Permit CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2020-00012
Date Issued: 9/23/2020
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S134BC00100
Jurisdiction: Tigard
Site address: 12100 SW SCHOLLS FERRY RD
Project: Chase Bank Subdivision: None Lot: None
Project Description: New drive-through lane and ATM for TI.
Contractor: JRD EXCAVATION LLC Owner: ATLAS GREENWAY LLC
PO BOX 2440 808 SW ALDER ST STE 200
CLACKAMAS, OR 97015 PORTLAND, OR 97205
PHONE: 503-422-9830 PHONE:
FAX: 503-658-698
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 09/10/2020 $809.42
Plan Review 06/04/2020 $526.12
Type of Use: COM 12%State Surcharge-Building 09/10/2020 $97.13
Class of Work: ALT Info Process/Archiving-Lg$2.00(over 09/10/2020 $10.00
11x17)
Project Valuation: $100,000.00 Erosion Control w/Development 09/10/2020 $161.40
PFI Permit Fee(LIDA) 09/10/2020 $300.00
Site Specifics:
Excavation Volume: 209 cu.yd.
Fill Volume: 4 cu.yd.
Impervious Surface: 1553 sq.ft.
Engineered Fill: Yes Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking: No
Fence: No
Total $1,904.07I
Required Items and Reports(Conditions)
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
calling 503.232.1987 or 1.800.332.2344.
Issued By: hit rub n vt , Permittee Signature: en A � Ca /�
LYL1 Call` Q V `
503.639.4175 by 7:00 a.m.for the next available inspection date. 1
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.
1 Building Permit Application _ , it 1,
Site Work FOR OFFICE USE ONLY
0 {,n Received Permit No.:
City ofP Tigard " L: a2716 j-- S`�-1rr`b Cr-Va
r#"""' Date/Bv: t /
' 13125 SW Hall Blvd.,Tigard,OR 972 «,- Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date By: • Q Other Permit: y— / 3
Inspection Line: 503.639.4175 APR 2 2 2020 Date Ready/By: -7 A/ luri__ RI See Page 2 for
TIGARD Internet: www.tigard-or.gov Notif.ed/Method: v Supplemental Information
TYPE OF WQRJ> -Ai O1ViSt•)" REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
0 New construction Indicate the value(rounded to the nearest dollar)of all
❑x Additionialteration'replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12100 SW Scolls Ferry Rd New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: JPM Chase Tenant Improvement Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Corner of SW Scholls Ferry Rd&SW 121st Ave.,in the former 7-11 space, Other structure area: square feet
adjacent to Scotty's REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.: 1S 134BC00100 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. 1
P to dt��lt ✓�w/h sec Valuation: S 00 p/ /
Interior Tenant Improvement-remodel of the former 7-1 l space to become a bank. c A7 1. I o •
Minor exterior work consists primarily of painting&storefront replacement. Existing building area: 2,637 square feet
Scope also includes a remote ATM drive-thru at the SE corner of the shopping center. New building area: 2,493 square feet
0 PROPERTY OWNER ❑x TENANT Number of stories: 1
Name: Joe Hernandez,VP-Chase Bank Type of construction: V-B
Address: 24085 El Toro Road,Floor 2 Occupancy groups:
City/State/ZIP: Laguna Hills,CA 92653 Existing: M-Mercantile
Phone:( 602 )703-3816 Fax:( ) New: B-Business
0 APPLICANT ® CONTACT PERSON NOTICE
Business name: pM Design Group All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Elizabeth Cole under ORS 701 and may be required to be licensed in the
Address: 19120 SE 34th St.,Suite 115 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Vancouver,WA 98683 apply:
Phone:( 614 )212-4330 Fax: :( )
E-mail: ecolegpmdginc.com
.CONTRACTOR
Business name: JRZ) "ex eaves sY\ BUILDING PERMIT FEES*
(Please refer W fee sehedulef
Address: co caesy. 2.1{(4.n
Structural plan review fee(or deposit): $3,612.67
City/State/ZIP: [, `a I t_ Q�S FLS plan review fee(if applicable): $2,223.18
e
Phone: . tlZ.�.: q Fax:eZ) a
Total fees due upon application: $5.835.8$
CCB lic.: 1 14 C04 I.
Amount received:
Authorized signature: .c.e' (---e" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Elizabeth Cole Date: 4/21/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(1 1/02/COM/WEB)
U
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: 208.99 cu.yds.
Grading Volume:(Soils report required for>5,000 cu.yds.) 20
528 cu. yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to 3.71
90%of maximum density) cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
Z Concrete
0 Other:
*Total new impervious area including all buildings, 11 553
sidewalks, and paving: 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:
❑ Site Plan with Vicinity Map showing ADA 0 *Parking(including ADA) and Lighting
compliance Plan
/r Grading Plan and details ❑ *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 So)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
&action thereof.
1:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2
Branden Taggart
From: Branden Taggart
Sent: Wednesday, June 3, 2020 12:35 PM
To: Elizabeth Cole
Subject: RE: Chase Bank Site Work Permit: SIT2020-00012 - 12100 SW Scholls Ferry Rd.
Attachments: Branden Taggart2.vcf
Elizabeth,
Thank you. I will route your permit for plan review, and we will let you know when this permit is ready to pick up.
Thank you,
1111 Branden Taggart
1 ' City of Tigard
Senior Permit Technician
Tic ARn Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-o r.gov
From: Elizabeth Cole <ecole@pmdginc.com>
Sent:Tuesday,June 2, 2020 5:27 AM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: RE: Chase Bank Site Work Permit: SIT2020-00012 - 12100 SW Scholls Ferry Rd.
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Hi Branden,
Please value the site work at$100,000
PMELIZABETH COLE,ARCHITECT
Sr.Project Manager I NCARB I LEED AP BD&C
DESIGN Direct:614.212.4330
6530 W.Campus Oval,Suite 190
New Albany,Ohio 43054
pmdginc.com
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Wednesday, May 27, 2020 10:23 PM
To: Elizabeth Cole<ecole@pmdginc.com>
Subject:Chase Bank Site Work Permit: SIT2020-00012- 12100 SW Scholls Ferry Rd.
1
Hi Elizabeth,
The Site Work permit valuation for Chase Bank, located at 12100 SW Scholls Ferry Rd, is listed at$900,000.00. However,
the Building permit valuation is this same amount. The Site Work permit valuation should be separate from the Building
permit valuation. What are they?
Thanks,
Branden Taggart
City of Tigard
Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
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."
2
City of Tigard
'Pi ® COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
w., _ _-
Building Permit #: j - o/A
6 Site Address: /2 oO g gclA q-, .- Suite/Bldg#:
Project Name: U ,L (�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /eiv ridge ' df 4 //[ z,i cA✓-t --Mai ,6i1 t'
[�V-rify site address/suite#exists and active in permit sysstte
13�1:,: Ild':'er Terrace Neighborhood: ❑ Yes No
R..jet-- d Use Case#: 014 l9 Q-A-2-0-- (90Q/4e.
Plans itch Approved Land Use:
Er Site Plan ndscape Plan ther:
,IIII V. rban Forestry Plan Elevation Plan l ` � y
TA B ' ding Height: Maximum Height T: IV Actual Height O CAsc p
° Mb ; ditions Met: ❑ Prior to Submittal 0 Prior to Permit Issuance
Ig Business License:
y 'Exists: ❑ Yes No,applicant was provided a business license application
OV_
.iblic Facilities Improvement(PFI) Permit:
`VVVV� "�� Required: D Yes,applicant was notified No Applied For: 0 Yes ❑ No, stop intake
Notes: l
—_._____.-,a-- Date: S/<:.2�j/�2--0
Approved by Planning: __---"'"
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit nter b ding permit#above. ^ —
Workflow Routing: ammng nglneering ermlt Coordinator NI uilding
Workflow Sign-off: Si ff for Planning (include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: �� � 4 � sela.><7��tn/ ✓,11•.±."_,Y1/yi enn ZA/A.
By Permit Technician: AF-4--z, Date: Z/31
1:1BuildinglForms\BldgPernritRvw_COM_Withl-andUse 111819.docx
1
Engineering Review
Er-Slope at building pad: 7i
["PFI Permit#: H 4.
E Conditions"Met"prior to issuance of building permit sic-
VEasements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes D"No
Assess Water Quantity Fee in-lieu: ❑ Yes D"No
LIDA Facility on lot: Yes 0 No
❑ NOT Approved by Engineering: Date
Notes: /
Approved by Engineering: %C�,�� Date: 7G Z7/2o20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
0 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: 0 Yes VE N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes RC N/A
g OK to Issue Permit 1—I 0 A- L-i-es
Approved by Permit Coordinator: Date: /f ZYi 1.4
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_1118 19.docx
1
wilding Permit Application ,�. y , ,> ;
Site Work FOR OFFICE USE ONLY
City of Tigard �t+ ' I I r Received
Date BY Permit No.:
III • 13125 SW Hall Blvd.,Tigard,OR 972 l �' ° Pion Review Other Permit:
- 11 Phone: 503918.2439 Fax: 503.598.1960 g020 Date/By:
Inspection Line: 503.639.4175 APR. 2 2 C Date Ready/By: tans El See Page 2 for
T I G A R l7 Internet: www.tigard-or.gov Notified/Method. Supplemental Information
�t'-a=��CI CITY OF _ UTARP
TYPE OF hPY 1M DINit ``)1 REQUIRE➢DATA:1 AND27FAMILY➢WELLINg ;4
❑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
Q Addition/alteration/replacement D Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
IDAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12100 SW Scolls Ferry Rd New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: JPM Chase Tenant Improvement Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Corner of SW Scholls Ferry Rd&SW 121st Ave.,in the former 7-11 space, Other structure area: square feet
adjacent to Scotty's REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S134BC00100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
•
Interior Tenant Improvement-remodel of the former 7-11 space to become a bank. Valuation: $ 900,000
Minor exterior work consists primarily of painting&storefront replacement. Existing building area: 2,637 square feet
Scope also includes a remote ATM drive-thru at the SE corner of the shopping center. New building area: 2,493 square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: I
Name: Joe Hernandez,VP-Chase Bank Type of construction: V-B
Address: 24085 El Toro Road,Floor 2 Occupancy groups:
City/State/ZIP: Laguna Hills,CA 92653 Existing: M-Mercantile
Phone:( 602 )703-3816 Fax:( ) New: B-Business
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: PM Design Group All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Elizabeth Cole under ORS 701 and may be required to be licensed in the
Address: 19120 SE 34th St.,Suite 115 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Vancouver,WA 98683 apply:
Phone:( 614 )212-4330 Fax::( )
E-mail: ecole@pmdginc.com
CONTRACTOR
Business name: BUILDING PERMIT FEES*
(Please refer ta fee schedule) _,.
Address:
Structural plan review fee(or deposit): $3,612.67
City/State/ZIP: FLSplan review fee(if applicable):
Phone:( ) Fax:( ) PP ) $2,223.18
Total fees due upon application: $5.835.85
CCB lie.:
� Amount received:
Authorized signature: (i �"EX CC C.C. • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Elizabeth Cole Date: 4/21/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(OI/02/COM/WEB)