Stories: 3 Height: 0 ft 12%State Surcharge-Building 10/16/2014 $43.52 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/16/2014 $2.00 Value: $19,000 11x17) Plan Review 10/16/2014 $235.75 Plan Review-Fire Life Safety 10/16/2014 $145.08 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $875.04 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 day- -f 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 No ifi--tion Center. hose 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.i •1 87 , 00.33.2344. Issued By: _ I i A Y 2 `_ :.Signature: I�1 =s ' r Call '.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the proj,l Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial FOR OFFICE USE ONL' City of Tigard �� Date Permit No.: 111 i • 13125 S W Hall Blvd.,Ti ti� Pan Revie %,��,�� j l .: Phone: 503.718.2439 F .196Q ,, Date/B ��..J�m� TIGARD Inspection Line: 503.639.4 5 G� O`' Date R:'W . Juris 65 See Page 2 for Internet: www.tigard-or.gov O `�```�c \ Notified/Meth..: Supplemental Information TYPE 0 '• ''`" REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction rn r 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 ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ` 4 I Cj y I New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/b dg./apt.no.: Project name: Z2- Covered porch area: square feet Cross street/directions to job site: r)%1 1) ��c� 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. fax 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. 'Z1,c�t,e t►1 l -1► \/_ (� ��.r�r Valuation: $ }.-3 'J 11y, 1` ►e��/k/l �J�j) Existing building area: square feet New building area: square feet PROPERTY OWNER T 0 TENANT Number of stories: Name: ~ 4 Type of construction: Address: 02 c�M J I Y fo FR 0 r L owes, Occupancy groups: City/State/ZIP: �`� 4 Zo5 Existing: Phone:( ) Fax:( ) New: 14 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: � ► (Please refer to fee schedule) . � — Structural plan review fee(or deposit): Contact name: 7 A e` _ FLS plan review fee(if applicable): Address: r©. J. ..3°-1-7-2 Total fees due upon application: City/State/Z1P: L�/�I,j, D I — n • C17� �-., J (6 y. S 7 Amount received: Phone: T. '' Fax::( �r '�-[ — d�n ^_�'`, A {_•/J„j�, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: ( _ '� 'V{ l:c/Vv"„ Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: n� Submit two(2)sets of roof plan with connection details �Q - � — and fire department access,along with the 2010 Oregon Address: 4i � — �. Solar Installation Specialty Code checklist. City/State/ZIP: �{�"'�'��F- Permit fee(includes plan review $180.00 and administrative feesL Pho /j;,3,..6"70 i Fax:(Fro 6E6-57 h' — State surcharge(12%of permit fee): $21.60 CCB lie.: C01�6I Total fee due upon application: $201.60 Authorized signatuk This permit application expires if a permit is not obtained 11/111 within 180 days after it has been accepted as complete. Dl �!� ate: ' Fee methodology set by Tri-County Building Industry Print name: `� ___VI Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) City of Tigard 1111 • COMMUNITY DEVELOPMENT DEPARTMENT TIGAR I) Building Permit Review — Commercial - No Land Use Building it u d g Permit #: 46+420/1/�dYv Site Address: 7135 SW Shady Ln , . Suite/Bldg#: 302, Project Name: Westside, Endodont-ic. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Cal F eri*Cd 041 ce- e r an+ improvements 9 reduce, o +c�e, b1S . . y � +_� J_`L Existing Business Activity: rued 1� l d a1 c i ee, Pro osed Business Activity: SaMp Pro site address suite # active in permit system. 4Verify //++ � P Y gning: M V V ermitted Use: Y{Yes ❑ No ❑ Spec Space Confirm no land use required. Notes: no e cteri or chCLr es proposed ' I . Approved by Planning: / N A 0/,, Al Date: tQ I 6 114 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 Submittal Date: 16/16/4/ Site Plans: # N/9 Building Plans: # Building Permit#: p^'�E r building permit#above. Workflow Routing: L ing ❑ Permit Coordinator ding Workflow Sign-off: j ff 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: Q/e/ By Permit Technician: Date: �G�/�//y I:\Building\Forms\BldgPermitRvw_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:\Bui I d ing\Forms\B IdgPermitRvw_COM_NoL andUse_071514.docx Building Division 1--`/'��``-`h')- Over-The-Counter (OTC) Building Permit TIGARD Check List Project Description: ( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occupancy Group: Type of Construction: Type of Use**: Occupancy Load: Oregon Specialty Code: zotk- SPECIFICS Number of Stories: � Building Height: Mixed Use: Number of Div 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: Occupancy Separation: E: W: E: W: Access.Parking Spaces: _ REQUIRED ITEMS Fire Sprinklers: j0Q 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: Total Project Valuation: $ t T J ot-'c'''. FEES DUE 7 $ CO DC Prov Rvw,COM TI-Ping $ •c„ DC Prov Rvw,COM TI-LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ -eN:'l Permit Fee-Add,Alt,Demo Project Valuation Planning LRP $ 4:3,'2 12%State Surcharge Up to$4,999 $0.00 $0.00 $ 2..7 :7• Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ r 4 •� Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ 2r Oa 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: $ ()/71-">4 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\Forms\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 308, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00240 Chip Barnett Violation Summary: Inspector Contractor