Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
•
Trans
mittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: lO M 1-t DATE RECEIVED:
DEPT: BUILDING DIVISION
REGL „
FROM: Zoe) Az) MAY 8 2023
COMPANY: VI-M CITY OF TIGARD
PHONE: BUILDING DIVISION By9.
EMAIL:
RE: [I. l CS— SI,J G ].,,.I"� t 4 BOP 2o2 2 0O25/r
(Site Address) _ `"' (Permit Number)
A, erwz
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: %.4--4-room 'T
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Set_ apfu,L4 dca
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Z' • j c— Initials: -1.1
Fees Du Yeas ❑ No Fee Description: Amount Due:
Q .� )-J r pic-v% r i ;eA,1 $ y�-
$
$
$
Special
Instructions:
Reprint Permit(per PE): El Yes No ❑ Done
Applicant Notified: Ore vt Date: .<7/ >72_ j Initials: ,/
I:\Building\Forms\TransmittalLetter-Revisions 073120.doc
Building Permit Application
Commercial ' FOR OFFICE I SE O\1,1
City of Tigard �s �� Received Permit No.:
a DatelB
]hone S50 Hall Blvd Tigard,OR 97223 Plan Review r
_' Phone: 503-718-2439 Fax: 503-598-1960 Date.B : v . I1 Related Permit:
T 1 G A R D Inspection Line: 503-639-4175 Date Ready/By: Juris: gi See Page 2 for
Internet: www.tigard-or.gov NotifiedMethod: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction 0 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: Revision (BUP2022-00298r equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: 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: ,41;0` ep „ � 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.
Tax 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.
Revision of eastern restroom and demo of existing office walls and ceiling. Valuation: $ 0
Existing building area: 9636 square feet
New building area: 0 square feet
® 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:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: VLMK Engineering + Design (Please r`f`"m fee s`"' `k)
Structural plan review fee(or deposit):
Contact name: Amy Tallent
FLS plan review fee(if applicable):
Address: 3933 S Kelly Ave
City/State/Z1P: Portland, OR 97239
Total fees due upon application:
Phone:(503)222-4453 Fax: :( ) Amount received:
E-mail: amyl@vlmk.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Robinson Construction 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 Lic.: 63147
Total fee due upon application: $201.60
Authorized signature: kel4,1Ad This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Amy Tallent Date: 5/8/23 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
VVLMK
E NGiNEERING + DESIGN
MEMORANDUM
To: City of Tigard, Building Safety Date: May 4, 2023
From: Ben Hagerman Project: Apex PWR TI
Subject: Restroom Layout Revisions Permit Number: BUP2022-00298
• Revised eastern restroom to remove the accessible fixtures. Per section 1 1 10.2 exception 3.-
50% of the required fixtures are to be accessible. Per the plumbing fixture calculations on
sheet A1 .0, a total of (2) lavatories are required and (1) of the single-user, all-gender facilities
is accessible.
• Demolition of existing office walls and ceiling. Repair existing sprinklers, HVAC and lighting
as required (by others).
3933 S Kelly Avenue Portland,OR 97239 tel 503 222 4453 VLMK.COM Page 1 of 1
Building Permit Application 1 -.-
Commercial RECEIVED FOR OFFICE USE ONLY j,7
City Received _OO�q$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
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