Permit CITY OF TIGARD BUILDING PERMIT
1111 ' '' COMMUNITY DEVELOPMENT Permit#: BUP2022-00109
Date Issued: 5/10/2022
TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126DC00902
Jurisdiction: Tigard
Site address: 9500 SW GREENBURG RD
Project: Crown Oaks Apartments-Building 4 Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Replace siding,roofing,windows&decks.Convert(3)existing laundry room to(3)new units. Replace interior
finishes.
Contractor: ERIN ISLE CONSTRUCTION INC Owner: OREGON SUNSHINE LLC
11120 SW INDUSTRIAL WY BLDG 9 BAY 2 BY CARPENTER, HARRIET
TUALATIN, OR 97062 15435 SW WOODWIND CT
BEAVERTON, OR 97007
PHONE: 503-691-9096 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/10/2022 $1,673.71
Occupancy Grp: R-2 Occupancy Load: 24 Demolition
12%State Surcharge-Building 05/10/2022 $200.85
Dwelling Units: 0 Plan Review 04/21/2022 $1,087.91
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/10/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/10/2022 $669.48
Value: $193,400 Metro CET 05/10/2022 $232.08
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,298.03
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
all 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED
City of Tigard Date/Bya 0/Z022 Permit N W alog
ill " 13125 SW Hall Blvd.,Tigard,OR 97223 APR 19 2022 Plan Review it -�.�•
• Phone: 503-718-2439 Fax: 503-598-1960 DateBy: Related Permit:
Inspection Line: 503-639-4175 Date Ready/By: / lens PI See Page 2 for
TIGAKD CITY OFTIGARD ified/Method: i� Supplemental Information
Internet: www.tigard-or.gov
BUILDING DIVISION 77,,-!lr►'
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Oddition/alteration/replacement Other: kftfale 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: $
0 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: 1500 W G t 4l UV ' New dwelling area: square feet
City/State/ZIP: T) Q, 61/2. ( ltio r /L Garage/carport area: square feet
Suite/bldg./apt.#: v 1 Project name: _._e? , ; . �' Covered porch area: square feet
Cross street/directions
/t`o job site: e// I„ q ��` D Deck area: square feet
aI tT�`\J.( e, S 7 W(` vin & V[tre' P4. Other structure area: square feet
i REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot#:902 Permit fees*are based on the value of the work performed.
Tax map/parcel#: R ( tit 4 'R�3q,3OS Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF �WOORRKK (' � work indicated on this application.on �-1_
ft ! � ` I 1NICKS 4"�/i`V• ` OnVer�,C3) Valuation: /..T _ ,.rov
edp o I� A� play (mitt . Existing building area: square feet
s�l ,/ D'vrV Iv efta, 1/11+Cliel; .fiiii.thild, New building area: square feet
i PROPERTY OWNER 0 TENANT Number of stories: ?/'
Name: VV 5 • 5-- LL _ Type of construction: 47e, v-IAtflllfe4
Address: /i� 7 NIA) /t/� AVE Occupancy groups:
City/State/ZIP:` 7,9 ez Tvi9-N r> p e2 L '7 Z D 99 Existing: 12 2
Phone:( ) 70 Z,d 73 5 Fax:( ) New: /22
g APPLICANT 0 CONTACT PERSON BUILDING PERMTC FEES*
Business name: VAXPON evl �t Y� / f (Please refer to fee schedule) G
Structural plan review fee(or deposit): /�Os7l
Contact name: g vvw. .%, fko-k ns
�$ FLS plan review fee(if applicable):
Address:
City/State/ZIP:fe)C+ i_ig q/9-1 3 Total fees due upon application:
Phone:(OM) 5
0� lt3b v Fax: :( ) Amount received:
E-mail: S icrar ittcx l t 1 l •,C OM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
`J r► Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: tem 1 ssv cbAs-�`Ilti toi4 Inc, Submit two(2)sets of roof plan with connection details
n'A/ and fire department access,along with the 2010 Oregon
Address: 11 1 10 &I L US1scs6a wG Solar Installation Specialty Code checklist.
City/State/ZIP:Ilia Permit fee(includes plan review
a'�"1 h �l/�D 1� w and administrative fees): $180.00
Phone:(9i 3) (DC/ e a i I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: Q-+
��7�2'D ' ��l G �� Total fee due upon application: $201.60
Authorized signature: If •�0 ,4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . A/0► R W Date: 4 VI*W * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
,,
1114
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
TIGARD
Building Permit #: jf2022-00 (09'
Site Address: °I (jC0 .. \� 6;Oa_IA borti yCI Suite/Bldg#: ,/
Project Name: C 1-0 IN A OckS Pr o r ,i &it\ (J i Gk 1,co
(Name of commercial business occupy' the space. If vacant,enter Spec Space.)
Planning Review (r 1 ``''
Proposal: IG` So\Lt r lr)G�'� /`e, I i`v 4o , ('fir , (Cr\vevf; 3
la r c c' roc ,v .S -4--0 ? of v`1 t L 111 � G_L'- i/F-'cf"i '�1 t Si,'�'.S
I i
,Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes VNo
,� and Use Case#: Ir U -- 4 o 1
PA 'PlanyMatch Approved Land Use:
Site Plan IC Landscape Plan ❑ Other:
C Urban Forestry Plan 7 Elevation Plan G�
c[ uilding Height: Maximum Height Z A Actual Height '7 c-+ 1
jonditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
i' Business License:
�` Exists: ❑ Yes ❑ No,applicant was provided a business license application
a� ] Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes, applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: - -11A (V 41 r i S Date: LI'I q /Z OZ-_
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 041/q/ JZZ
Site Plans: # �j
Building Plans: # ''
Building Permit#: 1Q Enter building permit#above.
Workflow Routing: ('Planning [ /Engineering Eri3ermit Coordinator Building
Workflow Sign-off: a'Sign-off for Planning(include notes from planning review)
Route Application Documents: EYBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: . 100/02--/
I:\Building\Fonns\BldgPermitRvw_COM_W ithLandUse_111819.docx
Engineering Review
e Slope at building pad: 74:
I PFI Permit#: 4 lit,
dconditions "Met"prior to issuance of building permit 'i/4'
FE/ asements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) n/,�
2Water Quality/Quantity Facility: __
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 2/No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: err o d 61214, Date: 1/2(0/Z,GZL
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
❑ 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 0� N/A
N
LIDA Fee: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Arrk Date: 412 /Zt 22
I:\Building\Forms\BldgPermitRvw COM_WithLandUse_111819.docx