Permit CITY OF TIGARD BUILDING PERMIT
11111
COMMUNITY DEVELOPMENT Permit#: BUP2022-00063
Date Issued: 6/30/2022
TIGARD 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: 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
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: IIA Permit Fee-Additions,Alterations, 06/30/2022 $4,514.50
OccupancyGrp: A-4 OccupancyLoad: 10 Demolition
12%State Surcharge-Building 06/30/2022 $541.74
Dwelling Units: 0 Plan Review 03/17/2022 $2,934.43
Stories: 1 Height: 15 ft DC Provision Review,COM New-Bldg 06/30/2022 $218.50
Bedrooms: 0 Bathrooms: 4 DC Provision Review,COM New-Ping 06/30/2022 $218.50
Value: $694,127 Plan Review-Fire Life Safety 06/30/2022 $1,805.80
Info Process/Archiving-Lg$2.00(over 06/30/2022 $156.00
11x17)
Floor Areas: Metro CET 06/30/2022 $832.95
Total Area: 1118
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $11,222.42
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
Fire Sprinkler: No Parapet: No
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
Accessible Parking: 1
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: Agfelteeel
Permittee Signature:
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.
.. _ a
Building Permit Application
CommercialgD FOR OFFICE [SSE ONLY
City of Tigard Date/By:Received
IIIIInRe ` Permit No.: p �]�_� 1
a 13125 SW Hall Blvd.,Tigard,OR 97223 / '► (/UpTJ L1C' �y
C g Plan
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ir
Related Permit:
Inspection Line: 503-639-4175R ate Ready/By: Saris ® See Page 2 for
TIGARD Internet www.tigard-or.gov C IVE Jotfiede ethod:6 /0} "�!`— Supplemental Information
1L-4 C ,.rtAkC
TYPE OF WORK f 9 2022 REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ®De q Permit fees*are based on the value of the work performed.
CI I Y OF TIGARD Indicate the value(rounded to the nearest dollar)of all
"� ❑Addition/alteration/replacement ❑O r: t„ i �, equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling IX]Commercial/industrial Valuation: $
®Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑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
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Universal Plaza Covered porch area: square feet
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#: 202 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S 102AC00202 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.
A new community plaza including walking pathways, rolling grass, Valuation: $ 694,127
landscape, water feature, restrooms/concessions building, seating, Existing building area: N/A square feet
,,and site lighting New building area: 1,118 square feet
II PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Town Center Development Agency Type of construction:Type II
�Address:13125 SW Hall Blvd. Occupancy groups:
4 City/State/ZIP:Tigard, OR 97223 Existing:N/A
Phone:( 503)718-2420 Fax: ( ) New M. S_?. U
II APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business natne:RIOS (Please refer to fee sehedul
Structural plan review fee(or deposit):
contact name:Graham Sandelski
FLS plan review fee(if applicable):
Address:3101 W Exposition PI
Total fees due upon application:
City/State/ZIP:LoS Angeles, CA 90018
Amount received:
Phone:( 323)200-2673 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:graham@rios.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: P&C Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2133 NW York St. Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97210 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)665-0165 Fax:( 503)667-2565
State surcharge(12%of permit fee): $21.60
CCB Lic.#38619 Total fee due upon application: $201.60
Digitally signed by
Authorized signature: CG Graham Sandelski This permit application expires if a permit is not obtained
Date:2022.02.09 within 180 days after it has been accepted as comp lete.
ng'n'es-na.nrr Y P P
Print name:Graham Sandelski Date:2/9/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
-a�trrrr
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
I
II
. Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
CIGARD 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): $
1.
I.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
I
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1 c Building Permit Review — Commercial - With Land Use
TBuilding Permit #: getiageop-a_06
Site Address: cf/Uv Sty) /3 uRrvi(A-ter STREET Suite/Bldg#:
Project Name: (/N(V`7ZS*L ?
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: _/u .9 f JG(-i!L 571-/n4rlk1T
Verify site address/suite# exists and active in permit system.
f , River Terrace Neighborhood: ❑ Yes
Land Use Case #: DAiZ-2 ,z(--oc/ ?3 494 ,z/-a0o v SLR 264-Odo(O
FPlans Match Approved Land Use:
Site Plan Landscape Plan ❑ Other:
C,] rban Forestry Plan -E—Elevation Plan
"Building Height: Maximum Height Actual Height
nditions Met: 'rior to Submittal ❑ Prior to Permit Issuance
❑ Business License:
Exists: Yes ❑ No,applicant was provided a business license application
❑ Public Facilities Improvement (PFI) Permit:
Required: ,B'iYes, applicant was notified ❑ No Applied For: 2 Yes ❑ No, stop intake
Notes:
Approved by Planning: ( 7Date: 3-ye,:Z,Z g`01,1,
Revisions (after Building Submittal only) Reviewer Date 877
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ','J
Site Plans: #
Building Plans: #
Building Permit#: CR—Enter building permit#above. ,�,_, __�,�--��
Workflow Routing: lan ' g �7 E;ngineering I#'1'ermit Coordinator E�"Suilding
Workflow Sign-off: Sign- ff for Planning(include notes from planning review)
Route Application Documents: wilding. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: • -Date: 3///
I:\Building\Fonns\BldgPennitRvw COM_WithLandUse_111819.docx
�. 1
Engineering Review
VSlope at building pad: L`
CYPFI Permit#: 202,2 - 00041
0 Conditions "Met"prior to issuance of building permit
C_,�/Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
L� Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑E Yes D/No
LIDA Facility on lot: 2/Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT �p n
Approved by Engineering: ,/ Date
Notes: ui I i l j fin- C.)i a41 i/ r F 1 mot i /`"k-vv / - 1n07L v'se/ea,f-c
Approved by Engineering: r)f L3h7 Date: 3/ j kbiz
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Permit Coordinator Review
"Met"prior to issuance of building permit
®Conditions
.,2'Approved, NOT Released: Date: '5 31 (Ze)Z/
Notes: vIWl l `( ati+ oil pm isclunc .
Al-
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:
0 SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /Z N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes /N/A
LIDA Fee: ❑ Yes /N/A
OK to Issue Permit
Approved by Permit Coordinator: 71\n Date: (Q[ z1 üz
I:\Building\Fonns\BldgPennitRvw COM_WithLandUse_111819.docx