Permit (118) CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit#: BUP2018-00254
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2018
T t C M1 j Parcel: 1 S 126DC03300
Jurisdiction:
Site address: 9900 SW GREENBURG RD 100
Project: Greenburg Commons Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Demolition of a few existing partition walls in suite 100.
Contractor: JHC COMMERCIAL LLC Owner: MEADOWS 196 LLC
11125 SW BARBUR BLVD BLD C 5665 MEADOWS RD STE 140
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035
PHONE: 503-624-7100
PHONE: 503-255-0701
FAX: 503-684-5295
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/26/2018 $53.27
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 09/26/2018 $6.39
Dwelling Units: 0 Plan Review 09/11/2018 $34.63
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/26/2018 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 09/26/2018 $4.00
Value: $500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $119.60
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose 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 callyr eg-503.232.1987 or .800. 32.2344.
Issued By: f 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
Commercial
City of Tigard ReceivedDate/By: -7(// 7/1 , 4 Permit WO/P-00,4 S—j,
7111
--`t 13125 SW Hall Blvd.,Tigard,OR 97223 '3 1 1 ''"'°? Plan Review
• 1, ' i`, t y Related Permit:
Phone: 503-718-2439 Fax: 503-598-19 Date/By: j-y II •1 tJ
Inspection Line: 503-639-4175Date Ready/By: Juris: H See Page 2 for
TIGARD +..
Internet: www.tigard-or.gov t�totified/Methoti: //j /4 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwellingValuation: $
�Commercial/Industria}
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9900 SW Greenburg RD New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: 100 Project name: Greenburg Commons Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenburg Rd and SW Lehman St Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: LEHMANN ACRE TRACT I Lot#: 4,5 D Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S126DC03300 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.
DEMOLITION A FEW EXISTING PARTITION WALLS IN SUITE 100 Valuation: $ 500
Existing building area: 48,929 square feet
New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Madrona Park LLC Jordan Winkler, manager Type of construction: VB, fully sprinklered
Address: 210 SW Morrison St. Suite 600 Occupancy groups:
City/State/ZIP: Portland,OR 97204 Existing: B
Phone:( 503) 225-0701 Fax:( ) New: B
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Quilici Architecture and Design
Structural plan review fee(or deposit):
Contact name: Armin Quilici
Address: 210 SW Morrison St. Suite 600 FLS plan review fee(if applicable):
City/State/ZIP: Portland, OR 97204 Total fees due upon application:
Amount received:
Phone:(503)477-8922 Fax::( )
E-mail: quilici@quad-pdx.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Joseph Hughes Construction Submit two(2)sets of roof plan with connection details
and fire department access,alongwith the 2010 Oregon
Address: 5331 SW Macadam Ave Suite 110 Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97239 Permit fee(includes plan reviewand administrative fees): $180.00
Phone:( 503)542-9273 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 158061 Total fee duenponapplication:_ $201.60
Authorized signature: I This permit application expires if a perndt is not obtained
5.1 .d .->------
within 180 days after it has been accepted as complete.
Print name: Armin ici Date: Sept 10,2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
al
11111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T I GA RD Building Permit Review — Commercial - No Land Use
Building Permit #: 6t/VA0/
Site Address: TI'¢c,, CarE'Bp1 7 Pct. Suite/Bldg#: /0 6
Project Name: L�✓�' 'vr (;.,yh yhoy,)-
(Name of commercial busAness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal:p t 4a -IN o1,e pc r.
Existing Business Activity: `GQ
Proposed Business Activity: 0
C Verify site address/suite#exists and active in permit system.
. rRiver Terrace Neighborhood: ❑ Yes L7 No
Loning: Jilt
Permitted Use: a-Yes ❑ No ❑ Spec Space
Confirm no land use required.
-Business License:
Exists: ❑ Yes OjNo,applicant notified to obtain business license
Notes:
Approved by Planning: Date: q/
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: 47(// 71'r
Site Plans: # _ 3
Building Plans: #
Building Permit#: 'Enter building permit#above.
Workflow Routing: FrPlanning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 0-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/14 By Permit Technician: - Date:
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_060116.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:
Rev' 'on Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 1N/A
Tigard Trans SDC: ❑ Yes NN A
Parks SDC:
CI ke N/A
V"----------
o Issue Permit
Approved by Permit Coordinator: Date: / iI
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9900 SW GREENBURG RD 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00254
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor