Permit (21) „Iii CITY OF TIGARD BUILDING PERMIT
1 '-' COMMUNITY DEVELOPMENT Permit#:
BU P2015-00330
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2016
Parcel: 1 S 126DC00900
Site address: 9510 SW GREENBURG RD Jurisdiction: Tigard
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 1 -New 6 unit apartment building
Contractor: EVERGREEN BUILDERS Owner:
7420 SW HUNZIKER RD RES OR TIGARD LLC
TIGARD, OR 97223 730 NW 107TH AVE STE 400
MIAMI, FL 33172
PHONE: 503-625-1183 PHONE:
FAX: 503-625-9530
Specifics: FEES
Type Date Amount
of Use: MF
Permit Fee-RES-New Construction 09/14/2016 $2,525.04
Class of Work: NEW Type of Const: VB
12%State Surcharge-Building 09/14/2016 $303.00
Occupancy Grp: R-2 Occupancy Load:
Dwelling Units: 6 Plan Review 12/02/2015 $1,310.88
Stories: 3 Height: 35 ft Plan Review-Fire Life Safety 12/02/2015 $806.70
Tigard Trans SDC Improvement- 09/14/2016 $31,510.00
Bedrooms: 6 Bathrooms: 6
Value: $474,396 Apartment
Tigard Trans SDC Reimbursement- 09/14/2016 $1,820.00
Apartment
Floor Areas: Parks SDC Improvement-MF 09/14/2016
$31,980.00
(apartment/condominium)
Total Area: 4590 Parks SDC Reimbursement-MF 09/14/2016 $7,530.00
Accessory Structs 0 (apartment/condominium)
Parks SDC Neighborhood-MF 09/14/2016 $11,860.00
Basement: 0 (apartment/condominium)
Carport: 0 Wash Co Trans Dev Tax-Apartment 09/14/2016 $53,080.00
Covered Porch: 0 Plan Review 09/14/2016 $330.40
Deck: 200 Plan Review-Fire Life Safety 09/14/2016 $203.32
Info Process/Archiving-Lg$2.00(over 09/14/2016 $78.00
Garage: 0 11x17)
Mezzanine: 0 Info Process/Archiving-Sm$0.50(up to 09/14/2016 $150.00
11x17)
Total $149,915.62
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 1
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 calling 503.232.1987 or 1.800.332.2344.
Issued B :
/ I / 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.
i
nuildin2 Permit Applicati9p, ' , 4
Commercial t lt)►z or► ►( 1: 1s1: OM
City of Tigard 131 Deis i 1 t 9/, - Permit No.: u N90/5'06530
13125 SW Hall Blvd.,Tigard,OR 97223' , - Plan Rev' �i. Related PermitPhone: 503-718-2439 Fax; 503 598-1960 DateBy; p i �ttt„,,
Inspection Line: 503-639-4175 Date Read � runs: see Page 2 for
I 't; I:1) s J"' NotifiedlMethod: ! 7 rt,,- Supplemental Information
Internet wwwaigard-or.gov ,,.,,
x s T t f_yvY, .c.. tt.- ..; x ,M1 a' a v#f` 1 r, .r o n a ,3r a'' 5'`" ', aP t wk/ ? b a r` / 1 F
�`.r ''x'''' '`4' +„�"'�' �-�' °411',>.�'"' .r.*` f ''' 1e'a,s' s"�'.'f'' :'. " � .a �3 ;.: �'f iz v t $ , 'o fie.fou `
P New construction ❑Demolition Pemut fees" are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑(ther: equipment,materials,labor,overhead,and the profit for the
14i 9l ) ) F91 t(t t 0), '73 ; : work indicated on this,plication.
z
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building N Multi-family
Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
x
� 1:::::::m
^� m]] „ „ 1 '{1" i>/1 `� ,k(a ''a� , 2` r,?'�, r Total number of floors:
Job site /'® C-2 E N�v i?l� , New dwelling area: square feet
City/State/ZIP --t l�Atp-Q e:, 9. ZZ� Garagelcarport area: square feet
Suite/bldg./apt.#: / Project name: (7-R ^� ALV ) pAerniEal�c Covered porch area: square feet
i Cross streetldiredions to job site: Deck area: square feet
' GIZ.Ft=t i-e RLQ —Rt)A SC-X) F c - �c�u n t Other structure area: square feet
C7F A�----- 1/4-\-11 , �lsi ' 1 K $ "i i ^ii1 t " ri „ `
Subdivision: Lot#: ��1. 1 ' s* based n value of the work performed.
Indicate
Permitfeethe valueare (roundedotheo tthe nearest dollar)of all
J' Tax map/parcel# equipment,materials,labor,overhead,and the profit for the
�� $p; `t a r e .' , work indicated on this application.
dd 1 "- --\«..1 (oC) k Xi"-' ‘v Ar - - ,K _,_L ,r
Existing building area square feet
orl...1 t..♦ V A a i 1�1.. i_. ..e...,-.......—`
w building area: square fe, /C '_
' � � , ) '.7,--,'-,.. F1,-,,,;� she �`��, �� '1'.:''''
I 1 + 1Number of stories:
- a ,f?A- ! .; > 1";1 �', ,.'' a '' :, s'''i 1 '`•• t� ' * . st''a`'-•p '.
Name:(.72EcN��s1?.., O. f,�ppzrME,v-S , LL Type of construction: V
IAddress: 1 4-2.c. A),..„4\ Nu iU 7_.m.F.Q.. p, ,St. t Occupancy groups:
mCity/State/ZIP: \t V Ya t2,A (:)9___. 97 7_23 Existing:
' Phone:(�p3) (p Z S• 1�$3 Fax ('5) ) Z S 53o New: Z
Business name: -64 c.-2, Q„,,t,.., -----jvt`D Q,¢.S
Structural plan review fee(or deposit):
Contact name—N-- A - "-- c -1-7_,4 C--i--
FLS plan review fee(if applicable):
Address: 1LIZ o t. l-kui•-3-7.ikr-62- '-4 - SvirE
Total fees due upon application:
City/State/ZIP: —Tt t i t> 97 Z Z 3
Amount received:
Phone:(So3 ) �o S O' pts`�S c)3
1 q '(i1m.il ').1.1(..:.7.0,,;,,.,,p,i ,,i `n..4, a1 ,, -, ,
E-mail: z�� .�'1—t\'"j- Sz o 2- S Co w— .,. -,. . . , .
A - f . yfi , Commercial and residential prescriptive installation of.
>.a �* ,...z.� i .' . roof top mounted Photovoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
lei✓Z vY �� `��` s ¢5 and fire department access,along with the 2010 Oregon
Address: 7 z 0 5 !Ju ii'.t�Cc p. S k,z. Solar Installation Specialty Code checklist.
City/State/ZIP: "'7-tt,Azp 6Q 9-72-Z.3 Permit fee(includes plan review $180.00
and administrative fees):
I Phone:(S-0 ) (p Z c• \\�3 Fax:(c�53) (92-5• 9 S 3 0 State surcharge(12%of permit fee): $21.60
Q” CCB Lie.: 'i S 8 L-17— Total fee due upon application: $201.60
Authorized signature: ,` This permit applicexpires f a permit is not obtained
�� ��� � within 180 days after it has beeniaccepted as complete
yt name __ Date: * Fee methodology set by Tri County Building Industry
1.A. ..p._ .ET zi_Aft l o,_z-� 'i S Service Board
440-4613T01/02/COM/WEB)-ts1BUP COM_PermitApp.doc Rev.04/21/2014
City of Tigard
M COMMUNITY DEVELOPMENT DEPARTMENT
s
TIRD Building Permit Review — Commercial - With Land Use
Building Permit #: - jS t t 1)(9.015--•00330
Site Address: ‘15S-5-515' S e0&t¢a-1/41(dAt J Suite/Bldg#: /
Project Name: Ge 915,ve- 4P7S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ``
Proposal: 6s O A PTS ( I -i ? 44 12") r SITE/Ai,o1"131/g14.4a
.0' Verify site address/suite# exists and active in permit system. 40Pi1' 0 - I" ' .s ,455`,P j -i-/S
.a River Terrace Neighborhood: ❑ Yes No
-LandUseCase#: ,I.�l'Z 2aiif-e e7Z, 04421 iii/o, I/'.4.e/y I(
,0' Plans Match Approved Land Use:
,B"'Site Plan :Landscape Plan ❑ Other:
,21-Urban Forestry Plan „Elevation Plan r
)2`Building Height: Maximum Height 20x0' Actual Height .'3.5
,Conditions Met: ❑ Prior to Submittal Prior to Permit Issuance
Business License:f/A
Exists: E Yes ❑ No, applicant notified to obtain business license
'Public Facilities Improvement(PFI) Permit: 10"2/"15
Required: a Yes,applicant was notified ❑ No Applied For: RI Yes ❑ No, stop intake
Notes: C
3 ttacv PGS" 7142 treS e7Z, e S c Esta
Approved by Planning: J, t Date: j/ i%-/S-
Revisions
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: ��f1 Q/ 1 S
Site Plans: # 3
Building Plans: # S
Building Permit#: ,21-Enter building permit#above.
Workflow Routing: Or Planning 'Engineering •ErPermit Coordinator 'Building
Workflow Sign-off: Rre Sign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:L
rI _ D
By Permit Technician: (! l� .(�t�d¢- Y�-�� Date: ///!?3��
1:\Building\Forms\B1dgPennitRvw_COM_W ith Land Use_0709I 5.docx
I
Engineering Review
lope at building pad:
/7;›
0,aie PFI Permit#: �� r //ditions "Met"prior to issuance of buildingng /
� permit
. Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) 1
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes Cl No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: ID ate
Notes: .(lam IP II ft'_.tie' s__ 'iv _.005 s.,^ _ dlsir
Approved by Engineering: . . - di. Date: /...0-, ,,45.
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
Cl Conditions "Met"prior to issuance of building permit
Approved, NOT Released: Date: 1-2/17/5-
Notes:
-2n7/S
( Notes: et,..40.,,,,9`U
i
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:
SDC Fees Entered: Wash Co Trans Dev Tax: , Yes Cl N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
•,7OK to Issue Permit // 3 /9
Approved by Permit Coordinator: 4747.Date: l� 4,
I:\Building\Fonns\B1dgPennitRvw_COM_W ithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9510 SW GREENBURG RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2015-00330
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor