Permit Building Permit Application
Commercial CEIV r FOR OFFICE USE ONLY
}y g J U N 2 i Received
- Ci of Ti and Permit No.:
Date/By:
r 13125 SW Hall Blvd.,Tigard,OR 97223 PlanRevieJ�} BUP2021 00253
Phone: 503-718-2439 Fax: 503-598-1960 (�G1�1it Date/By: I (� 6-2.1'"� Related Permit
CITY O
T I G ARD Inspection Line: 503-639-4175 Dlt IISlO to Ready/By: Juris See Page 2 for
Internet: www.tigard-or.gov BUDDING V NotiSed Method: Supplemental Information
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
®Addition/alteration/replacement ❑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 El Multi-family Number of bedrooms:
❑Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9009 SW Hall Blvd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:2022 Target Remodel Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Cross Street: SW Eliander Ln Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 126CA01100 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.
Deferred submittal for Seismic Fixture Racking/F..y„ :'.ie storage. Valuation: $ 120,000
Existing building areal 24,485 square feet
New building area: No new square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Target Corp. Type of construction:III-B
Address:50 S 10th Street Suite 400 TP3-11 Occupancy groups:
City/State/ZIP:Minneapolis, MN 55403 Existing: M, S-1 & S-2, A-2, B
Phone:( ) Fax:( ) New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Lampert Group LLC Structural plan review fee(or deposit):
Contact name:Leif Erickson
FLS plan review fee(if applicable):
Address:10061 Riverside Dr. #760
Total fees due upon application:
City/State/ZIP:Toluca Lake, CA 91602
Amount received:
Phone:(312) 956-4092 Fax::( )
E-mail:LRE@Lampertgroup.build PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Skanska USA Building INC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:369 Interpace Parkway, 5th floor Solar Installation Specialty Code checklist.
City/State/ZIP:Parsippany, NJ 07054 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.:153980
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Leif Erick on Date:6/15/22 * 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 • COMMUNITY DEVELOPMENT DEPARTMENT
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 are 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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
] to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
1 (d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
i
j
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
3
41
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
.,,,Ling a l3IilYfavltKk}tyleliMtanaliiilkitlllHii4iU31tiaitltirigi...itiflittakitiikkkt311134.141/0 114 4kiiiiitti.ataiWtlii}hJNkrut! ivativafN iattauHrrr .til1a.YHxuH }ait.6314tatix[tWdtfllil.iihkliRiaftitttf4.4041.11addiAlki.i.11ittiti.14df,...F.t Akddi4t urautiliiaat.iteu:of+4.
Site Address:
Building Division
TIGARD Deferred Submittal Transmittal Letter
TO: C,k ( `"-C) DATE RECEIVED:
DEPT: BUILDING DIVISION
!✓'r la1`"/0./'tre-re .y4, 44.
FROM:
COMPANY: LA *eV-A~ Cot-c t.p L C
PHONE: I (1,561 r rBY:_S1
t
RE: '--' lc.)'- �i_ ;_ ,\ `�� t )`�L ': .
(Site Address) (Permit/Case Number)
k'Arl f2e t'")
(Project name or subdikiston name and lot number)
Valuation of Deferred Submittal: $ 01060
ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
Copies: Description:
r,
Remarks:
NOTE: Documents for deferred submittal items shall be submitted to the registered design professional in
responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building.The deferred submittal items shall not be installed until the design and submittal documents have been
approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OFFICE USE ONLY
Routed to Permit Technician:_ 'Date: ; _ �__ Initials:
Fees Due: °f• Yes — No Fee Description: Amount Due:
Deferred Submittal Fee: $
Additional fee based on valuation: $ }' "A
i,.
Other: 11 cc p cxar S o ,P . .
Total Fees Due: g- S S
Special
�TTffelFexxrr ' .aRrierax --
S
Instructions:
Reprint Permit(per PE): n Yes [ No in Done ,••
,140
Applicant Notified: , n ti Date: jt' �l "r, Initials:
The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
1.Building\Fonns\TransmittalLetter-DefrdSubmtl.doc 04/04/07
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
lig 21 Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom Hochstatter DATE RECEIVED:
DEPT: BUILDING DIVISION HELL
FROM:
Target(Agent-Leif) JUN `'
COMPANY: Lampert Group CITY NO TIGARD
BU(LDi�JG DIVISION
PHONE: (312) 956-4092 By
EMAIL: LRE@Lampertgroup.build
RE: 9009 SW HALL BLVD,TIGARD,OR 97223 BUP2021-00253
(Site Address) (Permit Number)
2022 TARGET REMODEL-DEFERRED SEISMIC FIXTURE SUBMITTAL
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 2 Engineer's calculations.
2 Other(explain):STRUCTURAL FIXTURE PLAN AND DETAILS
REMARKS: Deferred submittal with Seismic fixture drawings and calcs.
FOR OFFICE USE ONLY
Rou to Permit Technician: Date:_
Fees Due. No Fee Description: Amount Duo:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: vsZ Date: te 0--3/LL. Initials:
f CITY OF TIGARD BUILDING PERMIT
'1 11 COMMUNITY DEVELOPMENT Permit#: BUP2021-00253
Date Issued: 3/3/2022
TIGARD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: None Lot: None
Project Description: Minor repair,interior demo and replacement of finishes.All interior work.
Contractor: BAUGH SKANSKA Owner: DAYTON HUDSON CORPORATION
2555 SW 153RD BY TARGET CORP T-0345
BEAVERTON, OR 97006 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503-641-2500 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 11/10/2021 $5,832.81
Occupancy Grp: M Occupancy Load: 299 Demolition
12%State Surcharge-Building 11/10/2021 $699.94
Dwelling Units: 0 Plan Review 11/02/2021 $3,791.33
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/10/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/10/2021 $2,333.12
Value: $953,428 Info Process/Archiving-Lg$2.00(over 11/10/2021 $78.00
11x17)
Metro CET 11/10/2021 $1,144.11
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $14,313.31
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: EdgaroLo-Matotovuad o- Permittee Signature: $.tC �LOvtr
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 ApplicationRECEIVE-I-
A„, VA_ 1011
Commercial FOR OFFI('r,USE ONLY
Received �J �} yam, qqq---�����' v
i : City of Tigard OCT 14 2021 Date/By:/Wi 202-/ ge permit No.: pza^'d 253
n 13125 SW Hall Blvd.,Tigard,OR 97223 [ L 1 Plan Review
Phone: 503-718-2439 Fax: 503-598-1 Date/By: )I-a.' Related Permit.
il�C�i� i rur, i
TIGARD Inspection Line: 503-639-4175 ,.,, DIVISION
ate Ready/By: t ® See Page 2 for
Internet: Lme. gard-or.gov �UIL®iNU 1lI�iS�41dV Notified/Method: 2- 11l� Supplemental Information
TYPE OF WORK REQUIR 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
®Addition/alteration/replacement ❑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 El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9009 SW Hall BLVD New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Target-Tigard Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 126CA01100 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.
Minor demo, repair and replacement of finishes. Exisiting occupancy is not valuation:953,428 S
impacted by completed work. Existing building area:124,485 square feet
New building area: 124,485 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Target Type of construction:III-B
Address:1000 Nicollet Mall Occupancy groups:
City/State/ZIP:Minneapolis, MN 55403 Existing: M, S-1, S-2, A-2 & B
Phone:( ) Fax:( ) New: M, S-1, S-2, A-2 & B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Lampert Group LLC (Please refer eo fee schedute)
Structural plan review fee(or deposit):
Contact name:Leif Erickson
FLS plan review fee(if applicable):
Address:10061 Riverside Dr. #760 Total fees due upon application:
City/State/ZIP:Toluca Lake, CA 91602
Amount received:
Phone:( 312)956-4092 Fax: :( )
.44
E-mail:Ire@lampertgroup.build PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
L Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD (we will provide this prior to permit issuance) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
�tJ and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: )-. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Leif Erickson Date:10/8/21 * Fee methodology set by Tri-County Building Industry
Service Board.
C\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
ih
. .
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 are 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] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
• restroom: $
•
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1AI
: _
T1cARn Building Permit Review — Commercial - No Land Use
Building Permit #: $()P2O21-0025.3
Site Address: i 5 fA( l l`(/(, Suite/Bldg#: 10v
Project Name: T k
(Name of col uercial business occupying the space. If vacant,enter Spec Space.)
Planning Review / -
Proposal: mi 1/L9 ir GI,i I// J / Aept4tlt-OLG Ail %0d-erfor, Ad
42/X14-e/ ' ,tr' ("),0 -( -or 1/1,q,Vl_ ;vL a C&'IP 4 vt('7
Existing Business Activity: —re vr,/— /c'a — d r-Pen —eetii l-
Proposed Business Activity: '56.IAA....Q._----
SZP Verify site address/suite#exists and active in permit system.
pRiver Terrace Neighborhood: ❑ Yes , I No
g5 Zoning:
56 Permitted Use: /0 Yes ❑ No 0 Spec Space
ci0 Confirm no land use required.
lg]Business License:
Exists: p Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: Cd 6 ` i/` 21
6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: W44021
Site Plans: # 5
Building Plans: # 3
Building Permit#: [nter building permit#above.
Workflow Routing: Planning 0 Permit Coordinator ®'Building
Workflow Sign-off: 2r-Sign-off for Planning(include notes from planning review)
Route Application Documents: 2/Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
i
By Permit Technician: �� Date: /Ol 2.o2/
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.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 cant:
Revision Notice 2: Date Sent Applicant:
Revision Notice 3: Date t to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issu ermit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM NoLandUse_111819.docx