Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Nmi
_. Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Branden Taggart DATE RECEIVED:
DEPT: BUILDING DIVISION R E CE \J E D
FROM: Artur Grochowski SEP 2020
CITY OF TIGARD
COMPANY: SERA Architects 6UII ff!NG DIVISION
PHONE: 503.445.7362 By:
RE: 11974 72nd Ave SIT 2020-00005&'VW t Z026.6M
(Site Address) (Permit Number)
DIY,
72nd&Dartmouth
NI (Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
`,� Additional set(s) of plans. 5 Revisions: Updated sheets for both permits
1 Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
4::\:1' Beam calculations. Engineer's calculations.
PO Other(explain):
REMARKS:
Sewer Tie-In location updated per on-site conditions.This change has been reviewed and updated by engineering in the PFI
and they asked that we update this in the Site&Plumbing permits just to keep everything tidy.3 sets of sheets C300&C310
are included for the SIT permit and 2 sets of sheets C300&C310 are included for the PLM permit.
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: q- 20- 1.D Initials: .'
Fees Duo=-el Yes ❑ No Fee Description: Amount Due:
E. i-k p1b4) 00"_..1 $ `f C-----
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: / Date: 1�/i/ Initials: /Y•7'
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T c;,1.1{ t1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: C1 c, 1 CY)-re
DATE y=:}- dp r:
DEPT: BUILDING DIVISION
APR , 9 2020
CITY OF TkGARD
FROM: Pikesc BUILDING DIVISION
COMPANY: cs eco.e.e tktcVIv,.s2S.'s , "LAIC.
PHONE: 533 30$ " 2 132. By:
RE: � Sw �z Akre -�-t�ra ,oR S 2 0 - ooa�5
(Site dress (Permit u er
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies; Description:
3 Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 3 Engineer's calculations.
Other(explain):
REMARKS: Ue C c1 x 0•4hcc1ne 3 -Ft,\\ st.te...6 Flom se\s, ()AND 3
s1/416,tvataxs 1/4>174 exc tower tZt. 0.41- a. cc�.Kil Im sizistrl't 4-
S stucco ceis ,c �1i`aeC ESS Cn N74.3% ..�t t1C\S s\ ee-CM"X, (SkX- ektanc
AC2_ S‘i6cst<c%4.6 aS 0. Cea SLIJO 'SW,,
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: q- i cJ . Initials:`', 1
Fees Due: DR Yes ❑ No Fee Description: Amount Due:
• )-J. Ply $ y S
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\BuildingTorms\TransmittalLetter-Revisions.doc 05/25/2012
CITY OF TIGARD SITE WORK PERMIT
X 'n COMMUNITY DEVELOPMENT Permit#: SIT2020-00005
T t C AAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8l13/2020
Parcel: 1 S136DC04300
Jurisdiction: Tigard
Site address: 11974 SW 72ND AVE
Project: Dartmouth Apartments Subdivision: DARTMOUTH APARTMENTS Lot: 31
Project Description: Site work for a 219 unit mixed-use multi-family building and an underground parking garage.
Contractor: ESSEX GENERAL CONSTRUCTION INC Owner: DARTMOUTH PROJECT LLC
4284 W 7TH AVE 222 SW COLUMBIA ST, STE 700
EUGENE,OR 97402 PORTLAND, OR 97201
PHONE: 541-342-4509 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 08/11/2020 $6,848.47
Plan Review 03/05/2020 $4,451.51
Type of Use: COM 12%State Surcharge-Building 08/11/2020 $821.82
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 08/11/2020 $24.00
11x17)
Project Valuation: $1,444,600.00 Info Process/Archiving-Sm$0.50(up to 08/11/2020 $32.50
11x17)
Erosion Control w/Development 08/11/2020 $1,211.40
Site Specifics: Additional Plan Review 08/11/2020 $45.00
Excavation Volume: 8000 cu.yd.
Fill Volume: 3700 cu.yd.
Impervious Surface: +69740 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: Yes Accessible Parking: Yes
Fence: No
Total $13,434.70
Required Items and Reports(Conditions)
1 Special Inspection(see plans)
2 Ersn Cntrl 503-639-4175
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 question teODUNC b calling 503.232.1987 or 1.800.332.2344.
Issued By. C Permittee Signature: (IA/ , ✓O ,/e4-77 r N
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
Site Work FOR OFFICE USE ONLY
Cityof Tigard RECEIVED Received 3/2 �/ Permit NoJ/Tip -D 00
g Date/By P.0 6
• 13125 SW Hall Blvd.,Tigard,OR 97223 4 q q Plan Review /�
•'` Phone: 503.718.2439 Fax: 503.598.I96t EB 2 ZOZO DateBy: 3 �q aD �r/ Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: luris: 0See Page 2 for
TK:ARD P Internet: www.ti gand-or. ov g CITY OFTIGARD Notified/Method: Supplemental Information
.,'„' nING f'?t11el,mi
l YPE OF WORK sett REQUIRED DATA:1 AND 2-FAMILY DWELLING
❑x 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
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $1,444,600
❑ 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
['Accessory building x❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11974 SW 72nd Ave New dwelling area: square feet
_
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: DARTMOUTH APARTMENTS Covered porch area: square feet
Cross street/directions to job site: NE corner of 72nd &Dartmouth Deck area: square feet
Other structure area: square feet
� vm,
REQUIRED DATA:COMMERCIAL-LW
Subdivision: FRUITLAND ACRES AND ISSACS SUBDIVISION Lot no.: Permit lees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 15136DC04000 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION Of WORK work indicated on this application.
219 unit mixed-use multi-family building,underground parking garage,at grade Valuation: $
parking,sanitary sewer services,water and fire services,and concrete paving Existing building area: square feet
between buildingand ROW. New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
�) Name: Dartmouth Development Partners Type of construction:
J
Address: 222 SW Columbia St,Suite 700 Occupancy groups:
J City/State/ZIP: Portland,OR 97209 Existing:
Phone:( N/A) Fax: ( N/A) New:
Q.
® APPLICANT , 0 COA'TACT PERSON NOTICE
Business name:SERA Design &Architecture, Inc. All contractors and subcontractors are required to be
Grochowski licensed with the Oregon Construction Contractors Board
V Contact Arturname:, under ORS 701 and may be required to be licensed in the
'� Address: 338 NW 5th St. jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97209 applicant is exempt from licensing,the following reasons
Phone:( 503)445.7362 Fax: :( N/A)
E-mail: arturg@serapdx.com
CONTRACTOR
Business name: Essex General Construction, Inc. BUILDINGPER➢1IT FEES*
lease refer to fee schedule)
Address: 17400 SW 65th Avenue,Suite 1004 Structural plan review fee(or deposit):
rf City/State/ZIP: Lake Oswego, OR 9703S
FLS plan review fee(if applicable):
Phone: ( 503)747.0092 —1 Fax:(N/A )
Total fees due upon application: 869.79
CCB lie.: OR 54531
Amount received:
Authorized signature: Ar'f,,,.6 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Artur Grochowski Date: 2020.02.24 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613'l'(1l/0r1/WEB)
•
City of Tigard: Site Work Permit Checklist
Page 2-Supplemental Information
Commercial,Multi-Family and One-and Two-Family Dwellings:
No permit is required if fill is less than 50 yards(5 dump truck loads),or less than 3 feet deep and will
not be supporting a structure. If a building will be constructed on the fill,it must be engineered fill. If
fill is in a flood plain,drainage way,or wetland,the applicant must apply for a sensitive lands review
(SLR).
Please complete all items below,unless otherwise noted.
Excavation Volume: 8,000 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu. yds.) 11,700 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) 3,700 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
x❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks,and paving: 69,740 sq.ft.
Site Utilities Plumbing Work:
Complete the Plumbing Permit Application for site utilities plumbing work.
Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached.
The following must accompany this application:
Q Site Plan with Vicinity Map showing ADA ❑ *Parking(including ADA)and Lighting
compliance Plan
Grading Plan and details [I] *Landscaping Plan
❑ Erosion Control Plan and details Soils Report(if required)
❑ Retaining Structures
*Does not apply to One-and Two-family dwellings.
