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Permit (79) CITY OF TIGARD BUILDING PERMIT IN iii S . COMMUNITY DEVELOPMENT Permit#: BUP2018-00207 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2018 Parcel: 1S134DC03001 Jurisdiction: Tigard Site address: 11130 SW TIGARD ST Project: Dirksen Nature Park Subdivision: CHERRY HILL ACRE TRACTS Lot: 6 Project Description: A new 1,465 restroom facility on a footing and concrete slab. Contractor: COLUMBIA CONSTRUCTION INC Owner: TIGARD, CITY OF 28170 BOBERG RD 13125 SW HALL BLVD WILSONVILLE, OR 97070 TIGARD, OR 97223 PHONE: 503-427-0304 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: NEW Type of Const: VBPermit Fee-COM-New Construction 08/15/2018 $1,276.38 Occupancy Grp: U Occupancy Load: 7 12%State Surcharge-Building 08/15/2018 $153.17 Dwelling Units: 0 Plan Review 07/05/2018 $829.65 DC Provision Review,COM New-Bldg 08/15/2018 $194.00 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/15/2018 $510.55 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 08/15/2018 $350.00 Value: $204,000 11x17) Metro Const.Excise Tax 08/15/2018 $244.80 Erosion Control w/Development 08/15/2018 $311.40 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,869.95 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: No Parapet: 2 Bolts in Concrete Fire Alarm: Protected Corridors: 3 Special Inspection(see plans) Smoke Detectors: Manual Pull Stations: 4 Reinforced Concrete 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 • 7 Call503.639.4175 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 RECEIVE 1 FOR OFFICE USE ONLY Received y`� Pennit No.: , /. City of Tigard Date/B : — 1 - . y _ �� r i 14 q 13125 SW Hall Blvd.,Tigard,OR 97223 p Plan Review ._ - Phone: 503.718.2439 Fax: 503.598.1960 IUL 5 2018 Date/B : y _ gill Other Permit: GAi y TIGARD Inspection Line: 503.639.4175 Date Ready/By: ;• See age 2 or Internet: www.ti and-or. ov cl T (� Notified/Method:U � '�r� 4 ^ Supplemental Information g g B r f), TIGARP OFCc.t1 ' 64 3jIv,`-, REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling ®Commercial/industrial Valuation: $ ElAccessory building ['Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:11130 SW TIGARD STREET New dwelling area: square feet City/State/ZIP:TIGARD,OREGON 97223 Garage/carport area: square feet Suite/bldg./apt.no.:n/a Project name:DIRKSEN-RESTROOM/NAT PLAY Covered porch area: square feet Cross street/directions to job site:Tigard St at SW Twin Park Place Deck area: square feet ENTER DIRKSEN NATURE PARK AT TIGARD ST/FANNO CRK TRAILHEAD. Other structure area: square feet RESTROOM/NATURE PLAY IMPROVEMENTS LOCATED NORTH OF EXISTING REQUIRED DATA:COMMERCIAL-USE CHECKLIST SPORTS FIELD. Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: 1S134DD01000 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $204,000.00 INSTALLATION OF PRE-ENGINEERED MODULAR BLOCK ROMTEC Existing building area: square feet RESTROOM FACILITY ON A FOOTING AND CONCRETE SLAB I New building area: 1,465 square feet ® PROPERTY OWNER 1:1 TENANT Number of stories: 1 Name:CITY OF TIGARD Type of construction: VB Address: 13125 SW HALL BLVD Occupancy groups: City/State/ZIP:TIGARD,OR 97223 Existing: Phone:(503)718-2466 Fax:( ) New: U ® APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:CITY OF TIGARD Structural plan review fee(or deposit): Contact name:JEFF PECK FLS plan review fee(if applicable): Address:13125 SW HALL BLVD Total fees due upon application: 1. 65 City/State/ZIP:TIGARD,OR 97223 Amount received: Phone:(503)718-2466 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:jeffp@tigard-or.gov Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name:COLUMBIA CONSTRUCTION and fire department access,along with the 2010 Oregon Address:10749 OAK STREET#6 Solar Installation Specialty Code checklist. Permit fee(includes plan review $180.00 City/State/ZIP:DONALD,OR 97020 and administrative fees): Phone:(503)427-0304 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:199903 Total fee due upon application: $201.60 F- ...