Permit (4) CITY OF TIGARD BUILDING PERMIT
11111 .
COMMUNITY DEVELOPMENT Permit#: BUP2019-00311
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2019
Parcel: 1 S 135DD00100
Jurisdiction: Tigard
Site address: 11640 SW WARNER AVE
Project: Tigard Self Storage Subdivision:1/4RBER TRACTS NO.16 TO NO.40 INCL Lot: 34
Project Description: Demolition of a 1,060 sq.ft. house on septic. Septic tank to be pumped and filled. UPON FINAL INSPECTION,
DEMO CREDITS FOR SDC FEES WILL APPLY.
Contractor: CSI CONSTRUCTION COMPANY Owner: CH REALTY VII-WPC I PORTLAND TIG
17721 NE RIVERSIDE PKWY, STE.A SELF STORAGE LLC
PORTLAND, OR 97230 BY WENTWORTH PROPERTY COMPANY
LL
803 NORTH 3RD AVE
PHOENIX, AZ 85003
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: Permit Fee-Additions,Alterations, 12/19/2019 $729.45
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Lg$2.00(over 12/19/2019 $8.00
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 12/19/2019 $102.00
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
Issued By: �armiee Signature:
///.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
Cr,n"nmercial FOR OFFICE USE ONLY
Received /�
City of Tigard Date/By ''„f 1�J �." Permit No.: lcA/� �'+1_<_k)31(
'" 13125 SW Hall Blvd.,Tigard,OR 9722 �� plan Review l r� /
:�J g ' Phone: 503-718-2439 Fax: 503-598-196 Date/By. Related Permit:
T I GAR D Inspection Line: 503-639-4175 A I / Date Ready/By: Juns: ® See Page 2 for
Internet: www.tigard-or.gov NOV V 7 2019 Notified/Method: hof/7/i 1 77---,::, Supplemental Information
r c�(— l ft t�Et 3 1t C47•'�r7)t,-A e v T
TYPE OF �{ REQUIRED DATA:1-AND 2-FAMILY DWELLING
nlnlr, Dlvlclrim
❑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.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ®Other: Self Storage Number of bathrooms:
JOB SITE.IN. ORM1t ION AND LOCATION Total number of floors:
Job site address: 11640 SV i'p,, at - oievard 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 #3 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.
Valuation: $50,000
Demolition of existing residential building causing public safety
concerns. Existing building area: 1060 square feet
New building area: 0 square feet
® 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:
❑ APPLICANT Ix] CONTACT PERSON BUILDING PERMIT FEES*
Business name:
CH Realty VII-WPC I Portland Tigard Self Storage JV, LLC (Please refer rofee 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:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 75359 ' '+ 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:Jared Langenhuizen Date: 11/01/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Pemlits\BUPCOM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
RE COMMUNITY DEVELOPMENT DEPARTMENT
}
'' ' Building Permit Review — Commercial - With Land Use
Building Permit #: 1Ii l2'q-co3
Site Address: 'qt_-) rA�
// t t/UO Suite/Bldg#:
Project Name: .--9/9- ` / `?4
(Name of commer is usiness occupying the s ac . If vacant,enter Spec Space.)
Planning Rev] w
Proposal: N O 012/= e ...i- • i,)/A__,
OF ,O/i3OF
V rify site address/suite# exists and active in permit sysstte
Ib , ,er Terrace Neighborhood: ❑ Yes ld No
nd Use Case#: C'ZZA'0//e— a690
IV Plans atch Approved Land Use:
Ll/1 Site Plan andscape Plan 0they:
1,34\'6"rban Forestry Plan \ 010 levation Plan
111 :uilding Height: Maximum Height Actual Height
❑ Conditions Met: El Prior to Submittal El Prior to Permit Issuance
Il' ;usiness License:
sts: ❑ Yes ❑ No,applicant notified to obtain business license
id Public Facilities mp rovement (PFI) Permit:
Required: Yes, applicant was notified El No Applied For: Yes ❑ No,stop intake
Notes: _ / / - •L / J/1... aL' ♦ ?u .. t:A"i>r ) Rik 1u/Y`L 4
•
Approved by Planning: r-- ;I Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: # 7'
Building Plans: #
Building Permit#: d--End building permit# above.
Workflow Routing: Er Planning ❑-E ngineering El-'Permit Coordinator Q-Building
Workflow Sign-off: "'"Sign-off for Planning(include notes from planning review)
Route Application Documents: Q-13uoriginal permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: Cn.�74•,i 4 zfiKee .fi e,.,00 ikii ` . 4,61,c4)€ c AlivAit, —2
By Permit Technician: f---e--,112,-1/4 ..-3,--g-0-57Date: Jl/y'f
I:\Building\Fonns\BldgPennitRvw_COM_WithLandUse 060116.docx
Engineering Review
Slope at building pad: Z2
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
E"--Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 'No
Assess Water Quantity Fee in-lieu: ❑ YesE:(No
LIDA Facility on lot: ❑ Yes LV No
(-- ❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: _ Date: /1 J/th0j�
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
3 Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
roved NOT Released: c pp
7/.�Y1�i y: Date:o /� 1 /11
Notes: / ii
c cat)i •
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
1 Revision Notice 2: Date Sent to Applicant:
CRevisio otice 3: Date Sent to Applicant:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes lA
tti Tigard Trans SDC: ❑ Yes
Parks SDC: El Yes g41X.1
OK to Issue Permit -
� ® i I rot
Approved by Permit Coordinator: Date: 3v i
I:\Building\Forms\B 1dgPennitRvw_COM_W ithLandU se_070915.doc x
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 ( 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
Sincerely,
Mike Gorman
Vice President
CSI Construction Company
Cell:503-969-7403 I Work:503-907-00701 Fax:503-907-0077Iwww.csigc.com I Li n ked i n I Fa ce book
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