Permit •
n CITY OF TIGARD BUILDING PERMIT
.11114 COMMUNITY DEVELOPMENT Permit#: BUP2013 00260
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 Date Issued: 10/24/2013
Parcel: 1S126DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD J
Project: Open Advanced MRI of Tigard Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: TI Temporarily removing a portion of demising wall to allow removal of existing CT scanner and installation of new
CT scanner for existing tenant
Contractor: BROCKER CONSTRUCTION CO LLC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
1119 NE 95TH ST UNIT D BY NORRIS&STEVENS
VANCOUVER,WA 97665 621 SW MORRISON STE 800
PORTLAND,OR 97205
PHONE 360-518-4845 PHONE:
FAX
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/24/2013 . $119 33
Occupancy Grp: B Occupancy Load: 41 1 Demolition Stte
12/o State Surcharge-Building 10/24/2013 $14 32
Dwelling Units: 0 Plan Review 10/24/2013 $77 56
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 10/24/2013 $47 73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2 00(over 10/24/2013 $2 00
Value: $2,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct 0
Basement: 0
Carport. 0
Covered Porch* 0
Deck 0
Garage* 0
Mezzanine: 0
Total $260.94
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
952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987.' 1 800 23
/ 1.
Issued By: Permittee Signature: /
C.. ••,..,410 75 by 7:00 a.m.for the next available inspe 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 ske at the time of each Inspection.
._,Building Permit Application
Commercial FOR OFFICE USE ONLY
�City of Tigard C Date/Bea Pcmut No. • v
° 13125 SW Hall Blvd.,Tigard, �" ( .. 0
g p � 1� Plan Review ilk /•
i - 0 Phone 503 718.2439 Fax 503 598 196,0 0.d3 O Date/B �i�TO
TIGARD Inspection Line: 503.639.4175 6' ^^�® Date Read A' El See Page 2 for
Internet: www.tigard-or gov ®�r(t`4Cyt'� �®qa Notified/Method IM Supplemental Information
TYPE OF t �(3 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction lit 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:Tenant Impr. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling ®Commercial/industnal Valuation: $
El 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:9370 SW Greenburg Road,Suite J New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Suite.1 Project name:Open Advance MRI of Tigard Covered porch area square feet
Cross street/directions to job site:SW Hall St&SW Greenburg Rd. 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.
Tax map/parcel no.: 1S126DB02800 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.
Temporily removing a door sized portion of demising to allow removal of existing Valuation: $$2,500.00
CT scanner and installation of new CT scanner. Existing building area: 6,000 square feet
New building area: same square feet
❑ PROPERTY OWNER ® TENANT Number of stories: I
Name: Dr Anthony Larhs Type of construction: V B
Address:20501 101h Place SW Occupancy groups:
City/State/ZIP:Seattle,WA 98166 Existing: B
Phone:(206)877-3469 Fax:( ) New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Tiland/Schmidt Architects,p.c.
Structural plan review fee(or deposit):
Contact name:Michael Barrett,AIA
FLS plan review fee(if applicable):
Address:3611 SW Hood Ave,Suite 200
City/State/ZIP:Portland,OR 97239 Total fees due upon application:
Phone:(503)220-8517 Fax: :(503)220-8518 Amount received:
E-mail: michaelbarrett @tilandschmidt.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: eYT1GkG� �' Submit two(2)sets of roof plan with connection details
CjL`GX°`,� and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: s r 73 Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
—.. ij". ' within 180 days after it has been accepted as complete.
Print name:Michael Bar •tt Date. 10/4/13 * Fee methodology set by Tri-County Building Industry
Service Board
I\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
a a Building Division
:III Over-The-Counter (OTC) Building Permit
T 1 GnRD Check List
Project Description: T
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: /:ALT Occupancy Group: Type of Construction: A j1
Type of Use**: erpa Occupancy Load: t Oregon Specialty Code: "249/0
SPECIFICS
Number of Stories: I 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: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: te,,,, Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 25 , CC) FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ "`r, - - Permit Fee—Add,Alt,Demo '
Project Valuation Planning LRP $ L Z 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ °Z(.1, Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 4-'7,7a Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Z.a) 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 '
Planning Staff: $ Hourly Rate State Surcharge
•
$ Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other: •
Building Staff: $ Other:
Date/Time: $ 2W, 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.docx 07/01/2013
Building Division
°- Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: RLtldOI3--ooa.CU D'h<edited Review C)rC-
Project Name: _7 ciettl /ham o f Tr, ✓
Site Address: i '7v s(Ai- C9rewyi Rol- SL,/ .7" , Suite/Bldg #:
Plans Routed: /
Original Plan Submittal Date: I0/61--q/3 Routed By: t
1St Revision Submittal Date: Routed By:
2°d 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 'L h2S -O`A1tC2. at (503) 71824T7 or OLIN'S 1. @tigard-or.gov)
Proposal: INeatoe. lNO1 le +0 atarrtiz Ai,"c, Ini%1 Il ar f.t.1 er,crA GIMis r
1
Zoning 01)1G-1
—`
Permitted Use Yes L2" No ❑
Land Use Required: Yes ❑ No L11'
Notes: 'no Cha Fm I V\ USC,.
KApproved ❑ Not Approved ❑ DCPR Not Required-No DCPR Fees Due
Date Routed to Building:
1:\CURPLN\Masters\Development Code Provision RevievIADCPR_COM_NoLandUse.doc Rev.01/16/13