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Permit (24) CITY OF TIGARD BUILDING PERMIT 11„..0', COMMUNITY DEVELOPMENT Permit#: BUP2017-00176 TFGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2017 Parcel: 1 S 126DC03300 Jurisdiction: Tigard Site address: 9900 SW GREENBURG RD 230 Project: Dr. Layport Subdivision: LEHMANN ACRE TRACT Lot: 4-5 Project Description: TI-remove portion of existing casework and build new countertop,expand into adjoining suite to create multi-purpose room. Contractor: ROBERT TODD CONSTRUCTION INC Owner: ATHERTON REALTY PARTNERSHIP 4080 SE INTERNATIONAL WAY B113 2100 S WOLF MILWAUKIE, OR 97222 DES PLAINES, IL 60018 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: VB Permit Fee-Additions,Alterations, 06/28/2017 $453.95 Demolition Occupancy Grp: B Occupancy Load: 40 DC Provision Review,COM TI-Ping 06/28/2017 $90.00 Dwelling Units: 0 12%State Surcharge-Building 06/28/2017 $54.47 Stories: 2 Height: 0 ft Plan Review 06/28/2017 $295.07 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/28/2017 $181.58 Value: $25,000 Info Process/Archiving-Lg$2.00(over 06/28/2017 $8.00 11x17) Floor Areas: Total Area: 2521 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,083.07 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes 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 952-001-00 rough 0•" •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss ed By: Permittee Signature: 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 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 Cl of Tigard Eleg2c IasIVE Received Date/B : �l/ ,��r1 1 �t'7�l'�,7 b / Permit No.:III 13125 SW Hall Blvd.,Tigard, Plan Re -w I� Phone: 503.718.2439 Fax: 503.598.I960 Date/B : ,` F� le Other Permit: r 1 G A R D Inspection Line: 503.639.4175 J l�N 2 8 2017 Date Read ':7 Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF 7IGAHD TylilLillEgb10 DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 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 0 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: $ ElAccessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9900 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:230 Project name:Dr.Layport Expansion T.I Covered porch area: square feet Cross street/directions to job site: Deck area: square feet SW Greenburg Rd.&SW Lehman St. Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax 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. Interior Tenant Improvement:remove portion of existing casework and build new Valuation: $25,000 countertop and expand to small portion of adjacent suite.to generate a multi- Existing building area: 48,600 square feet purpose room. New building area: square feet 0 PROPERTY OWNER El TENANT Number of stories: 2 Name:Dr.Cynthia Layport,DMD Type of construction: V-B Address:9900 SW Greenburg Road,Suite 230 Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: B Phone:(503)620-1117 Fax:( ) New: B 11 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:LRS Architects (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Peter Kim FLS plan review fee(if applicable): Address:720 NW Davis St.,Suite 300 Total fees due upon application: City/State/ZIP:Portland,OR 97209 Amount received: Phone:(503)221-1121 Fax: :(503)221-2077 E-mail:pkim@lrsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Com - cial and residential prescriptive in .11ation of roof-top nted Photo Voltaic Solar el System. Business name:Robert-Todd Construction Submit two( -ts of roof plan connection details and fire departmen cess, • •ng with the 2010 Oregon Address:4080 SW International Way,Suite B-113 Solar Installation Spe - r Code checklist. City/State/ZIP:Milwaukie,OR 97222 Permit fee "eludes p a - iew $180.00 and administrative fees Phone:(503)653-5704 Fax:( ) e surcharge(12%of permit fee): $21.60 CCB lie.:98517 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. Print name: Grace McNeilly,Senior Property Manager Date:06.21.2017I * Fee methodology set by Tri-County Building Industry Cushman&Wakefield,Managing Agent for Ov4ner:Atherton Realty Parrnerkhip Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) r Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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 per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ 25,000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 6,250 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): $ The building is 100% accessible and requires no ADA upgrade. I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 City of Tigard i 111q COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 7 Pte!7-06/ 7 , Site Address: q cf0e> SW 4,.e.P—,,,L,7 Rd, Suite/Bldg#: D,7 v Project Name: a. 1..Q, e7 Periao1©1 Ale O- :Q "'���e4NS; et (Name of comme business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: rP Re .. OSP cprrf,ye0n Ores )4lS�L41.hea'c i -j 77 7 Existing Business Activity: Me c.4/ ak Ge Proposed Business Activity: /Qei:Ga/ .0.7e L J2 Terify site address/suite#exists and active in permit system. terrace Neighborhood: CIYes 2<3 2'Zoning: (f B-! ,Permitted Use: e Yes ❑ No ❑ Spec Space .Confirm no land use required. usiness License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: Date: ‘./../S 8// 7 _-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: /7 Site Plans: # Building Plans: # 5 Building Permit#: ErEnter building p rmit#above. Workflow Routing: E`Planning wilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: Ore-- -- /,f, By Permit Technician: , Cle —n—_- _ ,i Date: aag / 7 I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, •T 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 Ap. •nt: ❑ SDC Fees Entered: Wash Co "ans Dev Tax: ❑ Yes ❑ N/A Tiga . rans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit Appointment Checklist Permit Record#: ( J L Pc '/ 7 GY) 174 Contact Name: Qa Q j Phone #: - Business Name: R0,6672.7— 7Dhi C®NS777.ceC7704 Appt. Date/Time: (o/a��7 ? D, Site Address: [. j gag—G— ,-3 Bldg/Suite #: oZ 3 e Project Name: 2Ve zAroag-T Project Description: e-✓/ tP2Ghti t T (T9t / Setts- 3/0&e. ©M i.vtni( 7-&-j Yv C a " 4-- 01-ey-4;wr/2de>7 (No poi u 1 Irn, Existing Use: 40 ie New Use: Oj j MMD Required: 0 Yes 'No Related Record#: GENERAL INFORMATION Class of Work: Occupancy Group: Type of Construction: Type of Use: ('r ,( Occupancy Load: w Oregon Specialty Code: wig►� SPECIFICS Number of Stories: 2i' 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: ILDING S Garage: Deck: Total Square Footage: .!h/2( 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 �j Fire Sprinklers: `TJ Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm T 4.e: Protected Corridors: Standpipe Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ o`2Si 00 0 • n) $ "T trio DC Prov Rvw,COM TI-Ping $ i� Permit Fee-Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2016) $ 7- 12%State Surcharge Project Valuation $ ,Q Plan Review,Structural Up to$4,999 $0.00 $ i 'i City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9900 SW GREENBURG RD 230, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00176 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor