Permit q CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2022-00008
Date Issued: 6/30/2022
TEGARL7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AC00202
Jurisdiction: Tigard
Site address: 9100 SW BURNHAM ST
Project: Universal Plaza Subdivision: BURNHAM TRACT Lot: 3
Project Description: Site work for a new 1,118 sq.ft.concessions building with restrooms,seating,and a water feature.
Contractor: P&C CONSTRUCTION CO Owner: CITY CENTER DEVELOPMENT AGENCY
2133 NW YORK ST 13125 SW HALL BLVD
PORTLAND, OR 97210 TIGARD, OR 97223
PHONE: 503-665-0165 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/30/2022 $3,480.97
Plan Review 06/30/2022 $2,262.63
Type of Use: COM 12%State Surcharge-Building 06/30/2022 $417.72
Class of Work: NEW Erosion Control w/Development 06/30/2022 $611.40
Project Valuation: $694,127.00
Site Specifics:
Excavation Volume: 50 cu.yd.
Fill Volume: 10 cu.yd.
Impervious Surface: 5000 sq.ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: No
Landscaping: Yes Site Prep: No
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking: Yes
Fence: No
Total $6,772.72
Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: t?...E.42._
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
;dam _. ..-
Building Permit Application
Site Work FOR OFFICE USE ONLY
CityIlhiof Tigard E C E I V E , Received Permit No
g Date/By: Pi id,/�' 3IT-8 t�iJv1J(5
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Ida gry DateBy: 'I.• Other Permit. 44w )06,3
Inspection Line: 503.639.4175 �r n 2 �OLL Date Ready/By: + Jens See Page 2 for 41C-
T 1�' I`I) Notified/Method�i gr f ? Supplemental Information
Internet: www.tigard-or.gov CITY OF TIGARD (
TYPE OF woi kJILDING DIVISION REQUIRED DATA:I-ANI)2-FAMILY DWELLING
1E New construction ($I Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
®Accessory building Multi-family Number of bedrooms:
❑
0 Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9100 SW Burnham Street New dwelling area: square feet
C City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
l4 Suite/bldg./apt.no.: Project name:Universal Plaza Covered porch area: square feet
`o Cross street/directions to job site:SW Main St/SW Burnham St Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:202 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S 102A000202 equipment,materials,labor,overhead,and the profit for the
t* DESCRIPTION OF WORK work indicated on this application.
kA new community plaza including walking pathways, rolling grass, Valuation: $ 694,127
'vlandscape, water feature, restrooms/concessions building, seating, Existing building area: N/A square feet
1 and site lighting. New building area: 1,118 square feet
Dt PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Town Center Development Agency Type of construction:Type II
Address:13125 SW Hall Blvd. Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:N/A
" Phone:( 503)718-2420 Fax:( ) New: M, S-1, U
. Cia APPLICANT 0 CONTACT PERSON NOTICE
Business name:RIOS All contractors and subcontractors are required to be
Contact name:Graham Sandelski licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:3101 W Exposition PI jurisdiction in which work is being performed.If the
City/State/ZIP:LOS Angeles, CA 90018 applicant is exempt from licensing,the following reasons
apply:
Phone:( 323)200-2673 Fax: :( )
E-mail:graham@rios.com
CONTRACTOR
Business name: P&C Construction BUILDING PERMIT FEES*
Address:2133 NW York St. (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:Portland, OR 97210
Phone:( 503)665-0165 Fax:( 503)667-2565 FLS plan review fee(if applicable):
CCB lie.:#38619
3/c Total fees due upon application:
Digitally signed by Amount received:
Graham Sandeiski
Authorized signature: Date 2022 02 09 This permit application expires if a permit is not obtained
09 16 12-08'00 within 180 days after it has been accepted as complete.
Print name:Graham Sandelski Date:2/9/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(II/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
`I'IGARD
Building Permit #: -e47,27 01.3'
Site Address: cf/V O Sk1/3 uRfiff M sT' EET Suite/Bldg#:
Project Name: (J N(!/
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /1,14.4,0 G AJ'" S(TF-/n'IrAV,'`em.[
2'Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes
Land Use Case#: D3 494,Z4,Zj- w`/ 52R 26 -odoeo
IR Plans Match Approved Land Use:
( ErSite Plan Landscape Plan ❑ Other:
ban Forestry Plan -e-Elevation Plan
Building Height: Maximum Height Actual Heigh 5-0
t
nditions Met: Prior to Submittal ❑ Prior to Permit Issuance
❑ Business License:
Exists: 12''Yes ❑ No,applicant was provided a business license application
❑ Public Facilities Improvement(PFI) Permit:
Required: , Yes,applicant was notified ❑ No Applied For: , -Yes ❑ No,stop intake
Notes:
Approved by Planning: ( -,ac kef Date: 3 fO:?2_ 611314.-:
7/7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
_Z." _-T.. p
Building Permit Submittal
Original Submittal Date: # 'f�
Site Plans:
Building Plans: #
Building Permit#: nter building permit#above. _�
Workflow Routing: C�1sa g Engineering ermit Coordinator n'll ilding
Workflow Sign-off: O'S' f for Planning(include notes from planning review)
Route Application Documents: uilding. original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 3/9/�Z
I:\Building\Forms\BldgPemutRvw_COM_WithLandUse_111819.docx
Engineering Review
[ Slope at building pad: L
R13FI Permit#: 2U 2,2- OOO1.4iF
0l Conditions "Met"prior to issuance of building permit
["Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
la Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes El"No
Assess Water Quantity Fee in-lieu: ❑,/Yes ES/No
LIDA Facility on lot: Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: / Date
Notes: G(iei�/l 1;) Gas atrial 70 F r ,fares,/ `�Cf4 H,/ .,,%jc
Approved by Engineering: r—f ,(jheivei Date: 3/ 3 k() 1 .
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Peimit Coordinator Review
Oonditions "Met"prior to issuance of building permit
2Approved, NOT Released: Date: 5/3I(Z€)Z/
Notes: Orek CU& `f IAj+ O1 Wi I SCIAa Ce - -
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:
1`J SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes A N/A
Tigard Trans SDC: ❑ Yes 7 N/A
Parks SDC: ❑ Yes N/A
LIDA Fee: ❑ Yes /N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 12,0 I ZO27i
I:\Building\Fonns\BldgPermitRvw COM_WithLandUse_111819.docx
Branden Taggart
From: Gary Pagenstecher
Sent: Tuesday, April 12, 2022 5:08 PM
To: Branden Taggart
Subject: RE: Site Work for Universal Plaza
Already reviewed. No need to reroute the plans. Please sign off in Acela. Thank you.
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday, April 12, 2022 5:05 PM
To: Gary Pagenstecher<Garyp@tigard-or.gov>
Subject: Site Work for Universal Plaza
Importance: High
Hey Gary,
We discovered today that the Universal Plaza site work and building plans were combined. I created the Site Work
permit after an application was received. Do the plans need to be re-routed to you for Planning approval? I was curious
if you could have already reviewed the site work since the work was combined. I could sign off for you in Accela if the
plans do not need to be routed to you.
Thanks,
r , Branden Taggart
I! n City of Tigard
'1, # Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or,gov
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