Permit li ii
``
TIGARD
City of Tigard
July 26,2017
The Good Neighbor Center
Attn: Renee Brouse
11130 SW Greenburg Rd.
Tigard, OR 97223
Re:Permit No. MMD2016-000 &BUP2017-00014 _..„)
Dear Applicant:
The City of Tigard has processed a refund for fees on the above referenced permit(s) as
follows:
Site Address: 11130 SW Greenburg Rd
Project Name: The Good Neighbor Center
Job No.: N/A
Refund: ® Check#225400 in the amount of$2,576.29.
❑ Credit card"return"receipt in the amount of$ .
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$ .
Comments: Refund permit and land use fees that were waived by City Council Resolution
No. 17-17 (see attached).
If you have any questions please contact me at 503.718.2430.
Sincerely,
/ 'ke, _
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
a City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use,development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: The Good Neighbor Center DATE: 7/6/2017
Attn: Renee Brouse
11130 SW Greenburg Rd REQUESTED BY: Dianna Howse
Tigard, OR 97223 MAV
TRANSACTION INFORMATION:
Receipt#: 406874,408498,408919 Case#: MMD2016-00029&
BUP2017-00014
Date: Various-paid by credit card and Address/Parcel: 11130 SW Greenburg Rd
Pay Method: Check Project Name: Good Neighbor Center
EXPLANATION: Refund building permit and land use application fees waived by the City of Tigard.
a ,d� a
' , pSs - s t$'..e '- , cs(' - ` - �' r .a�,s r ,,
...1 �, - �o-� Ilj . � °4
Minor Modification 100-0000-43116 $300.00 V
Buildin. Permit Fee 230-0000-43104 917.70
Plan Review 230-0000-43106 596.51
DC Provision Review 230-0000-43112 178.50
DC Provision Review 100-0000-43112 178.50
Plan Review-Fire Life Safe 230-0000-43108 367.08
Info Process/Archive Fee 230-0000-43135 38.00
TOTAL REFUND: $2,576.29
APPROVALS: SIG /DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
. . . s ','.. 44,01iMPVWA1 YS ."EM MIMS,fUTIOX. 0Wf
Case Refund Processed: I Date:
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
- ' I.
CITY OF TIGARD RECEIPT
l9 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Good Neighbor Center
Site Address: 11130 SW GREENBURG RD /✓/�
Receipt Number: 415902 - 03/02/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2017-00014
$-596.51
Total: $-596.51
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 225400 DHOWSE 03/02/2018
Payor: The Good Neighbor Center $-596.51
Total Payments: $-596.51
Balance Due: $596.51
Page 1 of 1
114 CITY OF TIGARD
i, 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT
503.639.4171
TIGARD
Receipt Number: 408498 - 01/25/2017
CASE NO.
BUP2017-00014 vie
FEE DESCRIPTION
REVENUE ACCOUNT NUMBER PAID
Plan Rew
230-000043106 $596.51
Total: $596.51
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID
Credit Card CASHIER ID RECEIPT DATE RECEIPT AMT
09987E
Payor: Robert Wood-Mountainwood Homes DADAMSKI 01/25/2017 $596.51
Total Payments: $596.51
Balance Due: $0.00
1
i
Page 1 of 1
CITY OF TIGARD RECEIPT
i,
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Good Neighbor Center
Site Address: 11130 SW GREENBURG RD /e_.6 -6(^/46
Receipt Number: 415903 - 03/02/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER
PAID
BUP2017-00014
$-1,679.78
Total: $-1,679.78
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 225400 DHOWSE 03/02/2018
Payor: The Good Neighbor Center $-1,679.78
Total Payments: $-1,679.78
Balance Due: $2,276.29
Page 1 of 1
r .-
CITY OF TIGARD
i It 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT
503.639.4171
T£GAP.D
eMl6YAi(—
Receipt Number: 408919 - 02/14/2017
CASE NO. FEE DESCRIPTION
REVENUE ACCOUNT NUMBER PAID
BUP2017-00014 Permit Fee-Additions,Alterations,
Demolition 230-0000-43104 $917.70 �-
BUP2017-00014 12%State Surcharge-Building
BUP2017-00014 DC Provision Review, COM New-Bldg04311100-0000-24001 $170. 0
BUP2017-00014 230-0000-43112 $178.50 �-
DC Provision Review, COM New-Ping 100-0000-43112
BUP2017-00014 Plan Review-Fire Life Safety $178.50230-0000-43108
178.50
BUP2017-00014 Info Process/Archiving-Lg$2.00(over 230-0000-431 $367.08F
11x17) 230-0000-43135
$2288.000 <_,.