� This permit application expires if a permit is not obtained Authorized signature;�-. .1 within 180 days after it has been accepted as complete. �/�--' * Fee methodology set by Tri-County Building Industry Print name: 0442 -re L14- Date: 7/S / 1 Service Board. I:ABuilding\Pennits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .41 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] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 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 $ (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): $ I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 RECEIVED City of Tigard JUL5 Z018 T I GARD Memorandum CITY OF TIGA D I 11 111 To: Gary Pagentecher, Associate Planner From: Jeff Peck, Project Manager Re: Dirksen Nature Park CUP2013-0001 Conditions of Approval Responses Memo Date: July 5, 2018 Mr. Pagenstecher, Please accept the responses addressing CUP2013-00001 Conditions of approval for the Dirksen Nature Park- Interpretive Shelter/Restroom and Nature Play Improvement project. It is the intent of the memorandum to address conditions of approval relevant to the installation of Interpretive Shelter/Restroom and Nature Play as this is our next phase of a multi-year project. As such,we have noted in the responses where the condition will be met prior to future phased development. Responses will be provided for each phase of park development meeting the conditions for CUP2013-0001 prior to release of applicable permits. CONDITIONS OF APPROVAL THE FOLLOWING CONDITIONS SHALL BE SATISFIED PRIOR TO ISSUANCE OF A SITE PERMIT: To be reviewed and approved by the Development Services Division, Planning Department (Gary Pagenstecher, 503-718-2434) 1. Prior to site work, the project arborist shall perform a site inspection for tree protection measures, document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval directly to the city manager or designee within one week of the site inspection. C of A 1: The project arborist is Morgan Holen & Associates LLC. Morgan will inspect the tree protection measures installed, document compliance, and send written verification to the project planner prior to commencement of site work. This condition will be met. 2. Prior to site work, the applicant, if it is the City, shall show that the funds have been budgeted to plant the trees shown in the approved urban forestry plan. The applicant shall plant the trees and show that the maintenance funding is budgeted before final inspection. The budgeted funds will cover the city's average cost to plant and maintain a tree per the applicable standards in the Urban Forestry Manual for a period of two years after planting multiplied by the total number of trees to be planted and maintained. C of A 2: Street trees will be installed as part of the future Tigard Street Improvement project. 3. The applicant will enter the inventory data into the urban forestry plan or shall provide a fee to cover the city's cost of collecting and processing the inventory data for the entire urban forestry plan for the park development before final inspection. C of A 3: No trees are proposed to be planted as part of the Interpretive Shelter/Restroom and Nature Play improvement project. Inventory data will be entered into the urban forestry plan in the future when street trees are installed as part of the future Tigard Street improvement project. 4. The project arborist shall perform twice monthly site inspections for tree protection measures during periods of active site development and construction, document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval directly to the project planner within one week of the site inspection. C of A 4: Morgan Holen & Associates LLC will perform site inspections twice a month, or with greater frequency as needed. This condition will be met. 5. The applicant shall provide revised electrical plans that eliminates all lights along the Fanno Creek trail. C of A 5: Park plans were revised to eliminate lighting along the Fanno Creek trail from Tigard Street to Tiedeman Avenue. This condition has been met. 6. The applicant shall provide revised site plans that eliminate the proposed boardwalk/overlook structures within the significant wetlands on the site. C of A 6: The applicant applied for a Comprehensive Plan Amendment (CPA) to remove environmental protection over a small footprint of the resource to allow for the boardwalks to be installed as part of the project. See CPA2015-00002 for CPA approval. This condition is no longer applicable to the project. 7. Prior to issuance of a site permit, a Public Facility Improvement(PFI)permit is required for this project to cover sidewalk improvements,utility connections, and any other work in the public right-of-way. Five(5) sets of detailed public improvement plans shall be submitted for review to the Engineering Department. NOTE: these plans are in addition to any drawings required by the Building Division and should only include sheets relevant to public improvements. PFI permit plans shall conform to City of Tigard Public Improvement Design Standards, which are available at City Hall and the City's web page (www.tigard-or.gov). If the work is performed by city crews or under contract with the city, a PFI permit is not necessary. All work shall conform with all applicable codes, standards and conditions of this case. C of A 7: The Fanno Creek trail from Tigard St to a location south of our proposed nature play improvements will be reconstructed with the project. A PFI will be secured to perform trail reconstruction at the Tigard St trailhead, clearing and grubbing within the public right-of-way prior for temporary site access, and two waterline taps. 8. The PFI permit plan submittal shall include the exact legal name, address and telephone number of the individual or corporate entity who will be designated as the "Permittee", and who will provide the financial assurance for the public improvements. For example, specify if the entity is a corporation, limited partnership, LLC, etc. Also specify the state within which the entity is incorporated and provide the name of the corporate contact person. Failure to provide accurate information to the Engineering Department will delay processing of project documents. If the work is performed by city crews or under contract with the city, a PFI permit is not necessary. All work shall conform with all applicable codes, standards and conditions of this case. C of A 8: The Dirksen Nature Park improvements will be phased over several years. This phase of the project includes reconstruction of the paved pathway at the Tigard Street trailhead and minor clearing and grubbing within the right of way for temporary site access, and two waterline taps. A PFI will be secured prior to peforming work within the right-of-way 9. The applicant shall submit construction plans to the Engineering Department which indicate that they will construct a half-street improvement along the frontage of SW Tigard Street. The improvements adjacent to this site shall include: A. City standard pavement section for a Neighborhood Route from curb to centerline of at least 16 feet B. pavement tapers to tie the new improvement back into the existing edge of pavement shall be built beyond the site frontage as necessary; C. concrete curb, or curb and gutter as needed; D. storm drainage, including any off-site storm drainage necessary to convey surface and/or subsurface runoff; E. At least a 5-foot concrete sidewalk plus at least a 5-foot planter strip with landscaping and street trees; a 10-foot separated trail is acceptable; F. street trees in the planter strip spaced per TDC requirements; G. street striping; H. streetlight layout by applicant's engineer, to be approved by City Engineer; I. underground utilities; J. street signs(if applicable); K. driveway apron(if applicable); and L. adjustments in vertical and/or horizontal alignment if necessary to construct SW Tigard St in a safe manner, as approved by the Engineering Department. C of A 9(A-L): The Dirksen Nature Park improvements will be phased over several years. The applicant will submit construction plans for the Tigard Street half-street improvements meeting the conditions outlined above in the future. 10. The applicant shall provide a construction vehicle access and parking plan for approval by the City Engineer. The purpose of this plan is for parking and traffic control during the public improvement construction phase. C of A 10: The Dirksen Nature Park improvements will phased over several years. This proposal is to perform work in the park south of Tigard Street on Tax Lots 2400 and Tax Lot 1000. A temporary parking/staging/storage area is proposed on Tax Lot 2400. See 1200-C Plan Sheets EC0.3 and EC1.2 11. The applicant shall provide approval from TVF&R for access and hydrant placement. • C of A 11: The Dirksen Nature Park improvements will be phased over several years. The Tigard Street half-street improvements will be constructed in future years. Plans will be submitted to TVF&R for access and hydrant placement. TVF&R comments will be submitted to the Engineering Department. This condition will be met prior to issuance of applicable permits for this phase of park development. 