Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019 00310
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2019
TIGARD Parcel: 1S135DD01300
Jurisdiction: Tigard
Site address: 11660 SW HALL BLVD
Project: Tigard Self Storage Subdivision: HOFFARBER TRACTS Lot: 29
Project Description: Demolition of a 1,056 sq.ft. house on sewer. UPON FINAL INSPECTION, DEMO CREDITS FOR SDC FEES
WILL APPLY.
Contractor: CSI CONSTRUCTION COMPANY Owner: JIVANJEE, SAJ
17721 NE RIVERSIDE PKWY, STE.A 32230 NE OLD PARRETT MOUNTAIN RD
PORTLAND, OR 97230 NEWBERG, OR 97132
PHONE: 503-907-0070 PHONE:
FAX: 503-907-0077
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: DC Provision Review, COM TI-Ping 12/19/2019 $102.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 12/19/2019 $729.45
Demolition
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 12/19/2019 $8.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Erosion Control w/Development 12/19/2019 $107.60
Value: $50,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $947.05
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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:
a 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 comple ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Cityof Tigard .��ED ReceivedtPermit No..g Date/B It 1 ilk �1, 4�
1,1 a 13125 SW Hall Blvd.,Tigard,OR 97223 j Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit:
TIGARD Inspection Line: 503-639-4175 NOV 7 2019 Date Ready/By: Amis' ® See Page 2 for
u Internet: www.tigard-or.gov Notified/Method:/ /y , je,41l '" Supplemental Information
n
TYPE OFo111C 017'11 "t€"° REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction IN 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.
EJ1-and 2-family dwellingValuation: $
El
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ®Other: Self Storage Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11660 SW Hall Boulevard New dwelling area: square feet
City/State/ZIP: Tigard, OR, 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Tigard Self Storage Covered porch area: square feet
Cross street/directions to job site: SW Hall Boulevard & Pacific Highway W 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#: Parcel #2 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 of existing residential building causing public safety Valuation: $ 50,000
concerns. Existing building area: 10'556 square feet
New building area: 0 square feet
II, El PROPERTY OWNER 0 TENANT Number of stories: 0
Name: CH Realty VII-WPC I Portland Tigard Self Storage JV, LLC Type of construction: N/A
Address: 802 N. 3rd Avenue Occupancy groups: N/A
City/State/ZIP: Phoenix, AZ, 85003 Existing:
Phone:(602)875-5000 Fax:(602)875-5001 New:
0 APPLICANT IXC CONTACT PERSON BUILDING PERMIT FEES*
Business name:CH Realty Vll-WPC I Portland Tigard Self Storage JV, LLC (Please refer la fee schedule)
Structural plan review fee(or deposit):
Contact name: Jared Langenhuizen
FLS plan review fee(if applicable):
Address: 802 N. 3rd Avenue
Total fees due upon application:
City/State/ZIP: Phoenix, AZ, 85003
Amount received:
Phone:( 602) 628-1885 Fax::(602)875-5001
E-mail:JLangenhuizen@wentprop.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: CSI Construction Company Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17721 NE Riverside Parkway, Suite A Solar Installation Specialty Code checklist.
City/State/ZIP: Portland/Oregon/97230 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)907-0070 Fax:(5503)907-0077 State surcharge(12%of permit fee): $21.60
CCB Lie.: 75359 Total fee due upon application: $201.60
Authorized signature: c' - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jared Langenhuizen Date: 11/01/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:Building Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l1/02/COM/WEB)
City of Tigard
4.1 COMMUNITY DEVELOPMENT DEPARTMENT
111111
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: /54-0,e/`f--ao 3/ctr
Site Address: //(G(e0 ' ?it—) /L I/ &Yk_ Suite/Bldg#:
Project Name: •--9/9- ` / /q / '?%),
(Name of commerusiness occupying the s ac . If vacant,enter Spec Space.)
Planning Revi w
Proposal: �?14 6 d n/, ) .1 ' a.o __/
1A
fl
V rify site address/suite# exists and active in permit sysstte
!A.`t': er Terrace Neighborhood: ❑ Yes Od No
11 nd Use Case#: a/A.20 ,- 0000
IV Plans arch Approved Land Use:
L21 Site Plan 11,1 andscape Plan OP6hey:
VCTrban Forestry Plan L40'levation Plan
NO :uilding Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Pl'°Cusiness License:
sts: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities mprovement (PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: ® Yes ❑ No,stop intake
Notes:
Approved by Planning: _ r-- fik. Date: Mi
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: ,
Site Plans: #
Building Plans: #
Building Permit#: ®.-iter building permit#above.
Workflow Routing: C fanning CI engineering L-Permit Coordinator 0--Building
Workflow Sign-off: 0-f -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: , .f` 1,
I:\Building\Forms\B IdgPermitRvw_COM_W ithLandUse_060116.docx
Engineering Review
[ Slope at building pad: 2.%
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
CI Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
El/Water tQuality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Z(No
Assess Water Quantity Fee in-lieu: ❑ Yes IZ-No
4' LIDA Facility on lot: ❑ Yes [2/No
❑ NOT Approved by Engineering: Date
1y Notes:
* ; Approved by Engineering: 124 Date: 0 yh 7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
rz Revision 3: ❑ Approved ❑ Not Approved
i Eff....., 41119MINIMINIESIMMUIlk
Permit Coordinator Review AlEfr
❑ Co • ons "Met"prior to issuance of building permit
Approved,NOT Released:
!' meth VI e2_ 7),,, ,: s,. , deiDate: /JP./P./114
- Z' �
Notes: C
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
. Revision Notice 2: Date Sent to Applicant:
t\ Revision Notice 3: Date Sent to Applicant:
4' ODC Fees Entered: Wash Co Trans Dev Tax: E] Yes CTN/A
Tigard Trans SDC: ❑ Yes C�' N/A
Parks SDC: CI Yes CAGY/A
F., OK to Issue Permit —' f ��
Approved by Permit Coordinator: 'AZ-Date: /2<
I
is\Building\Forms\B idgPermitRvw_COM_W ithLandUse_070915.doc x
A
Albert Shields
From: Albert Shields
Sent: Thursday, November 14, 2019 2:37 PM
To: Mike Gorman
Cc: Cali Galla;Jared Langenhuizen;#Building Permit Technicians
Subject: RE: CUP2016-00005, 217 Tigard Storage: Tree Establishment Bond & Demo Permits
Mike,as you have heard from Lina Smith the bond is fine but we need to receive the hard copy. Please drop it off at
your convenience.
Regarding the three demo permits, before we can issue them we have to receive confirmation from your arborist that
the required tree protection has been properly installed. I've left a voicemail for Teragan asking whether they have had
a chance to inspect your site yet.
As you know, City Hall is closed on Fridays so unless we receive confirmation this afternoon the demo permits will have
to wait until Monday.
Please let me know if you have any questions.
Albert Shields
From: Mike Gorman<MGorman@csigc.com>
Sent:Wednesday, November 13, 2019 2:30 PM
To:Albert Shields<albert@tigard-or.gov>
Cc: Cali Galla <cgalla@wentprop.com>;Jared Langenhuizen<jlangenhuizen@wentprop.com>
Subject: CUP2016-00005, 217 Tigard Storage:Tree Establishment Bond
Caution!This message was sent from outside your organization. Allow sender I Block sender
Good afternoon Albert,
Please see attached Landscaping Performance& Establishment Bond no 0753415. Can you review and confirm that this
satisfies item#4 on the attached conditions log that you printed for me on Thursday.
Also, I just released the arborist to do the initial report that would satisfy item 1 Tree Protection Measures. We've
contracted with Teragan &Associates. The contact we have with them is as follows if you have any direct questions for
them:
Todd Prager
ASCA Registered Consulting Arborist#597
ISA Board Certified Master Arborist
ISA Tree Risk Assessment Qualified
AICP,American Planning Association
Direct 971.295.4835
todd@teragan.com
teragan.com
Once I receive the initial report and letter, I'll make sure you get a copy of it.
1
4
•
Sincerely,
Mike Gorman
Vice President
CSI Construction Company
Cell:503-969-74031 Work:503-907-00701 Fax:503-907-00771www.csigc.comILinkedinIFacebook
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