BUP2017-00014 Info Process/Archiving-Sm$0.50(up to
11x17) 230-0000-43135 $10.00
BUP2017-00014 Tig-Tual School CET-Non Residential
230-0000-24102 $228.75
Total: $2,018.65
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID
CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 01785E
Payor: Jim Blake-Mountainwood Homes DADAMSKI 02/14/2017 $2,018.65
Total Payments: $2,018.65
Balance Due: $0.00
I
Page 1 of 1
CITTIYGAORFDTICGIARDTYC,OOURECGIOLI:
W
RESOLUTION NO. 17-
A .RESOLLTION WAIVING CITY OF TIGARD FEES AND CHARGES ASSOCIATEI) FFI I
BETIDING AN ADDITION TO Ti IL GOOD NEIGHBOR CENTER EXISTING FACILIII
WIIEREAS,Tigard Municipal Code 3,32.070 authorized City Council to waive fees for nonprofits when the
request is made in writing and council determines that the community benefit outweighs the financial
burden to the city;and
WHERIS, The Good Neighbor Center has requested in writing the waiver of fees associated with
building an addition to their existing facility;and
WI IEREAS, the Master Fees and Charges Schedule states that the City of Tigard fees associated with
building an addition to their existing facility are as follows:
Permit/Plan Review fees $ 2,276.29
Type Ii;and Ilse fee $ 300.00
Total $2,576.29; and
WEIEREAS, council determines that the community benefit outweighs the $2,576.29 financial burden to the
city,
NOW,THEREH)RE, BE IT RESOLVED by the Tigard City Council that:
SECTION 1: The Good Neighbor receives a waiver of$2,576.29 in permit and land use fees.
SI Ci 2: This resolution is effective immediately upon passage.
PASSED; This 1 t±' day of "11 2017.
Mayor iaty o Tigard
,
Kelly Burgoyne, Deputy City Recorder
RESOLUTION NO, 17- I 7
Page 1
CITY OF TIGARD FEE AND PAYMENT HISTORY
1 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TlGAR ID
I BUP2017-00014 - 11130 SW GREENBURG RD, TIGARD,
OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced
Paid Date Paid Method Receipt# Due
Permit Fee-Additions,Alterations, 230-0000-43104 $917.70 ,/
Demolition $917.70 $917.70 2/14/17 Credit Card 408919 $0.00
12%State Surcharge-Building 100-0000-24001 $110.12
$110.12 $110.12 2/14/17 Credit Card 408919 $0.00
Plan Review 230-000043106 ✓ $596.51
$596.51 $596.51 1/25/17 Credit Card 408498 $0.00
DC Provision Review, COM New-Bldg 230-0000-43112 $178.50
,,,- $178.50 $178.50 2/14/17 Credit Card 408919 $0.00
DC Provision Review, COM New-Ping 100-0000-43112 $178.50
;/• $178.50 $178.50 2/14/17 Credit Card 408919 $0.00
Plan Review-Fire Life Safety 230-0000-43108 $367.08
,7' $367.08 $367.08 2/14/17 Credit Card 408919 $0.00
Info Process/Archiving-Lg$2.00(over 230-000043135 $28.00 ./
11x17) $28.00 $28.00 2/14/17 Credit Card 408919 $0.00
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $10.00 V
11x17) $10.00 $10.00 2/14/17 Credit Card 408919 $0.00
Tig-Tual School CET-Non Residential 230-0000-24102 $228.75
$228.75 $228.75 2/14/17 Credit Card 408919 $0.00
Totals for Fees $2,615.16 $2,615.16 $2,615.16
$0.00
Receipt# Payment Method Check#
Payor: Receipt Date Receipt Amount
408498 Credit Card Robert Wood-
01/25/2017 $596.51
408919 Mountainwood Homes
Credit Card Jim Blake- 02/14/2017
$2,018.65
Mountainwood Homes
Total Payments: $2,615.16
Balance Due: $0.00
poi CITY OF TIGARD FEE AND PAYMENT HISTORY
i 11.. 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T f r f A R.1)
MMD2016-00029 - 11130 SW GREENBURG RD, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Minor Modification to an Approved Plan 100-0000-43116 AZ"- $300.00 $300.00 $300.00 10/17/16 Check 406874 $0.00
Totals for Fees $300.00 $300.00 $300.00 $0.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
406874 Check 1666 Good Neighbor Center 10/17/2016 $300.00
Total Payments: $300.00
Balance Due: $0.00
Dianna Howse
From: Mark VanDomelen
Sent: Thursday,July 06, 2017 3:06 PM
To: Dianna Howse
Subject: RE: Refunds
Hi Dianna,
The Good Neighbor Center refund will go to:
The Good Neighbor Center
Attn: Renee Brouse
11130 SW Greenburg Rd.
Tigard, OR 97223
Thanks,
Mark VanDomelen
Building Official
City of Tigard
markv@tigard-or.Rov
(503)718-2448
From: Dianna Howse
Sent: Thursday, July 06, 2017 2:49 PM
To: Mark VanDomelen
Subject: Refunds
Hey Mark,
I am processing refunds and I noticed that I still have the two "waived fees" projects in my refund basket waiting for
additional information.
My notes indicate that I am waiting for you to get me the name and address for where to mail the checks for the
following:
• Good Neighbor Center—MMD2016-00029& BUP2017-00014
• The Gary Sinise Foundation—MST2016-00504
Thank you for your help with this.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2430
1
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/14/2017
T t c. 1=.[� 9 Parcel: 1 S 135CA02600
Jurisdiction: Tigard
Site address: 11130 SW GREENBURG RD
Project: Good Neighbor Center Subdivision: None Lot: None
Project Description: Addition of 375 square feet to existing shelter for educational and recreational programs.
Contractor: MOUNTAINWOOD HOMES INC Owner: EAST WASHINGTON COUNTY SHELTER
PO BOX 2257 PARTNERSHIP COUNCIL
BEAVERTON, OR 97075-2257 DBA GOOD NEIGHBOR CENTER
11130 SW GREENBURG RD
TIGARD, OR 97223
PHONE: 503-746-7338 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ADD Type of Const: VB Permit Fee-Additions,Alterations, 02/14/2017 $917.70
Demolition
Occupancy Grp: S-1 Occupancy Load: 1 12%State Surcharge-Building 02/14/2017 $110.12
Dwelling Units: Plan Review 01/25/2017 $596.51
Stories: Height: ft DC Provision Review,COM New-Bldg 02/14/2017 $178.50
Bedrooms: Bathrooms: DC Provision Review,COM New-Ping 02/14/2017 $178.50
Value: $75,000 Plan Review-Fire Life Safety 02/14/2017 $367.08
Info Process/Archiving-Lg$2.00(over 02/14/2017 $28.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 02/14/2017 $10.00
11x17)
Total Area: 375 Tig-Tual School CET-Non Residential 02/14/2017 $228.75
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,615.16
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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. ATTE en._•regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 '10 through OA' 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: k _ Permittee Signature: - -
Call 503.639.4175 by 7:00 a.m.for the next available inspection d. e.
This permit card shall be kept in a conspicuous place on the job site until corn etio ➢ e project.
Approved plans are required on the job site at the time of each i ;pection.
.
Building Permit Application
Commercial RE 1.0Rorr►cI. 1s1,o\l.�
"-,
Received ��// n�`�
City of Tigard Date/B 01 �/7 r Permit No.: t t QQQ/
111 41 13125 SW Hall Blvd.,Tigard,OR 97 i� 2 2Q1rt Plan Revi _.
Phone: 503-718-2439 Fax: 503 59860 Date/By: + Related Permit:H,/ ^^ � �
rf' P k \� MDO�I
T I C A R 17 Inspection Line: 503-639-4175 g,,rty tv t t,, t o Date Ready!: Juds: la See Page 2 for
Internet: www.tigard-or.gov +ns! ' p -7. 1\I Ii Notified/Method: yl)/7 I Supplementallnformation
BUILDIN
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY/DWELLING
❑New construction El 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.
Valuation: $
❑ 1-and 2-family dwelling 1 Commercial/industrial
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `t i.?,c; ��,,,,,,„ ,Qr c,.p.,,w C'a New dwelling area: square feet
City/State/ZIP: --r,Cc3,,7 c:«....- c -72-Z Garage/carport area: square feet
Suite/bldg./apt.#: Project name: lap°0 lV tt eat 6,2_ C.. to Tj Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
b l-00 h010 ., X ..1-4 no /..�&- Valuation: $ 7��0
— �^; ' 4361<--- l Existing building area: 40q1--) square feet
t
New building area: "77 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: l'
Name: eta Oat( i � -'4.- -11---
— 1 � J Type of construction: 221
Address: 1 1 v.30 5+^.► _ - S P 01 Occupancy groups:
City/State/ZIP: -1-I..6?,,,,, &2__.. °C1•7'Z75 Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)�� �I� � "_'S Structural plan review fee(or deposit):
Contact name: p plc L ,in
��' FLS plan review fee(if applicable):
Address:C -7.14..2 0l lk'l;3tJ t n+
Total fees due upon application:
City/State/ZIP: t. L 1 � C9— i�.110(-m —
Phone:( ) y...p� VI6�, I Fax::( )�3 Amount received: ,s/
E-mail: I2.iL1fGD «, (Y)d‘J>r.A.%..)t..c:,'CC „ CW'1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR 1 - Commercial and residential prescriptive installation o
roof-top moun-, PhotoVoltaic Solar Panel S .
Business name: rJa--r�,.A, scs) Submit two(2)set f roof plan with co . tion" details
Address: m -I �' j S and fire department ac•-ss,along w' the 2010 Oregon
C"32 \npf3CL AN. Solar Installation Specia` Cot checklist.
City/State/ZIP: -- Q l ca® Permit fee(include . review
� '� �, ��L � and ad strativ ees): $180.00
Phone:( 3) ')t46 --1;,.wL Fax:(t3) 114 G -)41(ct.1 State surcharge 2%of permit f--): $21.60
CCB Lic.: `1! ..( I'3. Total fee due upon application: $201.60
Authorized sign.-ire: This permit application expires if a permit is not obtained
ithi0 hsbeen aced s mlet
Print name: �, Date: 1).- -\2 1-1., * Feewmethon18di) setafter byit Tria-Counbty BuildingceptaIndustry e.
Service Board.
I:\Building\Permits\B •_ IM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I GARD 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.12/18/2014
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
III1
T1cARD Building Permit Review — Commercial - With Land Use
Building Permit #: (b.t.-P cwj( 7—QCZj 16/
Site Address: //ASO 2k) �j.��",zivco / Suite/Bldg#:
Project Name: C/004) biue. ,f? cy- (Vie,
(Name of commercial smess occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 4/00 _ d e,_ 4-)-11cs2,Ar�'/fice
LvJ Verify site address/suite#exists and active inermit s ste .
p Y
ever Terrace Neighborhood: ❑ Yes No
and Use Case#: AA (�c 01(x) •-- Q .?