12. Prior to issuance of permits,the applicant shall pay the addressing fee as applicable. (STAFF CONTACT: Paul Izatt,Public Works). C of A 12: The park improvements will not require addressing. This condition is not applicable. 13. The applicant shall provide information and/or calculations as necessary to demonstrate the adequacy of the existing and proposed sanitary sewer system to serve the proposed development, including consideration of additional development within the area as projected by the Comprehensive Plan. C of A 13: A public 6" sanitary sewer line will be extended through the park from the CWS 42" Summer Creek interceptor up to the restroom at a minimum slope of 1%. The 6" line provides adequate capacity to meet the demands for the three stall restroom facility. 14. The applicant shall provide on-site water quality facilities as required by Clean Water Services Design and Construction Standards(adopted by Resolution and Order No. 00-7). The preliminary stormwater report provides preliminary information on these facilities. Final plans and calculations shall be submitted to the Engineering Department (Mike McCarthy) for review and approval prior to issuance of the site permit. In addition, a proposed maintenance plan shall be submitted along with the plans and calculations for review and approval. C of A 14: This phase of the Dirksen Nature Park improvements will not provide an on-site LIDA water quality facility. See attached drainage report for offsite and onsite water quality treatment. A stormwater connection authorization letter has been provided by Clean Water Services for this phase of development. 15. An erosion control plan shall be provided. The plan shall conform to the "Erosion Prevention and Sediment Control Design and Planning Manual, February 2003 edition(and any subsequent versions or updates)." C of A 15: A 1200-C permit has been issued for the entirety of the project and recently amended for this phase of the project. The amended plans have been reviewed by CWS and a Stormwater Connection Authorization letter has been provided for this phase of the work. This condition is met. 16. The applicant shall obtain a 1200-C-N General Permit issued by the City of Tigard pursuant to ORS 468.740 and the Federal Clean Water Act if necessary. C of A 16: The 1200-C has been issued by DEQ/CWS. This condition has been met. THE FOLLOWING CONDITIONS SHALL BE SATISFIED PRIOR TO A FINAL • INSPECTION OF THE STREET OR STRUCTURES. To be reviewed and approved by the Development Services Division, Planning Department (Gary Pagenstecher, 503-718-2434): 17. Prior to a final building inspection,the applicant shall call for a final planning inspection to ensure the project was completed per the approved plan. C of A 17: The Dirksen Nature Park improvements will be phased over several years. Upon completion of the Interpretive Shelter/Restroom and Nature Play improvements, a planning inspection will be requested to ensure the project is completed per the approved plan. This condition will be met. 18. Prior to final building inspection, the project arborist shall perform a site inspection, document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval to the city manager or designee. C of A 18: The Dirksen Nature Park improvements will be phased over several years. Upon completion of the Interpretive Shelter/Restroom and Nature Play improvements, the project arborist will provide written verification to the staff planner. This condition will be met. 19. Following final building inspection the tree establishment period shall immediately begin and continue for a period of two years. C of A 19: Street trees planted as part of the Tigard St Half-street improvements as will be maintained by the City of Tigard Parks Department in perpetuity. This condition will be met. To be reviewed and approved by the Development Services Division, Engineering Department (Mike McCarthy, 503-718-2462 or mikem(dti2ard-or. ov): 20. The applicant shall confirm the existence of and/or dedicate additional ROW as necessary to provide at least 27 feet from centerline along SW Tigard St. C of A 20: Right-of-way will be dedicated on Tigard Street to provide a minimum of 27 feet from centerline heading south. This condition will be met when the Tigard Street improvements are constructed. 21. The applicant shall pay the applicable fee-in-lieu of stormwater detention prior to final building inspection. C of A 21: The project is adjacent to Fanno Creek and detention is not required. The Fee-in-lieu is paid per phase as required. This condition will be met per phase. 22. All elements of the proosed infrastructure (such as transportation, sanitarysewer, storm drainage, water, etc.) systems shall be in place and operational with accepted maintenance plans and certified by an engineer with expertise in that area prior to a final inspection of the street or structures. C of A 22: All elements of the proposed infrastructure will have a one-year contractor warranty and then will be under the operation and maintenance of the City of Tigard Public Works Department. This condition will be met. 23. The applicant's engineer shall submit a final access report to City engineering staff which verifies design of driveways and streets are safe by meeting adequate stacking needs, sight distance, width, clear area, design, and deceleration standards as set by the City and AASHTO. The applicant shall obtain approval of this report prior to final inspection of the proposed street and structures. C of A 23: The Dirksen Nature Park improvements will be phased over several years. The Tigard Street half-street improvements will be constructed in future years. The proposed boardwalk and overlook improvements will not affect access from the site to Tigard Street. This condition is not applicable to this phase of project. 24. All utilities along the frontage of Tigard St shall be relocated underground. C of A 24: The existing overhead utility lines have been designed to be underground. The condition will be met when the half street improvements are constructed. 25. All new utilities serving the subject property shall be constructed underground. C of A 25: The new utilities (power, water, storm, and sewer) have been designed to be constructed underground. The condition will be met when the half street improvements are constructed. 26. There are existing sewer and other easements running across the subject property. The applicant's site plan shows access will be maintained to these easements and no structures may be placed in these easements. Prior to final inspection of the street and structures, the applicant's engineer shall certify that these requirements are met. C of A 26: This condition of approval will be met. Storm Water Connection Permit Author' n UtIVED JUL 5 2018 CleanWater Services CITY OF TIGARD Our commitment is clear. BUILDING DIVISION Permit Number CUP 2013-00001 /SLR 2013-00002 This Authorization to issue a Storm Water Connection Permit, in accordance with the requirements of Resolution and Order 17-5,including section 3.01.2,when signed and dated by the District,verifies that the District has reviewed the construction plans,as submitted by the City,and concurs that they are in accordance with the previously identified design standards and either, 1)the Service Provider Letter(SPL)or, 2)the Sensitive Area Pre-Screening Site Assessment acting as the SPL issued for project and is in compliance with the District's water quality protection standards. This authorizes the Jurisdictional City to issue a Stormwater Connection Permit for the project. If modifications occur after the issuance of this letter which create a violation of the Service Provider Letter,then the Permit becomes null and void. It is the responsibility of the Jurisdictional City to notify Clean Water Services of changes that effect the Service Provider Letter. Service Provider Letter Number: 13-000529 Date of Service Provider Letter: November 5,2014 Map and Tax Lot#:1S134DD01000;2S103AA00200 Project Name: Dirksen Nature Park Interpretive Shelter&Nature Play Developer/Applicant: City of Tigard Jurisdictional City: Tigard Comments: Ensurefinalplans permitteslhy the City include the following: -L)-GWS Line-Tap-permitas-required prior-to connection-with-sanitary-trunkline 2.)1200-C:Include standard-Grading/Utility-ESC Notes as-well as-ESC-BMP-Implementation-notes-from- standard-template: - -C-ONCLUSION -The-City,in-accepting-this-Authorization