Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00176
Date Issued: 8/30/2022
TBGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: US Bank Subdivision: None Lot: None
Project Description: New 476 sq.ft.ATM building in the Target parking lot.
Contractor: RBP CONSTRUCTION LLC Owner: DAYTON HUDSON CORPORATION
13380 NW MILL CREEK KDRIVE BY TARGET CORP T-0345
BEAVERTON, OR 97005 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 971-291-3812 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: IIIA Permit Fee-COM-New Construction 08/16/2022 $231.32
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 08/16/2022 $27.76
Plan Review 07/18/2022 $150.36
Dwelling Units: 0 Wash Co Trans Dev Tax 08/16/2022 $504.46
Stories: 0 Height: 0 ft Tigard Trans SDC Improvement 08/16/2022 $381.54
Bedrooms: 0 Bathrooms: 0 Tigard Trans SDC Reimbursement 08/16/2022 $22.02
Value: $15,000 Info Process/Archiving-Lg$2.00(over 08/16/2022 $28.00
11x17)
Info Process/Archiving-Sm$0.50(up to 08/16/2022 $48.00
Floor Areas: 11x17)
Total Area: 0 DC Provision Review,COM TI-Ping 08/30/2022 $110.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,503.46
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 ay obtain a c y of the r s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 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.
DocuSign Envelope ID:FC3BEADO-5E9C-449F-858F-01082C9EC007
Building Permit Application
Commercial a r FOR OFFICE USE ONLY
City of Tigard Received '
'� _ Date/Bv lam, tLi Permit No.:
" 13125 SW Hall Blvd.,Tigard,OR 97223 �;� f �-� 7r'
g Dan By.••����
Phone: 503-718-2439 Fax: 503-598-1960 Date/ey. JJJJJJ �-J�+I( RelatedPermtt
T I CARD Inspection Line: 503-639-4175 Date Ready/By Jots See Page 2 for
+- Internet: www.tigard-or.gov Notified/Method: 7918 �, 7 . I ®Supplemental Information
Qr,L„tit\ \<,o* 1 11-ta,;-) 7/3/
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 ElCommercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑ Master builder ❑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.#: w (',{1j rr J�
-6 Project name: Flite ATM Tigard OR ram Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
East side of the Target parking lot along SW Hall BLVD 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 126CA01000 Indicate the vAlue(rounded to the nearest dollar).of all
equipment,materials,labor,overhead,and the profit fot the'
DESCRIPTION OF WORK work indicated on this application.
Install a Walk up US Bank ATM in the parking lot of the Target on Valuation: $ 15,000
SW Hall BLVD. This project will use four (3) existing parking spots Existing building area: square feet"
and convert them into t,nrn narking spots and the ATM station New building area: 476 square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 1
Name: The Cafaro No tnwest Partnership Type of construction: i
Address: 2445 Belmont Ave., P.O. Box 2186 Occupancy groups:
City/State/ZIP: Youngstown, OH, 44504 Existing:
Phone:(330)747 2661 Fax:( ) New:
1.2 APPLICANT ❑ CONTACT PERSON -- ° BUILDING PERMIT FEES*
Business name: Klmley Horn (Please refer ta fee schedule)
Structural plan review fee(or deposit):
Contact name: Danielle Prescott "Ng
FLS plan review'fee(if applicable):
Address: 4582 S Ulster St #1500, Denver, CO 80237 4
City/State/ZIP: Denver CO, 80237 �` Total fees due upon application: �I'}' 1
4- PuO,a Amount received:
Phone:( 7201897 6312 Fax: :( ) JX1�., ,_ 3 1� .
E-mail Danleile.Prescott Cnl kimlp.y'-h fir^ COm PHOTOVOLTAIC SOLAR PANELSYSTEMFEES*
Commercial and residential prescriptive-installation of
CONTRACTOR (f -4,- roof-top mounted PhotoVoltaic Solar Panel System.
I Business name: TBD R,_t 1 t'"Sl�K I\ -\c l r)".e f^,.w'f Submit two(2)sets of roof plan with connection details
l / and fire department access.,along with the 2010 Oregon
Address: \ 3? - ,1 J m,\\ C_A Oc- Solar Installation Specially Code checklist.
City/State/Z1P: �^ L-- 4 Permit fee(includes plan review
V ���` {l ` and administrative fees): $180.00
Phone:( I ct\ - Fax ( ) State surcharge(12%of permit fee): $21.60
CC13Lie.: t -1 1..'0 S `vL d`l
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
o e a within 180 days after it has been accepted as complete.
Print name: //F.042 Date: 5/2/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
a eoaF91A3ABi3B..
1:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(Il/02/COM/WEB)
City of Tigard
'PICOMMUNITY DEVELOPMENT DEPARTMENT
i
T l n jz D Building Permit Review — Commercial - With Land Use
Building Permit #: 6uPliv,?-01--Gb/ ?(4,
Site Address: °JODr Sty f cc_ Suite/Bldg#:
Project Name: `F I r=.4i.x►o(o A1M
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: NeAA) . ieuC-
lZV fy site address/suite#exists and active in permit sysstem.
Terrace Neighborhood: ❑ Yes i� No
d Use Case #: M rip ze)Zt O J q2
..17-tu.s.,Match Approved Land Use:
IIir Site Plan D Landscape Plan ❑ Other:
Urban Forestry Plan ❑ Elevation Plan
g Height: Maximum Height PAC Actual Height /4:41,
Conditions Met: ❑ Prior to Submittal 0 Prior to Permit Issuance
Business License:
Exi ." ❑ Yes 0 No,applicant was provided a business license application
yi
Public Facilities Improvement (PFI)Permit: _ --
Required: ❑ Yes, applicant was notified .�J No7. Applied For: 0 Yes ❑ No, stop intake
Notes:
Approved by Planning: —— --,. Date: Sb/?'c
Revisions (after Building Submittal on Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6/30/83--
Site Plans: #
Building Plans: #
Building Permit#: er building permit#above.
Workflow Routing: B-15 nning j sneering t Coordinator El—Btlii'ding
Workflow Sign-off: P'S gn Off 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: 7/VI)
I:\BuildinglFonnsBBldgPennitRvw_COM_WithLandUse 111819.docx
_ I
En,.iineering Review
Slope at building pad: 24
C?PFI Permit#: 414.-
Conditions "Met"prior to issuance of building permit 4,/✓-
2/Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2--No
Assess Water Quantity Fee in-lieu: ❑ Yes 12/No
LIDA Facility on lot: ❑ Yes C "No Add Fee: 0 Yes 0 No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: ago -0,7 Date: '7//1/yam,?
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved D Not Approved
Revision 2: 0 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 ❑ N/A
Tigard Trans SDC: Yes 0 N/A mi \b Q J Parks SDC: ❑ Yes 'Ell N/A— r-N��M
LIDA Fee: 0 Yes 4.N/A
7 OK to Issue Permit
Approved by Permit Coordinator: v1 •`(6 Date: 'PA)"?)Z
1 I:\Building\Forms\B IdgPermitRvw_COM_WithLandUse_111819.docx
TDT/TSDC Estimate 7/20/2022
9009 SW Hall BUP2022-00176 HP
TDT& RESIDENTIAL TSDC RATES EFFECTIVE 7/1/21
NON-RES:TSDC CITYWIDE EFFECTIVE 7/1/21
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 $0.00 Vacant
TSDC-Imp 1 0.00 $0 $0 0.00 $0.00
TSDC-Reim 1 0.00 $0 $0 0.00 $0.00
TSDC-RT 1 0 $0 0.00 $0.00
TDT 2 0 $0 0.00 $0.00
TSDC-Imp 2 0.00 $0 $0 0.00 $0.00
TSDC-Reim 2 0.00 $0 $0 0.00 $0.00
TSDC-RT 2 $0 0.00 $0.00
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 1 911 $29,674 0.02 $504.46 ATM 17 sf
TSDC-Imp 1 911 12.13 $8,905 $108,018 0.02 $381.54
TSDC-Reim 1 911 12.13 $514 $6,235 0.02 $22.02
TSDC-RT 1 0.00 $0 $0 0.00 $0.00
TDT 2 0.00 $0.00
TSDC-Imp 2 0.00 $0 $0 0.00 $0.00
TSDC-Reim 2 0.00 $0 $0 0.00 $0.00
TSDC-RT 2 0.00 $0 $0 0.00 $0.00
TDT 3 0.00 $0.00
TSDC-Imp 3 0.00 $0 0.00 $0.00
TSDC-Reim 3 0.00 $0 0.00 $0.00
TSDC-RT 3 0.00 $0 0.00 $0.00
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 $908.02
Less: Total All TDTs &TSDCs Former Uses $0.00
Total All TDTs &TSDCs Net Increase $908.02
Total Net County TDT $504.46
Total Net TSDC-Imp $381.54
Total Net TSDC-Reim $22.02
Total Net TSDC RT Overlay $0.00
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $1,802 $1,345
Estimated Unmitigated Impact $1,297 $942
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 29% 30%
Estimated Total Impact $3,147 $0
Estimated Unmitigated Impact $2,239 $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