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Permit 11111 CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2020-00210 Date Issued: 10/20/2020 T f GA R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126CD00100 Jurisdiction: Tigard Site address: 9925 SW GREENBURG RD Project: Crescent Grove Cemetery Admin Subdivision: None Lot: None Project Description: ADA ramp for access to temporary manufactured building and a curb ramp from private street. Contractor: PACIFIC MOBILE Owner: CRESCENT GROVE CEMETERY ASS PO BOX 1404 CRESCENT GROVE CEMETERY CHEHALIS,WA 98532 9925 SW GREENBURG ROAD TIGARD, OR 97223 PHONE: 360-748-0121 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 10/16/2020 $241.01 Demolition Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 10/16/2020 $28.92 Dwelling Units: 0 Plan Review 10/01/2020 $156.66 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/16/2020 $102.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/16/2020 $96.40 Value: $10,500 Info Process/Archiving-Lg$2.00(over 10/16/2020 $2.00 11x17) Info Process/Archiving-Sm$0.50(up to 10/16/2020 $12.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $638.99 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. 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 By: \\ - Permittee Signature: or Ack•CaLT ram, 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 .- ILI Commercial FOR OFFICE USE ONLY City of Tigard REC VE®E DateBy: /D/r1,7&O B&'P2O2O �z4o Nennit No.: n 13I25 SW Hall Blvd.,Tigard,OR 97223 Plan Review ^ 12 Phone: 503-718-2439 Fax: 503-598-1960 AU G 2 4 2020 Date By: Jo 6- Q1 Related Permit TIGARD Inspection Line: 503-639-4175 Date Ready/By luris: HI See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: /V/15/ft 017. Supplemental Information RUILDING DIVISION ati _,-v..r.„L...,R i7:z(cc�, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING X 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 ❑Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling X Commercial/industrial Valuation: $ 0 Accessory building ElMulti-family Number of bedrooms: El Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9925 SW Greenburg Rd. New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name:Crescent Grove Cemetery Admin Bldg Covered porch area: square feet Cross street/directions to job site: From HWY 217,north on SW Greenburg Rd.,on Deck area: square feet on west side of road between SW Washington Square Rd.and SW Lehman St. other structure area: Square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: 100 and 500 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all fax maplparcel WCTM 15126CD,Tax Lots 100 and 500 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ' Construct ADA ramp for access to temporary manufactured building and install Valuation: $ 10,500 curb ramp from private street. Existing building area: square feet New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name:Crescent Grove Cemetery&Masoleum dba Crescent Grove Cemetery Association Type of construction: Address: 9925 SW Greenburg Rd. Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: Phone:( 503 )639-5347 I Fax:( ) New: El APPLICANT x CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Giulietti/Schouten AIA Architects,PC Structural plan review fee(or deposit): f54,, 4.G Contact name: Jake Weber FLS plan review fee(if applicable): Address: 2800 NW Thurman St. Total fees due upon application: City/State/ZIP: Portland,OR 97210 Phoneij'5031 975-3376 Fax: : ( ) Amount received: E-mail: jakew@gsarchitects.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Pacific Mobile Structures Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 13970 Fir St. Solar Installation Specialty Code checklist. City/State/ZIP: Oregon City,OR 97045 Permit fee(includes plan review $180.00 and administrative fees): Phone:( 971 )233-0222 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 50832 /�O Total fee due upon application: I $201.60 Authorized signature: ?Litt/`,�'AA� i/1 Cf .—_. This permit application expires if a permit is not obtained V within 180 days after it has been accepted as complete. Print name: NancyFelton Date: * Fee methodology set by Tri-County Building industry I ��� �U Service Board. I:Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB) City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT TiGARD Building Permit Review — Commercial - With Land Use Building Permit #: ,5(IP2020-OO2!D Site Address: 9925 SW Greenburg Rd Suite/Bldg#: Project Name: Crescent Grove Cemetery (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Construct ADA ramp for access to temporary manufactured building, and install curb ramp from private street ❑r Verify site address/suite#exists and active in permit system. ElRiver Terrace Neighborhood: 0 Yes ❑. No CI Land Use Case#: ADJ2020-00013 (See MMD2020-00021 for conditions) ❑o Plans Match Approved Land Use: ❑r :to Plan N andscape Plan ►e •they I,♦.`I Urban Forestry Plan 0 Elevation Plan :lidding Height: Maximum Height Acktial Height gi Conditions Met: ❑ Prior to Submittal ,lru( Prior to Permit Issuance Business License: Exists: 0 Yes ❑ No,applicant was provided a business license application N Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: Date: gO c2-€) Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: t /C7�1C20 Site Plans: # ,' Building Plans: # 3 Building Permit#: Enter building)permit#above. n Workflow Routing: Planning L1 Engineering Permit Coordinator uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: atsuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / B Permit Technician:y ,//i M! Date: 10�0//2 4ZU I:\Building\Forms131dgPermitRyw_COM_WithLandUse_111819.docx Engineering Review 11 Shope at building pad: ,2, []-13rt Permit#: A onditions "Met"prior o issuance of building permit ///09 �E14 1�~.Wasements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) I1 ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Assess Water Quantity Fee in-lieu: 1❑ Yes LI No LIDA Facility on lot: C-4J113 I' 'CI Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: 1414f l'et Sl-V`z2 Date: /p - I, -zo 20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Pe- 't Coordinator Review iI 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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes §N/A Tern S -t n`,e, - Tigard Trans SDC: ❑ Yes N/A `' Parks SDC: ❑ Yes N/A YlO SO S d 4 OK to Issue Permit Approved by Permit Coordinator: Date: _ . 1:\Building\Forms\BI dgPerm itRvw_COM_W ithLandUse_111819.docx RECEIVED AUG 24 2020 CITY OF �i IGARD CleanWater Services SENSITIVE AREA PRE-SCREENING SITE AkQSISSMLNiT Clean Water Services File Number 20-002530 1. Jurisdiction: Tigard 2. Property Information (example: 15234AB01400) 3. Owner Information Tax lot ID(s): Name: Crescent Grove Cemetery Association DBA Crescent Grove Cemetery&Masoieum - 2669100-- 1S126CD00100 Company: Address: 9925 SW Greenburg Rd. OR Site Address: 9925 SW Greenburg Rd. City, State,Zip: Portland, OR, 97210 City, State,Zip:Tigard, OR, 97223 Phone/fax: 5036395347 Nearest cross street: SW Lehman St. Email: nancy@crescentgrovecemetery.com 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck, garage) Name: Jake Weber ❑ Lot line adjustment 0 Minor land partition Company: Giulietti/Schouten AIA Architects ❑ Residential condominium 0 Commercial condominium Address: 2800 NW Thurman St. ❑ Residential subdivision ❑ Commercial subdivision City, State,Zip: Portland, OR, 97210 ID Single lot commercial 0 Multi lot commercial Phone/fax: 503-975-3376 Other Email: jakew@gsarchitects.net 6. Will the project involve any off-site work? ❑Yes ❑ No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: Proposing to replace existing office building with a new building in the same location, and use of temporary building. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/type name Jake Weber Print/type title Principal Signature ONLINE SUBMITTAL Date 9/17/2020 FOR DISTRICT USE ONLY O Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. X Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5, Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by .`� , _,4 :___ Date 9/25/2020 Once complete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro,Oregon 97123 Remsed 2/2020 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503.681.3600 f: 503.681.3603 • cleanwaterservices.org J jr" O L=68.93' L-325.10'� , 0 o 588_46'4`W 68506' O- WASHINGTON e / 0NEW SEWER LINE TO �4 0 o rSITES IALy0 ' SQUARE MALL I ° SITES 0 o CONNECT TO(E)PUBLIC IE)ACCESS ROAD#4 COD 01 ASSET NORTHEAST OF SITE r$rf. - APPROXIMATEf` m ry (E)STORMWATER ,i% LOCATION OF(E) ( \ / Z cs) " o CNI m FACILITY pr ' TREES TO /' C- M,�, `,REMAIN,TYP. - p t '/ (E18URIAl� G e 11 0 �../ �,/ S Q n © N L \ 6 Q W Q � F r � } O y¢ L=42.74' 24'x60'TEMPORARY SANITARY CONNECT TO(E)2' CD O mo BUILDING Q (', j �fp SEWER LINE-GAS LINE AT i ) J w a �•0°_�� —b—Ma (E)ACCESS ROAD#3 1 L,� GREENBURG ROAD Z cw ti NEW ji EC0_ altif, _..... ESWALE Iip, aSEE ENLARGED GAS LINE(aSWATER LINE err _ yNEWELEC '1 �� FRONT DOOR TO PROP• .LIN - . l METER 1 '. :, NEW.ADMIN. 'e 1111 /' ��--" (1r at _ 3 NEWGAS iVl• Ir. I. BUILDINGAsp 1...•�/--y, Ilb -- cc N METER 1. f� '. I NEW PRIVATE e R 0" a d �SITESRIALy O ill .� LEGAL DESCRIPTION °' PROTECT -' x / / / HYDRANT) /�,_. L BUILDINGS ON SITC - m F'- . (E)THE ,Z1 ' ��� NT GOVCRS AL 4 ADDRESS' 9925 SW GREENBURG RD. LJJ z -° C) rr 1 NYDIu` 00 O TIGARD,OR 97223 411i �- i , r 8'x24'TEMP. __ in �•- „_ JURISDICTION. CITY OF TIGARD LLJ w ' ,,,JOB TRAILER , �v qp (E)ACCESS ROAD#2 Irki, '.`.a" u I , '.�\ /` 0 -)� PROPERTY ID*: R236783+R2202841 (,� 2 W ZO *• `\� \\\ [ •? , O • (E)WATER STATE ID9 15126CD00100+15126CDD00500 "' ` . :, , © Q / METER H �,, ` , LOT AREA: 21.12 ACRES w �' *w.+r.x•.-` ` r� -*-(E)BURIAL- 0 :...1' (� SOVFRAGEALLOWED: N/A Q g. 95 *_ SITES m ` +*IT * ,; - i APPROXIMATE Q Mir BUILDING AREA: 2,7765.F. _ � •_� �_-`_ ,� LOCATION OF(E) Q CV CV =.- _ TREES TOE BUILDING COVERAGE 4,373 S.F. Z E. 'ry ©'_- N 0 0 ` - (E)ACCESSORY OREM P. O D z N o > ,. ^.ZONING: R-0.5 po, LL �EL __ E A E R AD#1 CONDITIONALUSE: 25 FT.BUILDING SETBACK,ALL 1O r o q Q 0 5 89°36'13'W 885.63' l.T" N SIDES F ?� g N l G N O SITE PLAN LAND USESASE NO.: ADJ-2020-00013 3 m p MMD-2020"00021 t7 P1 d o SCALE: 1"=100'-0" Branden Taggart From: Branden Taggart Sent: Thursday, October 15, 2020 6:11 PM To: Jake Weber Subject: Crescent Grove Cemetery ADA Ramp Permit: BUP2020-00210 - 9925 SW Greenburg Rd. Attachments: Invoice.pdf Hi Jake, The Crescent Grove Cemetery Building permit for the ADA ramp is ready to issue now. The balance due is$482.33, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (BUP2020-00210) in the Record Number field,and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart w City of Tigard ■.k Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 47223 (503)718-2449 bra ndent@tigard-or g ov 1