for-permit and-authorizing construction-of-pecmitted-activities;certifies that- -all-portions-of-this--project-have been-designed-to CWS-Design-and Genstructien-Standards;R,&O 17-5,and-have been reviewed and approved-by the Jurisdictional City— Storm Water Connection Permit authorized by: Date: 6/4/2018 Steve Olson 5/7 U/2U7/ E:\Development Svcs\Plan Review\Storm Water Connection\StormWaterConnectionPermits archives\2018\Tigard-Dirksen Nature Park Interpretive Shelter and Nature Play-06-04-2018.xls City of Tigard a TED�, 13125 SW Hall Blvd rIIII Tigard OR 97223 • • ' Phone(503)639-4171 JUL 5 2018 Fax: (503)684-7298 CITY OF TIGARD TIGARD I'ILDING IVISIM Letter of Transmittal Date July 5, 2018 Transmitted By: Project: Dirksen Nature Park n Mail File No. CUP 2013-0001 ❑ Will Call To: City of Tigard Building Department ® Other Address: 13125 SW Hall Blvd Tigard, OR 97223 We are Sending you.. ❑ Drawings ❑ Prints ® For Approval ❑ Specifications ® Plans ❑ As Requested ❑ Copy of Letter ❑ Samples ❑ For Your Use ❑ Change Order ❑ Other ❑ Comment #of Copies Description 1 Conditions of Approval Responses for CUP2013-0001 1 Building Permit Application-Commercial 3 Building Plans 2 Building Structure Calculations 3 Site Civil Plans (Including Utilities, Grading, Landscape) 1 1200-C Plan Set (Amended for this Phase of Work) 1 CWS Stormwater Connection Authorization Letter for this phase of work. 1 Master Stormwater Calculations Items Are... ® Attached ❑ Under Separate Cover Remarks: Included are plans and calculations for a Building Permit Submittal—Commercial to construct the Dirksen Nature Park Interpretive Shelter/Restroom project. Please let me know if you require additional information to process the Building permit. Thank you for your time and assistance with this project. From: Jeff Peck City of Tigard 14 COMMUNITY DEVELOPMENT DEPARTMENT C TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: 04,0,20l oil Site Address: 1 x)36 .SW 1---parol S-1( Suite/Bldg#: Project Name: VI r ka,... Ap-Ait...,-e ,P ,-.c (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review / / Proposal: Apu, Ve5�-rr!©/✓t Cor-c "Fr fi.�e12 . Verify site address/suite#exists and active in permit system. ,S311Iver Terrace Neighborhood: El Yes Q---1qo -Land Use Case#: C U-17 ao 0 -Woo 1 ❑ Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan ) Building Height: Maximum Height �--- Actual Height /6 —e--Conditions Met: ❑ Prior to Submittal ,.1rior to Permit Issuance us ne ieieemse: Exists: ❑ Yes ❑ No,applicant notified to obtain business license El Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicaantivas notified / CI No Applied For: ❑ Yes ❑ No,stop intake Notes: �'�ele:��f�f�✓7S -U + e 016%71-fok- tom-- lav /SSuG%',7c---'2 . Approved by Planning: _ Date: 7/$//7- 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: -7737/1 Site Plans: # 3 Building Plans: # 3 Building Permit#: �nterbuilding,��perm��it#� above. �, �- Workflow Routing: 4%fr an�g I�Engineering LSI-'Permit Coordinator ceding Workflow Sign-off: FSS -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: /d, �- Date: - /` /' I:\Building\Foins\B1dgPennitRvw_COM_WithLandUse 0601 I6.docx Engineering Review [ '>lope at building pad: .Cr APFI Permit#: P1/20/8,I 06/7/ onditions "Met"prior to issuance of building IE/Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) ili 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 ❑ NOT Approved by Engineering: Date Notes: ..-"/ Approved by Engineering: -.e Date: ?//Z// ` Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved n Agin RI ffE - Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 'i?,..Approved,NOT Released: ( V c1 .,- --� 4Ge ceeec4,( Date: 7/2--// 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: 7 DC Fees Entered: Wash Co Trans Dev Tax: CI Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A K to Issue Permit SI)Approved by Permit Coordinator: Date: �L I:\Building\Forms\BldgPennitRvw_COM_WithLandUse 070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11130 SW TIGARD ST, TIGARD, OR, 97223 January 25, 2019 at 7:52:28 AM Record Type: Record ID: Commercial - Building BUP2018-00207 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11130 SW TIGARD ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00207 Inspection Type: Inspector: 275 Framing Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor