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Permit
CITY OF TIGARD BUILDING PERMIT 114 COMMUNITY DEVELOPMENT Permit#: BUP2021-00177 T I G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/13/2021 Parcel: 2S 102AD03450 Jurisdiction: Tigard Site address: 8777 SW BURNHAM ST Project: Public Works Subdivision: None Lot: None Project Description: Office space remodel, interior work only,demo&new finishes. Contractor: ENDRES NORTHWEST Owner: TIGARD, CITY OF 509 NW 3RD AVENUE 13125 SW HALL BLVD CANBY,OR 97013 TIGARD, OR 97223 PHONE: 503-557-1700 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 $729.45 Occupancy Grp: B Occupancy Load: 85 Demolition 12% State Surcharge-Building 08/31/2021 S87.53 Dwelling Units: 0 Plan Review 07/26/2021 $474.14 Stories: 0 Height: 0 tt DC Provision Review,COM TI-Ping 08/31/2021 $110.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/31/2021 $291.78 Value: $50,000 Info Process/Archiving-Lg$2.00(over 08/31/2021 $10.00 11x17) Tigard CET-Non-Residential-Admin 08/31/2021 $20.00 Floor Areas: Tigard CET-Non-Residential-AH 08/31/2021 $480.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,202.90 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.� //Y�o�u mayor obtain a copy of the rules or direct questions to OUNC by callin(g�503.2332y.19987 or 1.800.332.2344. Issued By: �' I K !L ) �(1KXJ/J` j Permittee Signature: OIL 1 n't as ii��..11��..��CC Call 503.639.4175 by 7:00 a.m.for the next available inspection date. r 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 Z-7 i!t /a r Commercial HEGE VED oR OFFICE csl ON1.\ �7 ZtifZ�Z! / Pe m t No.. City of Tigard Recei"eft al (62 /77 111111 • 13125 SW Hall Blvd.,'ligard,OR 97223 J U L 14 2021 P ` 0 Phone: 503-718-2439. Fax: 503-598-1960 pate/gy:ew 7-�j�,g-j 4/ Related Permit: 'r I GARD Inspection Line: 503-6394175 CITY 01- f I LIAR D Date Ready/By: t - ® See Page 2 for a Internet: www.tigard-or.gov BUILDING DIVISION Notified/Metha& g/y/�.( r� Supplemental Information ( t-rAit,1Le.1 tr TYPE OF WORK VREQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ®Demolition Permit fees*are based on the value of the work performed. EX Addition/alteration/replacement ❑ �: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated onthis application. Valuation: $ El1-and 2-family dwelling ®Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: D Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8777 SW Burnham St New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: I Project name: Public Works TI Covered porch area: square feet Cross street/directions to job site: SW Hall Blvd. & SW Burnham St. Deck area: square feet 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#: R2024501 /2S102AD03450 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. Office space remodel. Interior work only, demo & new finishes. Valuation: S 50,000 Existing building area: 8468 square feet New building area: N/A square feet NI PROPERTY OWNER 0 TENANT Number of stories: 1 Name: City of Tigard Type of construction: V-B Address: 13125 SW Hall Blvd. Occupancy groups: B City/State/ZIP: Tigard,OR 97223 Existing: B Phone:(503) 639-4171 Fax:( ) B New: 0 APPLICANT (X CONTACT PERSON BUILDING PERMIT FEES* (Please refer la fee schedule) Business name: Woodblock Architecture Structural plan review fee(or deposit): L74f fq Contact name: Tyler Miller FLS plan review fee(if applicable): Address: 827 SW 2nd Avenue #300 Total fees due upon application: City/State/ZIP: Portland, OR 97204 Phone:( 503) 889-0604 Fax::( ) Amount received: E-mail: tyler@wblock.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. •Business name: +BD krta rS IJOtzet-1, V,ms Submit two(2)sets of roof plan with connection details � and fire department access,along with the 2010 Oregon Address: rj� ►*V .3 rA Ave Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review h �"e ` t �� '7O l 3 and administrative fees): $180.00 Phone:(51:22) Fax:( ) 1 - co State surcharge(12%of permit fee): $21.60 rCtitCB Lie.:_�(Q_2'� Total fee due upon application: $201.60 Authorized signature: %% This permit application expires if a permit is not obtained Print name: Tyler Mill within 180 days after it has been accepted as complete. f Date: 6/24/21 * Fee methodology set by Tri-County Building Industry Servirr.Board l 7 7b City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i 711C T 1 c n u D Building Permit Review — Commercial - No Land Use Building Permit #: c!j UP2021 /77 Site Address: -77 .S w RuleNi Y" Suite/Bldg#: Project Name: Pt &Ac oftVLS fil (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: CYt STl lie i p rl r f M 7 rTTS Existing Business Activity: © L{� Proposed� Business Activity: / r g Verify site address/suite#exists and active in permit systee lali— r Terrace Neighborhood: ❑ ys Yes I -No g: MU- CA30 tted Use: Yes ❑ No ❑ Spec Space Confirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: AL___----._ Date: /9/ i Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 7 7//4 72 0 2/ Site Plans: # l ,_ Building Plans: # 3 Building Permit#: C}rEnter building permit# above. Workflow Routing: Er-Planning Permit Coordinator C luilding Workflow Sign-off: 2---Sign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: OP.V202/ I:\Building\Forms\BldgPernvtRvw_COM_NoLandU se_111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit D Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to % splicant: Revision Notice 2: Date Sen o Applicant: Revision Notice 3: Date .-nt to Applicant: ❑ SDC Fees Entered: ' ash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: 0 Yes ❑ N/A ❑ OK to Issue •rmit Approved .y Pcrmit Coordinator: Date: 1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx