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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2015 00256 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2015 ;. a Parcel: 2S102CB03200 Jurisdiction: TIGARD Site address: 9975 SW FREWING ST 220 Project: United Medical Group Subdivision: FREWING'S ORCHARD TRACTS Lot: 21 Project Description: TI . Tenant currently on 1st floor and expanding to 2nd floor. Contractor: RELIABLE CONTACTOR LLC Owner: MASSIH LLC 4606 SE 115TH BY PIERROUZ YASAVOLIAN PORTLAND, OR 97266 8 BECKET ST LAKE OSWEGO, OR 97035 PHONE: 503-319-3801 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT T Permit Fee-Additions,Alterations, 09/21/2015 $195.38 ype of Const: VB Demolition Occupancy Grp: B Occupancy Load: 33 12%State Surcharge-Building 09/21/2015 $23.45 Dwelling Units: 0 Plan Review 08/25/2015 $127.00 Stories: 2 Height: 0 ft Plan Review-Fire Life Safety 08/25/2015 $78.15 Bedrooms: 0 Bathrooms: 0 Parks SDC Improvement 09/21/2015 $367.00 Value: $8,000 Parks SDC Reimbursement 09/21/2015 $66.00 Info Process/Archiving-Sm$0.50(up to 09/21/2015 $2.50 11x17) Floor Areas: DC Provision Review,COM TI-Ping 09/21/2015 $88.00 Total Area: 1496 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $947.48 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 '. . dance 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 d- . ATTENTION: C -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •52-001-0010 through OA' •52-0I -'09'. 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: k // �f/Z Call 503.639.4175 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 oft e project. Approved plans are required on the job site at the time of each inspection. 4 r )wilding Permit Application Commercial FOROI FIC .USE ONLY Received / 71 City of Tigard AUG 2015 Date/B : I mho Permit No,: , 'I�x`' �,so ® 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review + ���'� Related Permit: la Phone: 503-718-2439 Fax: 503-593;196p i-•°�t•� Date/B : _AA! �� l� T IG-A R D: Inspection Line: 503-639-4175 B'LrlLD`/ r,` •``�-?D Date Ready/By: Jung ® See Page 2 for . e Internet: www.tigard-or.gov \3 j �.ISfON Notified/Method:. 7 i i Supplemental Information `V — S 1 ' TYPE OF WORK • REQU RED 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 •f 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: $ ❑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: ' TkC 75 503 14--:ac--;1J-1 N-)6 S•1 New dwelling area: square feet City/State/ZIP: qi�,fl.g...(b ©._ q 72 Garage/carport area: square feet Suite/bldg./apt.4: 0 Project name: e..riO4r-el 4 6rDliCi 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 4: ' Permit fees*are based on the value of the work performed. Tax map/parcel 4: 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. � •/ ti/ Valuation 8 aro $ tk/Y.i/1.� i n��l�(O�v.Q �1 f C��, n�.. C���:�l�r/ ri t l 1 C /://c1 i it�J �{ ! /.��. /a , // J � /�`/'S �,/ Existing building area square feet �nd a L/CS - 1a,�1,'v (7 New building area: (/-�� square feet '1=1 PROPERTY OWNER ®"TENANT Number of stories: 1 Z Name: 1yt/`/�.G/ M 11` --•t,a.u-A t Type of construction: ..513 Address: Occupancy groups: P Yg s P : City/State/ZIP: Existing: Phone:( ) Fax:( ) New: cir..APPLICANT 0 CONTACT PERSON . t BUILDING,PERMIT FEES* , , r (Please refer to fee schedule) . Business name: Structural plan review fee(or deposit): Contact name: COOKIE' /'f e u ye c' FLS plan review fee(if applicable): Address: 16 /25 C.:c vv' ZT1LN•E C' City/State/ZIP: Total fees due upon application: ty p-iLT-nit O' '17233 n /6 Amount received: 2/65", Phone:(563) 44_,--z ^ 75-3 Fax: :( ) �/ dx-S Lk/6.017w°M e-O FS�6 t✓ c, -iL : C om PHOTOVOLTAIC`SOLAR PANEL SYSTEM,,T.,. S* E-mail: r+ -„ - . . �- .. CT.YtYE ,r . a , 3 Commercial and residential prescriptive installation of k 4" I CONTRACTOR[ v;,;: �r - eti .,�_u<, v. sa roof-top mounted Photovoltaic Solar Panel System. Business name: fEfic, C / Submit two(2)sets of roof plan with connectio ails L and fire department access,along with • i 0 Oregon Address: 4 S Itg i n_fir•- Solar Installatio Siecial Code c.- list. City/State/ZIP: ?o-e•�- ,�,/�_. �-/ // Permit fee • eludes r,.. review $180.00 ���/ � �� V l f�E�, �j and a..1'- strative fees Phone:( 9 '3 j q B 0 ( I Fax:( ) State surchar;. 12%o ,-rmit fee): $21.60 CCB Lic.: /710576 To fee due upon appfic .'on: $201.60 Authorized signature: "72�,/�� '�� This permit application expires-i a permit is not obtained � ��!` within 180 days after it has been accepted as complete. Print name: eg j1 I A/6'ii xeA i''Date: 8/26/2 eV s''''' * Fee methodology set by Tri-County Building Industry -t Service Board. 