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Permit (26) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENTIll , , 'CI Permit#: BUP2018-00354 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 " F,, • ``'"'" Date Issued: 01/24/2019 T f ;ti 1<.[� g ‘461.4 Parcel: 2S102AC00800 Jurisdiction: Tigard Site address: 12553 SW MAIN ST, STE#201 N Project: Senet Subdivision: None Lot: None Project Description: TI for new tenant:New bar,kitchen,and bathroom. 1/31/19: REPRINT to change contractor. Contractor: PLUMBLINE DRYWALL Owner: XU,YU 14504 SW FERN ST HAN,ZIYE TIGARD, OR 97233 10755 SW NAEVE ST TIGARD, OR 97224 PHONE: 503-997-0983 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/24/2019 $195.38 Demolition Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/24/2019 $23.45 Dwelling Units: 0 Plan Review 12/27/2018 $127.00 Stories: 0 Height: 0 ft DC Provision Review,COM TI-PIng 01/24/2019 $98.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/24/2019 $78.15 Value: $8,000 Info Process/Archiving-Lg$2.00(over 01/24/2019 $6.00 11x17) Parks SDC Improvement 01/24/2019 $1,692.00 Floor Areas: Parks SDC Reimbursement 01/24/2019 $307.00 Total Area: 0 Wash Co Trans Dev Tax 01/24/2019 $755.50 Tigard Trans SDC Improvement 01/24/2019 $517.00 Accessory Struct: 0 Tigard Trans SDC Reimbursement 01/24/2019 $87.40 Basement: 0 Misc Administration Fee 01/31/2019 $45.00 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,931.88 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 mayigbtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , / Permittee Signature: 14 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 , ,, r.--:„.G. Commercial rolz orrice. Ise: oyl.l JAN 2, i City of Tigardlr�19 Received OR 97223 - :'j Date/B : II 13125 SW Hall Blvd.,Tigard, `% _ Plan Review C Phone: 503-718-2439 Fax: 503-598-1961 `, ) Date/B : Related Permit: ncAszD Inspection Line: 503-639-4175 (� ' ' Date Ready/By: Juris. ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ID1-and 2-family dwelling ®Commercial/industrial Valuation: $ IDAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 1 55 S S va) I°J_fi 14 ST ViugsettNew dwelling area: square feet City/State/ZIP: 'TA A( t Oj)j © (t 9 1 2-9-S Garage/carport area: square feet Suite/bldg./apt.#: 2t)( Project name: 3-EN ET i•-r r ii-DU SC Covered porch area: square feet Cross street/directions to job site: /NA 6 i hl sr L Ftvi4NL cert. le- Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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. �� t H-Prt4 e 0 p Co k ' Li—c-we- Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER g TENANT Number of stories: Name: QE&-11.1 t.V, 03 I-(64-r Type of construction: Address: i ZcS 3 Sil;,:y ix A.% IJ sr- 41'-2_0‘ Occupancy groups: City/State/ZIP: "T"1 6,01-110 0t2 9 7:ZZ.3 Existing: t Phone:(�3)`E4C4.2- 3 155 Fax:( ) New: 9 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax::( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: PLO ME(,1 N E D t2 la i LL Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 7 2 3 J S(t Aev. i 12.6 Solar Installation Specialty Code checklist. City/State/ZIP: -T" i GIN a.b Z. el 7 2.� Permit fee(includes plan review $180.00 and administrative fees): Phone:6;,3) 52.I / q t(Jr Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 1 V c.,0 a 6 t l6, / i l 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: t iQ i Lk f (L 6 4Y Date: 1 /3( /i j * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT a Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 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.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 • Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations T I GRD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. El map&tax lot# ❑ project name El site address El suite number ❑ zoning ❑ applicant name El phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. 4. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing(building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval,the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire&Rescue),if applicable. I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.11/5/2018 CITY OF TIGARD BUILDING PERMIT 11,14l'.. COMMUNITY DEVELOPMENT Permit#: BUP2018-00354 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2019 T f[ r4 1'.1) g Parcel: 2S102AC00800 Jurisdiction: Tigard Site address: 12553 SW MAIN ST, STE#201 Project: Senet Subdivision: None Lot: None Project Description: TI for new tenant: New bar,kitchen,and bathroom. Contractor: OREGON HOME MASTERS Owner: XU,YU 14900 S STEVENS HAN,ZIYE OREGON CITY, OR 97045 10755 SW NAEVE ST TIGARD, OR 97224 PHONE: 503-281-4695 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/24/2019 $195.38 Occupancy Grp: B Occupancy Load: 49 Demolition 12%State Surcharge-Building 01/24/2019 $23.45 Dwelling Units: 0 Plan Review 12/27/2018 $127.00 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/24/2019 $98.