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Permit N. 11 CITY OF TIGARD BUILDING PERMIT ..�, COMMUNITY DEVELOPMENT Permit#: BUP2013-00269 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013 Parcel: 2S 102AA00905 Jurisdiction: Tigard Site address: 12000 SW MAIN ST Project: Sierk Orthodontics Subdivision: PAYLESS SHOPPING CENTER Lot: 5 Project Description: TI:Constructing interior partition walls and installing a suspended ceiling system. Contractor: NORWEST CONTRACTORS INC Owner: HAAGEN,GARY L&CANDACE C TRS PO BOX 25305 2514 SE 112TH AVE PORTLAND, OR 97298-0305 VANCOUVER,WA 98664 PHONE: 503-291-6986 PHONE: FAX: 503-291-7036 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 10/31/2013 $174.00 Occupancy Grp: B Occupancy Load: 13 DC Provision Review,COM TI-LRP 10/31/2013 $26.00 Permit Fee-Additions,Alterations, 10/31/2013 $1,184.47 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12%State Surcharge-Building 10/31/2013 $142.14 Bedrooms: 0 Bathrooms: 0 Plan Review 10/31/2013 $769.91 Value: $112,300 Plan Review-Fire Life Safety 10/31/2013 $473.79 Info Process/Archiving-Lg$2.00(over 10/31/2013 $18.00 11x17) Floor Areas: Metro Const.Excise Tax-Commercial 10/31/2013 $134.76 Use Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 • Total $2,923.07 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 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 Notificatio 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 5r 1987 or 1.800. -. - . Issued By ... Permittee Signature: Call 503.839.4175 by 7:00 a.m.for the next available inspection e. 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 App licall. Commercial ECEI'JED FOR OFFICE USE ONLY City of Tigard q Received �� Permit No.: OCT 3 013 Datem : i : r — o._, ,' V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1st. (0 ® Phone: 503.718.2439 Fax: 503 Date/B : `0,. ( 7 Other Permit: , Ate U/ — U off. Inspection Line: 503.639.4175 9 TIGARD Date Ready/By: El See Page 2 for TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: IFNI Supp • lemental ' ' ' TYPE OF WORK REQUIRED 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 r` ®Addition/alteration/replacement ❑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: $ \ ❑Accessory building ❑Multi-family Number of bedrooms: r) O v ❑Master builder ❑Other: Number of bathrooms: ' JOB SITE INFORMATION AND LOCATION Total number of floors: ' 5 Job site address: 12000 SW Main St New dwelling area: square feet -...,, City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet v _ Suite/bldg./apt.no.: Project name:Sierk Orthodontics 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: 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 �l equipment,materials,labor,overhead,and the profit for the - ' • • DESCRIPTION OF WORK ' - , work indicated on this application. Interior Partition walls,Suspended Ceiling System. Valuation: $$112,300.00 '>-- Existing building area: square feet New building area: square feet 3 . ® PROPERTY OWNER ❑ TENANT , Number of stories: I Name:Sierk Orthodontics Type of construction: VB Address: 21900 Willamette Dr, Occupancy groups: E./ City/State/ZIP:West Linn,OR 97068 Existing: B Phone:(503)675-1239 Fax:( ) New: N/C v-,k, ® APPLICANT; ❑ CONTACT PERSON BUILDING PERMIT FEES* ,Business name:NW Precision Design (Please rejermjeeschedutej 2 Structural plan review fee(or deposit): �`! Contact name:Darin Bouska FLS plan review fee(if applicable): Address:22605 SW P-mehurst Ct C Total fees due upon application: City/State/ZIP:Sherwood OR 97140 Phone:(503)680-6444 Fax::( ) Amount received: E-mail:Darin @NW-Precision.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installati.• CONTRACTOR roof-top mount-I PhotoVoltaic Solar Panel em. Business name:Norwest Contractors,Inc Submit two(2)se of roof plan with co ection details and fire department a -ss,along w• the 2010 Oregon Address:PO Box 25305 Solar Installation Specia ■ Cod• ecklist. City/State/ZIP:Portland OR 97298 Permit fee(includes review $180.00 and admi • II ati , fees): Phone:(503)291-6986 Fax:( ) State surcharge %of permit f-• • $21.60 CCB lic.:89425 Total .tie-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:Dario Bouska Date: 10/30/13 * Fee methodology set by Tri-County Building industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: an, 3 -00 (09 VP Expedited Review Project Name: / ,I?i f O 7 5 7 Y /c.S Site Address: /9-0'0 H4 t-� Suite/Bldg #: Plans Routed: Original Plan Submittal Date: /0/37h 3 Routed By. 4.77— 1 St 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 Ira IC_ ..1_`/a_at (503) 718 242 Tor /. Aft– @tigard-or.gov) Proposal: 102 (V Li it i I 11 ' . , i. i V-• Zoning MLG —/ Permitted Use Yes L� o ❑ Land Use Required: Yes No ❑ • Notes: -Pr rr' itr i,twitl`cf40." 1S Yquitzr, Approved ❑ Not Approved ❑ 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______..__ .. _ .__ __ ---. _ - -_- 1,111 _ a Building Division Over-The-Counter (OTC) Building Permit • TIGARD Check List Project Description: 1( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occupancy Group: Type of Construction: 53 Type of Use**: Occupancy Load: I�j Oregon Specialty Code: 'WO) SPECIFICS Number of Stories: 1 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: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ (12) .13-C1:) FEES DUE $ X74 W DC Prov Rvw,COM TI—Ping $ 2b,a, 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 . $ 12%State Surcharge Up to$4,999 $0.00 $0.00 $ - ',c' Plan Review,Structural $5,000-$74,999 $70.00 $10.00 $ •7 , ij' Plan Review,Fire Life Safety $75,000-$149,999 $174.00 $26.00 $ l f. 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) $ t? ,7,6. 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: $ -25723,0 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 • Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12000 SW MAIN ST, TIGARD, OR, 97223 Commercial - Building 299 Final inspection 2014-03-11 00:00:00 BUP2013-00269 PASS - C of O Violation Summary: Inspector Contractor FOR OFFICE USE ONLY — SITE ADDRESS: This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 ■ Transmittal Letter r i,,,\ I; i 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: DA X11 a�,l. L'_4' DEPT: e _ DING DIVISION DE : 2013 I OF TIGARD FROM. �' '' UILDING DIVISION COMPANY: 4 _ PHONE: �YL 7 "V RE: 1 s i c9 e/ 3--De . , (Site Address) 'emit ` urn •er (Project name or subdivisio name and lot num , r) ATTACHED ARE T FOLLOW G ITE . i S: 1 Copies: Descriptio , : Copies: Description: .. Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY Routed • us it ec . ician: Date: Initials: Fees N Yes > No Fee Description: Amount Due: / / /4_,J -,) $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 311 : Building Division \ Development Code Provision Review TIGARD Commercial Projects - With Approved Land Use 4, 1 J l� Building Permit No.: Paot 3 -o w 11\ Land Use Case File No.: D R P-01 c6o03 Project Name: D Q-fit ob o N tTi CS Site Address: ) 2 `a INA 4 S-T . , Suite /Bldg #: Plans Routed: l Original Plan Submittal Date: / � l I' Routed By. 1't Revision Submittal Date: Routed By: 2nd Revision Submittal Date: Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review (contact i 0 h �'l I ' fir" ( at (503) 718- L4 M or @tigard- or.gov) n Land Use Approval POCa ❑ Building Plans Match Approved Plan: Yes /No ❑ ❑ Maximum Building Height ❑ Conditions Met ❑ Street Trees ❑ Protected Trees Notes: Original Plan: Approved Not Approved ❑ Date: c 7.3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I: \CURPLN \Masters \Development Code Provision Review \DCPR_COM_WithLandUse.doc Rev. 01/16/13 Engineering Review (contact Mike White at (503) 718 -2464 or MikeW @ tigard- or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at (503) 718 -2426 or albert @tigard - or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ❑ No ❑ Date Routed to Building: Page 2 of 2 1: \CURPLN \Masters \Development Code Provision Review \DCPR_COM_WithlandUse.doc Rev. 01/16/13