Permit CITY OF TIGARD BUILDING PERMIT
• � COMMUNITY DEVELOPMENT Permit#: BUP2016-00052
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2016
Parcel: 2S104BA00100
Jurisdiction: Tigard
Site address: 12085 SW 135TH AVE 70
Project: Greenfield Apartments Subdivision: None Lot: None
Project Description: Fire damage repair to unit 70.Replace(1)window in unit above.
Contractor: KENNEDY RESTORATION Owner: GREENFIELD VILLAGE LLC
315 SE 7TH AVE BY NANCY L COWGILL
PORTLAND, OR 97214 STOEL RIVES LLP
900 SW 5TH AVE STE#2600
PORTLAND, OR 97204
PHONE: 503-234-0509 PHONE:
FAX: 503-234-4479
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VA DC Provision Review,COM TI-Ping 02/25/2016 $88.00
Occupancy Grp: R-2 Occupancy Load: Permit Fee-Additions,Alterations, 02/25/2016 $453.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/25/2016 $54.47
Stories: 0 Height: 0 ft Plan Review 02/25/2016 $295.07
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/25/2016 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 02/25/2016 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,081.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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. ATT • _• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 .010 through••R 952-60 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
C
Is.ued By: A.
_ �/` i, Permittee Signature: Y rt,s
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.
Buildin'Permit A lica '
Commercial CEIVE n) FOR OFFICE USE°NL
City of TigardReceiv
Date/Bea A�A / Permit No.: 4 logo/&'".0thg
IN ' 13125 SW Hall Blvd.,Tigard,OR a 16 2016 Plan R- e ► �
Phone: 503.718.2439 Fax: 503.598.1960 Date/B lWIDa Other Permit:
TIGARD
Inspection Line: 503.639.4175C11'I OF TIGARD y i Date• : 7 Juris ® See Page 2 for
Internet: www.tigard-or.gov lJ IU/ Notifie, ethod: r p 3 /b Supplemental Information
BUILDING DAIMON
TYPE OF WORK REQUIRED DATA:1-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
El Addition/alteration/replacement ®Other:REPAIR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling IDCommercial/industrial Valuation: $ Z 5/ 00o
ElAccessory building ®Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATIONAND LOCATION Total number of floors:
Job site address: 12085 SW 135TH AVE. New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:70 Project name:FIRE DAMAGE REPAIR 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 no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S104BA00100 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.
REPLACEMENT OF NON-STRUCTURAL WALL AND CEILING ELEMENTS Valuation: $
DAMAGED BY FIRE.INSTALLATION OF(1)BATHROOM FAN. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Type of construction: TYPE VA
Address: Occupancy groups:
City/State/ZIP: Existing: R-25
Phone:( ) Fax:( ) New: R-25
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:MILLER CONSULTING ENGINEERS (Please refer to fee sclsedulçj
Structural plan review fee(or deposit):
Contact name:ERIC DAVIS
FLS plan review fee(if applicable):
Address:9570 SW BARBUR BLVD.,STE.100
City/State/ZIP:PORTLAND,OR 97219 Total fees due upon application:
Phone:(503)246-1250 Fax::( ) Amount received:
E-mail:ERIC_D@MILLER-SE.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial .•a residential prescriptive in . lation of
CONTRACTOR roof-top mounte• 'hotoVoltaic Solar P. el System.
Business name:KENNEDY RESTORATION Submit two(2)sets roof plan with onnection details
and fire department ac••ss,along th the 2010 Oregon
Address:315 SE 7TH AVE. Solar Installation Specia Co.' checklist.
City/State/ZIP:PORTLAND,OR 97214 Permit fee(includes review $180.00
and admini•,
(wuw. ees):
Phone:(503)234-0509 Fax:( ) State surcharge(12°,of permit fe. • $21.60
CCB lic.:3402
Total fee . e 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:ERIC DAVIS Date:02.08.2016 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A Fl D Building Permit Review — Commercial - No Land Use
Building Permit #: --6,„ ✓ c90 16--000 3 2---.
Site Address: 12.075 SW 135-111 Plsle.. Suite/Bldg#: /0
Project Name: Gre.exrfie A pa nex*s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Q, 1
Proposal: -Pi {Q 1 fI Y placeme Y41 i ncd w1 i Yl i n 1 or o r exr}tif l o'
wa\k A hd WinOoWS
Existing Business Activity: mVA'iI-f-amiL1 housing
josed Business Activity: .,
erisite address suite# exists and active inpermit system.
Verify � y
River Terrace Neighborhood: CIYes giNo
tin 15 7 ning: R-
17Permitted Use: St/Yes CINo 111Spec Space
_,/Confirm no land use required.
IS Business License/,,_
Exists: L1J Yes ❑ No, applicant notified to obtain business license
Notes:
I
Approved by Planning: -r�m I,--C( 1 0„Q Date: 21t-1116
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: /!Q//trp
Site Plans: # 'S3
Building Plans: #
Building Permit#: Enter building permit# above. /
Workflow Routing: 2' I Planning I--1 r��mit Coordinator Id'Building
Workflow Sign-off: Er 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: A 0._ —..././.46—.•:.6.. Date: /277::;-
I:
/(o /'7I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes l/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes /A
AP
•K to Issue Permit
Approved by Permit Coordinator: / / Date: /Atc//4`
1:\Bui Iding\Fonns\BldgPermitRvw_COM_NoLandUse_0709I 5.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
12085 SW 135TH AVE 70, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00052
Chip Barnett
Violation Summary:
Inspector Contractor