Permit (103) CITY OF TIGARD BUILDING PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: BUP2017 00217
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2017
TIGARD Parcel: 2S102AB02000
Jurisdiction: Tigard
Site address: 12533 SW MAIN ST
Project: City Center Development Subdivision: None Lot: None
Project Description: Demolition of(3)commercial buildings totaling 10,554 sq.ft. Addresses include 12533, 12535,and 12537 SW
Main St.
Contractor: Owner: CITY CENTER DEVELOPMENT AGENCY
BY EXECUTIVE DIRECTOR
13125 SW HALL BLVD
TIGARD, OR 97223
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 08/30/2017 $361.00
Class of Work: DEM Type of Const:
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 08/30/2017 $2,187.11
Demolition
Dwelling Units: 0 Erosion Control w/Development 08/30/2017 $311.40
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/30/2017 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $279,000 12%State Surcharge-Building 08/30/2017 $262.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,122.96
Required: Required Items and Reports(Conditions)
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 obtain 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 FOR OFFICE ESE ONLY
City of Tigard o -' Received 6 3 /7 4T PermitNo.: 6 17-c 1 i 7
A Date/By:iv .. l.�
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I.- J ).-7 Other Permit:
T I., R p Inspection Line: 503.639.4175 i��b a `C�j Date Ready/By: r�,/ Juris: H See Page 2 for
Internet: www.tigard-or.gov {�,q $ { y Notified/Method: I'-!/7 I Supplemental Information
TYPE OF WL of
i �JC k�
Ita REQUIRED DATA:1-AND 2-FAMILY DWELLING
.,. Permit fees*are based on the value of the work performed.
❑New construction ►; �:, ��
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.
❑ 1-and 2-family dwelling Itt Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ®Other:Demolition Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12537,12535,12533 SW Main St. New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Main St.at Fanno Cr.Proftvkies Covered porch area: square feet
Cross street/directions tojob site:Main St.at Fanno Cr. Dty►tol�r;eW
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102AB02000,02100 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.
Demolition and removal of existing commercial buildings located on 2 tax lots Valuation: $279,000
Existing building area: tot S5 t.+ square feet
New building area: square feet
.� PROPERTY OWNER 0 TENANT Number of stories:
Name:City Center Development Agency(CCDA) Type of construction:
Address:13125 SW Hall Blvd. Occupancy groups:
City/State/ZIP:Tigard/OR/97223 Existing:
Phone:(503-)718-2420 Fax:( ) New:
It APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:City Center Development Agency(CCDA) (Please rear re fee s¢hetst
Structural plan review fee(or deposit):
Contact name:Andrew Newbury
FLS plan review fee(if applicable):
Address:13125 SW Hall Blvd.
Total fees due upon application:
City/State/ZIP:Tigard/OR/97223
Amount received:
Phone:(503)718-2472 Fax: :( )
E-mail:andrewn@tigard-or.gov PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Anderson Environmental Contracting,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:705 Colorado St. Solar Installation Specialty Code checklist.
City/State/ZIP:Kelso/WA/98626 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)577-9194 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:141376
1� ,� Total fee due upon application: $201.60
Authorized signature: C� ;$ .Ar� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Andrew Newbury Date:8/1/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PetnutApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
111
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: i
Nz °S CJ ! 7
Site Address: 12. 5 3 7 , 1253 S Suite/Bldg#:
Project Name: N1 UI r St- g- r-cpemu CCk 0Q"o
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Dorn° (,43-YYl fri:Qa?.. L u rV ciUin9 S
Existing Business Activity: llV Pi Me
Proposed Business Activity: i f l /
Verify site address/suite#exists and active in permit system.ys
River Terrace Neighborhood: CI Yes AI No �Dre 70 /C' doav 1�i�Vu
7
Zoning: M C f�l� D 2 7 L -
7Permitted Use: g Yes ❑ No ❑ Spec Space
Confirm no land use required.
0 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ��'� T Date: /3// 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: KAA/ 7
Site Plans: #
Building Plans: #
Building Permit#: g-• -iter building permit ove.