Plan Submittal: Permit Fee:
TYPE OF SUBMITTAL #of Plans Valuation: Permit Fee:
(New,Additions or Required at $.00 to$500.00 $51.09 minimum permit fee
Alterations) Submittal $500.01 to$2,000.00 $51.09 for the first$500.00 and
$2.69 for each additional$100 or fraction
Commercial 3 thereof,to and including$2,000.00.
$2,000.01 to$25,000.00 $91.44 for the first$2,000.00 and
Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or
fraction thereof,to and including
$25,000.00.
One-&Two-Family Dwelling 3 $25,000.01 to$50,000.00 $338.92 for the first$25,000.00 and
$8.06 for each additional$1,000.00 or
fraction thereof,to and including
$50,000.00.
• $50,001.00 to$100,000.00 $540.42 for the first$50,000.00 and
$5.38 for each additional$1,000.00 or
fraction thereof,to and including
•
$100,000.00.
$100,000.01 and over $809.42 for the first$100,000.00 and
• $4.49 for each additional$1,000.00 or
fraction thereof.
I:\Building\Pennitsl,SIT-PermitApp.doc 08/02/2016 2
City of Tigard
111111
14 COMMUNITY DEVELOPMENT DEPARTMENT
f l G A l2D Building Permit Review - Commercial - With Land Use
1 uR'au 4i^4..:.:ya._w+Nw:+1a...'aX AmL AaY-�'e+ivYuawY .t ".p iflflFk:' Y49 ..rsk4.Wdh:+FNtitiit+vm.vvue^..;a'.n.+^#+�i�t&'wa ..:
Building Permit #: S'/7-, 2t� a_o -Q6,0c25-
Site Address: //97y -St) ?.a "— c Suite/Bldg#:
Project Name: .6e972 TA/O 4 771 /97°,9A 77)1 EAJT3
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .S r c LJ O/ . - 7Z EZ/i f P /d Lc -NS/' "11/ -ti/
C Verify site address/suite#exists and active in permit system.
ci River Terrace Neighborhood: 0 Yes El No
O Land Use Case#: NA
® Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other.
❑ Urban Forestry Plan ❑ Elevation Plan
Cl Building Height Maximum Height 6 stories Actual Height
® Conditions Met: ❑ Prior to Submittal 0 Prior to Permit Issuance
® Business License:
Exists: 0 Yes ® No,applicant was provided a business license application
❑x Public Facilities Improvement(PFI) Permit:
Required ❑ Yes,applicant was notified 0 No Applied For. ® Yes 0 No,stop intake
Notes:
Approved by Pllannyig: Monica Bilodeau Date: 4/13/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ® Approved 0 Not Approved MB 4/13/20
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: y Z-0
Site Plans: # .3
Building Plans: # 3
Building Permit#: ❑ Enter building permit#above.
Workflow Routing. Er Planning B Engineering Permit Coordinator E "Building
Workflow Sign-off 0 Sign-off for Planning(include notes from planning review)
Route Application Documents: l ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: <07T Ufvy1Afez Date: " /2,69
1:1Building\Forms\BldgPermitRvw COM_WithlandUse_111819.docx
Engineering Review
It Slope at building pad: 3 Ti
PFI Permit#: FO�`qea 1155
Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
C2 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
0 NOT Approved by Engineering: Date
Notes:
ERB
Approved by Engineering: j, rA V_ J.- Date:
2,6
Revisions (after Building Submittal only) �— Reviewer .,�Date �D
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Pe�'t Coordinator Review
ILI 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:
\A'V\SDC Fees Entered Wash Co Trans Dev Tax: /Yes N/A
Tigard Trans SDC: es gird /A
Parks SDC: Yes L1� N/A
/OK to Issue Permit
Approved by Permit Coordinator: A._a � /9 q Date: gb—b_e)
I:\Bui ldingWorms 1B 1dgPermitRvw_COM_W ithLandUse_111819.docx