Permit CITY OF TIGARD BUILDING PERMIT
Ills COMMUNITY DEVELOPMENT Permit#: BUP2022-00264
T[G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/8/2022
Parcel: 1 S 135CA02600
Jurisdiction: Tigard
Site address: 11130 SW GREENBURG RD
Project: Good Neighbor Center Subdivision: None
Lot: None
Project Description: Remodel existing laundry room to 2 single user showers and toilets.
Contractor: MOUNTAINWOOD HOMES INC Owner: EAST WASHINGTON COUNTY SHELTER
11130 SW GREENBURG RD PARTNERSHIP COUNCIL
TIGARD, OR 97223 DBA GOOD NEIGHBOR CENTER
11130 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503-746-7338 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/08/2022 $1,030.65
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 12/08/2022 $123.68
Dwelling Units: 0 Plan Review 10/26/2022 $669.92
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/08/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/08/2022 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 12/08/2022 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,516.51
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
952-001-0010 through,W 952-001-0090. You may tl in ficopy of the rules or direct questions to OUNC by calling 503.232 1987 oy41.800.332 2 44.
Issued By: / L fr ' l . j Permittee Signature: ���///
Call 503.639.4175,:00 a.m.for the next available inspection date. [-111��� l
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 EG .IVE ReceBy (v1 a6'7/4
Plan Review Permit No-: �� (� 1 _ �'1/.
^ 13125 SW Hall Blvd.,Tigard,OR 972 • Plan _r} Dt IX I{
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit:
TIGARD Inspection Line: 503-639-4175 0 CT 2 Fi 202� Date R ady/ y: �� ^` , / lads: ® See Page 2 for
Internet: www.tigard-orgov
Notified/Method: ?-, aJ" Supplemental Information
GITY OF TIGARD
11
�,....�tpF�����rDING DIVISION
N''�i° '"� i,J It �(3 Y
TYPE OF Wt7RK` REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 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 ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11130 SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Good Neighbor Center-Laundry Room Remodel 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#: 2600 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S135CA Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remodel existing laundry room to two single-user shower&toilet rooms. Valuation: $ 90,000
Existing building area: 8,225 square feet
New building area: no change square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1 story-no change
Name: Good Neighbor Center Type of construction: V-B
Address: 11130 SW Greenburg Road Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing: R-1 Residential,E Education
Phone:( 503)443-6084 x228 Fax:( )
New: no change
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: CIDA Architects & Engineers (Please refer rnfee schedule)
Contact name: Structural plan review fee(or deposit): (,,i f `'(-
Colony Weyrauch
Address: 15895 SW 72nd Ave, Suite 200 FLS plan review fee(if applicable):
City/State/ZIP: Portland, Oregon 97224 Total fees due upon application:
Phone:( 503)226-1285 Fax: :( ) Amount received:
E-mail: colonyw@cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: Mountainwood Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon Address: 11130 SW Greenburg Road
Solar Installation Specialty Code checklist.
City/State/ZIP: Tigard, Oregon 97223 Permit fee(includes plan review
and administrative fees): $180.00
Phone:( 503)746-7338 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 184317
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Cmce/()tt A/ J Date: �(�—iv .r 7 * Fee methodology set by Tri-County Building Industry
`�-I Service Board.
1:1Building\Permits\BUP_COM_PermitApp.doc Rev,04/21/2014 440-4613T(l l/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
C .14
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: "Go? 2_079 —()0 2,/p'{
Site Address: kk 130 SO QAeAn 61 e (. Suite/Bldg#:
Project Name: CZoo04 AkAgAVo,r G {Gr- - isbinictey geonol f-ewbode 4
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: C,CNIVe ll IVI,k 2 Sir) 1,(,- cArtower /rtmte_71
( S
Existing Business Activity: } pt/ P VVt — ,vtd'hr-{Mil t" WLci!16Vw1 ris✓S lvy
Proposed Business Activity:
Verify site address/suite# exists and active in permit system .
„I 'Rivet Terrace Neighborhood: ❑ Yes XJ No
,2- Zoning: (LES-(D
Permitted Use: LiErYes E No ❑ Spec Space
J2" Confirm no land use required.
Business License:
Exists: , Yes 0 No,applicant was provided a business license application
Notes: kid ' of sJD112 . MA o2..c2o -00O2.V IS ()✓lre/(ed TO -1 J prTat,
Approved by Planning: OI Date: t 0/ /?"Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 10/26 12o 22.
Site Plans: # 3
Building Plans: # _3
Building Permit#: �Fter building�peerrmit# above.
Workflow Routing: , Planning XJ Permit Coordinator Z Building
Workflow Sign-off: jS' -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: 1�/" Date: /O/24./zc22-
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
•
I:\Building\Forms\BldgPennitRvw_COM_No LandUse_08162022.docx