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Permit
INEI CITY OF TIGARD BUILDING PERMIT i ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00231 T p G AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021 Parcel: 1 S126CD00100 Jurisdiction: Tigard Site address: 9985 SW GREENBURG RD Project: Crescent Grove Cemetery Subdivision: None Lot: None Project Description: A new 2,776 sq.ft.office administration building. Contractor: DON TANKERSLEY CONSTRUCTION LTD Owner: CRESCENT GROVE CEMETERY ASS 1927 NW KEARNEY ST CRESCENT GROVE CEMETERY PORTLAND, OR 97209 9925 SW GREENBURG ROAD TIGARD, OR 97223 PHONE: 503-232-0918 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: NEW Type of Const: VB Permit Fee-COM-New Construction 05/19/2021 $2,057.64 Occupancy Grp: B Occupancy Load: 53 12%State Surcharge-Building 05/19/2021 $246.92 Dwelling Units: 0 Plan Review 11/05/2020 $1,328.71 Stories: 1 Height: 30 ft DC Provision Review,COM New-Bldg 05/19/2021 $205.00 DC Provision Review,COM New-Ping 05/19/2021 $205.00 Bedrooms: 0 Bathrooms: 2 Plan Review-Fire Life Safety 05/19/2021 $823.06 Value: Info Process/Archiving-Lg$2.00(over 05/19/2021 $116.00 11x17) Info Process/Archiving-Sm$0.50(up to 05/19/2021 $50.50 Floor Areas: 11x17) Total Area: 2776 Metro CET 05/19/2021 $453.31 Tigard CET-Non-Residential-Admin 05/19/2021 $151.10 Accessory Struct: 0 Tigard CET-Non-Residential-AH 05/19/2021 $3,626.48 Basement: 0 Wash Co Trans Dev Tax 05/19/2021 $17,033.73 Carport: 0 Tigard Trans SDC Improvement 05/19/2021 $12,882.85 Covered Porch: 0 Tigard Trans SDC Reimbursement 05/19/2021 $744.13 Deck: 0 Parks SDC Improvement 05/19/2021 $2,625.00 Parks SDC Reimbursement 05/19/2021 $480.00 Garage: 0 Plan Review 05/19/2021 $8.76 Mezzanine: 0 Total $43,038.19 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Yes Fire Alarm: No Protected Corridors: No Smoke Detectors: No Manual Pull Stations: No 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: all 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 d I ze, a -n Commercial RECEIVE 1 Itltt tl llli I I ,i t1A11 City of Tigard O C T 2 2020 Raelrad 61azD 4 Pnmh Nn 6�NF'/ZOz?�231 Dse Review 1J125 SW Hall Blvd.,Tigard,UR 4722) Plan pittitta elt, a Phone 5n Line'.243- Fax: 303-S9R-19 nueIs 1.a(9- o CITY'-' 'CI Inspection Line' 503-639-4175 Date RculyiBy: Fl fiat Page 2 for 11GniM1 73! II I tlf"'+:1 VI SI Internet wvvw.nigardrtt,Roi s' ��,,,IQn Notified/Method. /i]��-( '� 8upplemrnbl Information TYPE OF WORK REQUIRED DATAi I.AND 2-FAMILY DWELLING DK New construction ❑Demolition Permit foes"arc 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. ❑ I-and 2-family duelling R Commercial/industrial Valuation: S ❑Auxaway building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other.. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address 9985 SW Greenburg Rd. New dwelling area: square feet Cityrsmte¢IP: Tigard,OR 97223 Garage/carport area: square feet Cl SuitebldgJapt.ii: Project name:Crescent Grove Cemetery Admin Bldg Covered porch area: square fat 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 l: 100 and 500 Permit fees•are based on the value of the work performed. Tax map parcel ti WCTM 15126CD,Tax Lots 100 and 500 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the ,1 DESCWPTION OF WORK work indicated on this application. Construct new office administration building of 2,776 SF.Install new utilities Valuation: S 374,732.24 Vm including sewer,underground electrical,waterline and meter,and storwater Existing building area: square feet facilities.. � New building area: 2,776 square feet ^ ,PROPERTYOWNER _ J ❑ TENANT Number of stories: 1 `.s Name:Crescent Grove Cemetery Si Mausoleum dba Crescent Grove Cemetery Association Type of construction: VB Address: 9925 SW Greenburg Rd. Occupancy groups: B i City/State/ZIP' Tigard,OR 97223 Existing: B Phone:( 503 )639-5347 Fax:( 1 New: B - ,. 