Workflow Routing: arming ermit Coordinator ❑ Building
Workflow Sign-off: ❑ 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: Date: 573/,,
I:\Building\Forms\BldgPermitRvw COM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
3:3< ❑ Approved,NOT Released: Date:
Z
Notes:
fl
'* 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:
c[• ���.DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes SN/A
Parks SDC: ❑ Yes N/A
13 K to Issue Permit
r(91/4",----------
Approved by Permit Coordinator: 4/PK-Date:
r ( _
. - p ci D git<r LL)
g3/7// 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12533 SW MAIN ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00217
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: BUP2017-00217
13125 SW Hat Blvd.,Ti Date Issued: 08/30/2017
TTCa4ft. and OR 97223 503.718.2439 9
Parcel: 2S102AB02000
Jurisdiction: Tigard
Site address: 12533 SW MAIN ST
Project: City Center Development Subdivision: None Lot: None
Project Description: Demolition of(3)commercial buildings totaling 10,554 sq.ft. Addresses include 12533, 12535,and 12537 SW
Main St.
Contractor: ANDERSON ENVIRONMENTAL CONTRACTING LLC Owner: CITY CENTER DEVELOPMENT AGENCY
705 COLORADO ST BY EXECUTIVE DIRECTOR
KELSO, WA 98626 13125 SW HALL BLVD
TIGARD, OR 97223
PHONE: 360-577-9194 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: DC Provision Review,COM TI-Ping 08/30/2017 $361.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 08/30/2017 $2,187.11
Demolition
Dwelling Units: 0 Erosion Control w/Development 08/30/2017 $311.40
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/30/2017 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $279,000 12%State Surcharge-Building 08/30/2017 $262.45
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,122.96
Required: Required Items and Reports(Conditions)
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:'Zee_
f /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ,—c—L
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
CommercialFOR OFFICE ( SE 011.1'
City of Tigard ELT
IttkPermit No.: J ) f1114 131SWHall Blvd.,Tigard,OR 9722 f � � 4,—)— � �`7.a
Phone: 503.718.2439 Fax: 503.598.1%0Date/By: �• I 1li"" p Other Permit:
T I u.At o Inspection Line: 503.639.4175 A i J G 3 'z��l l Date Ready/By: kris: Ef See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 ft/7 7 I Supplemental Information
TYPE OF W ,r, GAR') titi1-eX" e
`t
siON REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction taPermit 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 W work indicated on this application.
Ydwelling Commercial/industrial
❑1-and 2-famil Valuation: $
IDAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ®Other:Demolition Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:12537,12535,12533 SW Main St. New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Main St.at Fanno Cr.Propty+ies Covered porch area: square feet
Cross street/directions to job site:Main St.at Fanno Cr. DtJrtoirri6w Deck area:
square feet
Other structure area: square feet
RR4Viiii0tATArCOMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102AB02000,02100 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.
Demolition and removal of existing commercial buildings located on 2 tax lots Valuation: $279,000
Existing building area: lc.,55 y square feet
New building area: square feet
0 PROP OAR ' 'ti TENANT Number of stories:
Name:City Center Development Agency(CODA) Type of construction:
Address:13125 SW Hall Blvd. Occupancy groups:
City/State/ZIP:Tigard/OR/97223 Existing:
Phone:(503-)718-2420 Fax:( )
0 APPLICANT D CONTACT PERSON
New:
. : . :... � BUILDING j*ERAgySES*
Business name:City Center Development Agency(CCDA) (Mao rohrmfrrsa7isr
Contact name:Andrew Newbury
Structural plan review fee(or deposit):
Address:13125 SW Hall Blvd. FLS plan review fee(if applicable):
City/State/ZIP:Tigard/OR/97223 Total fees due upon application:
Phone:(503)718-2472 Fax::( ) Amount received:
E-mail:andrewn@tigard-or.gov PHOTOVOLTAIC SOLAR PANEL SYSTEM'nes*
Commercial and residential prescriptive installation of
Co'NTRAG i OR roof-top mounted Photovoltaic Solar Panel System.
Business name:Anderson Environmental Contracting,LLC Submit two(2)sets of roof plan with connection details
Address:705 Colorado St. and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Kelso/WA/98626 Permit fee(includes plan review $180.00
Phone:(360)577-9194 Fax:( )
and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lic.:141376
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Andrew Newbury Date:8/1/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)
I