Permit (35) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00121
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2018
j `R' � g Parcel: 1S134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary Subdivision: None Lot: None
Project Description: (2)detached bicycle parking covers.
Contractor: TIGARD TUALATIN SCHOOL DISTRICT 23J Owner: TIGARD-TUALATIN SCHOOL
6960 SW SANDBURG ST DISTRICT 23J
TIGARD, OR 97223 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-431-4700 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: 12%State Surcharge-Building 05/02/2018 $41.70
Occupancy Grp: Occupancy Load: Plan Review-Building 04/23/2018 $41.86
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $17,318
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $83.56
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:
►i,► ,► , 1 GI '
Call 503.639.4175 by 7:00 a.m.for the next available inspectiq •a e.
This permit card shall be kept in a conspicuous place on the job site until cofnplet•n of the project.
Approved plans are required on the job site at the time of each i spew ion.
1
Building Permit Application
� N
a
�m3�erc�°1 •• ti °* FoR OI't icE 1 SL ON1a
City of Tigard DReactee/iBveyd
C' 23/
/f 37- Permit No.: J , a _,W1
is
j
14 13125 SW Hall Blvd.,Tigard,OR 97223 & 9 iiPlan Revie VC_S Phone: 503.718.2439 Fax 503.598.1960 Date/By:
• -) ' Other Permit:
.I'I GA R U Inspection Line: 503.639.4175 Date Ready/By: Juns: El See Page 2 for
Internet: www.tigard-or.gov ' Notified/Method: Supplemental Information
❑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
y
�1,,t ,i'
f work indicated on this application.
❑ 1 and 2-family dwelling ®Commercial/industrial Valuation: $n/a
®Accessory building CIMulti-familyNumber of bedrooms:
ElMaster builder ❑Other Number of bathrooms:
- . -o F+r lgiOftli 1i' iOIy Al L 40-WV' -'z„. Total number of floors: I
Job site address: 12325 SW Katherine St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:n/a Project name:MaryWoodward Bike Shelter Covered porch area: square feet
Cross street/directions to job site:SW 121'`Ave Deck area: square feet
Just before and to the left of Mary Woodward Elementary School main entrance, Other structure area: square feet
'Zi;:,:,!, ! T ATA,.VO- 11 L SE CI "
SST -
Subdivision:n/a Lot no.:n/a Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S134CC01700 Indicate the value(rounded to the nearest dollar)of all
�� / �� equipment,materials,labor,overhead,and the profit for the
-,:x41:,,,,,314, y %,;1)� t )rniiiCi � work indicated on this application.
Construct(2)detached bicycle parking covers Valuation: $17,318
Existing building area: n/a square feet
New building area: 768 square feet
� "*off'� '— R I .41„,1,',')'', Number of stories: n/a 1
s ua
:rw
Name:Tigard Tulatin School District(23J) Type of construction: bicycle cover I
Address:6960 SW Sandburg St Occupancy groups: —1
-
City/State/ZIP:Tigard,OR 97223 Existing: n/a
Phone:(503)431 4700 Fax (n/a)
i New n/aii �, .� k �N.:1 - �441LRNi P
110f *- r ' . „
Business name:Mary Woodward Elementary PSO Foundation
Structural plan review fee(or deposit): $573.34
Contact name:Jennifer Vasicek
FLS plan review fee(if applicable): n/a
Address: 12325 SW Katherine St
City/State/ZIP:Tigard,OR 97223
Total fees due upon application: 573.34
Phone:(503)451-0536 Fax: :(n/a)
Amount received:
E-mail:jen.vasicek@gmail.com OV& A1C � 51 �1 EEE$*
J @g 'S'- :
:! � io9 0 Commercial and residential prescriptive installation of
� -�� --. ',,,,i-w,:;:;,--- . �,,. a . .. s roof-top mounted Photo Voltaic Solar Panel System.
Business name:Tigard Tulatin School District(23J) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12325 SW Katherine St Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503)431-4700 Fax:( /a)
State surcharge(12%of permit fee): $21.60
CCB lic.:n/a Total fee due upon application: $201.60 j
Authorized signature This
6,.,.
J�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: EVANi t/N �' A D C f Date: 1 I * Fee methodology set by Tri-County Building Industry
�J Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
I
m Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 17,318
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 4,330
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
$ 4,330
(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): $ 4,330
I:ABuilding\Permits\BUY-COM I'ermitApp.doc 03/03/2011
114 Building Division
Plan Submittal Requirements
TI G A R D Commercial& Multi-Family-New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ® map& tax lot# ® project name ® site address ❑ suite number
® zoning ® applicant name ® 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.
I I. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:ABuilding\Permits\BUP-COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
1 UA Commercial & Multi-Family-New,Additions or Alterations
�. ' '/ t.,;!.:'4:04t5;
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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
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:ABuilding\Permits\BUY-COM PcrmitApp.doc 03/03/2011
Dianna Howse
From: Lina Smith
Sent: Wednesday, April 25, 2018 1041 AM
To: Dianna Howse;Tom McGuire
Cc: Mark VanDomelen; #Building Permit Technicians
Subject: RE: Mary Woodward Elementary Grant: BUP2018-00121; 12325 SW Katherine St.
Hi Dianna,
Tom said to just charge them the $303 instead of the $739. Unfortunately, I already invoiced the $739 —is
there a way to delete this?
Lina
Lina Smith
Assistant Planner
City of Tigard Community Development
13125 SW Hall Blvd. Tigard, OR 97223
E-mail:LiriaCS@tigard�or.gov
From: Dianna Howse
Sent: Wednesday, April 25, 2018 9:32 AM
To:Tom McGuire <TomM@tigard-or.gov>
Cc: Mark VanDomelen<markv@tigard-or.gov>; Lina Smith <LinaCS@tigard-orgov>; #Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Mary Woodward Elementary Grant: BUP2018-00121; 12325 SW Katherine St.
Hi Tom,
Lina is going to invoice the CUP fees, however the current fee is$739.00 whereas the MMD fees under site development
are much lower at$303.00 which was probably used for the waived fees. That will leave a balance due for land use fees
of$439.00 after waiving the$300.00. The remainder$625.71 will go towards building permit fees. Someone will need
to convey this information about the land use fees to Jennifer.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Dianna Howse
Sent:Wednesday,April 25, 2018 9:12 AM
To: Mark VanDomelen<markv@tigard-or.gov>;Tom McGuire<TomM@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermitsCa@tigard-or.gov>; 'Jennifer Anthony Vasicek'
<jen.vasicek@gmail.com>
Subject: RE: Mary Woodward Elementary Grant: BUP2018-00121; 12325 SW Katherine St.
1
Hello Mark&Tom,
The Mary Woodward school has submitted for their bicycle shelter permit where there was a resolution passed on
4/4/2017 (see attached)to waive the following permit fees:
• Permit/plan review fees: $625.71
+ Type I Land Use fees: $300.00
• Total fees waived: $925.71
The land use case CUP2018-00003 needs fees entered and invoiced so that we can pay them by journal entry.
The permit technicians took in an estimated difference of$41.86 which may be adjusted upon completion of plan
review. Once we know the total fees due, we will apply the journal entry and invoice for remaining fees due, if any.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd ' Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:Jennifer Anthony Vasicek<ien.vasicek@gmail.com>
Sent: Monday, April 23, 2018 4:51 PM
To: Branden Taggart<brandent@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits( tigard-or.gov>
Subject: Re: Mary Woodward Elementary Grant: BUP2018-00121; 12325 SW Katherine St.
That was actually just a page out of the city's adopted budget for 2017-2018. You can find it here:
http://cros4.revize.com/revize/tigard/BUDGET/BUDGET 17-18/BUD 18PART6 COMMUNITYSERV.pdf. It's
on the very last page, and our in-kind award is listed under Mary Woodward PSO.
Attached is the letter I had with me.
On Mon, Apr 23, 2018 at 4:41 PM, Branden Taggart <brandent@tigard-or.gov> wrote:
Hi Jen,
I meant to copy the grant paperwork you had at the counter today to waive permit fees. Would you mind
emailing the documents so that we have them for our records?
Thank you,
2
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules ''City General Records Retention
: Schedule,"
3
SOCIAL SERVICES AND COMMUNITY EVENTS BUDGET UNIT: 5900/5910
City of Tigard City of Tigard
CV 2017-18 CV 2017-18
Community Events Grant Requests
Social Services Grant Requests
Agency Recommended Agency Recommended
Broadway Rose` Direct $ 10,000 Affordable I lousing Set-Aside Direct $ 1
1.s tis^al of the Ralloons+* Direct $ 20,000 I lousing i'rog Emergence Fund Direct $ 1
In-Kind $ 65,01)0
Tigard 4th of lu ”.. Direct $ 19,915 Residential Sersices Agency Direct $ 1
7/1-12,0(X)issued In-Kind $ 1,600
Lindesignatcd Set-Aside S - undesignated Direct $ 1
Set Aside Total Set Aside Total
Direct $ 49,915 Direct $ 4
In-Kind 5 66,600 In-Kind $ -
Downtown Tigard Events Direct $ 1.7,085 Bethlehem 1 tires of Bread Direct 5 1.500
John Tigard I-louse(Tigard I lisp at Direct $ 1,001) Boys&Girls Aid Direct $ 4,00))
Friends ends of hull Mountain Park Direct $ 2,0110 Calvin vin Presbyterian Church Backpack Supply Direct $ 4,950
Nature Recreation(Tualatin.an Rave k:Direct 5 2,000 Catalyst Partnership Direct $ 4,000
In Kind $ 1,000
Caring Closet Direct $ 6,000
Relay for( fie of'Ptgard/Tualatin Direct $1,000 C Direct $ 10,000
Community Acitton C7r8anvanon
Tigard Bull Mm Fanners Market Direct 5 4,000 Community Partners for Affordable Housing Direct 5 2,000
Tigard Arca Farmer's Market Direct $ 8,500 Compassion Conneet Direct $ 10,000
Tigard I ligh Grad Night Party Direct $ 2,11)0 Domestic Violence Resource Center Direct $ 5,000
1 igard Safety Town Direct $ 2,000 Family Promise'I'ualatin Valley Direct 5 1,500
I mlatin Valley Community Band Direct 5 1,000 Good d Neighbor Center Direct 5 15,000
\l ashingnm co Bicycle Trans Direct 5 1,1(10 Just Compassion of East Washington hington Co Direct $ 5,000
In-Kind 5 1,570
I.ifew-orks Direct $ 10,00)
I atke Dorf Inc Direct $ 25,000
Mary Woodward PSC) Direct $ 1,400
gn-Kind S 923
meals Or,wheels/Tigard Senior center Direct $ 29,000
In-Kind $ 101,333
Oregon Hunan Development Corp Direct $ 25,0011
Rebuilding Together Washington County Direct $ 2,000
Sexual Assault Resource Center Direct $ 6,000
St Anthony Severe Weather Shelter Direct 5 7,00))
St Vincent Dc Paul-St.Anthony Tigard Direct S 5,000
Templeton Elementary Backpack Program Direct 5 2,500
Tigard Area Chamber of Commerce Direct $ 4,000
Tigard Tualatin Family Resource Ctr Direct $ 6,500
Tigard Tunas the fide Coalition Direct $ 10,000
Tualatin R.iverkeepers Direct $ 6,650
In-Kind $ 3,000
Washington Clo catty Project I formless Connect Direct $ 4,500
Sub-total Sub-total
Direct $ 41,585 Direct $ 213,500
In-Kind $ 1,000 In-Kind $ 106,828
Total(Set asides and others) Total(Set asides and others)
Direct 5 91,500 Direct $ 213,504
In-Kind $ 67,600 In-Kind 5 106,828
City of Tigard I ADOPTED BUDGET I FY 2017-2018
PAGE 122-CITY OF TIGARD
dui-) 2o// -OO/ 2j
/. z.7z_5" 5 to &, .-77-/- 72-/A(5-
CITY OF TIG• • , OREGON
TIGARD CI CO CIL
RESOLUTION NO. 17- I
A RESOLUTION WAIVING CITY OF TIGARD FEES AND CHARGES ASSOCIATED WITH
BUILDING A NEW BIKE SHELTER AT MARY WOODWARD ELEMENTARY SCHOOL.
\XT-IEREAS,Tigard Municipal Code 3.32.070 authorized City Council to waive fees for nonprofits when the
request is made in writing and council determines that the community benefit outweighs the financial
burden to the city;and
WHEREAS, The Mary Woodward Elementary Parent Student Organization has requested in writing the
waiver of fees associated with building a bike shelter at their existing facility;and
WHEREAS,the Master Fees and Charges Schedule states that the City of Tigard fees associated with
building the proposed new bike shelter are as follows:
Permit/Plan Review fees $ 625.71
Type I Land Use fee $ 300.00
Total $ 925.71;and
WHEREAS, council determines that the community benefit outweighs the $925.71 financial burden to the
city.
NOW,THEREFORE,BE IT RESOLVED by the Tigard City Council that:
SECTION 1: The Mary Woodward Elementary Parent Student Organization receives a waiver of$925.71
in permit and land use fees.
SECTION 2: This resolution is effective immediately upon passage.
PASSED: This 9+-1.-'- day of 4 )r; 1 2017.
% i )
Ma.yo, City of Ti,
ATIEST:
i I
Kelly Burgoyne,Deputy City Recorder
/-
RESOLUTION NO. 17 ,q
Page 1 — 5-e_ e/v/7-7, -7-' / 6'-/---
-0--,2V- 0.,V/7
11010 SW Eschman Way
Tigard, OR 97223
03/01/2017
Tigard City Council
Attn: Mark VanDomelen
13125 SW Hall Blvd.
Tigard, OR 97223
Dear Councilors,
The Mary Woodward Elementary Parent Student Organization is currently in the planning phase to design and
construct a bike rack shelter at the school.This shelter would protect existing racks and students' bikes from rainy
Pacific Northwest weather.
We estimate the bike shelter will cost approximately$3,000, not including the$933 that will be required in building
and land use permit fees.
We are requesting a waiver of the building and land use permit fees that amount to$933.00.The entire cost of the
structure will come from grant funding, and we would be grateful for the Council's support in lowering the total
project cost.
This project is a partnership with Tigard's Safe Routes to School program and aligns well with the City's vision to
become a "community where people of all ages and abilities enjoy healthy and interconnected lives."
Thank you for considering this request for a waiver of permit fees. Please call if any additional information is
needed. You can reach me at 503-451-0536.
Sincerely,
Jennifer Vasicek
Volunteer Parent Coordinator
Safe Routes to School
City of Tigard
1 COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R i)
(Ft
Building Permit Review — Commercial - With Land dUse
Building Permit #: .eu //_ / 1
Site Address: /� c— of/< k,-/--/,,7;,,
� Suite/Bldg#:
Project Name: 10O1G,k2 X/ 34 /
(Na e of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: o) (.2__,) )2a0 ch/ ._ /P,—_
IrA" Verify site address/suite#exists and active in permit syste .
• ver Terrace Neighborhood: El Yes
No
and Use Case#: �? Or ---PVI �%� ��
jki
Pla atch Approved Land Use:
(P"-69®e2C3
Site Plan a andscape Plan 14 t-her:
III Urban Forestry Plan 02 Elevation Plan
A Building Height: Maximum �
Height Hei g /
� Actual Height `�' 0
1 I • onditions Met: ❑ Prior to Submittal El Prior to Permit Issuance
Business Licen
�yExists: Yes CI No,applicant notified to obtain business license
if Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified \ ] No A lied For:
Notes: Pp ❑ Yes ❑ No,stop intake
Approved by Planning: '
��� Date: 3
Revisions (after Building Submittal only)
Reviewer Date
Revision 1:
❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: # /Z-j//
Site Plans: 1 //
Building Plans: # 3
Building Permit#: 42-Enter building permit#above.
Workflow :g
n
Routin : O''T�lannin
Workflow RoutgLa--Sign-offg D1I —Engineering Q--Permit Coordinator [S- �g
fffor 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: idyl
nisi ,;-x-_____ Date: S/jam
I:\Building\Forms\BldgPermitRvw COM_WithLandUse 060116.docx
E❑ .Review
Review
Slope at buildng pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
LI NOT Approved by Engineering:
Date
Notes:
sAVDate: ___4 � 'r
Approved by Engineering: --
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
l\)VConditions "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 L N/A
Tigard Trans SDC: ❑ Yes - N/A
Parks SDC: ❑ Yes N/A
ROK to Issue Permit1
I��Approved by Permit Coordinator: ' Date: �Ib� V
I:\Building\Forms\B1dgPernutRvw_COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12325 SW KATHERINE ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00121
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
FA I L
Comments:
Plans to be on site
Special inspection final summary letter required If applicable
Violation Summary:
Inspector Contractor
111
TIGARD
City of Tigard
6/1/2018
Tigard-Tualatin School Dist 23J
6960 SW Sandburg St
Tigard, OR 97223
Re:Permit No. BUP2018-00121
Dear Applicant:
The City of Tigard has processed a refund for fees on the above referenced permit(s) as
follows:
Site Address: 12325 SW Katherin St.
Project Name: Mary Woodward Elementary-Bicycle Shelter
Job No.:
Refund: ® Check#228672 in the amount of$41.86.
❑ Credit card"return" receipt in the amount of$ .
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit" receipt in the amount of$ .
Comments: Refund plan review fees paid for bicycle shelter that were waived by City of
Tigard Resolution No. 17-19 on 4/4/2017.
If you have any questions please contact me at 503.718.2430.
Sincerely,
4-14347<}7-C
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
WIIMINIPRIMPIM
Building Permit Application
, ,„.., ,,„: , - pi E(1.4_ ..
FOR OFFR I. t sl:0\L1
City of Tigard PlaRecei"ed: y 73 e Ag Permit No.:
111 ' 13125 SW Hall Blvd.,Tigard,OR 97223 n PlanR _ ,r,� ���
g l l ' 2, 3 2 O 1y I Y Review
Other Permit:
l
l t t,4 k D Inspection Line: 503.639.4175e,.ReadyBy: Jags: 0 See Page 2 for
Internet: www.tigard-or.gov (111'1:Y( t` 1 f, , ed/Method: Supplemental Information
:m > �. ---,..'0,.'1.,,,,,,v.,,)?.,--,,,,',,,,,,.17,=.:; ; : �a3 -
❑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
4 1r€ ?4- fit; ! `fg work indicated on this application.
.,..'§., '''' , 46''- .4. 3a € ,.
..A . .�.. ., .,,w ,; .,. M. -, ,,11,�!.. '''''44":''''''
44" `,.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $n/a
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ff iTic i t ' Total number of floors:
Job site address:12325 SW Katherine St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:n/a Project name:MaryWoodward Bike Shelter Covered porch area: square feet
Cross street/directions to job site:SW 121"Ave Deck area: square feet
Just before and to the left of Mary Woodward Elementary School main entrance, Other structure area: square feet
Fi7jil:;:tiiii:i:',kV,,:irl".4 .;;;i 1 ,, . T
Subdivision:n/a Lot no.:n/a Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S134CC01700 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
.,% tt � „ work indicated on this application.e ,/ y a /, t -0 E1 t t t# rr�ys
Construct(2)detached bicycle parking covers Valuation: $17,318
Existing building area: n/a square feet
New building area: 768 square feet
�,�,. ,i Number of stories: n/a
Name:Tigard Tulatin School District(23J) Type of construction: bicycle cover
Address:6960 SW Sandburg St Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: n/a
Phone:(503)431-4700 Fax:(n/a) New: n/a
a ,:,,iM ¢� € , ff 0 (fir £ ii', ,.. i 1 y , .
', :fit
Business name:Mary Woodward Elementary PSO Foundation
Structural Plan review fee(or deposit): $573.34
Contact name:Jennifer Vasicek
FLS plan review fee(if applicable): n/a
Address: 12325 SW Katherine St
City/State/ZIP:Tigard,OR 97223
Total fees due upon application: 573.34
Amount received:
Phone:(503)451-0536 Fax::(n/a)
E-mail:jen.vasicek@gmail.com JAI1Pi. '
_ s ®� ¢ �£ Commercial and residential prescriptive installation of
,. . , 2 ,,M w;4,e ,„ ,, , z=,, " ",. ;, . � roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tigard Tulatin School District(23J) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12325 SW Katherine St Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)431-4700 Fax:( /a) State surcharge(12%of permit fee): $21.60
CCB lic.:n/a 6......„.,
Total fee due upon application: $201.60Authorized signaturotk. ( , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: bAN/tO c. A n i f Date: LI 1 I 8 Ili ' Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
CITY OF TIGARD, OREGON
TIGARD CITY COUNCIL
RESOLUTION NO. 17-
A RESOLUTION WAIVING CITY OF TIG;IRI7 FEI`,S :\NI) CEI;\RGI?S ASSOCIATED \\'ITII
BI IIDING .\ NEW'BI1'I: SHELTER AT MARY WOC)D4\ARD I LI=,il1.,NTARY S(11(R
WHEREAS,Tigard Municipal Code 3.32.07t)authorized City Council to waive fees for nonprofits when the
request is made in writing and council determines that the community benefit outweighs the financial
burden to the city;and
\X11I.iREAS, The Mary Woodward Elementary Parent Student Organization has requested in writing the
waiver of fees associated with building a bike shelter at their existing facility;and
\XIII REAS, the Master Fees and Charges Schedule stares that the City of Tigard fees associated with
building the proposed new bike shelter are as follows:
Permit/Plan Review fees S 625.71.
Type I Land Use fee S 300.00
Total $ 925.71;and
,REAS, council determines that the community benefit outweighs the 5925.71 financial burden to the
city.
NOW,Ti IIiRITORE, BE I"I-RI SOLVED by the Tigard :it Council that:
SECTION 1: The Man Woodward Elementary Parent Student Organization receives a waiver of 5925.71
in permit and land use fees.
SECTION 2: 'Ibis resolution is effective immediately upon passage.
PASSED: This _J I!' day of Or t 1 2017
)
layor` (;ity of Tigard
.\`I"11 S
t urn
Kelly Burgoyne, I)eput-t' City Recorder
RESOL[. TION NO. 17- t`i
Page 1