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Permit
CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT Permit#: SIT2020-00013 TFGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/4/2020 Parcel: 1 S136CD01700 Jurisdiction: Tigard Site address: 11686 SW PACIFIC HWY Project: Chase Bank Subdivision: None Lot: None Project Description: Minor grading to accommodate improvements to accessible parking stalls and walkway to building entrances. Contractor: DON BURKE EXCAVATION & CONSTRUCTION Owner: NTN PACIFIC LLC 15604 SE RUBY DRIVE 19830 NW DIXIE MOUNTAIN RD MILWAUKIE, OR 97267 NORTH PLAINS, OR 97133 PHONE: 503-652-0175 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 07/22/2020 $621.12 Plan Review 07/22/2020 $403.73 Type of Use: COM 12%State Surcharge-Building 07/22/2020 $74.53 Class of Work: ALT Info Process/Archiving-Lg$2.00(over 07/22/2020 $28.00 11x17) Project Valuation: $65,000.00 Erosion Control w/Development 07/22/2020 $161.40 Site Specifics: Excavation Volume: 0 cu.yd. Fill Volume: 37 cu.yd. Impervious Surface: 988 sq.ft. Engineered Fill: No Soil Report Required: No Paving: Yes Grading: No Landscaping: No Site Prep: No Storn Drains: Retaining Wall: No Fire Underground: No Accessible Parking: Yes Fence: No Total $1,288.78I Required Items and Reports(Conditions) 1 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: � mittee Signature: 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 ,, zo Work ;atEC i sm 0 FOR OFFICE USE ONLI City of Tigard JUN 17 2020 R DateeceBivedy: (p 06 Z{J ,0G Permit No IT-zoZd _pv0/3 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Review 14 ' Phone: 503.718.2439 Fax: 503.598.1 60i1Y TJt' l Y DateB : ��1 -a� Other Permit: OF 1 .,ter~R:_� y T I G A R D Inspection Line: 503.639.4175 BOLDING `f i C,`( Date ReadyBy: ` r ® See Page 2 for Internet: www.tigard-or.gov J Not fied/Method: 7/��/_ gp• Sapplemeatat Information l�' `.. 1 4.4.: <"-* 3 r Ii- k_sr/`1t,l,, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING O 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 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 ©Commerciallindustrial ElAccessory 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: 11686 SW Pacific Highway New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bidg./apt.no.: Project name:Chase Bank Tenant Improvement Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:Tax map/parcel no.: 1 S 136CD01700 Lot no.: Permit fees*are based on the value of the work perforated. 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. Minor grading to accommodate improvements to accessible parking stalls and walkway Valuation: $ 65,000 to building entrances. Existing building area: 11,290 square feet New building area3,560(prOpOSe@uare feet 0 PROPERTY OWNER ® TENANT Number of stories: 1 Name: Joe Hemandez,VP-Chase Bank Type of construction: VB ti)2 Address: 24085 El Toro Road,Floor 2 Occupancy groups: City/State/ZIP: Laguna Hills,CA 92653 Ex sting: Retail j Phone:(602 )703-3816 Fax:( ) New: B-Office (proposed) ® APPLICANT El CONTACT PERSON NOTICE 4_ Business name:PM Design Group All contractors and subcontractors are required to be Contact name: Ariane Sanders licensed with the Oregon Construction Contractors Board ,tt under ORS 701 and may be required to be licensed in the Address: 3860 Broadway,Suite 110 jurisdiction in which work is being performed.If the applicant is exempt fiotu licensing,the following reasons City/State/ZIP: American Canyon,CA 94503 apply: Phone:( 707 ) 731-7394 Fax: :( ) E-mail: asanders@pmdginc.com CONTRACTOR Business name: 4 e ..vy t i� f� r)(_ BUILDING PERMIT FEES* Address: /ti(pLt S . /e-k /9e; '�/rW�'""' (Please refer tofeesehedsfr) Structural plan review fee(or deposit): 11(i. -7 City/State/ZIP: 'eh J l/J,,.,t(tie (1 9 7� / FLS plan review fee(if applicable): Phone:( ) 6,5�U i 73— Fax:( ) CCB lic.: fs/l�/d( Total fees due upon application: 16 Amount received: Authorized signature: ca,_-y,,,, This permit application expires if a permit is not obta' within 180 days after it has been accepted as comp' Print name: Ariane Sanders Date:04122120 * Fee methodology set by Tri-County Building Indust Service Board. I:\Building\Pennits1SIT-PennitApp.doc 08/02/2016 440-4613T(11/02/COM/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: cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90% of maximum density) 37 cu.yds. Retaining structure? (Check one) ❑ Rock NOT APPLICABLE ❑ CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 988 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: ❑X Site Plan with Vicinity Map showing ADA Cg] *Parking(including ADA)and Lighting compliance Plan Grading Plan and details E *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 S500.00 $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 $1076 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\Permits\SIT-PermitApp.doc 08/02/2016 2 Branden Taggart From: Branden Taggart Sent: Tuesday, June 16, 2020 8:22 AM To: asanders@pmdginc.com Subject: Chase Bank Site Work Permit Submittal - 11686 SW Pacific Hwy. Attachments: Branden Taggart2.vcf Hi Ariane, We received your Site Work permit submittal for the Chase Bank located at 11686 SW Pacific Hwy. However, we only received (2) plan sets of(3) that are required for review. Once we receive the third set of plans, we will be able to proceed with our review. Thank you, 111111 Branden Taggart -4 City of Tigard Senior Permit Technician 711c3A.RD Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)71 B-2449 brandent@tigard-or.gov L i 1 PACKING LIST Ship Date: 6/16/20 Shipment Number: S1125628 Blueprint Supply Bill To: PM Design Group Ship To: PM Design Group 19120 SE 34th St Suite 115 Attn: City of Tigard / Community Dev. / Attn: Branden Vancouver, WA 98683 Taggart USA 13125 SW Hall Blvd (503-718-2439) Tigard, OR 97223 USA Account Number S.O.Number P.O.Number Ship Method Date Required PD01 S076618 JPM19015.0 J2 Delivery 6/17/20 Remarks Sales Person 1st T.I. Submittal Packets-Adrian Andrew Russo Item Number Description Serial No UM Ordered Cancelled B/O Prey Shipped Shipped 600-1-Prints Prints Monochrome or Color20# bond paper sqftl 81.00 0.00 0.00 0.00 81.00 Signature Date Page 1 of 1 PM Design Group, Inc. 6930 Destiny Drive,Suite 100 DESIGN Rocklin, CA.95677 P:916.303.4412 Ar Chilec lu r al Solutions Group ,.,,,`""'„„, Transmittal Date 06/16/20 To: Branden Taggart,Senior Permit Technician From: Adrian Mora • City of Tigard—Community Development RE: Chase Bank Tenant 13125 SW Hall Blvd. Improvement Tigard,OR 97223 • Phone: 503-718-2439 Project JPM19015.0 (In Person Delivery by 32b) Number: Sent Via: 1- Fax r US Mail I- F• or Your Use I++ For Conwrent Fax ( I O• vernight P A• s Requested P For Revision Number Number (— E• lectronic l For Approval rr High Priority of Pages Quantity Date Description 1 6/8/20 1st Civil Submittal Set for site work Comments Hi Branden— Per your request,enclosed is the third set of the site work plans. Please process and proceed with review. If you have any questions,please contact me. Thank you Adrian Mora Assistant Project Manager 562-477-6281 Office I..ocations • Dallas • San[rencisco • Wiwi:- • I n.,4 www.emdainc.com City of Tigard IICOMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: S r7-ZO;ZG 00 013 Site Address: 11686 SW Pacific Highway Suite/Bldg#: Project Name:• Chase Bank- Site Work (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal Minor grading to accommodate improvements to accessible parking stalls and walkway to building entrances ] Verify site address/suite#exists and active in permit system. 1 River Terrace Neighborhood: ice❑ Yes l No Kl Land Use Case#: M MD202)-000 13:1 Plans Match Approved Land Use: J Site Plan ❑ Landscape Plan Other: Photometric Plan 0 Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height 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 Kl Public Facilities Improvement(PFI)Permit: Required: ❑ Yes,applicant was notified 6 No Applied For: ❑ Yes 0 No,stop intake Notes: Approved by Planning: '' Date: 6/18/2020 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: /I '7/ 2 c Site Plans: # Building Plans: # j Building Permit#: 'Enter building permit# above. Workflow Routing: Er—Planning —,ugineering 'rmit Coordinator '1 Building Workflow Sign-off: E" Sign-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: s tti� Date: Cp-c/20 L\Building\Forms\BMgPemritRvw_COM_W ithLandUse_I 11819.docx Engineering Review a-Slope at building pad: lJZ C3-PFI Permit#: ;7 14_ Conditions "Met"prior to issuance of building permit{i,4 a Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP) E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes Er--No Assess Water Quantity Fee in-lieu: ❑ Yes ErNo LIDA Facility on lot: 0 Yes lar-No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: % Date: (P 7&31z02d Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions "Met"prior to issuance of building pemtit ❑ 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 W N/A Tigard Trans SDC: 0 Yes xj. N/A Parks SDC: 0 Yes .r N/A ' OK to Issue Permit Approved by Permit Coordinator: /l tJ J Date: (p I) 5)2D 1:1Building\Forms\BldgPennitRvw_COM_WithLandU se_111819.docx