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/24/2019 $78.15 Value: $8,000 Info Process/Archiving-Lg$2.00(over 01/24/2019 $6.00 11x17) Parks SDC Improvement 01/24/2019 $1,692.00 Floor Areas: Parks SDC Reimbursement 01/24/2019 $307.00 Wash Co Trans Dev Tax 01/24/2019 $755.50 Total Area. 0 Tigard Trans SDC Improvement 01/24/2019 $517.00 Accessory Struct: 0 Tigard Trans SDC Reimbursement 01/24/2019 $87.40 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,886.88 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. Y.0 may obtain a co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /1 / ziA7 C 1 • I�. Issued By: 7 / /fry Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This perrnit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial FOR OFFICI; LSI: 0\1.1 City of Tigard Received y /� _ `J g ro E ,r 1 �it • Date/By: /I it _,//L} „ __ Permit No.: 50,-4 11$"/ l l7 ill 1111 41 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review' �✓ f�E✓ = Phone: 503-718-2439 Fax: 503-598-1960 Date/By: — 7 t li Related Permit: T 1 G A R 0 Inspection Line: 503-639-4175 l f f 7 2 111 �{ Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov '� " .ified/Method: ft I /#41" ,'-'- Supplemental Information yr ' a ,' — %. 4 Lt. . .. _, / .../ //✓/L TYPE OF '• •1' • • QUIRED DATA:1-AND 2-FAMILY DWELLING kifon DIVISION 0 New construction o tttPermit 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. ❑ 1-and 2-family dwelling g Commercial/industrial Valuation: $ 0 Accessory building ElMulti-familyNumber of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: i 2-5 5 Z 5i,,; ofk et i i„ Sr New dwelling area: square feet City/State/ZIP: °T I Q, R-0 @ - 11221 Garage/carport area: square feet Suite/bldg./apt.#: 2 01 Project name: S—i j zyCovered porch area: square feet Cross street/directions to job site: IA IN 1 Ai s•-r- Q iia r C p t Deck area: square feet P 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 n DESCRIPTION OF WORK work indicated on this application. 6U t i-0 OUTit— LA- 2- 67/ �tct' t5 tail )C Valuation: $ ObO .rt-C_11 1, fL A / b i,.j-ft CL-,O y4•, 61) .L/) Existing building area: square feet I'�rt-C_ (Ai 1 Li.... Ae v Y .e Pt,.i &i , . -Tic it F ot i A.,14 New building area: square feet ❑ PROPERTY OWNER R TENANT Number of stories: Name: s E Kii -r' L.LC, Type of construction: Address: 14Q U a Occupancy groups: City/State/ZIP: T I bit(1.z 0 , C1 1 2,2-3 Existing: Phone:( c).3) et 1f 0114 s G:, Fax:( ) New: ixAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Ge n j rr 1- `,L t;,, (Please refer to,fee schedule) Structural plan review fee(or deposit): Contact name: b Eel,icy_ f 46 Li(.314 r i f(tn S(0,-:; ,V•t +x.-13 1�. � FLS plan review fee(if applicable): • Address: i J i's" Total fees due upon application: / `� City/State/ZIP: 16 2-0 612- 411 ? Phone:(4t)-yl C 9�r..-c�Lj 5 f_Fax: :( ) 22.3 Amount received: E-mail: 5E11/4;.T4I A P kCCst Q c"b4 A IL r( ���y, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1�.(-AM e M Ors`Ei2. Submit two(2)sets of roof plan with connection details - and fire department access,along with the 2010 Oregon Address: 7 2 2'S 5 %) a`i;; i TA co. Solar Installation Specialty Code checklist. City/State/ZIP: -,,-T- 0 Permit fee(includes plan review . / t ,� and administrative fees): $180.00 Gn3)l Phone: ( . ct._ Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 26)2J 1 1._1 /(0 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:'(" �c 1c to 0.4 6 T Date: I Z/t.7 fie e * Fee methodology set by Tri-County Building Industry �" Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) r r City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT q Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 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): $ 1:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1111 " Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TI GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. 0 map&tax lot# ❑ project name El site address ❑ suite number El zoning El applicant name 0 phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. 4. ADDITIONAL INFORMATION AS FOLLOWS: A. Fire Department Building Survey. I:\Building\Permits\BUP_COM_PemutApp.doc Rev.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III _ " Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations T I G ARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 rMechanical 2 Plumbing(building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire&Rescue),if applicable. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 Cityand ■ of Tigard IN COMMUNITY DEVELOPMENT DEPARTMENT s TIGARD Building Permit Review — Commercial - No Land Use ,w; Building Permit #: gzipozJ3-.i 3i/ Site Address: 12 53 9A1 Maty/ -eS Suite/Bldg#: Zp Project Name: Sr' - TA plexMSc (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: T; k. Existing Business Activity: 0-F6'qq Proposed Business Activity: eil"v [Alin Vv-in es.knol tshrali t 174 Verify site address/suite#exists and active in permit system. lA River Terrace Neighborhood: ❑ Yes X No Zoning: 1.AuG2D iR Permitted Use: ia Yes No ❑ Spec Space [ c Confirm no land use required. ,.Business License: Exists: ❑ Yes ,,Xi. No,applicant notified to obtain business license Notes: no ex4nnLr GVIa.v1acs - no la.ya use_ vrAnciN rcokuirceil Approved by Planning: ��� Date: J�/��/� j 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: ii-J 'i/ r Site Plans: # 41/,, . Building Plans: # "3 Building Permit#: nter building permit# ove. Workflow Routing: EJ-Planning rmit Coordinatording Workflow Sign-off: - gn 9ff for Planning(include notes from planning review) Route Application Documents: uiiding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: (#7'�'',"'- Date: / //� ,0°9 rJ I:\Building\Forms\BldgPennitRvw_COM NoLandUse_060 1 16.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: R i ion Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: VrCes 0 N/A Tigard Trans SDC: Y 0 N/A Parks SDC: Yes 0 N/A OK to Issue Permit **- Approved by Permit Coordinator: Date: //-7-//7 I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx