Permit .
CITY OF TIGARD BUILDING PERMIT
III
a COMMUNITY DEVELOPMENT Permit#: BUP2021-00194
Date Issued: 9/1/2021
T I G A R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DD00300
Jurisdiction: Tigard
Site address: 7100 SW SANDBURG ST
Project: CJH LLC Subdivision: None Lot: None
Project Description: adding(2)ADA restrooms to office
Contractor: TH BUILDERS CORP Owner: CJH LLC
9414 SW BARBUR BLVD SUITE 250 2480 NE CENTURY BLVD
PORTLAND, OR 97219 HILLSBORO, OR 97124
PHONE: 503-510-7450 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/31/2021 $453.95
Occupancy Grp: B Occupancy Load: 2 Demolition
12%State Surcharge-Building 08/31/2021 $54.47
Dwelling Units: 0 Plan Review 08/18/2021 $295.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/31/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/31/2021 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 08/31/2021 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,099.07
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 Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ..-Cre \A‘.44.
. ,IP;7,,,.../ Permittee Signature: `S� li��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. it
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 - 8/4 j2
Commercial V ii lh,J L V ; r -• FOR M TH 1 1 ,I t iN i 1
City of Tigard AUG 04 2021 DateBe� e t Et24 �� Permit No.13UP202.1-OU(�`f
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' II Phone: 503-718-2439 Fax: 503-598-1960 CITY OF'j IGARD Date/By: g'- Related Permit:
T 1 G A R t> Inspection Line: 503-639-4175 BUILDING DIVISIONDate Ready/By: r t HI See Page 2 for
Internet: www.tigard-or.gov •t ed/Method:/ i t Supplemental Information
TYPE OF WORK ' QUIRED 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.
gAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the pr.'t for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation:
❑ 1-and 2-family dwelling g.Commercialtindustrial
ZS i $ Z ,I a��
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number offl.,rs:
Job site address: —1 ( 1) >k,t,4 .I ),)l ,,t ,- , New dwellin. . ea: square feet
City/State/ZIP: .;t e,'-p> r E0 jZ - 9 7 Z Z 3 Garage/ .,sort area: square feet
Suite/bldg./apt.#: Project name: ,AN j')' 1 Co -red porch area: square feet
Cross street/directions to job site: 11. IJc) /4:ANlg'ug) cj Ljtt 4 Neck area: square feet
`^'l Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
/�,`� p� P- Valuation: $ 2 Q(DO
�VD(�Tt�lV �� YI r'1 � {7�� 1
fop �- 0..r ; Existing building area: ILI$1 square feet
t '-�[/ New building area: 1 -1 r D1 S square feet
(4 PROPERTY OWNER 0 TENANT Number of stories: t
Name: ✓(�`' j. L L,C Type of construction: I A
Address: 14 l b y Lam- l Occupancy groups: S Z 2�
City/State/ZIP: )—ALL. R-d r - C 7 ( .2)-1 Existing:
Phone:(g ;i) (i 4 56 1 I Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(PleasBusiness name: \ t �' t` ('Z,C� co e... J viewere(orer deposit):fee dut) 7
Structural plan review fee(or iig:O
Contact name: . )6
Address: 14(`L{- kii
S A � '�-if1, 50ire 05 FLS plan review fee(if applicable):
City/State/ZIP: —ka-t"A i/n 612. 912 Total fees due upon application:
— - Amount received:
Phone:(5b3 ) 516 1pi5'O Fax::
`
E-mail: _3 5heeks' "C'�-t'i?� + C o v>.--t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: -1-,.., 6., L ogi2s co/L(' Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Ilk(L 5(4 f,prczfot12- t.L_1 P SVit 2 t) Solar Installation Specialty Code checklist.
City/State/ZIP: 0:1CCAIJO ZR c q 7 2-j q Permit fee(includes plan review $180.00
i
and administrative fees
Phone:(503 ) '70 -1 L/-so / Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: ' ,.3 0 C 5 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
24121 within 180 days after it has been accepted as complete.
Print name: ,J 1
Date: 7 -24, 5g�{. * Fee methodology set by Tri-County Building Industry
V � ' Service Board.
I.Building\Permits\BUP_COM_PennitApp,doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
III• a COMMUNITY DEVELOPMENT DEPARTMENT
r1cARD Building Permit Review — Commercial - No Land Use
4>
Building Permit #: 3(Jp202 f- do l R tf
Site Address: 7100 SW Sandburg St Suite/Bldg#:
Project Name: CJH LLC
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plannir1R.teviety
Proposal: Ti-New restrooms
Existing Business Activity: office
Proposed Business Activity: office
® Verify site address/suite# exists and active in permit system.
X❑ River Terrace Neighborhood: ❑ Yes I No
n Zoning: I-P
® Permitted Use: ® Yes ❑ No ❑ Spec Space
] Confirm no land use required.
a Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Al5y1.0 fAAASIrb Date: 8/5/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Btrildi e Permit Submittal
Original Submittal Date: 02/0/21)21
Site Plans: # 3
Building Plans: # .3
Building Permit#: ilnter building permit# above.
Workflow Routing: [, Planning El Permit Coordinator -Building
Workflow Sign-off: 3 Sign-off for Planning(include notes from planning review)
Route Application Documents: [s�13ui1ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: > 1T� Date: 1d06/d2/
l:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx
t Coordinator Review
❑ Conditio " let"prior to issuance of building permit
❑ Approved,NO _ ased: D
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent to = .. 'cant:
❑ SDC Fees Entered: W-: o Trans Dev Tax: ❑ Yes El N
Tigard Trans SDC: El Yes El N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •. s e Permit
. i roved by Permit Coordinator: Date:
I:ABuilding\Forms\BldgPermitRvw COM_NoLandUse_111819.docx