Permit .11 q CITY OF TIGARD BUILDING PERMIT
S ,r COMMUNITY DEVELOPMENT Permit#: BUP2019-00290
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
Parcel: 2S102AB05900
Jurisdiction: Tigard
Site address: 9249 SW TIGARD ST
Project: City of Tigard Subdivision:;TREET HERRITAGE TRAIL PLAZA RE Lot: 2
Project Description: Foundation for a new 150 sq.ft. restroom building adjacent to the Heritage Trail. The restroom building will be
anchored to the foundation.
Contractor: LEE CONTRACTORS LLC Owner: TIGARD, CITY OF
PO BOX 896 13125 SW HALL
BATTLEGROUND,WA 98604 TIGARD, OR 97223
PHONE: 360-852-2317 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VA DC Provision Review, COM New-Ping 10/23/2019 $203.00
Occupancy Grp: U Occupancy Load: 2 Permit Fee-COM-New Construction 10/23/2019 $1,168.62
Dwelling Units: 0 12%State Surcharge-Building 10/23/2019 $140.23
Plan Review 10/16/2019 $759.60
Stories: 1 Height: 12 ft Address Fee 10/16/2019 $50.00
Bedrooms: 0 Bathrooms: 2 Plan Review-Fire Life Safety 10/23/2019 $467.45
Value: $180,000 Info Process/Archiving-Sm$0.50(up to 10/23/2019 $22.50
11x17)
Metro Const. Excise Tax 10/23/2019 $216.00
Floor Areas: I
Total Area: 150
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,027.40
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
Fire Sprinkler: No Parapet:
Fire Alarm: No 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: (.
tall 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 roR OFI l(i; l!sI; ()Nix
Cityof Ti and Received
g Date/By: id gyp/ Permit No.:��, i i—(f lU
II to 13125 SW Hall Blvd.,Tigard,OR 972.2in•-•-•
ECEIVED
Plan Review
Phone: 503-718-2439 Fax: 503-598-1 Date/By: )o-.fj Related Permit:
T I G A R D Inspection Line: 503-639-4175 Date Ready/By: Juris: Fd See Page 2 for
Internet: www.tigard-or.gov OCT 16 2019 Notified/Method: jo/13 fq I Supplemental Information
TYPE OF WO1tTY OF TIGARD REQUIRED DATA:1-AND 2-FAMILY DWELLING
-I1 l!L nIN(3 DIVISION
,E)New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 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 ❑Commercial/industrial ,
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms: 41
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ci Z,4 1 `j W '"y t 3(kir d S t( U(- New dwelling area: square feet
City/State/ZIP: "1't4 a,r d t CLQ . 61-1 2.2-3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: tkr,1. 3 fr'kt` kes rooyvt_ Covered porch area: square feet
Cross street/directions to job site: i tAS i W e4+ of +Ili e h4c,rrefy,on Deck area: square feet
0c ( I 0`^( tfU1M Si-) t) s T1 el 0„,,,aOther structure area: . ' _ square feet
,Y t
ti
DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I C (0—0 Z,(o FAr+-0,13 n P 1 aiA Lot#: 1 Permit fees*are based on the value of the work performed.
�' Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: k. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK L work indicated on this application.�y,+� /��►f
t"OrOk c t"\d pollr re-in'f orce.J C..OY1cr 4-e 5ilk.? Valuation: $ 1 C►ll+Wv
tkl 1 r �� . A n d' 0 r rre 5^�'rof)-��,� Existing building area: square feet
•f A--fit. (,-O ,q- rP.41f, S 1 ,r-UO New building area: i 5 0 square feet
p PROPERTY OWNER J 0 TENANT Number of stories: 1
Name: `t,t,`I �3 At T i d ov, - Type of construction: 1`I - O r G11 Pio.. i
r
Address: 1's 1 Z 5 5(i,) A 11 i3 I v 4 A Occupancy groups: I
City/State/ZIP: "rig air o D i . 912,2_3
Existing:
Phone:(- ,,1i ) 11p,,,) 2._14-(m c Fax:( ) —
New:
V APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name: L i �,
T 1 .�-d► (Please refer to fee schedule)
Contact name: Te 1:72,4Structural Structural plan review fee(or deposit):
- FLS plan review fee(if applicable):
Address: 13 (Z S S w 46,t' III el
Total fees due upon application:`15
/ }
City/State/ZIP: 171,3
1J kind 1 (�� 1-1 1.2---4> ���, (eJL
(S-oa) 'I f_2.4.4‘6 ( ) Amount received:
Phone: Fax::
E-mail: . /, � -or.,1 f`. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
F(_ CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: L �� .,TU S I LC.. Submit two(2)sets of roof plan with connection details
Iand fire department access,along with the 2010 Oregon
Address: PO' ied.) 714 Solar Installation Specialty Code checklist.
City/State/ZIP: ,e ti44 1F-6011
Permit fee(includes plan review
and administrative fees): $180.00
Phone:( 3 T-3-a� Y-"i Fax:
( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: fet6 3--2c- Total fee due upon application: $201.60
Authorized signature: -.-....40-8--A._,1This permit application expires if a permit is not obtained
✓ within 180 days after it has been accepted as complete.
Print name: 3e 4 Fe CL... Date: i o/t L/1 9 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP COM PermitApp.doc Rev.04/21/2014 440-4613T(II/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
IIIC
x AR Building Permit Review — Commercial - No Land Use
Building Permit #: g 2 if -cibq )
Site Address: 37L/9 Qk) .Q1-74. Suite/Bldg#:
Project Name: -Thread q7 "'-e_e_71-- `--1/A 0
(Narhei6f commercial business occupying the space. acant,enter Spec Space.)
Planning Review '/
Proposal: p/p vomit 'cur e r. C cupe 5�� k_A i,,
07 C I
Existing Business Activity: p j 1o9—
Pro.osed
Business Activity: // .� //
,I V-rify site address/suite#exists and active in permit system.
j :�'1�'; er Terrace Neighborhood: ❑ Yes ❑ No
rrrern fitted Use: VYes ❑ No ❑ Spec Space
Eil Confirm no land use required.
ei'''':usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: '� Date: T®
h1ph9
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: f)/d4,//1
Site Plans: ## 4__
Building Plans: #
Building Permit#: IE iter building permit# above. �,,.�
Workflow Routing: Big-lining 0.--Prniit Coordinator Ei Building ,N.a„r.,1
Workflow Sign-off: 0.--"Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: %Zr ,a,. /)p„I 04
By Permit Technician: f ,� ; Date: j/�G1Cpr
L:\Building\Fonns\BldgPennitRvw_COM_NoLandUse 060 1 16.docx
Engineering Review
❑Slope at building pad: 27
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
0"-Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑mater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑''leo
Assess Water Quantity Fee in-lieu: ❑ Yes 0---No
LIDA Facility on lot: ❑ Yes L —No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: / —€4Date: 1 Dl/to/2a/g
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
KA/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: ❑ Yes w1 N/A
Parks SDC: ❑ Yes it N/A
S(OK to Issue Permit
Approved by Permit Coordinator: A10-,,iviDate: I D I l� 1 I
Q
t
I:\Building\Forms\BldgPemiltRvw_COM_W ith LandUse_070915.docx