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Permit (15) 1111 a • TIGARD City of Tigard August 15, 2019 Home Builders Foundation Attn: Chris McDowell 15555 Bangy Rd, Suite 301 Lake Oswego, OR 97035 Re:Permit No. BUP2019-00064 Dear Applicant: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 12280 SW Hall Blvd Project Name: Just Compassion Job No.: N/A Refund: ® Check#232996 in the amount of$300.00. ❑ Credit card"return" receipt in the amount of$ . 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 building permit fees waived by Building Division. If you have any questions please contact me at 503.718.2430. Sincerely, ,e91 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 C " City of Tigard T 1 G A R D Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Home Builders Foundation DATE: August 9, 2019 15555 Bangy Rd, Suite 301 Lake Oswego, OR 97035 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 422906 Case #: BUP2019-00064 Date: 4/18/2019 Address/Parcel: 12280 SW Hall Blvd. Pay Method: CreditCard Project Name: Just Compassion Center EXPLANATION: Refund fees waived by Building Division. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Building Permit Fee 230-0000-43104 $300.00 TOTAL REFUND: $300.00 APPROVALS: SIGNATU S DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: J��`3/21 By: I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Just Compassion Site Address: 12280 SW HALL BLVD GA6 Receipt Number: 436240 - 09/03/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID B U P2019-00064 $-300.00 Total: $-300.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 232996 DHOWSE 09/03/2021 $-300.00 Payor: Home Builders Foundation Total Payments: $-300.00 Balance Due: $300.00 Page 1 of 1 111 CITY OF TIGARD RECEIPT g • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD'' Project Name: Just Compassion Site Address: 12280 SW HALL BLVD ig /I ( 6 j &I� Receipt Number: 422906 - 04/18/2019 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2019-00064 Permit Fee-Additions,Alterations, 230-0000-43104 $1,075.83 Demolition BUP2019-00064 12%State Surcharge- Building 100-0000-24001 $129.10 BUP2019-00064 DC Provision Review, COM TI-Ping 1 00-0000-431 1 2 $243.00 BUP2019-00064 Plan Review-Fire Life Safety 230-0000-43108 $430.33 BUP2019-00064 Info Process/Archiving-Lg $2.00(over 230-0000-43135 $14.00 11x17) BUP2019-00064 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $10.00 11x17) Total: $1,902.26 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 80662 JDRINKWATER 04/18/2019 $1,902.26 Payor: Chris McDowell Total Payments: $1,902.26 Balance Due: $0.00 o '7S. F3 •- 3 cry , C*Z) Page 1 of 1 W Dianna Howse ew°02 a�/ rz3ad From: Dianna Howse /a or0J tc/ e,-44._ 66143 Sent: Friday, August 9, 2019 3:45 PM To: Chris McDowell Subject: RE: Just Compassion fee forgiveness Hi Chris, I misspoke. The total refund is $525.80. The total permit fees paid for BUP2018-00265 was only$225.80 so we will be refunding 100%of those fees, plus$300.00 of the$1,075.83 permit fees paid on BUP2019-00064. 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: Friday, August ust 9, 2019 3:41 PM To: Chris McDowell <ChrisM@hbapdx.org> Subject: RE:Just Compassion fee forgiveness Thanks, Chris. The check should be cut by finance next Wednesday, and go out in the mail by Thursday,August 15th for $600.00. 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: Chris McDowell <ChrisM@hbapdx.org> Sent: Friday, August 9, 2019 3:39 PM To: Dianna Howse <Dianna@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness Caution! This message was sent from outside your organization. Allow sender I Block sender Hi Dianna, Yes m'am. Home Builders Foundation 1 15555 Bangy Road Suite 301 Lake Oswego OR 97035 Chris McDowell Project Manager I Home Builders Foundation o 503.684.1880 ext. 7025 I f 503.684.0588 I BuildHopePDX.org The Charity of Choice for the home building industry and a HomeAid America Chapter Shelter Building and Renovation I Workforce Development I Community Outreach I Non-profit Partnerships Portland Business Journal Top 100 Nonprofits I Oregon Ethics in Business Award Nominee I NAHB Association Excellence Award Winner(2015,2016,2017,2018) From: Dianna Howse [mailto:Dianna@tigard-or.gov] Sent: Friday, August 9, 2019 3:38 PM To: Chris McDowell <ChrisM@hbapdx.org> Subject: RE:Just Compassion fee forgiveness Hi Chris, I just want to confirm that the refund check should be made out to Home Builders Foundation, is that correct? Also please provide the mailing address. 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: Chris McDowell <ChrisM@hbapdx.org> Sent:Tuesday, August 6, 2019 2:17 PM To: Dianna Howse<Dianna@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>; Mark VanDomelen <markv@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness Ok thanks. Chris McDowell Project Manager I Home Builders Foundation o 503.684.1880 ext. 7025 I f 503.684.0588 I BuildHopePDX.org The Charity of Choice for the home building industry and a HomeAid America Chapter Shelter Building and Renovation I Workforce Development I Community Outreach I Non-profit Partnerships Portland Business Journal Top 100 Nonprofits I Oregon Ethics in Business Award Nominee I NAHB Association Excellence Award Winner(2015,2016,2017,2018) 2 From: Dianna Howse [mailto:Dianna@tigard-or.gov] Sent:Tuesday,August 6, 2019 2:14 PM To: Chris McDowell <ChrisM@hbapdx.org> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Mark VanDomelen <markv@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness Hi Chris, I have both of the receipts for the two permits that show you as the payor so I have everything I need. Please allow 2 weeks to receive the refund check. 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:Chris McDowell <ChrisM@hbapdx.org> Sent:Tuesday, August 6, 2019 1:57 PM To: Mark VanDomelen<markv@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness Thanks Mark. I paid for both of the permits.Just let me know if you need any info from me. Chris McDowell Project Manager I Home Builders Foundation o 503.684.1880 ext. 7025 I f 503.684.0588 I BuildHopePDX.org The Charity of Choice for the home building industry and a HomeAid America Chapter Shelter Building and Renovation I Workforce Development I Community Outreach I Non-profit Partnerships Portland Business Journal Top 100 Nonprofits I Oregon Ethics in Business Award Nominee I NAHB Association Excellence Award Winner(2015,2016,2017,2018) From: Mark VanDomelen [mailto:markv@tigard-or.gov] Sent:Tuesday,August 6, 2019 1:54 PM To: Chris McDowell <ChrisM@hbapdx.org> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness 3 Hi Chris, I am ok with refunding$300 on permit BUP2018-00265 also. We can only refund fees to the payee. If that money needs to be dispersed to Just Compassion you will need to work that out with them. Dianna will process the$300 refund on the two permits for a total of$600 when she processes the next batch. Thank you, Mark VanDomelen City of Tigard Building Official markv@tgard-or.gov 503-718-2448 From:Chris McDowell <ChrisM@hbapdx.org> Sent:Tuesday,August 6, 2019 12:54 PM To: Mark VanDomelen<markv@tgard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject: RE:Just Compassion fee forgiveness Hi Mark,-`-__- No worries. I understand the trade permits we cannot waive, but was wondering if we can include the following in addition to BUP 2019-00064: BUP 2018-00265 Building Permit for ADA Bath $345.72 Also, it would be preferable if the checks go back to our non-profit,the Home Builders Foundation. We currently manage the construction finances of Just Compassion and paid for all of these permits. Sincerely, Chris McDowell Project Manager I Home Builders Foundation 4 o 503.684.1880 ext. 7025 I f 503.684.0588 I BuildHopePDX.org The Charity of Choice for the home building industry and a HomeAid America Chapter Shelter Building and Renovation I Workforce Development I Community Outreach' Non-profit Partnerships Portland Business Journal Top 100 Nonprofits I Oregon Ethics in Business Award Nominee I NAHB Association Excellence Award Winner(2015,2016,2017,2018) From: Mark VanDomelen [mailto:markv@tigard-or.gov] Sent:Tuesday, August 6, 2019 11:22 AM To: Chris McDowell<ChrisM@hbapdx.org> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE:Just Compassion fee forgiveness Hi Chris, I'm sorry it so long to get back to you. I have been waiting for clarification on exactly which fees can be waived. I have been advised that we can waive Building permit fees only up to a maximum of$300. I will ask Dianna to process a refund on the building permit for the $300. Council specifically approved the fee waiver for a limited amount of fees that included the Building permit and not the trade permits so I am limited to authorizing just the $300. I will print this email out and keep it in the file to document the request for a fee waiver and we will process the $300 refund for the Building permit fee waiver shortly with our next processing batch. Thank you, Mark VanDomelen City of Tigard Building Official markv@tigard-or.gov 503-718-2448 From: Chris McDowell <ChrisM@hbapdx.org> Sent:Tuesday,July 30, 2019 4:18 PM To: Mark VanDomelen<markv@tigard-or.gov> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject:Just Compassion fee forgiveness 5 Hi Mark, Just wanted to see if y'all had a chance to take our building permit fees for 12280 SW Hall Blvd (Just Compassion Resource Center)to the City Council? Let me know if you need any info from our end. Sincerely, Chris McDowell Project Manager I Home Builders Foundation o 503.684.1880 ext. 7025 I f 503.684.0588 I BuildHopePDX.org The Charity of Choice for the home building industry and a HomeAid America Chapter Shelter Building and Renovation I Workforce Development I Community Outreach I Non-profit Partnerships Portland Business Journal Top 100 Nonprofits I Oregon Ethics in Business Award Nominee I NAHB Association Excellence Award Winner(2015,2016,2017,2018) 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." } 6 CITY OF TIGARD BUILDING PERMIT 111 COMMUNITY DEVELOPMENT Permit#: BUP2019-00064 TIC;r1 h.t.7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2019 Parcel: 25101 BC00700 Jurisdiction: Tigard Site address: 12280 SW HALL BLVD Project: Just Compassion Subdivision: KNOLL ACRES Lot: 2 Project Description: Interior and exterior improvements the basement in a community services building:New doors,window locations, new siding,and ADA ramp handrail upgrades. Contractor: OLSON&JONES CONSTRUCTION INC Owner: GHAFFARI,ZABI&FARIBA M PO BOX 19563 15580 SW SNOWY OWL LN TIGARD, OR 97280 BEAVERTON, OR 97007 PHONE: 503-244-7467 PHONE: FAX: 503-244-6791 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 04/18/2019 $1,075.83 Demolition Occupancy Grp: B Occupancy Load: 19 12%State Surcharge-Building 04/18/2019 $129.10 Dwelling Units: Plan Review 03/20/2019 $699.29 Stories: Height: ft DC Provision Review,COM TI-Ping 04/18/2019 $243.00 Bedrooms: Bathrooms: Plan Review-Fire Life Safety 04/18/2019 $430.33 Value: $96,000 Info Process/Archiving-Lg$2.00(over 04/18/2019 $14.00 11x17) Info Process/Archiving-Sm$0.50(up to 04/18/2019 $10.00 Floor Areas: 11x17) Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $2,601.55 Required: Required Items and Reports(Conditions) 1 Special Inspection(see plans) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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: _ •/4 '4 ' Call 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 FOR 01 F l( F 1 011.1 City of Tigard Received `J g Date/By: J ft'i Permit No.: {ff�n� fv IN III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r d Phone: 503-718-2439 Fax: 503-598-1960Date/By: - � Related Permit: TI G R D Inspection Line: 503-639-4175 RECEIVEDDate Ready/By: r s: H See Page 2 for Internet: www.tigard-or.gov otified/Meth . Ja / /�4 j6, Supplemental Information l MAR 2 4 2019 TYPE OF WORK REQ IRED DATA:1-AND 2-FAMILY DWELLING ITY OF TIGARD El New construction ElD-' .t tbiNG niVISION Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all IV Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling DI Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12 b (.5w HALL 0-VD- q 7223 New dwelling area: square feet City/State/ZIP: ' i 6 A-I1 C) (O R 1 �72 2 3 Garage/carport area: square feet Suite/bldg./apt.#: Project name:JUST C.(/I'1 FA ,5)Old Covered porch area: square feet Cross street/directions to job site: I(1\JO _L ST- Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 2,-S I O16 C 607 00 Indicate the value(rounded to the nearest dollar)of all v equipment,materials,labor,overhead,and the profit for the � R, ,DESCRIPTION OF WORK work indicated on this application. ht hh014 N501)tol ,ASA Rai\ T ry - Rod 3-f L Valuation: $ 96?� S in):S Existing building area: I t)(vb square feet J �� 1 D y��,�, New buildingarea: square feet �Xt: Si�i�� � �IwJ1 f�� S MI t.Dr, �'4��J�©I� "a''�.iC.C/�' � q a PROPERTY OWNER• • 0 TENANT : Number of stories: Name: 31)ST COlvf PAS$ Type of construction: Address: )22. 0 v1/ MALL�WV 131.03 Occupancy groups:P Y� P 8 City/State/ZIP: lT GA-R Q OR. 172223 Existing: Phone:(5c) '75 - J I+sq Fax:( ) New: iti APPLICANT T ❑ CONTACT PERSON BUILDING PERMIT FEES* VL3Q* , & ,30E CV 1,/ I> )�` Meese refer to fee schetlu/c0 Business name: fV J `' /� R E r Q t C't'W ) Structural plan review fee(or deposit): Contact name: l��j (� LJ _ FLS plan review fee(if applicable): Address: PD � � 563 _ f� 10 O R 6•7 2 � Total fees due upon application t ' E 'j City/State/ZIP: /`F/ I.J i ' ,. Phone:(5b3 2 -. 