Permit (115) CITY OF TIGARD COMMERCIAL MANUFACTURED
114
STRUCTURE PERMIT
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Permit#: CMS2016 00001
T F C A. L7 g Date Issued: 02/16/2016
Parcel: 2S1080001500
Site address: 15111 SW DANUBE DR Jurisdiction: TIGARD
Project: Polygon at Bull Mountain,Lot 9 Subdivision: 1998-005 PARTITION PLAT Lot: 2
Project Description: Temporary sales office
Contractor: POLYGON WLH, LLC Owner: POLYGON WLH LLC
109 E 13TH STREET 109 E 13TH ST, STE 200
VANCOUVER,WA 98660 VANCOUVER,WA 98660
PHONE: 360-695-7700 PHONE:
FAX: 360-693-4442
FEES
Specifics: Description Date Amount
Type of Use: CMS MH State Admin 02/11/2016 $30.00
Class of Work: NEW Type of Const: VB MH BLD Permit 02/11/2016 $275.50
Occupancy Group: B 12%State Surcharge-Building 02/11/2016 $33.06
Stories: 1 Height: 0 ft
Project Valuation: $5,500.00
Floor Areas:
First Floor Area: 1826
Second Floor Area: 0
Third Floor Area: 0
Total Area: 0
Required Setbacks:
Left: 0 Right: 0
Front: 0 Rear: 0
Required:
Parking Spaces: 0 Fire Sprinklers: No Total $338.56
Smoke Detectors: Party Wall: No
Required Items and Reports(Conditions)
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. - • :•regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
-001-0010 through••R 952-r r(100'90. You may obtainina,copy of the rules or direct questions to OUNC by calling 503.232.1 r 1.: _ . ,
Issued By:f� / /JL/C��ir �I L� A Permittee Signature:
r \
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.
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City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
II
T[G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: C D-1 S 010( —0000/
Site Address: / sin S W 000(.42-Q, Pr- Suite/Bldg#: 9
Project Name: Pnt 9GJpn 04 gU it (v) oUn on
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review7-
Proposal: 1 e rn p o 2t r j ci L 1 ®c('I CQ..
/Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: Yes ❑ No
Land Use Case#: rug IS — 00002,
Plans Match Approved Land Use:
Site Plan e2riandscape Plan ❑ Other:
LJ Urban Forestry Plan ❑ Elevation Plan
Building Height: Maximum Height 3 0 Actual Height
Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
usiness License:
L Exists: ❑ Yes ❑ No,applicant notified to obtain business license
/LJ Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No, stop intake
Xo
Notes:
0 //Approved by Planning: a? 0!/i /Z.�11 I�j n i l�`3�Gt.�(,/l Date: ' Vj ,.... -../r/C7
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: l/�l/(o
Site Plans: # 3
Building Plans: # 3
Building Permit#: a-Enter building permit# above.
Workflow Routing: [r Planning C,1--Engineering ❑'I e mit Coordinator ttilding
Workflow Sign-off: ifr 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: .. .rntJ. -)-Q_A u.lJ--
By Permit Technician: t) GA -tea-.. Date: f/a4,7/(,
I:\Building\Fonns\BldgPermitRvw_COM_W ithLandUse_070915.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ 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 No
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 7 No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: hit 1 to. L✓• Date: Z SIi.6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ 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
Parks SDC: ❑ Yes );is N/A
OK to Issue Permit
III Approved by Permit Coordinator: 1 Date: 21://e.,
I:\Building\Fonns\BldgPennitRvw_COM_WithLandUse_0709I 5.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15111 SW DANUBE DR, TIGARD, OR, 97224 August 27, 2018 at 9:11 :07 AM
Record Type: Record ID:
Commercial - Manufactured Structure CMS2016-00001
Inspection Type: Inspector:
899 MFG-Structure final David Young
Result:
PASS - NoCofO
Comments:
This inspection is to close out open permit for a temporary sales office that was occupied
and removed prior to approved final inspection.
Investigative fee applied for occupancy prior to approved final inspections.
The structure has been removed under permit BUP2018-00227
Violation Summary:
Inspector Contractor