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Permit Building Permit Application 1 -.- Commercial RECEIVED FOR OFFICE USE ONLY j,7 City Received _OO�q$of Tigard y la- t Permit No.; • 13125 SW Hall Blvd.,Tigard,OR 97223 DEC O 5 2022 Date B g Plan Review la-^' Related Permit: Phone: 503-718-2439 Fax: 503-598-1960 DateiBy: / T 1,;;1 R t) Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: kris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: f a- ." Supplemental Information i/t4a tt T gafta-{, fi TYPE OF WORK REQUI D 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 ❑Addition/alteration/replacement ❑x Other: TI equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling ®Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11105 SW Greenburg Rd New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.#: Project name: 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: I Lot#: Permit fees*are based on the value of the work performed. fax map/parcel#: 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. Existing tenant space occupied by Apex Performance Rehab. Demo of 1 Valuation: $ 40,000 drinking fountain and addition of 2 all user restrooms. Existing building area: 9636 square feet New building area: 0 square feet lJ PROPERTY OWNER 0 TENANT Number of stories: Name: Greenburg Space Center LLC Type of construction: IIIB Address: 4804 NW Bethany Blvd Suite 1-2, #243 Occupancy groups: City,/State/ZIP: Portland, OR 97229 Existing: B Phone:( 503)757-9011 Fax:( ) New: Ii APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: VLMK Engineering + Design (Ptea+ereterr reeseneJure) Structural plan review fee(or deposit): Contact name: Amy Tallent FLS plan review fee(if applicable): Address: 3933 S Kelly Ave Total fees due upon application: City/State/ZIP: Portland, OR 97239 Phone:(503 ) 222-4453 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: amyt@vlmk.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Robinson Construction CO Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 8060 NE Walker Rd Solar Installation Specialty Code checklist. City/State/ZIP: Hillsboro, OR 97124 Permit fee(includes plan review $180.00 and administrative fees): Phone:( 503)645-8531 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 63147 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: Amy Tallent Dote: 11-2-22 * Fee methodology set by Tri-County Building Industry' Service Board. I:\Building\Permits&BUP_COM_PetmitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard RECEIVED illi COMMUNITY DEVELOPMENT DEPARTMENT DEC 0 5 2022 TIGARD Building Permit Review — Commercial - Nurisnit dB�e BUILDING DIVISION Building Permit #: 3(.0 c3-O a D---- 00 `7 8 Site Address: / 1 1 0 S SW 6.P u2-- Suite/Bldg#: Project Name: / 5- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: -17. -1— , Existing Business Activity: Proposed iness Activity: Verify site address/suite # exists and active in permit sysstteem`'� ❑ Riv grace Neighborhood: ❑ Yes ,� `� .ng: fAV L ��r ��-�,,��Ptted Use: LI Yes ❑ No ❑ Spec Space m no land use required. Business License: &IA Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: -^-''--- Date: i2A-17 2 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: a/S( .>>- Site Plans: # Building Plans: # Building Permit#: I l Enter building permit#above. Workflow Routing: gi Planning VS-Permit Coordinator 41, Building Workflow Sign-off: [S. Sign-off for Planning(include notes from planning review) Route Application Documents: p Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: i a-/j/ate I:\Building\Norms\BldgPermitRvw_COM_NolandUse_09072022.docx Permit Coordinator Review Conditions"Met"prior to issuance of permit ❑ Approved,NOT Released: Date: E ENG Revisions Required: Date: r Notes: r SDC Exemption ❑ Applied for 0 Received L l Does not apply Vlik Fees Entered: Wash Co Trans Dev Tax: 0 Yes N/A CIDeferred Tigard Trans SDC: 0 Yes N/A ❑ Deferred Parks SDC: 0 Yes N/A 0 Deferred LIDA Fee: 0 Yes N/A t15OK to Issue/Approved by Permit Coordinator: \ " �1�r Date: ,ll � Revisions (after Building Submittal only) v Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved L\Building\Porms\B IdgPennitRvw_COM_NoLandUse_08162022.docx RECEIVED 1 V L M K DEC 0 5 2022 V CITY OFTIGARD BUILDING DIVISION LETTER OF TRANSMITTAL To: City of Tigard Date: November 2, 2022 13125 SW Hall Blvd Project: Apex Restrooms Tigard, OR 97223 Attention: Agnes Lindor Project Number: 20220486 WE ARE SENDING YOU Copies Date Description 3 Sets of Plans 1 Application REMARKS AMY TALLENT Joseph Bailey From: Amy Tallent <amyt@vlmk.com> Sent: Tuesday, December 13, 2022 2:19 PM To: Joseph Bailey Subject: RE: BUP2022-00298 (Apex) ready to issue Thanks I will send a courier right now to get them. Amy Tallent I Permit Coordinator VLMK Engineering + Design 3933 S Kelly Avenue I Portland, OR 97239 I tel: 503.222.4453 I VLMK.COM direct:971-254-8307 I cell:503.481.3668 I email:amyt(a.vlmk.com From:Joseph Bailey<joseph.bailey@tigard-or.gov> Sent:Tuesday, December 13, 2022 2:19 PM To:Amy Tallent<amyt@vlmk.com> Subject: RE: BUP2022-00298 (Apex) ready to issue Hi Amy- Thank you for taking care of those fees.The permit tech that assists you will be able to print the permit and hand you the site copy set of plans any time today(until 6pm). Kind regards, Joe Bailey Permit Technician Assistant Community Development City of Tigard Ioseph.bailey@tigard-or.gov TlGAR.D From:Amy Tallent<amyt@vlmk.com> Sent:Tuesday, December 13, 2022 1:52 PM To:Joseph Bailey<joseph.bailey@tigard-or.Rov> Subject: RE: BUP2022-00298 (Apex) ready to issue Joe, The fee has been paid. Will the plans and documents be ready to pick up today? Please let me know. Thanks, Amy Tallent Permit Coordinator VLMK Engineering + Design t 3933 S Kelly Avenue I Portland, OR 97239 I tel:503.222.4453 I VLMK.COM direct:971-254-8307 I cell: 503.481.3668 I email:amyt(a)vlmk.com From:Joseph Bailey<joseph.bailev@tigard-or.gov> Sent: Monday, December 12, 2022 9:25 AM To: Amy Tallent<amyt@vlmk.com> Subject: BUP2022-00298 (Apex) ready to issue Hi Amy- The permit for BUP2022-00298 is ready to issue now.The balance due is$1,463.77 and I have attached an invoice above for you to reference.The permit fees can be paid online through our website https://aca.accela.com/TIGARD/Default.aspx or in person between the hours of 8:00 a.m. and 6:00 p.m., Monday through Thursday.We are closed on Fridays. If paid online, please have someone pick up the permit and the approved site copy set of plans. Kind regards, Joe Bailey Permit Technician Assistant Community Development City of Tigard joseph.bailey@tgard-or.gov TIGARD DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2