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Permit (17) CITY OF TIGARD BUILDING PERMIT Permit#: BUP2018-00172 a . COMMUNITY DEVELOPMENT It a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2018 T I ++ { ,f3 Parcel: 1 S1358D00300 Jurisdiction: Tigard Site address: 9735 SW SHADY LN 104 None Lot: None Project: Dr Rob Dramov Subdivision: N o Project Description: Combine(2)offices and add storage closet. Contractor: 4M CONSTRUCTION Owner: TIGARD MEDICAL MALL LLC PO BOX 611 PO BOX 98 MARYLHURST, OR 97068 POULSBO,WA 98370 PHONE: 503-290-8053 PHONE: FAX: 503-557-0377 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 06/05/2018 $134.54 Demolition Occupancy Grp: B Occupancy Load: 15 12%State Surcharge-Building 06/05/2018 $16.14 Dwelling Units: 0 Plan Review 06/05/2018 $87.45 Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 06/05/2018 $2.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $3,800 Plan Review-Fire Life Safety 06/05/2018 $53.82 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $293.95 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 Notir ti•n 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 call' g 5,03. 32.1987 or 1.800.332.2344. 1 f Issued By: / ,L;�- � Permittee Signature: a i . , ' . i 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 prtject. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial FOR OFFICE USE ONLY City of Tigard Date/B Received <� /d- r Permit N.,(26‘ ♦ T/ ®t9/<.. , 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie Other Permit: Ill a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1 • TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris. El See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information REQITIRE'>U 1?ATA;1 AND 2-Ii4AM1T.Y DWELLING r" ❑New TYPE O Q� Permit Indicate the value(rounded the the nearest construction ❑Demolition Permit fees*are based on value of the work performed. ( dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTIOl work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: ,t0)C3 1"1`E 14F0iiiiATI64s AND iiiichios '";:vi" Total number of floors: Job site address:1 7?J. �.J aoci. -, -1525.1::).1 1,/es#4f., New dwelling area: square feet Cit /State/ZIP: -i &A,T2.�1 C:42-. x1223 Garage/carport area: square feet uit g./apt.no.: (py Project name: per, 42.01::, v e`O\ Covered porch area: square feet Cross street/directions to job site: :2._ 4N267 ,. Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE Ch ECKLIST 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 '''1� work indicated on this application. -: )�fSCRIPTIOI�1 QFs QRK ', > � �1�1 (2') "i g +twi rD D ���R>d'PO1� Valuation: $3 ©'_ G -C'. Existing building area: square feet New building area: square feet PROPERTY OWNER (J;TE I Number of stories: Name: %i4= tris J:k -r'hl+ -" Type of construction: Address: 100 fri,f i 7114 rtzr 12._ Occupancy groups: City/State/ZIP: .4- 4*4 ( C1..71Ql Existing: Phone:(g-05) v.„2-5-51,7t Fax:( ) New: PPUCANT '❑ 'CONT t PERSON.. BUILDING PERMIT`FEES* ,al, l= view fee(or deposit): Contact name: P�. - , ��,r ,(p�(4j /T- FLS plan review fee(if applicable): Address: �} Total fees due upon application: City/State/ZIP: r4- ,k1r71 i '172ZlO Amount received: Phone:(503) 2,2v,•ey7 —f Fax ( ) �` ^J .�w� " FJ O 'OVOLTAIC!UT.AR!A IEL SYSTEM'FEES*' E-mail: I, `, .' �,.. �l a� tom. • Commercial and residential prescriptive installation of C©1 T t2TO ;.,, .I , roof-top mounted Photo Voltaic Solar Panel System. Business name: 44.4 4 t4 ?? JG'-l E71J Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: f e7, ��x („3,1 Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 Y t- 42-(I..N�� "i �' '1`te� and administrative fees): Phone:(.0o . tI1 7-cOS3 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1, 11 1 S Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained i //, within 180 days after it has been accepted as complete. Print name: (7,4„6(.., ..f * Fee methodology set by Tri-County Building Industry ,� b Date: � J��LJ d Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • .III of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENTI ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: cbt/72c7/p oo/`7, _ Site Address: 935' gJ ,S4j 2 Suite/Bldg#: /G) Project Name: r. / r -�/g (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 77) -Xis'f j A, 1--- Existing Business Activity: Ail/ -// A �CCie Proposed Business Activity: // / / // . Verify site address/suite# exists and active in permit syste it t,i-ver Terrace Neighborhood: ❑ Yes LPNo % oning: M G'( C_ ermitted Use: El Yes El No ❑ Spec Space zhfJ C 1rm no land use required. Business License: Exists: I® Yes ❑ No,applicant notified to obtain business license Notes: Approvedby Planning: -'<-------" Date: ( /C-% 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: /s f/ef. Site Plans: # 3 Building Plans: # 2 Building Permit#: ` Enter building permit#above. Workflow Routing: 9-Planning ❑ Permit Coordinator ''Building Workflow Sign-off: Cl-Sign-off for Planning(include notes from planning review) Route Application Documents: it�Suilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: S.) � _�... Date: 4/-��c I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 0 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 Dev Tax: ❑ Yes ❑ N/A Tigard Trans 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 1111 11' Over-The-Counter (OTC) Building & Fire Protection System Permit r,c 1 E'.n Appointment Checklist Permit Record#: 3g/°c20/47—00/ 7:7—, Contact Name: DeAvV 4Phone #: 7d 3._ASZ� Business Name: 41_4a ,yu.JS Gam„-fta,trt Appt. Date/Time: ('/5//r 02,/0;a' Site Address: K —5z„f Slue,,Cr/„i ,,5(eV[, Bldg/Suite#: 164 Project Name: �j�b n�. t11 N r New Tenant? ❑ Yes ,) No Project Description: Qom,t.J ( �,.,�,Ii d-7,2,,,,,,,/ ,,, rocky, u+.d ce'r i hh1,vc C.2.) mak,, e &ce.1 /Jt'M d)-+e . Existing Use: ,44 New Use: Edi Ce MMD Required: ❑ Yes R No Related Record#: APpLIC 4TION SPECIFICINFORMATION GENERAL INFORMATION Class of Work: Occupancy Group: 45 Type of Construction: )J J— . Type of Use: CO/1 Occupancy Load: ) Oregon Specialty Code: J l (4 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 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: ricoYkg Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Caks Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ 3 d C d 1 1lEtg VVE.: ; $ M DC Prov Rvw,COM TI Ping $ 1314. 5 .. Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2017) $ 1 6. 114p 12%State Surcharge Project Valuation LI Plan Review,Structural Up to$4,999 $0.00 $ Plan Review,Fire Life Safety $5,000-$74,999 $91.00 $ 3 --. Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $361.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ a 93 f 9S TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx Bnanden Taggart From: Dan Young <dan@orbizarch.com> Sent: Wednesday, May 16, 2018 11:09 AM To: Branden Taggart Cc: #Building Permit Technicians Subject: Re: 6/5/18 (]TCappointmentat10:0Ua.no. Thanks Branden... Address: 9735 SW Shady Lane, Suite 104 Tenant Name: Rob Dramov, ND Scope of Work: Build a small storage room & combine two existing offices into one. Daniel Young, Architect Oregon Business Architecture c t 503.228.9747 c 503.703.2555 On 5/16/2018 9:15 AM, Branden Taggart wrote: Dan, I have scheduled you for the OTC appointment on June 5 at 10:00. Aside from the information you provided over the phone, I will need the following information to confirm your appointment: • Site address and suite number if applicable. • Name of tenant • Scope of work Thanks, Branden Taggart City of Tigardill it Senior Permit Techriican Community Development T A80 1312sSW'Hall Blvd OR 97223 (503}718-2449 DISCLAIMER. E-mails sent or received by City of Tigard employees are subject to public record laws. If naqueehed, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public 1