Pla Match Approved Land Use:
Site Plan Plan kther:
rban Forestry Plan 1?Sandscape
Ptevation Plan
((Building Height: M/ximum Height �� Actual Height
/(0
nditions Met: BQ Prior to Submittal 0 Prior to Permit Issuance
Business Lice e:
Exists: Udi Yes 0 No,applicant notified to obtain business license
0 Oublic Facilities Improvement(PFI) Permit:
Required: 0 Yes,applicant was notified W No Applied For:
pp 0 Yes 0 No,stop intake
Notes:
Approved by Planning: .---��..= Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: / N5--/i '
Site Plans: # Q
Building Plans: # 5
Building Permit#: Enter building permit#above.
Workflow Routing: Planning c:1--Engineering 0�rmit Coordinator Ebuilding
Workflow Sign-off: E1 Sign-off for Planning(include notes from planning review)
Route Application Documents: —uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: rik, i�CDate:
I:\Building\Forms\BldgPermitRvw COM WithLandUse 060116.docx
r �
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 ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: ,etG Date: J .Z4f 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Eh, 111111MIENINIMORIMIMOM
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: ° Fs" N/A
�p Parks SDC: 1Yes ❑ N/A
�T OK to Issue Permit
Approved by Permit Coordinator:
/ Date: i 3d/yV'
I:\Building\Fonns\B1dgPermitRvw_COM_WithLandUse_070915.docx
j •
TDT Estimate Good Neighbor Center Addition 1/30/2017
11130 sw Greenburg Rd. AMS
TDT RATES EFFECTIVE 7/1/16
TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/16 INSIDE RIVER TERRACE
TSDC CITYWIDE EFFECTIVE 7/1/16 O Yes
Project is in River Terrace ? QQ No
Former Use
Rate Type Use# ITE Code # Units Rate TDT Amount Description
TDT 1 $8,278 $0 Vacant Land
TSDC-Imp 1 $5,488 $0 Vacant Land
TSDC-Reim 1 $317 $0 Vacant Land
TSDC-RT 1 $2,684 $0
Total TDT and TSDCs Former Uses $0
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
TDT 1 495 0.38 $9,614 $3,605 Addition to
TSDC-Imp 1 $0 Community Center
TSDC-Reim 1 $0
TSDC-RT 1 $0
TDT 2 $0
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
TDT 3 $0
TSDC-Imp 3 $0
TSDC-Reim 3 $0
TSDC-RT 3 $0
Total All TDTs&TSDCs Proposed Uses $3,605
Less: Total All TDTs&TSDCs Former Uses $0
Total All TDTs&TSDCs Net Increase $3,605
Total Net County TDT $3,605
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0
Total Net TSDC RT Overlay $0 $3,605
TDT TSDC Imp + Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $12,876 $0
Estimated Unmitigated Impact $9,271 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $12,876 $0
Estimated Unmitigated Impact $9,271 $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
Parks Estimate Good Neighbor Center Addition 1/30/2017
11130 sw Greenburg Rd. AMS
ALL PARKS RATES EFFECTIVE 7/1/16
Q Yes
Project is in River Terrace ? QQ No
Note: All Neigh-Imp# Units entries=0 if project is in River Terrace;
All Neigh-RT# Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 $0 Vacant Land
Parks-Reim 1 $0 Vacant Land
Neigh-Imp 1 $0 Vacant Land
Neigh-RT 1 $0 0
2 $0
Total Parks Former Uses $0
Proposed Use
Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 495 0.29 $376 $109 Addition to
Parks-Reim 1 495 0.29 $68 $20 Community Center
Neigh-Imp 1 495 0.29 $0 $0 0
Neigh-RT 1 $2,003 $0 0
Parks-Imp 2 $0 0
Parks-Reim 2 $0 0
Neigh-Imp 2 $0 0
Neigh-RT 2 $0 0
Total Parks Outside RT Proposed Uses $129
Less: Total Parks Outside RT Former Uses $0
Total All Parks Outside RT Net Increase $129
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Total Parks-Imp $109
Total Parks-Reim $20
Total Neigh-Imp $0 $129
Total Neigh-RT $0
For Non-Residential Calculations:
Prior Use: =###sf/EE;#####/###=EEs.
Proposed Use: Educational=1300sf/EE; 375/1300=0.29EEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11130 SW GREENBURG RD, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00014
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor