Permit CITY OF TIGARD BUILDING PERMIT
IIIII 11 COMMUNITY DEVELOPMENT Permit#: BUP2015-00107
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2015
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12180 SW SCHOLLS FERRY RD
Project: Greenway Town Center Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Modifications to signage,plaza,and landscape between buildings B and C.
Contractor: WESTERN CONSTRUCTION SERVICES INC Owner: ATLAS GREENWAY LLC
2300 E 3RD LOOP SUITE 110 333 NW NINTH AVE, STE 1009
VANCOUVER,WA 98661 PORTLAND, OR 97209
PHONE: 360-699-5317 PHONE:
FAX: 360-694-7818
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/29/2015 $301.85
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/29/2015 $36.22
Dwelling Units: 0 Plan Review 04/13/2015 $196.20
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 04/29/2015 $10.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,000 Info Process/Archiving-Sm$0.50(up to 04/29/2015 $7.50
11x17)
DC Provision Review,COM TI-Ping 04/29/2015 $75.00
Floor Areas: DC Provision Review,COM TI-LRP 04/29/2015 $11.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $637.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
1 Structural Welding
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 -- dance 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
da . ATTENTION: a egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
2-001-0010 through O•' 952-1,!1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332 344.
Issued By: d /�1&, Z�/i 11 l_ 2 Permittee Signature: �
litr/
Call 503.639.4175 by 7:00 a.m.for the next available inspecti n 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.
rBuilding Permit Application
Commercial FOR OFFICE USE ONLY
REC .
City of Tigard Received
Date/By: 1/ l /5' Permit No.:60/1249,0 i S a 67
III II • 13125 SW Hall Blvd.,Tigard,OR 97223�D p Plan Rev��• 4j
Phone: 503.718.2439 Fax: 503.598.1 80 R 1 J 2015 Date/By: ,. r ' �2 rjj Other Permit:
i, Inspection Line: 503.639.4175 Date Ready/B Jas ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method:Y/ /'� 651--- ']y.c, Supplemental Information
BUILDING DIVISION ; ,,.t,..t
TYPE OF WORK REQUIRED DATA:1-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.
❑ I-and 2-family dwelling Valuation: $
y g ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
B SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12486—SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Plaza Improvements Covered porch area: square feet
Cross street/directions to job site:SW 121"Avenue Deck area: square feet
Ph.",t44.0...Ct, l al gD Other structure area: square feet
Mud /all er ce REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: / Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: / 6/ 5q 6C (}6 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.
Modifications to plaza,landscape,and signage to a portion of the plaza • Valuation: $'S 1006 •pct
between building B and Building C. Existing building area: square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Atlas Investments Type of construction: 5B
Address:333 NW Ninth Avenue,Suite 1010 Occupancy groups:
City/State/ZIP: Portland,OR 97209 Existing: NI
Phone:(503)709-9918 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Robert Simpson Architect,PC
Structural plan review fee(or deposit):
Contact name:Robert C.Simpson
Address:31177 SW Simpson Road FLS plan review fee(if applicable):
City/State/ZIP:Cornelius,OR 97113 Total fees due upon application: /1 f0.0)-0
Amount received: `44,.d-z„
Phone:(503)709-9653 Fax: :( )
E-mail: R.Simpson.808 @GMail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Western Construction Srvices,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2300 E Thrd Loop,Suite 110 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)519-7870 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: (o31 I1 Total fee due upon application: $201.60
Authorized signature: I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Robert C.Simpson Date: 3.2(,, l ej * Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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City of Tigard
11111 ~ COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G n R D Building Permit Review — Commercial - No Land Use
Building Permit #: u 5----0
g � P� d1a ia ?
Site Address: /2 nt ytu JcAa/1c 1---;_e-,?, Suite/Bldg#:
Project Name: 4�Qax> "7-51-4-)4 Geirkr-
(Name of corn ial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: fee J,l c ye be-hoe ? t//Clt' 6 cvet&J eitci`rdt;/hq C
Existing Business Activity: � ,0473 CJ1 en4d ;44-(1
Proposed Business Activity: /1 /1 //
• Verify site address/suite# exists and active in permit systm
III *' .ver Terrace Plan District El Yes B No
E!/Zoning: q p�(/
�ermitted Use: U Yes ❑ No ❑ Spec Space
EM Confirm no land use required.
IN Business License:
Exists: V Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: -_� ,M __ Date: Li- /3--/S—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: (j/,3/�S
Site Plans: # 3
Building Plans: # 3
Building Permit#: ter building permit#above.
Workflow Routing: [Nanning LYI'ermtt Coordinator Cf liuildtng
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1„,": Date: ///}'ee7„:"
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
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../
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
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:
\ia]OK to Issue Permit
Approved by Permit Coordinator: Date: 'tf/1''///S
I:\Building\Fortes\BIdgPermitRvw_COM_NoLandUse 031015.docx
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