Permit 111 CITY OF TIGARD BUILDING PERMIT
ii
1 r' COMMUNITY DEVELOPMENT Permit#: BUP2022-00110
Date Issued: 5/10/2022
TIGARD 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 5 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:
FEES
Specifics:
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 OccupancyLoad: 24 Demolition
p y 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: ,i_.2..... ....,,,,,,,..lam-- r� Permittee Signature: �1 �P ti ` ]` H
5Q3.639.4175 by 7:00 a.m.for the next available inspection date. ✓�i
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 FOR oFFICE:use 0 1,1
City of Tigard Received RECEIVED G DateBy: µ�� �� Permit No.fd[)'00!`0
IIIa 13125 SW Hall Blvd.,Tigard,OR 97223 APR 9 2022 Plan Review. •-.}
Phone: 503-718-2439 Fax: 503-598-1960 Date/By:
S J Related Permit
1 WARD RD Inspection Line: 503 639 4175 CITY OF TIGARD Date Ready/By: //' Jur s H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N ified/Method:SSupplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
f Indicate the value(rounded to the nearest dollar)of all
Oddition/alteration/replacement Other: 1kftrie equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
0 Accessory building Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15 O vi k� New dwelling area: square feet
City/State/ZIP: �) a �1� 4I,' Garage/carport area: square feet
(� kr t �s
Suite/bldg./apt.#: v ' Project name: 14 :.G5 Covered porch area: square feet
/Z '
Cross street/directiio�on��s//t``o job site: 0I/ 1 ;5 p Deck area: square feet
�� }}WI @ S 0 Y"V '` i" ` are R4• Other structure area: square feet
�./
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: -lO Permit fees*are based on the value of the work performed.
Tax map/parcel#:TO* ACCT 4 tama Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
��)) DESCRIPTION
�,OCF WORK work
(`' � work indicated on this application. u
�, i� SICti l ) '11J1 `cieec�• `„ower4(3) Valuation: /✓ 9c0
64 s 1 1, Y; 3t l vtA / i1j 4� • Existing building area: 4 I square feet
0 l f/ i (���/�(('1�I�WWnh►�� fl A14 C ,/ Y,�/rV lu •
New building area: •—�� square feet
�� JPROPERTY OWNER 0 TENANT Number of stories:
� v
Name: W5 • J"fir ti_c__ Type of construction: ,}, �
rleil Mk)
Address: D 7 N vJ l AVE Occupancy groups: —
�i y R
City/State/ZIP: �m 2 r-t-A--?• 0. p ea- '7 '7 Z 0 g' Existing: 12,2
n
Phone:(5 )) 70 Z./273 Fax:( ) New: �v
g APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:cS111 , �Qhhit� n/1..uf (Please refer to fee lJ
�� �� Structural plan review fee(or deposit)osit): /b�7?(
Contact name: gi
FLS plan review fee(if applicable):
Address: (9 Kit
t4 sr
City/State/ZIP:,p!. (4" ,Q q 19-1 3 Total fees due upon application:
Phone:(411 ) 5.0 7tab v 1_ Fax: :( ) Amount received:
'
E-mail: Sicrarc to ttec 6 m I cow PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: t11 h I vlt Qality\I >oh `n Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: l 1 1 10 SW industrialwG, Solar Installation Specialty Code checklist.
City/State/ZIP: ! 'r 1 h /►� �Q Permit fee(includes plan review
$180.00
/� a (/ and administrative fees):
Phone:(9O3) 61 I CO% Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 1079292 , gii&f`�-y Total fee due upon application: $201.60
Authorized signature: 4 4%t r� l� This permit application expires if a permit is not obtained
within't, � within 180 days after it has been accepted as complete.
Print name: V �V�► •W Date: L .iCi• /' * Fee methodology set by Tri-County Building Industry
{{{ Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(1 1/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
1G -gin Building Permit Review — Commercial - With Land Use
(°�" y,,. .s,r. =.:� ..,> ,^;a¢v,ro,':cta �...ze ': "i .`•.,...s.:,u...,.. - €she;; .dui, °aaT�sxSn.. i''• st'it:
Building Permit #: $41)2022-Qo(( 0
Site Address: 15C0 S\A 6 itc.(A r iy,i
Suite/Bldg#: 5
Project Name: C.v.°IN '1 Oc�1�s IN 7 0.Y-�L iS i l O V C V d r
(Name of commercial business occupyiAg the space. If vacant,enter Spec Space.)
Planning Review
pP
Proposal: 'g-e (�1 s i\(,l r YZ) r �3 i•,/\ r p. itl ((I . (0ve rt. 3
iet iNcl�v roc) v S rye t/Q L )1
judd Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes f 2/No
, �
,Land Use Case#: Mill
7 02 2- -can k 6
Plan 'Match Approved Land Use:
E Site Plan Landscape Plan ❑ Other:
Urban Forestry Plan Elevation Plan G� '�uilding Height: Maximum Height Actual Height 1 '7 (
c Zr' k"conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
,0t)C] Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
4EI Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No, stop intake
Notes:
z.
Approved by Planning: -OA C V 16 y 1 Date: `l /j 1 Iz Cz,�
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 yOriginal Submittal Date: 0W2022
Site Plans: # 3
Building Plans: �L �j
Building Permit#: Enter building permit#above.
Workflow Routing: 0/Planning [Engineering 'Permit Coordinator [ T wilding
Workflow Sign-off: [0'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: f Date: / 0 2,?2--
I:\Building\Fonns\BidgPermitRvw COM_WithLandUse_111819.docx
Engineering Review
e
VSlope at building pad: ld
VPFI Permit#:
onditions "Met"prior to issuance of building permit q CU-
L' Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) A/`
C"Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes CAlTo
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes EKNo Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: i/Vaect Date: 4 / j/z4Z7
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
Mk-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 X N/A
LIDA Fee: ❑ Yes N/A
OK to Issue Permit
Approved byPermit Coordinator: Date: 4 27f/ov/
PP I
I:\Building\Fonns\BldgPermitRvw_COM_WithLandUse_111819.docx