Permit CITY OF TIGARD BUILDING PERMIT
1114
COMMUNITY DEVELOPMENT Permit#: BUP2022-00171
Date Issued: 6/22/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126DC00902
Jurisdiction: Tigard
Site address: 9500 SW GREENBURG RD
Project: OREGON SUNSHINE LLC Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Demolition of(1)80 sq ft shed and(1)90 sq ft shed in addition to the combined area of 2400 sq ft for swimming
pool with decking.
Contractor: JKR CONSTRUCTION Owner: OREGON SUNSHINE LLC
PO BOX 2263 BY CARPENTER, HARRIET
GRESHAM, OR 97030 15435 SW WOODWIND CT
BEAVERTON, OR 97007
PHONE: 503-201-2062 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Info Process/Archiving-Sm$0.50(up to 06/22/2022 $0.50
Occupancy Grp: Occupancy Load: 11x17)
Misc Administration Fee 06/22/2022 $90.00
Dwelling Units: 0 Erosion Control w/Development 06/22/2022 $80.70
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $171.20
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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 calli 503.232.1987 or 1.800.332.2344.
Issued By: V\bik 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
RECEIVE roil t)i 1' cE t SI:ONLl
' of imer i�iY ;crewed e ;1'' 'l f/,?(/..ems I7/ 9
City Of'Tigard Da ay: •G! •• / f
a 13t2.1SW Hall i Tit; JUN 2 2 2022 Plan Review Related Fame* 1 DauBY: to 1 Id pe pugs 2 forIII
Date Ready/ay: 8o a al Information
r lu;�ltt1 Inspection Line: .6 4rts CITY®F (IUAFiL., Notified/Melhoa:
Internet: MvwalgtatF+:p t 8u IL I►.
Permit fees are basedvalue a ed.
� ,l f i :�,era t
.���.a��>9r.Jo�.� ,. ' • on the attire work performed.
': indicate the value(rounded to the nearest dollar)of ail
cat 7,4 Other u.s. �J .1 AA, equipment,materials,labo,overhead,
and the profit for the
xoplacem ,_ . work indicated on this application.
Vtafuati�tn: S
0 1, Cl Commecoiallindusitt pt Number off
►:Multi-family
❑Accessory bum *UAW OIVION410att.
Master builder 0 Other:
14taVY square feet
Job tte4#. ° . $ CY `y 2 G square filet City�+>� / t, IIIIII l square feet
Suite/b1t�,1tlpt,#: Prej datrree: L1 fli;a'si1,3i�t -
�• 13edearea: square feet
tojobsider
Cross s tRl#t square feet
si
1MilpR+a '�
Lot It: ..:
Subdivision: White the value(rounded to the ntxcE !
;tit map/parcel# j$
equipment,materials,labor,overhead,and the p bthe
},, .r + we indicated on this a lieation.
�? Valuation: I;0°0
square feet
_.. w � ..._..- — .. Existing build/sates:
!t11Clr i i! s i. . .; 11 t 1 4feet.
4 ___
New building area: square
Number Ores:
aa a4:, 'IpeOf_911atrli coon:
Nsme:
�Y goups: t• .
miiim
Address: tl Ri hO� �. �� T
�tel7.lP: 1� .& �j. � t ,.....
State-WO plttgloln'few f�{Ot ,
Business name: �! ...
Coated same: a. �r�lsi i' it FLS plan review fee(if appikable):
Nq, liimaamommumTotal fees due upon application:
gy)$tme/LiP: Lk,/j' Amount rceeived
Phone:(" O fi►t." ay"Pax::( )
E-mail• z .. ai t ." ' ILO, -. tbmntercial and ° p . . ' e*
roof-topmrauttedPbOtOVoltatc Solar Panel System.
Submit WM(2)sets+Dfroorplan with connection details
Malt"
ntr + i'i la la 1" te! andflosdepartmentMeta,alongwiththe2ol0Osgon
Installation ct Code checklist
Address: �P t tj a� Permit fee(includes plan review S18 oo
L/.I d y
"70 �' and administrathro fees:
( )
. State surcharge(12%e of permit fee): S21.60
,.uu.EngliglintirdirAgg �01«64
AIMttaBMIMIMIIIII
Total fee due upon applitmllon:
Nor a permit application expires It a wait is a0t bbfataed
Authorized signature: " within 180 days after it has been accepted as complete.
&M a Fee methodology set by Tri-CountY'Butidint Ltdustry
Print name: i 1y p•Q..q: pie' Service Board.
,oe Rev.0421/201d 440-4613T(11/02/COM/WEB)
i:16ui1dutgji'emtitslBttfl CON;PermitA@}1
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dk e- n yak," d6tA &/i45-e irS, (004.7
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
a
TicARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: SiG 6072 Suite/Bldg#:
Project Name: Aft--.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S IT L*Rk / M ‘r—
Existing Business Activity: /� -
Proposed siness Activity: I"r,
Verify site address/suite#exists and active in permit system.
❑ Bilrei Terrace Neighborhood: ❑ Yes Il No
1/Zo • : 01 ve—
ermitted Use: . Yes ❑ No ❑ Spec Space
Confirm no land use required.
W0 Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: &XZ4 Z
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:
Site Plans:
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ 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:
I:\Building\Forms\BldgPenn itRvw_COM_NoLandUse_111819.docx
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 ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx