Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00211
Date Issued: 9/12/2022
TjGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AC00400
Jurisdiction: Tigard
Site address: 9230 SW BURNHAM ST
Project: Tigard Tap House Subdivision: BURNHAM TRACT Lot: 1
Project Description: Enclosing existing covered patio area with gas pizza oven.
Contractor: R&E CONSTRUCTION Owner: DOLAN &COMPANY LLC
16080 SW COLONY DR 1919 NW 19TH AVE
TIGARD, OR 97224 PORTLAND, OR 97209
PHONE: 971-570-1927 PHONE:
FAX:
FEES
Specifics: Date Amount
Description
Type of Use: COM 09/12/2022 $119.33
of Const: VB Permit Fee-Additions,Alterations,
Class of Work: ALT TypeDemolition
Occupancy Grp: U Occupancy Load: 2 12%State Surcharge-Building 09/12/2022 $14.32
Dwelling Units: 0 Plan Review 08/22/2022 $77.56
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 09/12/2022 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 09/12/2022 $2.00
Value: $2,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $260.94
Required Items and Reports(Conditions)
Required:
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 btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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.
Building Permit Application
Commercial RECEIVE FOR OFFICE USE:ONLY
- City of Tigard Received g�
2 2022 Date/By �� Permit No.:.�i �k a .0Ca
13125 SW Hall Blvd.,Tigard,OR 97223 AUG Plan Revie`�Q— V —
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: I 6 _ 1 Related Permit:
TMGARD Inspection Line: 503-6394175 CITY OFTIGARI Date Ready/By: Jaris: See Page 2 for
Internet: www.tigard-or.gov
BUILDING DIVISI otified/Method:
Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
LiI-and 2-family dwelling ❑Commercial/industrial Valuation: $ a! 5 0 0
'Accessory building El Multi-familyNumber of bedrooms:
❑ Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: q 3u S, iv 'Bo d7 A g,s. .4 New dwelling area: square feet
City/State/ZIP: T� Gil q 7 a Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Tr,74'Y-j'p 14-re AI WA, Covered porch area: square feet
Cross street/directionsec to jobJ site: c� Al1 J Deck area: square feet
6 k r h/x 41 ysA 'S� `I / l CPI 1 .5/-- 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#: 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.
C C-MQ Ned
=�\CAV c.v A (~Nk(5� 0 j 0�() Valuation: $
Existing building area: square feet
�l New building area: square feet
❑ PROPERTY OWNER yJ TENANT Number of stories:
Name: M,(Cc A_i1//6,- (( Type of construction:
Address: qtreS , t/ 5-t Occupancy
City/State/ZIP: P Y groups:
_ T r A�i 0 / `Q 7)- a3 Existing:
Phone:(C c°) fi `S_1 a C 7.) Fax:( )
r New:
/}I�''"�APPLICANT ` [Q CONTACT PERSON BUILDING PERMIT FEES*
Business na 5 0: � v/ �� / (Please rimer to fee schedule)
J ///lll 0 fj1 5..
Contact name: (�// Mil/{` Structural plan review fee(or deposit): 7 7 j 6
` ti�� FLS plan review fee(if applicable):
p
Address: tP D. fJ QX
City/State/ZIP: rr Cj v� d,q 7 . $ / Total fees due upon application:
Phone:c6S`v) i/? p S-7 2 Fax::( ) Amount received:
E-mail: M i k'e a Z e c re41 v e C o PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
� roof-top mounted PhotoVoltaic Solar Panel System.
\
Business name: / =f l (� Submit two(2)sets of roof plan with connection details
Address: /// `I F GA>yy� �NL and fire department access,along with the 2010 Oregon
L�t; SCO/,�c c> - 0/2/1.7 Solar Installation Specialty Code checklist.
City/State/ZIP:� /ey ak �77�Z1-/ Permit fee(includes plan review
and administrative fees): $180.00
Phone:(�7 Q pep 7.1 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: / L(ST
Total fee due upon application: $201.60
Authorized signature:/7" ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: M f<e rip t l et Date: I ( 72 9 a * Fee methodology set by Tri-County Building Industry
/ 1 r Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doe Rev.04/21/2014 440-4613T(11/02/COM/WEB)
vs
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: $
(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:ABuilding\Permits\BUP_COM_PemitApp.doc Rev.03/05/2019
i
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
:II L. Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T[GARD 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\RUP_COM_Pcrmit9pp.doc Rev.03/05/2019
City of Tigard
u COMMUNITY DEVELOPMENT DEPARTMENT
S �
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: )
Site Address: 1(-7 cut-) Vu(210l{ Suite/Bldg#:
Project Name: 11(PARP Tp.�Tltkls
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: XJ(2 tom. (74e-C)
Existing Business Activity:
Proposed Business Activity:
JZ"c77-e-rr-ify site address/suite#exists and active in permit system.
❑ $aver Terrace Neighborhood: ❑ Yes N—o
IN t/ 9347
miffed Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
CBusiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: y-AS CA%J Rigit/cQ er2Wf CX9 2 to iT '
Approved by Planning: Date: $fk 22
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: O/A/9.
Site Plans: #
Building Plans: # 3
Building Permit#: i$ Enter building permit#above.
Workflow Routing: .I Planning 0 Permit Coordinator }Building
Workflow Sign-off: L - Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ! 40 (I✓� Date: TIaa/Z,
I:1Building\Forms\BldgPermitRvw_COM NoLandUse 1II819.docx 1
ermit Coordinator Review
0 Co • tions"Met"prior to issuance of building permit
❑ Approve., OT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date Sent to ' ..licant:
Revision Notice 2: Date Sent to App :.t:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: h es ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: .
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
RECEIVED .
AU Cte Services
SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT CITY OF TIGARD
>3UILDINGDIVISION
Clean Water Services File Number 22-001991
1. Jurisdiction:Washington County
2. Property Information(example: 1 S234A801400) 3. Owner Information
Tax lot ID(s): Name: Jean Dolan
Company: Dolan and Co.
Address: 1919 NW 19th Ave.
OR Site Address: 9230 SW Bumham St City,State,Zip: Portland,Oregon,97209
City, State,Zip:
Tigard,OR,97223 Phone/fax: 6504220572
Nearest cross street: Email: mikeOzecreative.com
4. Development Activity(check all that apply) 4. Applicant Information
Addition to single family residence(rooms,deck,garage) Name: Mike Miller
❑ Lot line adjustment ❑ Minor land partition Company: Tigard Taphouse
In Residential condominium 0 Commercial condominium Address: p4 Box 23483
❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Tigard,Oregon,97281
❑ Single lot commercial 0 Multi lot commercial Phone/fax: 9504220572
Other Area has existing structure in proposed location Email: mike@zecreative.com
6. Will the project involve any off-site work? ❑Yes D No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
i ne city of t igara requesrea t run me proposea structure my you to mate sure i am% min cone reguian and o of ate vegetates Camaor.
Thank arn,tnr vru,r time
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site
Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,
Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and
completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water
Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering
information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my
knowledge and belief,this information is true,complete,and accurate.
Print/type name Mike Miller Print/type title Owner
Signature ONLINE SUBMITTAL Date 7/19/2022
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO
ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural
Resources Assessment Report may also be required.
❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the
site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if
they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section
3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable
local, State and federal law.
❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the
existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to
evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service
Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and
approvals must be obtained and completed under applicable local,state and federal law.
❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S) ARE ATTACHED.
® The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT
OR SERVICE PROVIDER LETTER IS REQUIRED.
Reviewed by CAeze&P Date 72 t2a22
Once complete,email to:SPLReviewecleanwaterservices.org • Fax:(503)681-4439
OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway,Hillsboro,Oregon 97123
Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681 3600 f.503.681 3603 • cleanwaterservices.org
Hello,
I am writiung this letter to request a service provider letter for my proposal.
After speaking with the City of Tigards planning department,we have decided not to knock down the existing
structure and build from ground up as we had originally hoped. Our new plan is to just add some side walls and
windows to our existing structure.
Please let me know what you need for me to get this letter?
Thank you for your time,
Mike Mlller
650 422 0572
( Please see details below from the City of Tigard)
Hi Mike,
Thank you for coming in this morning to discuss some alternatives.
It sounds like instead of scraping the existing structure and building a new building,you are looking at just add-
ing some side walls and windows to the existing structure that was approved with DDR2017-00005.Agnes,Tom,
and I took a look at the DDR approval and it looks like adding walls/windows to the gazebo-type structure you
have now would fall under the previous approval—meaning you do not need a new DDR as long as you are not
scraping/rebuilding.
With the new scope of just adding walls/windows to an existing structure on an existing concrete pad,you would
just need building permits (no formal land use review).We will still require a service provider letter from CWS
letting us know they're okay with the proposal.
Please let us know if you have any additional questions.
Thank you!
Hope Pollard
Associate Planner
City of Tigard I COMMUNITY DEVELOPMENT