0 ': 1� R80N,. . BUILDING PERMIT FEES* i . .?.I L+�xwNB Gkw......... .x...... :Y'V�ACT iR'�y -.. Business rmc: Giulietti/Schouten AIA Architects,PC fPleasarefarha10w m �ry�7 Structural plan review fee(or deposit): /.320 ./ Contact name; Jake Weber FLS plan review fee(if applicable).. Address: 2800 NW Thurman St . Total fees due upon application: City/State/ZMP: Portland,OR 97210 Amount received: Phone:(503) 975-3376 Fax::( ) 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: Don Tankersley Construction LTD Submit two(2)sets of roof plan with connection details and fire department strews along with the 2010 Oregon Address: 1927 NW Kearney St. Solar Installation Specialty Code checklist City/State/ZIP: Portland,OR 97209 Permit fee(includes plan review S I80.00 and administrative fees): Phone:( 503)232-0918 Fax:( ) State surcharge 02%of permit fee): $21.60 CCB Lic.: 88663 Total fee due upon application: S201.60 Authorized signature. 474 This permit application expires If a permit is not obtained �V 29fd''II/l/l �yl �i within 180 days after It has been accepted as complete. Print name: Don Tankersley ,/ Date:/Irj-, �� a� • Fee methodology set by Tri-County Building Industry ls' f Service Board. I:'Building\Perrnits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 1 City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c n R D Building Permit Review — Commercial - With Land Use Building Permit #: eUtc2o2o oo231 Site Address: 9985 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: New administration building QVerify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes ❑r No 0 Land Use Case #: ADJ2020-00013 (See MMD2020-00021 for conditions) ❑ Plans Match Approved Land Use: , 0 S. - Plan 0 Landscape Plan LS ther: IV, rban Forestry Plan ❑s Elevation Plan Q Building Height: Maximum Height 45 Actual Height <26 ❑ Conditions Met: ❑ Prior to Submittal 0 Prior to Permit Issuance NO:usiness License: Exists: ❑ Yes ❑ No, applicant was provided a business license application ❑r Public Facilities Improvement(PFI) Permit: Required: ❑r Yes, applicant was notified ❑ No Applied For: Q Yes ❑ No, stop intake Notes: Do not issue until Engineering conditions have been satisfied. Approved by Planning: '� ! Date: 11/4/20 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: /17/2 O20 Site Plans: # 3 Building Plans: # 3 Building Permit#: Enter building ermit#above. Workflow Routing. a Planning Engineering Permit Coordinator Building 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: Date: /0000.20 l:\Building\Forms\Bl dgPerm itRvw_COM_W ithLand U se_l 11819.docx P. En neering Review di-Slope at building pad: ,PFI Permit#: Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) Water Quality/Quantity Facility: El Assess Water Quality Fee in-lieu: ❑ Yes 'L_I o Assess Water Quantity Fee in-lieu: ❑ o LIDA Facility on lot: Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: 9 G---- 54/7: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved rink Coordinator Review C-.nditions "Met"prior to issuance of building permit V pproved,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: ZYes ❑ N/A Tigard Trans SDC: eti Yes ❑ N/A Parks SDC: aYes 0 N/A ...ErOK to Issue Permit Approved by Permit Coordinator: Date: J!i( (2024 I:\Building\Forms\BIdgPermitRvw_COM_W ithLandUse_1118I9.docx A -TDT/TSDC Estimate 5/10/2021 9985 SW Greenburg Rd AML TDT&RESIDENTIAL TSDC RATES EFFECTIVE 7/1/20 NON-RES:TSDC CITYWIDE EFFECTIVE 10/1/20 0 Yes Project is in River Terrace ? CQ No * For TDT and residential formula has been replaced with published rate per unit. Former Use ITE Rate per Rate per TDT/TSDC Rate Type Use# Code PHVT PHVT Unit* # Units Amount Description TDT 1 710 $9,728 1.03 $9,971 1025 SF Office TSDC-Imp 1 710 1.49 $8,362 $12,459 1.03 $7,541 TSDC-Reim 1 710 1.49 $483 $720 1.03 $436 TSDC-RT 1 0 $0 0.00 $0 TDT 2 0 $0 0.00 $0 TSDC-Imp 2 0.00 $0 $0 0.00 $0 TSDC-Reim 2 0.00 $0 $0 0.00 $0 TSDC-RT 2 $0 0.00 $0 Did total TSDC need to be reduced to 80%of TDT? Use 1 Yes Use 2 No Total TDT and TSDCs Former Uses $17,948 Proposed Use ITE Rate per Rate per TDT/TSDC Use# Code PHVT PHVT Unit* # Units Amount Description TDT 1 710 $9,728 2.78 $27,004.93 2776 SF Office TSDC-Imp 1 710 1.49 $8,362 $12,459 2.78 $20,424.21 TSDC-Reim 1 710 1.49 $483 $720 2.78 $1,179.73 TSDC-RT 1 0.00 $0 $0 0.00 $0 TDT 2 0.00 $0 TSDC-Imp 2 0.00 $0 $0 0.00 $0 TSDC-Reim 2 0.00 $0 $0 0.00 $0 TSDC-RT 2 0.00 $0 $0 0.00 $0 TDT 3 0.00 $0 TSDC-Imp 3 0.00 $0 0.00 $0 TSDC-Reim 3 0.00 $0 0.00 $0 TSDC-RT 3 0.00 $0 0.00 $0 Did total TSDC need to be reduced to 80%of TDT? Use 1 Yes Use 2 No Use 3 No Total All TDTs&TSDCs Proposed Uses $48,609 Less: Total All TDTs&TSDCs Former Uses $17,948 Total All TDTs &TSDCs Net Increase $30,661 Total Net County TDT $17,033.73 Total Net TSDC-Imp $12,882.85 Total Net TSDC-Reim $744.13 Total Net TSDC RT Overlay $0 TDT TSDC Imp+ Reim Target Recovery Rate 28.0% 30% Estimated Total Impact $60,835 $45,423 Estimated Unmitigated Impact $43,801 $31,796 All TDT&TDSC TSDC RT Overlay Target Recovery Rate 29% 30% Estimated Total Impact $106,258 $0 Parks Estimate 9985 SW Greenburg Rd ALL PARKS RATES EFFECTIVE 7/1/20 QQ Yes Project is in River Terrace ? QQ No Note: All Neigh-Imp# Units entries=0 if project is in River Terrace; All Neigh-RT# Units entries = 0 if project is elsewhere in the city. Former Use Rate Type Use# ITE Code # Units Rate Parks Amount Description Parks-Imp 1 710 2.9 $525 $1,523 1025 SF Office Parks-Reim 1 710 2.9 $96 $278 0 Neigh-Imp 1 710 2.9 $0 $0 0 Neigh-RT 1 $0 0 2 $0 Total Parks Former Uses $1,801 Proposed Use Use# ITE Code # Units Rate Parks Amount Description Parks-Imp 1 710 7.9 $525 $4,148 2776 SF Office Parks-Reim 1 710 7.9 $96 $758 0 Neigh-Imp 1 710 7.9 $0 $0 Neigh-RT 1 $0 Parks-Imp 2 $0 Parks-Reim 2 $0 0 Neigh-Imp 2 $0 0 Neigh-RT 2 $0 0 Parks-Imp 3 $0 Parks-Reim 3 $0 Neigh-Imp 3 $0 Neigh-RT 3 $0 Total Parks Outside RT Proposed Uses $0.00 Less: Total Parks Outside RT Former Uses $0.00 Total All Parks Outside RT Net Increase $0.00 Total Parks RT Proposed Uses $4,905.90 Less: Total Parks RT Former Uses $1,800.90 Total All Parks RT Net Increase $3,105.00 Total Parks-Imp $2,625.00 Total Parks-Reim $480.00 Total Neigh-Imp $0 No Neigh-Imp Total Neigh-RT $0 No Neigh-RT For Non-Residential Calculations: Prior Use: Office=350sf/EE; 1025/350=2.9EEs. Proposed Use:Office =350/EE; 2776/350=7.9 EEs. CleanWater Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 20-002530 1. Jurisdiction: Tigard 2. Property Information (example: 1S234AB01400) 3. Owner Information Tax lot ID(s): Name: Crescent Grove Cemetery Association DBA Cres leum -+266f34fl M0-- 1 S126CD00100 Company: t D Address: 9925 SW Greenbur Rd. OR Site Address: 9925 SW Greenburg Rd. City, State, Zip: Portland, OR, 97210 City, State,Zip: Tigard, OR, 97223 Phone/fax: 5036395347 �tC�CITY OF TIGARf) Nearest cross street: SW Lehman St. Email: nancy accrescentgrovecemetery.ci JILDING DIVISION 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 ElResidential condominium ❑ Commercial condominium Address: 2800 NW Thurman St. ❑ Residential subdivision ❑ Commercial subdivision City, State, Zip: Portland, OR,97210 © 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 0 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 �' /L.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 Revised 22020 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p: 503.681.3600 f. 503.681.3603 • cleanwaterservices.org