Permit y CITY OF TIGARD BUILDING PERMIT
III
COMMUNITY DEVELOPMENT Permit#: BUP2014-00016
Date Issued: 01/23/2014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Parcel: 1S126D602800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD A
Project: Spec Space Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: TI: New window and demising wall for future tenant.
Contractor: ROBERT TODD CONSTRUCTION INC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
4080 SE INTERNATIONAL WAY B113 BY NORRIS&STEVENS
MILWAUKIE, OR 97222 621 SW MORRISON STE 800
PORTLAND. OR 97205
PHONE. 503-653-5704 PHONE
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI - Ping 01/23/2014 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI . LRP 01/23/2014 $10.00
Permit Fee-Additions,Alterations, 01/23/2014 $225.80
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 01/23/2014 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 01/23/2014 $146 77
Value: $10,000 Plan Review-Fire Life Safety 01/23/2014 $90 32
Info Process/Archiving-Lg$2.00(over 01/23/2014 $4 00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 01/23/2014 $9.50
11x17)
Total Area 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck 0
Garage: 0
Mezzanine 0
Total $583.49
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
Fire Sprinkler: No 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 Notifi,t. on 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 callin'. Si 32.1987 or 1 :00 32.2344
Issued By: �%' '
y: Permittee Signature: ,� 1 i ill•
r .•39.4175 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 proje
Approved plans are required on the job site at the time of each inspection.
Building Permit ApPIic j( EIVED
Commercial FOR OFFICE USE ONL1
III City of Tigard DatReceived e/By: / /4 < Permn No..1 N4iD O/y_"(!n
• 13125 SW Hall Blvd.,Tigard,OF 41422 3 2014 Plan Re 7 f
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. f gy Other Permit:
TIGARD
Inspection Line: 503.639.41EITy OF TIGARD Date Read Doris 85 See Page 2 for
Internet: www.tigard-or.g Notified/Meth I Z3/i`1 d T: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑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.
❑ 1-and 2-family dwelling 'commercial/industrial
Valuation: S I
❑Accessory:building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
—
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: g510__ ggp New dwelling area: square feet
City/State/ZIP: it • c . ..' - , s10 _ t Garage/carport area: square feet
J
40.Idg./apt.no.:A 413 Project name: its wAtt, -L Covered porch area: square feet
Cross street/directions to job site: �)1.41--r `i Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRII'I IoN 01- NY)RK work indicated on this application.
Ma/a l.()11.1LD IA) ID 'i■lcQArl'F ' ' t-4012 Valuation: S (0lC6t)
. . I � C* r 11 i.A.a�. I'�_v1 I4 1 _sD _ Existing building area: square feet
A4C.Ov_ � ulsl- `((;c' S/ l` , L- I°�0�� New building area: square feet
t+ad 14 PROPERTY OWNER 1� mil[f'..-lam ❑ TENANT Number of stories:
Name: eft, 14012FAS A relitc43S. Type of construction:
Address: (p°f� SU MO i242.4.5N4 Ghts -goo Occupancy groups:
City/State/ZIP: �i .02... 61---/zos Existing:
Phone:( S 72 317) Fax:(554, 4015. S,/_ New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �� n _ t,T (Please refer to fee schedule)
� ' � I'C7� Structural plan review fee(or deposit):
Contact name: t:: .1 t1 N1to •--
Address: PD. �� 431 — — FLS plan review fee(if applicable):
City/State/ZIP: ��'��y,`�'� �" Total fees due upon application:
Amount received:
Phone:(C 3 22_g.—g74 Fax: (t -22,1‘ -45 2 t
E-mail: A ^ - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ut% Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: �'r � � Submit two(2)sets of roof plan with connection details` 'f'w• , and fire department access,along with the 2010 Oregon
Address: .41::) 5a 11,4 ts,L. 1(N��T Solar Installation Specialty Code checklist.
City/State/ZIP: (�14, , �� � Permit fee(includes plan review 5180.00
and administrative fees).
Phone:6^):3 665 .57e)14. Fax:( % 4:6 —j7z9 State surcharge(12%of permit fee): $21.60
CCB lie.: a t� Total fee due upon application: 5201.60
Authorized signature: ' This permit application expires if a permit is not obtained
ii, within 180 days after it has been accepted as complete.
Print name: 1 (` fei Date: `_Z.hi� Fee methodology set by Tr-County Building Industry
^� Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
11111 _ ' Building Division
Over-The-Counter (OTC) Building Permit
rlGnKU Check List
(Project Description: f
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: -V ' Type of Construction: A S
Type of Use**: [+f�-f�(� Occupancy Load: Oregon Specialty Code: 2i {C'
SPECIFICS
Number of Stories: Building Height Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport Mezzanine:
SETBACKS _
Sideyard Setback-Left 1 Sideyard Setback-Front
Sideyard Setback-Right I Sideyard Setback-Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: ,w Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ (OPin FEES DUE
$ 7j,O(9 DC Prov Rvw,COM TI-Ping
$ I O,60 DC Prov Rvw,COM TI-LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ .22'S Permit Fee-Add,Alt,Demo
Project Valuation Planning LRP $ Z • 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ 4_AP Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ ' Te► Info Proc/Arch,Sm (up to 11x17$050)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: _$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 1 TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS =accessory;ADD=addition;ADU=accessory dwelling unit,ACC'=alteration;DEM=demo;NEW=new;
()1R=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Building Permit Number: 0,0 a 1ki_(bcy4,,
3111 :
— " Building Permit Review
Commercial Project —No Associated Land Use Case
TIGARD
Site Address: q 0 $Vs) G>'e,e4 b 1t r Pd.
❑Verify site address is valid. 9
Project Name : -11-)Q Comrnon5 — Gran+ Pui kit t-13
Planning Review
Prq sal: .� d..11 •.• . t. o_ •. . g 1 1. .. $ • I 1� • 11 1 • C.1,. id
add vti .1,l -ia' harTh 'mg. bui ld j,
Zoning i5 V --d_
diPermitted Use ❑ Yes ❑ No Spec Space
❑ Land Use Required L❑ Yes 'No
Notes: USA �'O be, (Ii€Wo'i W[+'h'TA,
•
Approved by: V ! / x 2 0 Date: 1 123 1
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 Plan Submittal: Date: l/�..07 By: erael e4/
Site Plans: #
Building Plans: #
Create Case Record#: r4 n case# above for Building Permit Number.
Workflow Routing: a'plarning Cl Engineering ❑ Permit Coordinator ding
Workflow Sign-off: [c} Sig-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application,site plans,building plans, engineer and
b calculations and trust details,if applicable,etc.
es)
Reviewed By: lae/il COTS Date: //)--3Ar
Notes:
I:1B u i l d ingWorms\Bl dgPerm it Rvw_COM_No Land Use_123013,docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9370 SW GREENBURG RD A, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
April 30, 2014 at 9:11:25 AM
BUP2014-00016
Chip Barnett
Violation Summary:
Inspector Contractor