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Permit
INCITY OF TIGARD BUILDING PERMIT s COMMUNITY DEVELOPMENT �� \ • Permit#: BUP2021-00195 Date Issued: 9/16/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136CD00101 Jurisdiction: Tigard Site address: 11675 SW PACIFIC HWY Project: AFC Subdivision: None Lot: None Project Description: 864 sq ft addition by enclosing existing drive through area. Existing drive-through roof to remain. Contractor: JHC COMMERCIAL LLC Owner: COLUMBIA STATE BANK 11125 SW BARBUR BLVD BLD C PO BOX 2156 MS 3300 PORTLAND, OR 97219 TACOMA, WA 98401 PHONE: 503-624-7100 PHONE: FAX: 503-684-5295 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ADD Type of Const: VB Permit Fee-Additions,Alterations, 09/16/2021 $842.40 Occupancy Grp: B Occupancy Load: 34 Demolition 12%State Surcharge-Building 09/16/2021 $101.09 Dwelling Units: 0 Plan Review 08/20/2021 $547.56 Stories: 1 Height: 20 ft Parks SDC Improvement 09/16/2021 $1,338.74 Bedrooms: 0 Bathrooms: 0 Parks SDC Reimbursement 09/16/2021 $244.53 Value: $65,000 DC Provision Review,COM TI-Ping 09/16/2021 $110.00 Plan Review-Fire Life Safety 09/16/2021 $336.96 Info Process/Archiving-Lg$2.00(over 09/16/2021 $26.00 Floor Areas: 11x17) Total Area: 864 Info Process/Archiving-Sm$0.50(up to 09/16/2021 $20.00 Accessory Struct: 0 11x17) Basement: 0 Tigard CET-Non-Residential-Admin 09/16/2021 $26.00 Carport: 0 Tigard CET-Non-Residential-AH 09/16/2021 $624.00 Covered Porch: 0 Tig-Tual School CET-Non-Residential 09/16/2021 $604.80 Deck: 0 Wash Co Trans Dev Tax 09/16/2021 $12,094.45 Tigard Trans SDC Improvement 09/16/2021 $9,147.41 Tigard Trans SDC Reimbursement 09/16/2021 $527.99 Garage: 0 Additional Plan Review 12/02/2021 $45.00 Mezzanine: 0 Total $26,636.93 Required: Required Items and Reports(Conditions) 1 Special Inspection(see plans) 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: Hextl, Vag Dli Were/ Permittee Signature: 0fr1,A 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. FOR OFFICE USE ONLY- SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN . Transmittal Letter r►G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: City of Tigard Attn: Nikki Tuason DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Leslie Jones Nov 3 2021 COMPANY: CIDA CITY OF TIG RD PLANNING/ENGIN{FOING *..... PHONE: (503) 226-1285 I EMAIL: lesliej@cidainc.com MMD2021-00015 RE: 11675 SW Pacific Hwy Tigard, OR 97223 BUP2021-00195 (Site Address) (Permit Number) AFC Tigard (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: Elevation/Plans/Details Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Attached are revised demolition plans, floor plans, elevations, and storefront details to address the minor modification to the proposed south façade windows. FOR OFFICE USE ONLY Route o Permit Te ,j nician: Date: J J- a.9- a.J Initials: 4 Fees Due: Yes !;No Fee D iption: A ount Due: $ $ Special Instructions: Reprint Permit(per PE): Yes No one Applicant Notified: Vv. Date: ioVil„21 Initials: 4,--) L:\Building\Forms\TransmittalLetter-Revisions_073 120.doc City of Tigard 4 COMMI'NI'TY DEVELOPMENT DEPARTMENT . 7II r Building Permit Review — Commercial - With. Land Use Building Permit #: 31)F .O 2!-oQ t q s Site Address: 1117 `.S C. QAC F C.- t / Suite/Bldg#: Project Name: Ate ( lief? {.Nance of commercial businessoc occupying the space. 1 f vacant,enter Spec Space.) Planning Review ecir`'b Pest 4100,f3 14^'ss Proposal: _ Mn & 6 itt 1 u A► A` cie1r ems, S ili y 1,d erifc site address/suite# exists and active in permit s•ste Xver Terrace Neighborhood: ❑ Yes l No g d Use Case#: in rin p?, 71-c12DIr Plans atch Approved Land Use: Site Plan 0 Landscape Plan 0 Other: Urban Forestry Plan 0 Elevation Plan F�4 Building Height: Maximum Height . 5. Actual Height j 'To *Aber .❑ Conditions Met: 0 Prior to Submittal 0 Prior to Permit Issuance dBusiness License: xists: ❑/'Yes El No,applicant was provided a business license application c Public facilities Improvement(PFI) Permit: / Required: 0 Yes,applicant was notified GJ No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: '` Date: e tA(41 Revisions(after Bui ing Submittal only) Reviewer Date Revision 1: proved ❑ Not Approved ! r— /l/PA Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal 002-/ Original Submittal Date: W Site Plans: # Building Plans: # a Building Permit#: [Wtnter building permit #above. Workflow Routing: Cle-Planning C Fnginecring rkirermit Coordinator Pi-Building Workflow Sign-off: [le-Sign-off for Planning(include notes from planning review) Route Application Documents: ['Y.-Building: original permit application,site plans,building plans,engineer and beam calculations and t t details,if applicable,etc. Notes: By Permit Technician: Date: 43,6/ ou J:\Building\Forms\BtdgPeniutRvw5OM._WètbLandUse_J1 l i&19.docx Engineering Review alia;e at building pad: 121'7; PF-PFI Permit#: 14 (A ErConditions "Met"prior to issuance of building permit 1:1-"Easements(encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) Dater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 3-"No Assess Water Quantity Fee in-lieu: D Yes E4-1\10 LIDA Facility on lot: 0 Yes ig--Nti NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: g- I z-z-e-4-1 Ij Revisions(after Building Submittal only) Reviewer Date Revision I: 21—Approved 0 Not Approved /I- Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved D Not Approved Permit coordinator Review Conditions "Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Recision Notice I: Date Sent to Applicant: It\Ike I 14 Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 'k41 , "SDC Fees Entered: Wash Co Trans Dev Tax: /Yes 0 N/A Tigard Trans SDC: /Yes D N/A Parks SDC: /Yes 0 N/A /OK to Issue Permit Approved by Permit Coordinator: Date: 61 1°11202 01 t • 1:\Building\Forms\BIdgPennitRvw_COM WithLandUse_l I 1X19.docx BUILDING BEYOND AREA OF INFILL: 186 SF EXISTING PARAPET EXISTING MASONRY - o - - AREA: AREA: [r, J 53 SF 40 SF N� It �l.i L �.— —�i— --Ji —�i t1 i �_� � —� —i i if —ifs i—�i i i i—�i i—i i- -i —L� —�—i i—i i i—i —� —�i —i 1—i r—i �— I—111-111-1 i 111111 I I 11 -III-111-1 I I—I 1 I=11 III—I I[ 11 1= 1—I(1—I 11=1 l I—I I—I 11= ((—I I lit I I tI I I-11�I I I—III 1 T I�I I�I 11=11�I I I I-1 111I I—I(I—III—f -_f�-�f---f T1=1 IT-I IZf--I Imo- T I11_111=111 I I -I I�f 111=1 I= I 1=1 I I-1 I I�I-111-111-11111 r 111-111=111-111-111-111= 1 I 1 11= I I-III-III-11 11 -111- 11 11- 11=11 I-11 111- 1 I-11 I-11 -111=111=111-11=11-III 1 11 E 11=1 E11 ET1-i 1 EI I p I I M I EI 11=111=111=111111-111-11 -11 L7I 1 I m I i TT I I UT—I�I 11 I._1 I-r- I I I I I I i i'—mom f—I i f I i-1 i�I I i—III I I—I i t I i 1-111 III-1 I I 1 I N I i III I I' 77 17— i i M-11 —1 I — I— 16'-3" / 4'-10" / 12'-3" 33'4" EXISTING WINDOWS- 36'-8" PROPOSED TO BE RELOCATED AREA OF NEW INFILL: 186 SF*50% = 93 SF AREA OF EXISTING WINDOWS: 93 SF 4 NORTH ELEVATION - PROPOSED 2.1 I/B' = I'-0" DRAWING TITLE: (E) WINDOW REUSE DRAWING: PROJECT: 15895 SW 72ND AVE SUITE 200 AFC 11675 SW PACIFIC HWY V PORTLAF'D, OREGON 97224 SIC T E L 5 0 3 2 2 6 1 2 8 5 TIGARD.OREGON FAX 5 0 3 2 2 6 1 6 7 0 JOB: 210085.01 DATE: 10/26/2021 E:\adcadd\2I\0085.0I AFC-Tigard RemodelA2.I elevations.dwg Oct 26,2021-11:15am ©2021 CIDA INC ALL RGHiS RESERVED CITY OF TIGARD BUILDING PERMIT -14 • COMMUNITY DEVELOPMENT Permit#: BUP2021-00195 T 1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/16/2021 Parcel: 1 S 136CD00101 Jurisdiction: Tigard Site address: 11675 SW PACIFIC HWY Project: AFC Subdivision: None Lot: None Project Description: 864 sq ft addition by enclosing existing drive through area. Existing drive-through roof to remain. Contractor: JHC COMMERCIAL LLC Owner: COLUMBIA STATE BANK 11125 SW BARBUR BLVD BLD C PO BOX 2156 MS 3300 PORTLAND, OR 97219 TACOMA,WA 98401 PHONE: 503-624-7100 PHONE: FAX: 503-684-5295 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ADD Type of Const: VB Permit Fee-Additions,Alterations, 09/16/2021 $842.40 Occupancy Grp: B Occupancy Load: 34 Demolition 12%State Surcharge-Building 09/16/2021 $101.09 Dwelling Units: 0 Plan Review 08/20/2021 $547.56 Stories: 1 Height: 20 ft Parks SDC Improvement 09/16/2021 $1,338.74 Bedrooms: 0 Bathrooms: 0 Parks SDC Reimbursement 09/16/2021 $244.53 Value: $65,000 DC Provision Review,COM TI-Ping 09/16/2021 $110.00 Plan Review-Fire Life Safety 09/16/2021 $336.96 Floor Areas: Info Process/Archiving-Lg$2.00(over 09/16/2021 $26.00 11x17) Total Area: 864 Info Process/Archiving-Sm$0.50(up to 09/16/2021 $20.00 Accessory Struct: 0 11x17) Basement: 0 Tigard CET-Non-Residential-Admin 09/16/2021 $26.00 Carport: 0 Tigard CET-Non-Residential-AH 09/16/2021 $624.00 Covered Porch: 0 Tig-Tual School CET-Non-Residential 09/16/2021 $604.80 Deck: 0 Wash Co Trans Dev Tax 09/16/2021 $12,094.45 Tigard Trans SDC Improvement 09/16/2021 $9,147.41 Tigard Trans SDC Reimbursement 09/16/2021 $527.99 Garage: 0 Mezzanine: 0 Total $26,591.93 Required: Required Items and Reports(Conditions) 1 Special Inspection(see plans) 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 9522-001-0090. 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: /l/ l� et --LL Permlttee Signature: �j� -r/p L. ! C / 'V ( l Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �.I 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. 1 Building Permit Application $- a y(21 I commercial ° d '. I _ FOR OFFICE USE ONLY City of Tigard Received��/a 202J I Puma Noa( p2OL/ too/9DateBy:0 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 04 20 21 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 Date/By: '� 11 _ Q'a,./ R latcd Permit:� T I G A R O Inspection Line: 503-639-4175 Ci T Y(J- ! ARD Date Ready/By: /'%��is El See Page 2 for Internet: www.tigard-or.gov BUILDING Di nl Notifi ethod: Supplemental for lLJII i DI /�� TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all gAddition/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 dwelling 'Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11675 SW Pacific Hwy New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name:AFC Tigard Covered porch area: square feet Cross street/directions to job site: Site is located at the intersection of Deck area: square feet Pacific Hwy W and SW Pfaffle St Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: 00101-Al Permit fees*are based on the value of the work performed. Tax map/parcel#: 1 S136CD 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. Building addition of approximately 864 SF by enclosing the existing drive Valuation: $ 65,000 through area. Existing drive-through roof to remain. Tenant improvement Existing building area: 2,593 square feet and interior demolition by separate permits. New building area: 3,457 square feet [if PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Wilsal LLC Type of construction: V-B Address:7286 SW Ascot Ct. Occupancy groups: City/State/ZIP: Portland, OR 97225 Existing: B Phone:(503)709-6975 Fax:( ) New: B (Future) gif APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES" Business name: CIDA, Inc. (Please refer to fee schedule) Structural plan review fee(or deposit): 64.7.5G Contact name: Leslie Jones, RA Address: 15895 SW 72nd Ave. Suite 200 FLS plan review fee(if applicable): City/State/ZIP: Portland, OR 97224 Total fees due upon application: Phone:(503)226-1285 Fax::( ) Amount received: E-mail: lesliej@cidainc.com COITI PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR ,,,, Commercial and residential prescriptive installation of ' a roof-top mounted PhotoVoltaic Solar Panel System. Business name: JHC Commercial, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 11 125 SW Barbur Blvd. Solar Installation Specialty Code checklist. City/State/ZIP: Portland, OR 97219 Permit fee(includes plan review $180.00 and administrative fees): Phone:( 503)624-7100 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 158061 Total fee due upon application: $201.60 Authorized signa e: - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / � Date: 08/04/2021 * Fee methodology set by Tri-County Building Industry - Zt, Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 1 MCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ill Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations arc disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent (25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering. [1] $ 65,000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 16,250 ELEMENTS: In choosing which accessible elements to provide under this section,priority shall he given to those elements that will provide the greatest access. Elements shall be provided in the following order: Existing accessible I (a) Parking $ parking to remain Existing accessible entry (b) An accessible entrance: $ to remain Public route to altered (c) An accessible route to the altered area: $ area through existing accessible entry (d) At least one accessible restroom for each sex or a single unisex restroom: $ Elements to be included in future tenant (e) Accessible telephones: $ improvement-deferred (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and • alarms: $ TOTAL(shall equal line [21 of Valuation Computation): $ I:\Building\Pcrmits\BUP_COM_PermitApp.doc Rev.03/05/2019 ,TDT/TSDC Estimate 8/17/2021 t 11675 SW Pacific Hwy AML TDT& RESIDENTIAL TSDC RATES EFFECTIVE 7/1/20 NON-RES:TSDC CITYWIDE EFFECTIVE 10/1/20 0 Yes Project is in River Terrace ? QQ 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 $0 TSDC-Imp 1 0.00 $0 $0 0.00 $0 TSDC-Reim 1 0.00 $0 $0 0.00 $0 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 No Use 2 No Total TDT and TSDCs Former Uses $0 Proposed Use ITE Rate per Rate per TDT/TSDC Use # Code PHVT PHVT Unit* # Units Amount Description TDT 1 720 $ 34,220.00 0.86 $29,566.08 864 Addition to clin TSDC-Imp 1 720 4.27 $8,905 $38,024 0.86 $22,362.11 TSDC-Reim 1 720 4.27 $514 $2,195 0.86 $1,290.75 TSDC-RT 1 0.00 $0 $0 0.00 $0 TDT 2 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 $53,219 Less: Total All TDTs&TSDCs Former Uses $0 Total All TDTs&TSDCs Net Increase $53,219 Total Net County TDT $29,566.0% Total Net TSDC-Imp $22,362. I Total Net TSDC-Reim $1,290.15 Total Net TSDC RT Overlay $0 TDT TSDC Imp + Reim Target Recovery Rate 28.0% 30% Estimated Total Impact $105,593 $78,843 Estimated Unmitigated Impact $76,027 $55,190 All TDT&TDSC TSDC RT Overlay Target Recovery Rate 29% 30% Estimated Total Impact $184,436 $0 Estimated Unmitigated Impact $131,217 $0 TDT=County Transportation Development Tax TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim) TSDC RT=River Terrace Transportation System Development Tax Overlay Extended Combination SDC Calculator-091018-I:\Community Development\Permit Coordinator\SDC Calculators Parks Estimate 11675 SW Pacific Hwy ALL PARKS RATES EFFECTIVE 7/1/20 0 Yes Project is in River Terrace ? 0 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 0 $525 $0 Parks-Reim 1 0 $96 $0 0 Neigh-Imp 1 0 $0 $0 0 Neigh-RT 1 $0 0 2 $0 Total Parks Former Uses $0 Proposed Use Use # ITE Code # Units Rate Parks Amount Description Parks-Imp 1 720 2.47 $542 $1,339 864 Addition to clinic Parks-Reim 1 720 2.47 $99 $245 0 Neigh-Imp 1 720 $0 $0 Neigh-RT 1 $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 $0.00 Less: Total Parks RT Former Uses $0.00 Total All Parks RT Net Increase $0.00 Total Parks-Imp $1,338.74 Total Parks-Reim $244.53 Total Neigh-Imp $0 No Neigh-Imp Total Neigh-RT $0 No Neigh-RT For Non-Residential Calculations: Prior Use:xxxx=xxxsf/EE; xxxx/xxx=xxEEs. Proposed Use: =350sf/EE; 864/350SF per EE=2.47EEs. Parks-Imp=Parks Improvement,Citywide including River Terrace Parks-Reim=Parks Reimbursement,Citywide including River Terrace Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace Neigh-RT=Neighborhood Parks Improvement Inside River Terrace City of Tigard d COMMUNITY DEVELOPMENT DEPARTMENT C T 1 c A R o Building Permit Review — Commercial - With Land Use Building Permit #: E U P2.0 2 j-oQ (q 5 Site Address: it f/ r- SJJ pAC,Ific, the"/ Suite/Bldg#: Project Name: Afe TtleRep (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Wm,Ak inn ' a nit 77121) Alatis exify site address/suite# exists and active in permit syst . P6iver Terrace Neighborhood: Ell Yes L�Je No d Use Case #: MM921 Plans atch Approved Land Use: Site Plan ❑ Landscape Plan ❑ Other: Urban Forestry Plan 0 Elevation Plan ' NO C Building Height: Maximum Height Actual Height 1q TO L% RVbEK /❑ Conditions Met: 0 Prior to Submittal ❑ Prior to Permit Issuance Business License: F sts: y/Yes ❑ No,applicant was provided a business license application LQ Public Facilities Improvement(PEI) Permit: / Required: El Yes,applicant was notified 21 No Applied For: 0 Yes ❑ No,stop intake Notes: Approved by Planning: — Date: 8 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved at Building Permit Submittal (, Original Submittal Date: 0i70 S/2(J.,I Site Plans: # Building Plans: # 3 Building Permit#: [[pnter building permit# above. ,-.,� Workflow Routing: [planning Qv L Engineering Li Permit Coordinator [ Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: OD Building: original permit application, site plans,building plans, engineer and beam calculations and 11 t details,if applicable,etc. Notes: By Permit Technician: cka17/7/ Date: 6$/i6 4ou I:\Building\Forms\BldgPermitRvw_COM_WithlandUse_111819.docx Engineering Review _SEI :pe at building pad: ardo V-PFPFII Permit#: u (A Conditions "Met"prior to issuance of building permit n-Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) E Water Quality/Quantity Facility. Assess Water Quality Fee in-lieu: ❑ Yes EfriCTo Assess Water Quantity Fee in-lieu: ❑ Yes GA—No LIDA Facility on lot: ❑ Yes [ '—NO ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: V , AS V e/Z Date: g - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved 0 Not Approved 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: SDC Fees Entered: Wash Co Trans Dev Tax: /Yes 0 N/A Tigard Trans SDC: /Yes ❑ N/A Parks SDC: 'Yes ❑ N/A /OK to Issue Permit Approved by Permit Coordinator: /e✓L Date: g I (q 12v2 � I:\Building\Forms\BIdgPermitRvw_COM_W ithLandUse_111819.docx