Permit CITY OF TIGARD BUILDING PERMIT
IN i COMMUNITY DEVELOPMENT Permit#: BUP2014-00010
T i C;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 1 S 135BC01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: Kayu International Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: TI: Interior and exterior improvements for new tenant in vacant suite.
Contractor: ROBINSON CONSTRUCTION Owner: GREENBURG SPACE CENTER LLC
21360 NW AMBERWOOD DR PO BOX 91305
HILLSBORO,OR 97124-9321 PORTLAND,OR 97291
PHONE: 503-645-8531 PHONE.
FAX: 503-645-5397
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 03/06/2014 $70.00
Occupancy Grp: M Occupancy Load: 60 DC Provision Review,COM TI-LRP 03/06/2014 $10.00
Permit Fee-Additions,Alterations, 03/06/2014 $752.04
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 03/06/2014 $90.24
Bedrooms: 0 Bathrooms: 0 Plan Review 01/16/2014 $488.83
Value: $53,000 Plan Review-Fire Life Safety 01/16/2014 $300.82
Info Process/Archiving-Lg$2.00(over 03/06/2014 $14.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 03/06/2014 $1.50
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,727.43
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calf g 503.232.1987 or 1.800.332 2344
Issued By: Permittee Signature:
.�r
39.4175 by 7:00 a.m.for the next available ins. '•on da t�
This permit card shall be kept in a conspicuous place on the job site un I completi•n of the project.
Approved plans are required on the job site at the time of ea h inspect•n.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard �� ptei"ed Permit No.: ■'� 13125 SW Hall Blvd.,Tigard, 7 DateB ` G rl S ...rlu of ;.di.
g �� Plan Review ^ Other Perini
Phone: 503.718.2439 Fax: 5 '.�• `�� Date/B : t:A u I aOl — a S
T I G A R D Inspection Line: 503.639.4175 A\ 1 Date Ready/By: • ® ® See Page 2 for
Internet: www.tigard-or.gov JP\v `r._0 \ Notified/Method: Q-/.. `/' Supplemental Information
TYPE OF V40/4\- _REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Olikrnolition 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: $
❑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:11117 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kayu International TI Covered porch area: square feet
Cross street/directions to job site:NW Corner of sw Greenburg,SW Tiedeman Deck area: square feet
Ave and SW North Dakota St Other structure area: square feet
_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:1100 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S135BC 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.
.,,,,_ Interior and exterior improvements for new tenant in vacant suite and building Valuation: $$53,000.00
upgrades Existing building area: 69017 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Evelyn L Robinson Type of construction: III-B
Address:15375 NW West Union Rd Occupancy groups:
City/State/ZIP:Portland,OR 97229 Existing: A-3,M
Phone:( ) Fax:( ) New: M
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:CIDA Inc (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Kourtney Strong
Address:15895 SW 72°d Ave Suite 200 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Phone:(503)226.1285 Fax::(503)226.1670 Amount received:
E-mail:kourtneys@cidainc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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:21360 NW Amberwood Dr 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:(503)6455357 State surcharge(12%of permit fee): $21.60
CCB lic.:63147 Total fee due upon application: $201.60
Authorized signature: l • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kourtney Strong Date:12.20.2013 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingTermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
i
Building Permit Number: (3L /2Q li(—vvo to
114 • Building Permit Review
Commercial Projects with Approved Land Use
TI( \KF)
Site Address: / // / of flb /d.
❑Verify site address is valid. /
Project Name : . rk.. (/ —.1 tr. 1/ /1 / / 'r
IIIIIMI
Planning Review
❑ Land Use Case Number: M l 2f - QQO L/Li
Plans Match Approved Land Use :
,Er Site Plan ❑ Landscape Plan
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
Conditions Met: f ❑ Prior to Permit Submittal ❑ Prior to Permit IssuancApproved by: L 674,, Date: 0//1-/
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: AM' By: 8iwyde.,,/
Site Plans: # 3 6 v/Ijivrsj
Building Plans: #
Create Case Record#: En er case# above for Building Permit Number.
Workflow Routing: a Plan 'ng [ -Engineering 9-15-
ermit Coordinator Q—Wwilding
Workflow Sign-off: LLYSign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: ✓t2,,,r Date: V/67/7
Notes:
1:\Bui Iding\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
Engineering Review— reviewed by: L K" tki■A❑ Actual Slope: PSO C W#u.3Cc1€.
❑ PFI Permit# N o fi��t.N.� R..S S .
❑ Conditions Met
Notes: 06 W$/Z►--- 1J • / LE-SS ' 7i 5r:r0' --.1)1511g ,
N 0 Frost - -
Approved by: �/ - Date: — .-
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved V Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Per • oordinator Review /,
onditions Met-Prior to Issuance of Building Permit 0/�
Notes:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Scnt to Applicant
Revision Notice 3: Date Sent to Applica
Okay to Issue Permit- Date: /et/I-al
i:\BuildingWorms\BIdgPermitRvw_COM_WithLandUse_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
11117 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
July 23, 2014 at 8:55:05 AM
BUP2014-00010
Chip Barnett
Violation Summary:
Inspector Contractor