Permit City of Tigard
v COMMUNITY DEVET OPMENT DEPARTMENT
e Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: et,p pis 9-_-(. v Iry
Site Address: 1 o N SO S1ti) 1J0w,j pre Suite/Bldg#: 1--
Project Name: bairmgo TI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 1
Proposal: 1�n i(lC{ "11 , w .e.or oviof v�>'/Vf-: ( k 54" 2`i,°( ��A)
Existing Business Activity: <-e
Proposed Business Activity: c Z2
r.
`el erify site address/suite# exists and active in permit system.
ves Terrace Neighborhood: ❑ Yes 2-No
AI Zoning: AltiC-2-
JC7 Permitted Use: g Yes ❑ No ❑ Spec Space
J21--Confirm no land use required.
ic:Kusiness License:
Exists: 0 Yes 71---No,applicant was provided a business license application
Notes:
Approved by Planning: Date: if/B)2 L
Revisions (after Building Submittal only) 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: f jIlik
Site Plans: #
Building Plans: # `'
Building Permit#: nter b ilding permit#above.
Workflow Routing: arming ❑ Permit Coordinator Building
Workflow Sign-off: B�,-S�ign-�off for Planning(include notes from planning review)
Route Application Documents: L —13T"- mg: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: �f s7 _ „ Date: ///4/42..-
I:\Building'Forms\BldgPermitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved, NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes E N/A ❑ Deferred
LIDA Fee: ❑ Yes E N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\FormslBldgPemiltRvw_COM_NoLandUse_08162022.docx