1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB) 1 • - City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT .n Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TLGARD 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): $ I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 r • City of Tigard II COMMUNITY DEVELOPMENT DEPARTMENT _ TIGAR.D Building Permit Review — Commercial - No Land Use 0 Building Permit #: 'i kPd15i5 oO? 4 Site Address: 95 1— Suite/Bldg#: c_a() Project Name: (inder.C_ /1 ee 54 g (Name of commercial business occupying the space. If vacai ,enter Spec Space.) Planning Review 9 Proposal: 7 4 e". /Le-A) 4 lgtait '71" <,ZP ,,2-(7-71-- 207- 74 on r Existing Business Activity: S C % .0 C' Prop sed Business Activity: /12pe�.�,C�� , LIQ Verify site address suite# exists and active in permit syst � � P 4"i ever Terrace Neighbgrhood: ❑ Yes 11�J No L oohing: C//-• Vd ermitted Use: es ❑ No ❑ Spec Space .nfirm no land use required. • I1Q Business License: Exists: Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: 7" Date: ,/02�–/S — Revisions Y g� � - 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: .9`170/9 r Site Plans: # Building Plans: # Building Permit#: C/7-Enter building permit# above. � Workflow Routing: ,r Planning P mit Coordinator -Er-Building Workflow Sign-off: 171 Sign-off for Planning(include notes from planning review) Route Application Documents: [f Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technicia • �eI / i Date: _ f5-- I:\Building\Forms\BldgPennitRvw_COM_NoLandUse 0709I5.docx Y a (1 Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: 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: ❑ SDC Fees Entered: Wash Co Trans DEN'Tax: Yes ❑ -A Tigard Trans SDC: ❑ Yes ' N/A Parks SDC: Yes ❑ N/A K to Issue Permit Approved by Permit Coordinator: � Date: F NO/S 04/4, 7-7?) OR0r../- fr{---p a'aeue-ole I:A Building\Fonns\BldgPcrmitRvw_COM_NoLandUse 0709I5.docx 4 ,) TDT Estimate United Medical Group REV 9/17/2015 9975 SW Frewing AMS TDT RATES EFFECTIVE 7/1/15 TSDC CITYWIDE &TSDT RT OVERLAY RATES EFFECTIVE 7/1/15 INSIDE RIVER TERRACE 0 Yes Project is in River Terrace ? ® No Former Use Rate Type Use# ITE Code # Units Rate TDT Amount Description TDT 1 710 1.50 $8,515 $12,773 General Office TSDC-Imp 1 $0 TSDC-Reim 1 $0 TSDC-RT 1 $0 Total TDT and TSDCs Former Uses $12,773 Proposed Use Use # ITE Code # Units Rate TDT Amount Description TDT 1 630 1.50 $22,799 $34,199 Clinic TSDC-Imp 1 $0 TSDC-Reim 1 $0 TSDC-RT 1 $0 TDT 2 $0 TSDC-Imp 2 $0 TSDC-Reim 2 $0 TSDC-RT 2 $0 TDT 3 $0 TSDC-Imp 3 $0 TSDC-Reim 3 $0 TSDC-RT 3 $0 Total All TDTs&TSDCs Proposed Uses $34,199 Less: Total All TDTs&TSDCs Former Uses $12,773 Total All TDTs&TSDCs Net Increase $21,426 Total Net County TDT $21,426 Less 50% Redevelopment Discount $10,713 Total Net County TDT $10,713 TDT TSDC Imp + Reim Target Recovery Rate 28.0% 30% Estimated Total Impact $38,261 $0 Estimated Unmitigated Impact $16,835 $0 All TDT&TDSC TSDC RT Overlay Target Recovery Rate 56% 30% Estimated Total Impact $38,261 $0 Estimated Unmitigated Impact $16,835 $0 TDT=County Transportation Development Tax TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim) TSDC RT=River Terrace Transportation System Development Tax Overlay Parks Estimate United Medical Group REV 9/17/2015 AMS ALL PARKS RATES EFFECTIVE 7/1/15 0 Yes Project is in River Terrace ? ® No Note: All Neigh-Imp# Units entries=0 if project is in River Terrace; All Neigh-RT# Units entries = 0 if project is elsewhere in the city. Former Use Rate Type Use# ITE Code # Units Rate Parks Amount Description Parks-Imp 1 710 3 $367 $1,101 General Office Parks-Reim 1 710 3 $66 $198 General Office Neigh-Imp 1 710 3 $0 $0 General Office Neigh-RT 1 $0 2 $0 Total Parks Former Use $1,299 Proposed Use Use# ITE Code # Units Rate Parks Amount Description Parks-Imp 1 720 4 $367 $1,468 Medical Offices Parks-Reim 1 720 4 $66 $264 Medical Offices Neigh-Imp 1 720 4 $0 $0 Medical Offices Neigh-RT 1 $0 Parks-Imp 2 $0 Parks-Reim 2 $0 Neigh-Imp 2 $0 Neigh-RT 2 $0 Parks-Imp 3 $0 Parks-Reim 3 $0 Neigh-Imp 3 $0 Neigh-RT 3 $0 Total Parks Outside RT Proposed Uses $1,732 Less: Total Parks Outside RT Former Uses $1,299 Total All Parks Outside RT Net Increase $433 Prior Use: General office = 600sf/ee; 1500/600= 3 ees. Proposed Use: Medical offices= 350sf/ee; 1500/350=4 ees. Parks-Imp = Parks Improvement, Citywide including River Terrace Parks-Reim = Parks Reimbursement, Citywide including River Terrace Neigh-Imp = Neighborhood Parks Improvement Outside River Terrace Neigh-RT= Neighborhood Parks Improvement Inside River Terrace 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 9975 SW FREWING ST 220, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00256 Jeff Grove Violation Summary: Inspector Contractor