Permit (23) IIICITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2016 00017
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2016
Tr f t ft° 9 Parcel: 2S102AD02700
Jurisdiction: Tigard
Site address: 8970 SW BURNHAM ST
Project: Pacific Rim Martial Arts Academy Subdivision: BURNHAM TRACT Lot: 5
Project Description: Site work for addition,paving&striping of parking lot.
Contractor: RADIAN CONSTRUCTION CORPORATION Owner: MARTYN PROPERTIES LLC
29801 NE 41ST AVE 17051 SW RIVENDELL DR
LA CENTER,WA 98629 PORTLAND, OR 97224
PHONE: 971-404-4512 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 10/24/2016 $674.92
Plan Review 10/24/2016 $438.70
Type of Use: COM 12%State Surcharge-Building 10/24/2016 $80.99
Class of Work: ADD Erosion Control w/Development 10/24/2016 $161.40
Project Valuation: $75,000.00
Site Specifics:
Excavation Volume: cu.yd.
Fill Volume: cu.yd.
Impervious Surface: sq.ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall:
Fire Underground: No Accessible Parking: Yes
Fence:
Total $1,356.01
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. 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: i //// Permittee Signature:
ii . .wr
//
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.
s
City of Tigard
ligd COMMUNITY DEVELOPMENT DEPARTMENT
■
T I GA RD Building Permit Review — Commercial - With Land Use
Building Permit #: 3./ 1--- o/C,0 -dOO 17
Site Address: e g 7 0 Sw Q V rh h Ca rrvl 51-. Suite/Bldg#:
Project Name: POI .C, Con M of r fl 1 A r-t-s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: GOMvMe 4-0- O►dS1 'r1n11 —Si}t WO r1,t,
7 Verify site address/suite# exists and active in permit system.
ejA River Terrace Neighborhood: ❑ Yes 71 No
Land Use Case#: ,OP11, (o- O 0 act 2-
cyr Plans Match Approved Land Use: V� co 0
i 7 Site Plan Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
Building Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
//// Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: [ Yes Li No,stop intake
Notes: ✓_/% ►._.e46.42:01: 1!:-
"--'0:� i/ .:,_:.%/,'%.:::-./_. /
Approved by Planning: l Y ! 0 (/�. gt)Oc--(AAA Pee 6 P Date: /0/1/ ) 6
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: /4/4///0
Site Plans: # 3
Building Plans: # 9
Building Permit#: Enter building permit#above.
Workflow Routing: i4VPlanning OE Engineering hermit Coordinator Building
Workflow Sign-off: P'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: �Q- -� 1j ,-,tiD az 6,143 0/G-lx)9-3 S
By Permit Technician: U __of[)‘ ,, Date: 7,0/4b
I:\Building\Forms\BldgPernutRvw COM WithLandUse 070915.docx
t •
Engineering Review g...„ 13 Slope at building pad:
-rFI Permit#: 2.0 16 - @-D 2_2-L_—
_ 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 3 No
LIDA Facility on lot: 2Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: NA N3 .1)::C.,-
�i�$v17� 1L 741-' I:LT� L/2� CQ/7,Yllr 4 Approved by Engineering: _`�l/ �-' £2) Date: /�
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 ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
K to Issue Permit
Approved by Permit Coordinator:
Date: 1 (;./.‘//)&
I:\Building\Forms\BldgPermitRvw_COM_W ithlandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8970 SW BURNHAM ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Site Work SIT2016-00017
Inspection Type: Inspector:
499 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor