Permit CITY OF TIGARD BUILDING PERMIT
'' ! : = COMMUNITY DEVELOPMENT Permit#: BUP2020-00145
TFCART� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2020
Parcel: 2S102AC00202
Jurisdiction: Tigard
Site address: 9110 SW BURNHAM ST
Project: City of Tigard Subdivision: BURNHAM TRACT Lot: 3
Project Description: Demolition of a 14,573 sq.ft.building on sewer and a 550 sq.ft.shed. UPON FINAL INSPECTION,DEMO
CREDITS FOR SDC FEES WILL APPLY.
Contractor: 3 KING'S ENVIRONMENTAL Owner: CITY CENTER DEVELOPMENT AGENCY
PO BOX 280 13125 SW HALL BLVD
BATTLE GROUND,WA 98604 TIGARD, OR 97223
PHONE: 360-666-5464 PHONE: 503-718-2420
FAX: 360-666-8202
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 06/25/2020 $932.76
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Lg$2.00(over 06/25/2020 $2.00
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 06/25/2020 $161.40
Bedrooms: 0 Bathrooms: 0
Value: $76,785
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,096.16
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
C 50175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
pf,F.44.c. F / fc pcc JS�J//)' *
Building Permit caion / • ,
Commercial FOR OFFICE USE ONLY
�, g � ' '�°� � Received �/j���
'r 1`it W Ha I BlArd d,OR 97223 DateBy f �/� �' 1'6/zy�,e '-c!€$
SUN 15 2020 Plan Review
Phone: 503-718-2439 Fax: 503-598-19 Date/By: Related Permit:
T 1 C A R D Inspection Line: 503-639-4175 ,�F -I . r Date ReadyBy: .taxi: B see Page 2 for
Internet: www.tigard-or.gov �-}C++ �rr���ff ryry`t //'a�} Notified/Method: Supplemental Information
BIJILL/IIVa..:4 t_'I�JIS'ICN
4r* ` '" _ xt TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 4 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 D Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder El Other:
Number of bathrooms:
II `t JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11`Q SVV 1Da n hairs s.� New dwelling area: square feet
City/State/ZIP: T1(�p(6 i Q % et
1-1 ).'l? / h_ Garage/carport area: square feet
Suite/bldg./apt.#: 7 Project name: Covered porch area: square feet
Cross street/directions to job site: C c 54(-alk; SW Win Sk- Deck area: square feet
01( SW nS l S\ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#:1,6t0 .4Go0o 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. �7�q0e400/di-e) vSQI ( a-C ChJy 1cii(g Valuation: $ 7(D/ 1 u5
LIradiA} D-( c mave-C( (- u 1C-c C S 1.(1 h Existing building area: 1411 rj'T�square feet
T New building area: square feet
`14 PROPERTY OWNER 0 TENANT Number of stories: On e,
Name: (r Qr T �6 Type of construction: O' 1 011 on
Address: `'LJ,2 5 SW `t 6 I Va Occupancy groups:
anc u s:Cr'
City/State/ZIP: �,nQ('i.(0 R l i.�1.3 Existing:
Phone:(503) '16 1-"12-tJ Fax:( )
New:
Ei APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ‹itv15 'Cf oravyx� ...k. it (
(Please refer to fee schedule)
r �� Structural plan review fee(or deposit):
Contact name: a J
Q Sob �,^"e�-/� FLS plan review fee(if applicable):
Address: 0 opox eDV
VIJI(1 , / pp 6 O'1 Total fees due upon application:
City/State/ZIP: �Q /_r 6' W t 0 `1
(�,�-1 L4G 1v^ Amount received:
Phone:(�(� ) �/ J\ f—I/ Fax::( )
E-mail: 721;V,.CQ �C, 3<ing S Inc,,L ory, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 3 Kos ��„t(onm \ /' G, Submit two(2)sets of roof plan with connection details
aAddress: O I �(R�f�F O j�„ 1� od fire department access,alCode checklist.
the. Oregon
15 0 � T�(PTt(/Q� Solar Installation Specialty Code checklist.
City/State/ZIP: V o j� �/ l�b D5 Permit fee(includes plan review $180.00
/ and administrative fees):
Phone: 66. -5 �}6'1 Fax:( )
/� State surcharge(12%of permit fee): $21.60
11
CCB Lic.: . ,�14 2:5 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:To b 9,iueC4 Date: (4,51 20 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building1Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6(,{x1p,x0 - (2ol c/s—
Site Address: g1t0 aq ?),A.fhtl ili Suite/Bldg#:
Project Name: C(,ti D-F a0
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: o l Vlitildl
Existing Business Activity: Yv V,'f/ Pt
Proposed Business Activity: N 1 A-
K Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes F1, No
Zoning: MAC&)
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
isik Confirm no land use required.
"A Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes: 110 011li tiktaice,
Approved by Planning: {e,_., iQ-4 —• Date: Co i 1 (20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
k.1
I Revision 3: ❑ Approved E Not Approved
Building Permit Submittal
t� Original Submittal Date: 6(r/oLo
'V Site Plans: # a2,
Building Plans: # ---
�, Building Permit#: ,2 Enter building permit#above.
V Workflow Routing: Planningrmit Coordinator �-Building
Workflow Sign-off: j,�—Sign-off for Planning(include notes from planning review)
Route Application Documents: �'uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
ti Notes:
4- By Permit Technician: Date: 0> AO
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 111819.docx
Permit Coordinator Review
VY -Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice l: 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: LI Yes N/A
Parks SDC: ❑ Yes N/A
,NrOK to Issue Permit
Approved by Permit Coordinator: Date: 1417/20
I:\Building\Fortes\BldgPermitRvw_COM_NoLandUse_111819.docx
Dianna Ornelas
From: Julie Drinkwater
Sent: Wednesday,June 17, 2020 1:01 PM
To: jrivera@3kingsinc.com
Subject: BUP2020-00145, 9110 SW Burnham, City of Tigard demo permit
Attachments: Invoice.pdf
Hello Job
The permit for the City of Tigard is ready to be issued. The balance due is $1,096.16. Attached please find the
invoice for your review.
To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search.
Please let us know once the fees have been paid so that we can email the permit to you.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
1
Branden Taggart
From: Branden Taggart
Sent: Thursday,June 25, 2020 5:38 PM
To: UB Online
Subject: Demolition Permit for 9110 SW Burnham St.
Attachments: Branden Taggart2.vcf
Hello,
This is a strange question to ask, considering the property I'm inquiring about at 9110 SW Burnham St. is City
owned, but can you tell me if this property is billed for sewer? I assume so, but I need to check for demolition credit
purposes.
Thanks,
lig Branden Taggart
■
• City of Tigard
r.,,_ Senior Permit Technician
TIGARD Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
bra ndent@tgard-or,g ov
1