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Permit CITY OF TIGARD BUILDING PERMIT i! a ' COMMUNITY DEVELOPMENT Permit#: BUP2014-00249 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2014 Parcel: 1 S 135CA01200 Jurisdiction: TIGARD Site address: 11380 SW GREENBURG RD Project: Columbia Care Services Inc Subdivision: GREENBURG Lot: 11 Project Description: Construct 324 sq ft accessory building.Connecting to single family residence on lot but for apartment residents use as office and hobby area.. Contractor: C WOODRUFF CONSTRUCTION LLC Owner: COLUMBIA CARE SERVICES INC PO BOX 909 3587 HEATHROW WAY GRANTS PASS, OR 97528 MEDFORD, OR 97504 PHONE: 541-659-2020 PHONE: 541-858-8170 FAX: 541-479-1066 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ACS Type of Const: Vg Permit Fee-Additions,Alterations, 12/22/2014 $674.35 Demolition Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 12/22/2014 $80.92 Dwelling Units: 0 Plan Review 10/23/2014 $438.33 Stories: 1 Height: 10.5 ft Info Process/Archiving-Lg$2.00(over 12/22/2014 $2.00 Bedrooms: 0 Bathrooms: 1 11x17) Value: $45,000 Info Process/Archiving-Sm$0.50(up to 12/22/2014 $2.50 11x17) Tig-Tual School CET-Non Residential 12/22/2014 $187.92 Floor Areas: Total Area: 324 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,386.02 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No 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. ATTENTI C.• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 .through OA' •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued B • 01 , ,, / - Permittee Signature: Call 503.639.4175 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 project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential 1ECEJ1/Ff ltlit)1 llt 1� I �r tl\1 1 Received City of Tigard Date/By: !0 Permit No.:6,,EpAv -tZ • 13125 SW Hall Blvd.,Tigard,OR 97223 n Plan Re 's^JA I Phone: 503.718.2439 Fax: 503.598.19601 C T 2 3 2014 Date/B • EirAo r II i Other Permit: T 1 c. \It 1, Inspection Line: 503.639.4175 Date Realny: ® See Page 2 for Internet: www.tigard-or.gov CITYOF TIGARD ►.tifed/Me1p,..: © N. Supplemental Information at a ,. •• a, • �L �/ //�. iii. TYPE OF WO 3' REQUIRED DATA:1-AND 2-FAMILY DWELLING I 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 El Commercial/industrial Valuation: $ [g Accessory building El Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: //3 go s1 jil 6R.6146 U R.6 4, New dwelling area: square feet City/State/ZIP: ` 76 i CAI Garage/carport area: square feet Suite/bldg./apt.no.:(t aoir Project name: lrlJ�,(�l j„traj frC- f, 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 no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1 0/3-5-(-A 0/Z Q O 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 applicat' n. -CO, Valuation: S oG d(OS.S?riuc�-(�rl of A /8 r A l3 (3r4 �r} I fT� f 012 y Z)t a I N 6 x'Yr Tt- 7 clb 5A1C4— Existing building area square feet New building area: 3,:;14 T square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: eel-0 th B,A C. LP._. S�rCJ S. I G Type of construction: Address: 3 S 87 // -6A � Occupancy groups: City/State/ZIP: Mft>oR-A , OR_ 9/ (O4 Existing: Phone:61( ) 38 - i,1 70 Fax:(c41 ) W D' 5(67 New: ~ [21 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: C• WOO)) I,7 CoN STgv.nOi'/ Gted review ee(or deposit : Structural plan review fee(or deposit): Contact name: 2o/S g U12-N S FLS plan review fee(if applicable): Address: TO. B 9 09 - - Total fees due upon application: City/State/ZIP: 8 RAC Ts s x`1,52 e Phone:( 41 ) (D 7 93(e ■ Fax::(-�T'1 ) 479, /19(0,40), Amount received: 76�. 7 E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* yob 0 C,42ooce/ (J-6(d-o/7st. C.OM Commercial and residential prescriptive installation of CONTRACTOR ��77 - / roof-top mounted PhotoVoltaic Solar Panel System. Business name: t?, 60000 Z uP, LOA/S7fzu c-1 ioV LL C-- Submit two 2)sets of roof plan with connection details i and fire dep. -• access,along with the 2010 Or Address: 7 0 . Q aK 9 or? Solar Installation Spec , • ode checkli City/State/ZIP: /'3� pp ,/ �/pp Permit Fee(includes plan ':,•� (7ft�}�T.s � 5, oi7� 97�2,�3 and adminis .:•e fees): $180.00 Phone:(5 L 4 I) f5ct- .2O d /Fax:(54 ) .477 q-101,040, State surcharge o of permit fee): ` $21.60 CCB lic.: i? ' .) ,¢/rh�1l� Total fee due upon appication: $201.60 Authorized signature: , This permit application expires if a permit is not obtained IIII////���( within 180 days after it has been accepted as complete. Ko n 1-44-2-4. *Fee methodology set by Tri-County Building Industry Print name: I3 Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) - Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONL1 City of Tigard Received Permit No III • 13125 SW Hall Blvd.,Tigard,OR 97223 Dated = Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: T I G A K n 24-Hour Inspection Line: 503.639.4175 1:1 Electrical ❑ Plumbing ❑ Mccbmncal Internet: www.tigard-or.gov ❑ other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ . ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- El ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ H ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore_on and shall be shown to be :.'licable to the 'ro-ect under review. .Il'RISDI(..1.ION:AI. SPEC'IFIC'S 23 Three(3)site plans are required for Item 11 above. Site_plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building_plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Commercial - No Land Use TIGARD Building Permit #: L Pc9-0/V Site Address: Suite/Bldg#: Project Name: CI Col Project C 1 �n 5� �r�en b u ro� � u.m,b i A, Ca rP� (Name of commercial business occupying a space. If vacant,enter Spec Space.) Planning Review r Proposal: r IS' x I� rt.cGe55o� s+ctl�lt(, cor xp (+men- corn pIU.�C chi ce. — 1 I ' he;3h+ Existing Business Activity: 0 V/ Ctpa +(ne n-- co p�C'K Proposed Business Activity: sorry Verify site address/suite #exists and active in permit system. 1/Zoning: R- 1 2 C, 'rmitted Use: ["Yes ❑ No El Spec Space [1� Confirm no land use required. r Notes: j ,{1C.1�1 � S�' �� 1i�rm m g ' r S • 0 e��s�ruG� :s i t ..� a . •_� • a • e ru.. . r .0 i • A • Ir Approved by Planning: i ( y • a Date: 10 2-) 1 `'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 Submittal Date: fr-5 Site Plans: # 3 Building Plans: # Building Permit#: rr, I rEnter building permit#above. Workflow Routing: -L Planning =i-1 rmit Coordinator ,a—Building —4-6--arnJeF da Workflow Sign-off -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: ,��t/t fGL()F Tj LL�22 Coix-f 1 / T do7_, - / N)Q4-tf- 4 ' LG� By Permit Technician: rl /� 1 Date: f%,/ I:\Building\Forms\B l dgPermitRvw_COM_NoLandUse_071514.docx Engineering Review ❑ Actual Slope: ❑ PFI Permit#: ❑ Conditions Met Notes: /J o g1Q,lp! • I .SS'ri.i' Approved by Engineering: Date: 1 6- Z 3, /41 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions Met- Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: )10OK to Issue Permit Approved by Permit Coordinator: 4 '� /O Z3 pp y �v/i'/ Date: / I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 042914.docx 113W SW Greeiibur J Tieard Rd, Legal : 1S 135CA IL *01200 125.52' CITY OF TIGARD Approved by P anning Date: • I�� D U <E> Initials: PARKING BEG WED z , OCT 232014 ? a X d CITYOE- IG D BUOTANGnIVISION CI d CO IA Z w PARKING,y I- ta Q O 4 1ti' SN PARKING 4� * A Im 1IE 'N Ili 1 GUI i tK DRAINS ,49, y//S { C' .TIE-IN TO EXISTING `_ ■ dg io '/ n Szo ,o fb '4�p��� Proposed Accessory Bldg. Qt. . G `� 324 Sq Ft '7blir Site 4 Drainage Plan Scale: I" = 30' NOTICE AUTHORIZING REPRESENTATIVE I, ICI W°6 - ( ( UUb ) �/�iit al,nACI) S �t,('/l , have authorized Vg U1 ► / C ' W 0bA Aft OS pa E' to act as my agent in performing the activities necessary to obtain evaluations, permits and other processes required for development on the property described below. PROPERTY IDENTIFICATION: J 11�R i SW &yJJn b Lk1 . T 11,)414 i O Ki C -a-3 - And described in the records of L )A s /1101"1 11 County as: Township 1fi Range /3 Section S Map ID C A Tax Lot#(s) 0/ZOO PROPERTY OWNER: Printed Name: COI(, P i� CA& SeV14Ces, 1ti ,J 1l �}dodht4 Signature. 01/47)110+1.41L---"-- Date: 10 -2.0 1 f Address: 1W7 Remy,fen ti., uji. Phone: GLIJ - F 0—tF/71) City,State,Zip Vn.(c f .41 r 4 cl ic t Fax: £ Lf f —75F- --f(vi E-mail Address JL A)p 061 OAP e u0(U WIb atioci . 0 AUTHORIZED REPRESENTATIVE: Printed Name: 0--..t k 7 IStAY Vn / ( • w b b r4V O ' L tyiSfyiA a ` t in Signature: /S Date: /O/Zo/20/- � Address: PO 66X i 0-1 Phone: 51-(f— /'F co/ "7/3,6 City,State,Zip hi-414s P&SS 1 O) 611s2, g Fax: S1.4 1- 411 - W(0(0 E-mail Address: P-bb e U uDOdYL (6f'tS1-: C o 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 11380 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00249 Chip Barnett Violation Summary: Inspector Contractor y R OFFICE USE ONLY—SITE ADDRESS: //3o c2 c ) ete/ - ;5 .) 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 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: _ DATE • .� °r i :V EP DEPT: BUILDING DIVISION AN 13 2015 CCTV OF TIGARD FROM: j2Qg Wv/e/S BUILDING DIVISION COMPANY: C - (A)(zD c aWsr- PHONE: Lge#- 9— erj By: RE: //g�'C:? tme/,.6 3t/26 ,,t/e200).-6 - nD7 `y (Sit Address) (Permit umber) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING IT S• �I Copies:( Description: I(Vopies: Description: Additional set(s) of plans. ` 3 Revisions: Cross section(s) and d ' \ ' Wall bracing and/or lateral analysis. Floor/roof framing. `.10 Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: f,-14 s - ---1.616,-.)'i---A---- FOR OFFICE-USE ONLY Routed to Permit Technicia : Date: ( I2( V' Initialer`' Fees Due: ❑ Yes 1 Flo, Fee Description: Amount` Special Instructions: Reprint Permit(per PE): ❑ Yes 'No ❑ Done Applicant Notified: ,40/3 Date: //z(0//S Initialss� �;�/ C\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012