'T-?? Fax::( 244 - 6171 q Amount received: E-mail: 'r ® b ..5t,r1A✓I43by 04..Cb Vh PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: OLSCAV 1 30t,17-- S C©vs I • I I{.t Submit two(2)sets of roof plan with connection details Address: ® and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review �� � ��� 72 and administrative feesL $180.00 Phone:679 2�} ') -2 Fax:67,4 2411? State surcharge(12%ofpermit fee): 21.60 g $ CCB Lic.: 5406, ' Total fee due upon application: $201.60 Authorized signatureLIZ Q41/4(.1.....A_ This permit application expires if a permit is not obtained — within 180 days after it has been accepted as complete. •Print name: r `" N&' J Date: 31 u 1,4 * Fee methodology set by Tri-County Building Industry ` Service Board. I:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations I 1 I A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ /� ®to MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 2 41. 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: $ I Too (c) An accessible route to the altered area: $ 2009 (d) At least one accessible restroom for each sex or a single unisex L.� restroom: $ 2 J pDb (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): $ S-00 I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT q Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with: A. 0_ map&tax lot# * project name 5 site address ❑ suite number zoning cag. applicant name l" phone number dB. North arrow. VC. Scale (architectural or engineering only). '-"D. Street names. ✓E. Setbacks. eF. 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. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. 4. ADDITIONAL INFO i I LOWS: A. Fire Depa wilding Survey. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.11/5/2018 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ._ ® Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations T I G A RD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) 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 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineerin_gis required.) 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:\Building\Permits\BUP_COM_PennitApp.doc Rev.11/5/2018 City of Tigard NI COMMUNITY DEVELOPMENT DEPARTMENT I T I G A R D Building Permit Review — Commercial - With Land Use Building Permit #: / 'c;Ckif Site Address: Jae, 0 7kt,7 1/ 0,6v,ee Suite/Bldg#: Project Name: 1,( 7l_ Om ID _ (Name of commercial busine . occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: /17 n D r //hpe rt � rio-r- L %s '777) kJ i /or ca d o rr ` Shy,/ Tho.," 'cr '7i ' a . Gf �''s teat i �/S LU '52'412-- Verify . ,req fy site ad ess/suite#1'eXists and active in permit syste . tel % er Terrace Neighborhood: ❑ Yes '6CJ No !4/and Use Case#: b. ,e- 2('ie 0600V Tri Plan atch Approved Land Use: Site Plan v\ Landscape Plan 10er: `:urban Forestry Plan A Elevation Plan / O':uilding Height: Maximum Height Actual Height A0 CYL OVonditions Met: ❑ Prior to Submittal El Prior to Permit Issuance C) iV►e1:usiness License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license 'ublic Facilities Improvement(PH)Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes E No,stop intake Notes: Approved by Planning: _ -- =7 Date: / /i 9 Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved E Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 3/Rd/i1 Site Plans: # 3 Building Plans: # 3 Building Permit#: l nter building� 4�Engiri permit#above. � �- Workflow Routing: Eft'anriing eering t�Perrriit Coordinator Ll-Bt11Tdding Workflow Sign-off: E�"�Si ff for Planning(include notes from planning review) Route Application Documents: LT Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: �' Date: ?Alli ei I:\Building\Forms\BldgPernvtRvwCOM WithLandUse 060116.docx Engineering Review 1 0 IJ Slope at building pad: 5 0 ❑ PFI Permit#: N/A ET Conditions "Met"prior to issuance of building permit g 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 ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: 76,,,,,,5 •1- Date: 3- Z-5• 201 Revisions (after Building Submittal only) _a Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review ❑ 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: Cd" SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 2vN/A Tigard Trans SDC: ❑ Yes [eN/ Parks SDC: ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: Date:*.2-5-) let I:\Building\Forms\BldgPennitRvw_COM_WithLandUse_070915.docx