HomeMy WebLinkAboutPermit (5) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00186
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/23/2022
Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11131 SW GREENBURG RD
Project: D-Bat Subdivision: None Lot: None
Project Description: (1)illuminated wall sign.
Contractor: Owner: GREENBURG SPACE CENTER LLC
4804 NW BETHANY BLVD STE 1-2#243
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 08/23/2022 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12/o State Surcharge-Building 08/23/2022 $17.97
Dwelling Units: 0 Plan Review 07/25/2022 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/23/2022 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,100
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $268.06
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
952-001-001= Permittee
01-0090. 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: 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 RECEIVED,
FOR OFFICE USE ONLY
Received
City of Tigard ryrygr� -� Permit No
zUL6 Dates-Rev
� 13125 SW Hall Blvd.,Tigard,OR 97223 o Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 JUL Date/By- Related Permit:
Inspection Line: 503-639-4175 p Dat eady/By: ������ ® See Pa"1.fo,..ti.n
Internet: www.tigard-or.gov CITY OF TIGARD t ed/Method: Suppleme
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA;I-AND 2-FAMILY DWELLING
M'New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
I-and 2-family dwelling Ef Commercial/industrial Valuation: S
Accessory building ❑ Multi-family
Number of bedrooms:
❑ aster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
.lob site address: Fh �r RA New dwelling area: square feet
City/State/ZIP: j c 72 2 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: B(n Covered porch area: square feet
Cross street/directions to job site: 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: 1 S 35 C equipment,materials,labor,overhead,and the profit for the
DESCREPTION OF WORM work indicated on this application.
c,if A4iz� 4tt Valuation: `�,� 0S
S Existing building area: 0 square feet
New building area: 2q. square feet
Ef PROPERTY OWNER Q TENANT Number ofstories:
Name: 6-r-e e- ,-rQ.(e C e n-f e y- L L C Type of construction: )
Address: p v VV ettk— (V-� Occupancy groups: C 0 PH b„t
City/State/ZIP: 0V--F Ip,"� Q 7 2 11 Existing:
Phone:(C�p 3)�7S 7 - �(D I( Fax:( ) New:
fir APPLICANT ❑ CONTACT PERSON RU'"ING PERMIT FEES*
Business name: �P—(O1 VC r S %h �jl^ot !'lease refer sekedute
t Structural plan review fee(or deposit11
): S ,
Contact name: MC,fl,ie,- /-xi jef
Address: 16 00 F rt„t,-� VI-,I je sQ�� �t e ?� FLS plan review fee(if applicable):
City/State/ZIP: �/P�('O�.Ve r� ti/V 6 0 Total fees due upon application:
City/State/
3��) 6 2 Fax:
Amount received:
Phone:( -1 3- 3 :( �(e D) 6 3 2 7 4
F-mail: M,�e J vH'^ S t`'h (0. (0 vt, PHOTOVOLTAIC`SOLAR PANEL SYSTEM FEES*'
Commercial and residential prescriptive installation of
CONTRACTOR roof=top mounted PhotoVoltaic Solar Panel System.
Business name: \(Fn Submit two(2)sets of roof plan with connection details
p and fire department access,along with the 2010 Oregon
Address: 3 p �rr \(,\11" f C B Solar Installation S ecialty Code checklist.
Citv/State/ZIP: VPN.iCOL^ er / W/4 / cl 660 Permit fee(includes plan review $180.00
and administrative fees):
Phone:O6 p ) 6�3- t-773 Fax:(?60 6 q 3 -Z7-f 7 State surcharge(12%' of permit fee): $21.60
CCB Lic.: 39 S Total fee due upon application: $201.60
Authorized signature: &�A hA
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �ni 11(r Date: 30� z 2 * Fcc methodology°set by l'ri-County Building Industry
Service Board.
1:ABuilding\Permits\BUP_COM_PernitApp.doc Rev.04/21/2014 440-4613rf(II/02/COM/W1113)