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Permit CITY OF TIGARD BUILDING PERMIT 2." COMMUNITY DEVELOPMENT Permit#: BUP2013 00220 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 2S102CB03200 Jurisdiction: TIGARD Site address: 9975 SW FREWING ST 110 Project: United Medical Group Subdivision: FREWING'S ORCHARD TRACTS Lot: 21 Project Description: TI Contractor: LONG VO CONSTRUCTION LLC Owner: MASSIH LLC 4663 SE HONORS DRIVE BY PIERROUZ YASAVOLIAN GRESHAM, OR 97080 8 BECKET ST LAKE OSWEGO, OR 97035 PHONE: 503-793-3265 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 08/28/2013 $70.00 Occupancy Grp: B Occupancy Load: 70 DC Provision Review,COM TI-LRP 08/28/2013 $10.00 Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/28/2013 $453.95 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 08/28/2013 $54.47 Bedrooms: 0 Bathrooms: 0 Plan Review 08/28/2013 $295.07 Value: $25,000 Plan Review-Fire Life Safety 08/28/2013 $181.58 Info Process/Archiving-Lg$2.00(over 08/28/2013 $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 $1,071.07 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. ATTEN ON-" on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 0 through OAR 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5'• 32.1987 or 1.800.332.2344. Iss ed By: k Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspect on date. This permit card shall be kept In a conspicuous place on the Job site until c•mpletlon f the project. Approved plans are required on the Job site at the time of each spec •n. Building Permit Applicat'_!,;, . Site Work ,� EIVED FOR OFFICE USE ONLY 1111 City of Tigard AUG 2 8 2013 Received aJ QQ��JO l7atr/B 8 • Permit No.: U ag/✓' a 13125 SW Hall Blvd.,Tigard,OR 97223 Ri�Di� Plan Review C Phone: 503.718.2439 Fax: 503. 9 Of TIGAIW Date/B : i� 'ice ���•a T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:I-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 ,dition/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 ommercial/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) 1-7 5- cA) FRe.LO len 6k -6••\•-• ( �IC New dwelling area: square feet City/State/ZIP: Ti G-pr! OR 972 -3 Garage/carport area: square feet Suite/bldg./apt.no.: (i O Project name: Covered porch area: square feet Cross street/directions to job site: LA.to tt'tb M VD L C A L-�C,,22.01-r-e Deck area: square feet -k(.t) a d -. -Q u•tA rn `G�'L�3t- 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 applicatio QO Valuation: $ —ve,J 1a17 FOl V12 CA>;fit-•-' X . Existing building area: Cc:AA 9 square feet \v`©S \ New building area: square feet ❑ PROPERTY OWNER X TENANT Number of stories: I-- Name: (.9M (- 1 CM(_ &9 4) P Type of construction: •Tt. L M-°' Address: G9-qt-(0 S-R $eA C(,()€ St Occupancy groups: City/State/ZIP: poQ460 c( 61 21 Existing: to 414 q Phone:(05)593 tS 3-3- Fax:(g-05) 771 5-55- New: N (JJ 4T ❑ APPLICANT g/CONTACT PERSON NOTICE Business name: (7M`[�D 1,4,F._ t)1 C4 L 'Vr k Kt)U 10 1-LC- All contractors and subcontractors are required to be Contact name: �j�V I L "' `7 eo z+1 k o licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: t\�7) S 6 .'l` `Q C'sq jurisdiction in which work is being performed.If the City/State/ZIP: ` applicant is exempt from licensing,the following reasons ( / 2 �` apply: Phone:(260) 5-at 3 G63' Fax :((S ) - �,,,Ccbal-�Z� 7/ E-mail: s\Q.V\IC, 55 4461 rCd. W'V' CO CT Business name: LDN& `)0 UD ' STEAL( -t-)c1& 0Z- BUILDING PERMIT FEES* Address: 41 j 3 g c- t-p.e5 tR 1 (Please refer to fee schedule) J Structural plan review fee(or deposit): City/State/ZIP: 6124_5 yIrl yak q 7120 Phone:(spa) `7t 3 6 5 Fax:( ) FLS plan review fee(if applicable): CCB lie.: ("l 54L gl7 l�� Total fees due upon application: 1 t ( Amount received: Authorized signat This permit application expires if a permit is not obtained CO ithin 180 days after it has been accepted as complete. Print name: Date: L/ 2 �� • Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits T-Perini .pp.doc 10/01/09 440-4613T(11/02/ OM/WEB) o " Building Division T l c n li D Over-The-Counter (OTC) Building Permit Check List Project Description: T1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: LT- Occupancy Group: Type of Construction: Type of Use**: e)44._ Occupancy Load: 70 Oregon Specialty Code: 'ZOO 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 FOOTAG E S_ 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: /30 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: $ FEES DUE $ lf),(t7 DC Prov Rvw,COM TI—Ping $ ,OO DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI (effective 7/1/2013) $ Tarp 40 Permit Fee—Add,Alt,Demo Project Valuation • Planning LRP $ Ai _ 12%State Surcharge Up to$4,999 $0.00 $0.00 $ 4.' Q Plan Review,Structural $5,000-$74,999 $70.00 $10.00 $ My Plan Review,Fire Life Safety $75,000-$149,999 $174.00 $26.00 $ - ,Pep Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over . $278.00 $41.00 $ 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: $ l,O 7)-(9-7 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). l:\Building\Forms\OTC-BUP.docx 07/01/2013 jiga Building Division I Development Code Provision Review TI G A R D Commercial Projects - No Associated Land Use Case 0 • Building Permit No: ‘<-3-i-A-PA613 'OO -a-d V Expedited Review Project Name: e-C IlH C E.• Y1 t c 404.-,Site Address: 9Q 7 S w � -4- e Lkl IO Suite/Bldg #: Plans Routed: /13 Original Plan Submittal Date: q a-' 3 Routed By: 1St Revision Submittal Date: Routed By: 2nd Revision Submittal Date: Routed By: To the Applicant: ➢ If the proposed use is not permitted within the zone,please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718-2439. If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact J u-,L+" at (503) 718-a 55 7 or ,l u d(41, @tigard-or.gov) Proposal: 14+t_r;oe ua,-k o (c), N c CACIA,4 I— `ra' Zoning ✓1/1/t2.-C.i kfi — C. A Permitted Use Yes ;e No ❑ Land Use Required: Yes ❑ No Notes: Approved 0 Not Approved 0 DCPR Not Required—No DCPR Fees Due Date Routed to Building: 1:\CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev.01/16/13 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9975 SW FREWING ST 110, TIGARD, OR, 97223 2013 - 12 - 03 00:00:00 Record Type: Record ID: Commercial - Building BUP2013 - 00220 Inspection Type: Result: 299 Final inspection PASS - C of 0 Comments: Violation Summary: Inspector Contractor