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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2022-00123 T I i i A It f) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 6/2/2022 Parcel: 2S101 DC03900 Jurisdiction: Tigard Site address: 7150 SW SANDBURG ST Project: Immunology Consultants Laboratory Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4 Project Description: Adding a 170 sq ft extension to existing truck dock. Contractor: DURUS CONSTRUCTION LLC Owner: LESLIE SANDBURG LLC 37333 US HIGHWAY 26 14056 GOODALL RD SANDY, OR 97005 LAKE OSWEGO, OR 97034 PHONE: 503-320-5633 PHONE: FAX: 503-244-4318 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IB Permit Fee-Additions.Alterations, 06/02/2022 $531.09 Occupancy Grp: U Occupancy Load: 0 Demolition 12%State Surcharge-Building 06/02/2022 $63.73 Dwelling Units: 0 Plan Review 06/02/2022 $345.21 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/02/2022 $110.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/02/2022 $212.44 Value: $32,000 Info Process/Archiving-Lg$2.00(over 06/02/2022 $14.00 11x17) Info Process/Archiving-Sm$0.50(up to 06/02/2022 $12.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,288.47 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 nd 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 issu ce, 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 Cent r. 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 1.800 332.2344. 7;Issued By: _ 2 61. Permittee Signature: 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 project. 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 RECEIVED Rec eived c'l/1/�z P ; °/9 ))" !;� /2-3 II " Plan Rev Rev 13125 SW Hall Blvd.,Tigard,OR 97223 iew • Phone: 503-718-2439 Fax: 503-598-1960 MAY 1 1 2022 Date/By: '16 Related Permit: TIGARD Inspection Line: 503-639-4175 Date Ready/By: Jams: EZI See Page 2 for c Y Internet: www.tigard-or.gov CITY OF TIGAR fied/Method: I 1 �J �Z- Supplemental Information TYPE OF WO REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all x❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0Commercial/industrialValuation: $ ❑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: 7150 SW Sandberg St. New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name: ICL Truck Dock Covered porch area: square feet Cross street/directions to job site: SW 72nd Ave&SW Sandburg St. Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: 3900 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel#: 2S101 DC equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. The applicant proposes a 170 square foot extension to an existing truck dock to allow easier Valuation: $ 32,000 access for loading and unloading of equipment from delivery trucks.Additionally the applicant Existing building area: 34,768 square feet proposes landscaping modifications to allow for easier truck movement through the site. New building area: 34,768 square feet x❑ PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Leslie Sandburg LLC Type of construction: 5B Address: 14056 Goodall Rd. Occupancy groups: g City/State/ZIP: Lake Oswego,OR 97034 Existing: B Phone:( 503) 747-2454 Fax:( ) New: B(No Change) ❑x APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: CIDA Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Dustin Johnson FLS plan review fee(if applicable): Address: 15895 SW 72nd Ave.,Suite 200 Total fees due upon application: City/State/ZIP: Portland,OR 97224 Phone:( 503) 226-1285 Fax: :( 503 )226-1670 Amount received: E-mail: dustinj@cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: DURUS Construction LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:37333 US-26 Solar Installation Specialty Code checklist. City/State/ZIP: Sandy,OR 97055 Permit fee(includes plan review and administrative fees): $180.00 Phone:( 503 )320-5633 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 185851 /J ��if l / !�� Total fee due upon application: $201.60 Authorized signature: / J ( This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name: Aaron Kent Date: 05/10/22 * 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) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT , _ 11114 r I c n 1z D Building Permit Review — Commercial - With Land Use o Building Permit #: /j/9,?(,,?—G)/23 Site Address: 5c.) Sw Sol kr- SF >< e g ; �-- (Twitililuvil©I �o OarProject Name: � Q �(,�Si11��1,73 (� ►�zt (Name of commercial business occupying the safe. If vacant,enter Spec Space.) Planning Review n( Proposal: S ,-0--. +ruGl_ loaJv dock_ -f' o5l -1? 1a cci(0'7 MA0.A / .k Kit Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes fin No p Land Use Case #: /t/ " l *P 20 2 2__ o ( 6 -4i5 Plans Match Approved Land Use: Site Plan Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan - --Building u ght— 'Iblaxiirrrtm Height 4 ct l Hsi ❑ C31idiuons Met: Q-Ptivr to—Submittal El—P-440r-tct. RBusiness License: Exists: , Yes ❑ No,applicant was provided a business license application Public Facilities Improvement (PFI)Permit: Required: ❑ Yes, applicant was notified ( )No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: Date: 7/t/Z...0 22 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: �l///�Z Site Plans: # Building Plans: # Building Permit#: J--Enter building permit#above. Workflow Routing: .Planning engineeringrmit Coordinator ,Q—Building Workflow Sign-off: ,- Sign-off for Planning(include notes from planning review) Route Application Documents: L--Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: i By Permit Technician: 1� j Date: “//22, I:\Building\Forms\BldgPennitRvw COM WithLandUse 111819.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit E Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes GJ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: —�2� 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 JeApproved, 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 LIDA Fee: ❑ Yes N/A Al OK to Issue Permit Approved by Permit Coordinator: Date: 5 l lie ('ZO2..2_. I:\Building\Fonns\BldgPennitRvW COM_WithLandUse_111819.docx