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Permit CITY OF TIGARD SITE WORK PERMIT N * COMMUNITY DEVELOPMENT Permit#: SIT2020-00017 Date Issued: 12/16/2020 T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 135DA04600 Jurisdiction: Tigard Site address: 11157 SW HALL BLVD 1 Project: Village at Washington Square Subdivision: 1998-038 PARTITION PLAT Lot: 1-2 Project Description: Site work repair of parking lot asphalt,regrading at Building B,and relocating mailboxes. Contractor: LMC INC Owner: VILLAGE AT WASHINGTON SQUARE 19200 SW TETON AVE LIMITED PARTNERSHIP TUALATIN, OR 97062 BY CPAH PO BOX 23206 TIGARD, OR 97281 PHONE: 503-646-0521 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 12/15/2020 $615.74 Plan Review 10/21/2020 $400.23 Type of Use: COM 12%State Surcharge-Building 12/15/2020 $73.89 Class of Work: ALT Plan Review-Fire Life Safety 12/15/2020 $246.30 Valuation: Info Process/Archiving-Lg$2.00(over 12/15/2020 $38.00 Project $63,261.00 11x17) Site Specifics: Excavation Volume: 50 cu.yd. Fill Volume: 5 cu.yd. Impervious Surface: 24 sq.ft. Engineered Fill: No Soil Report Required: No Paving: Yes Grading: No Landscaping: Yes Site Prep: No Storn Drains: Retaining Wall: No Fire Underground: No Accessible Parking: Yes Fence: No Total $1,374.16 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 503.232.1987 or 1.800.332.2344. Issued By: l.]��1�\ An{'1a _ n Permittee Signature: rtr ^^fl`�M 0Y� CSC t`CCCJJJt tt V `Jr""Calllll 503.639.4175C by 7:00 a.m.for the next available inspectionV date.�/r 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. ef -Building Permit Application 7 3 la/�4/�o Site Work FOR OFFICE USE ONLY City of Tigard d AO' /¢ �� � Fermi No.6/72a20 -coo/J �- s 13125 SW Ball Blvd.,Tigard,OR 97223 ... DatciB Plan n!enter,/ +�p� ' �.. .. Phone: 503.718.2439 Fax: 503.598,1960 DnclBy, Q OO O / Ct1lcr Per I I r,.,it I.) Inspection line: 503.639 4175 Date Ready/By: , s. Permit:, &I See Page 2 for Internet www.Tigard-or Nonfied/Method_ ( hat /4 ' Supplemental Information TYPE OF WORK REQUIRE[)DATA:I-AND 24M tli;k MET U INC El New construction U Demolition Permit Ices`are based on the value oflbe work performed Indicate the value(rounded to the nearest dollar)of all ®Addition/alteratiottlreplacement �❑Other equipment materials,labor,overhead,and the profit Mr the CATFcolt' (Jr CONSTRUCTION work indicated on this application. _— ... Valuation: S ❑ I-and 2-family dwelling ❑Crnmnereial/industrial 0 Accessory building ®Multi-family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: JOB SITE I'STORM T O1 31ND t-rx A-CIOS Total number of floors: Job site address: 11157, 11159, 11161, 11163 SW Hall Boulevard New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldgiapt.no.: Project name:Village at Washington Square Covered porch area: square feet Cross street/directions to job site: Just north of 217 on the west side of Hall Blvd. Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-ENV(tlE('KLIST Subdivision: Lot no.: Permit fees"are based on the value of the.work perfir med. Tax map/parcel no.: 1 Si 35DA-4600 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit(in the D1,sc n-1°'s OF WO ', ,, work indicated on this application_ Exterior renovation including replacing siding, windows,exterior doors,exterior Valuation: s See attached per building stairs and portions of exterior decks. Interior work to at the Community Building Existing building area: See attached per building - to enclose an office within the mulitpurpose room. Site work includes repair of _ parking lot asphalt, regrading at Building B, and relocating mailboxes. New building area: See attached per building 0 PROPERTY O1%NFR I 0 TENANT Number of stories: 1 - 3 Name: Community Partners for Affordable Housing Type of construction: VA Address: P.O. Box 23206 Occupancy groups: City/State/ZIP: Tigard, OR 97281 Existing: R-2, A-3 Phone:( 5034293-4038 Fax:( ) — New: R-2, A-3 0 .Af>tr.LlcAN ❑ CONTACT PERSONtt19Ci6 , Business name: Carleton Hart Architecture All contractors and subcontractors are required to he Contact name: Earl Carson licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 830 SW 10th Ave#200 jurisdiction in which work is being performed lithe applicant is exempt from licensing,the following reasons City/State/ZIT': Portland, OR 97205 _ apply: Phone:( 504)347.8261 Fax: :( ) E-tmtil: 4:ON-CR<A(,'TOlt Businessnante: LMC Construction BUILDING PERMIT FEES* (Piemre rx/er r l ee schedale) Address: 19200 SW Teton Ave Structural plan re iew Ice(or deposit) 160 ,2. City/State/ZIP: Tualatin, OR 97062 FLS plan review fee(if applicable): Phone:( 5034646-0521 Fax( 5034646-6823 CCB tic.: OR: 161282 Total fees due upon application: ..1\ Amount received: Authorized sign tie: 4 __ This permit application expires if a permit is not obtained A"�`� 1 within 180 days after it has been accepted as complete. Print name ��- f V Dale: - r of . Fee metirodoloey set by Tit-County Building Industry LLL Service Board I VBuilding\Permits\SIT-Perini tApp doe 08/02/2016 440-4613T(I 1/)2/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). See information below-site grading work does not require a permit. Site work permit Please complete all items below,unless otherwise noted. submittal is included for review of parking lot work, if needed. Excavation Volume: 50 cu.yds. Grading Volume: (Soils report required for>5,000 cu. yds.) 50 cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90%of maximum density) 5 cu.yds. Retaining structure? (Check one) ❑ Rock X❑ CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 24 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 ❑ *Parking(including ADA) and Lighting compliance Plan ❑ 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 Soo 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. 1:1Building\Pennits\SIT-PennitApp.doc 08/02/2016 2 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III T I c A R D Building Permit Review — Commercial - With Land Use Building Permit #: S 172020 OQO! 7 Site Address: 11157 SW Hall Blvd Suite/Bldg#: Project Name: Village at Washington Square (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Site work permit: modifications to parking lot, paths, and landscaping for accessibility 0 Verify site address/suite# exists and active in permit system. 0 River Terrace Neighborhood: ❑ Yes 0 No 0 Land Use Case#: MMD2020-00035 0 Plans Match Approved Land Use: 0 ite Plan 0 andscape Plan le Other: N.' rban Forestry Plan levation Plan Building Height: Maximum Height Actual Height Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: Date: 10/12/20 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: iQ//�,z/f_w Site Plans: # /(3 Building Plans: #�y .?. Building Permit#: Er Enter building ermit#above. Workflow Routing: [`Planning LI Et-Building 12 Permit Coordinator LI Building Workflow Sign-off: Et 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 de . s,if applicable,etc. Notes: By Permit Technician: Date: l0 / 1:\Building\Forms\B IdgPermitRvw_COM_W ithLandUse_1118 19.docx Engineering Review ❑ Slope at building pad: J/ El PFI Permit#: ��" ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and pl no ' a 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: .�—� Date: /pl QIeQ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review . Conditions "Met"prior to issuance of building permit 1 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes"`` Tigard Trans SDC: ❑ YesVAA Parks SDC: ❑ Yes A OK to Issue Permit 7 c Approved by Permit Coordinator: '-, - Date: /d/ &/20 1:113ui I ding\FormstBldgPerm itRvw_COM_W ithLand Use_I 11819.docx CFA\ Village at Washington Square BUILDING AREAS: Building A: Level 1 6,063 SF Level 2 5,615 SF Level 3 4,496 SF Total 16, 174SF Building B: Level 1 2,813 SF Level 2 2,651 SF Level 3 1,840 SF Total 7,304 SF Building C: Level 1 1,157 SF Level 2 1,033 SF Total 2,190 SF Community Room: Total 667 SF PROJECT COST VALUATION BASED ON LMC CONSTRUCTION COST ESTIMATE DATED JULY 13,2020 BUILDING A: $992,955 BUILDING B: $434,418 BUILDING C: $ 186,180 COMMUNITY BUILDING: $ 65,465 SITE WORK: $ 63,261 CARLETON HART ARCHITECTURE PC 830 SW 10th AVE #200. Portland, OR 97205 I 503 243 2252 1 www_carletonhart corn I ORBAE ARF-0156 Branden Taggart From: Branden Taggart Sent: Monday, November 16, 2020 2:19 PM To: Melissa Soots Subject: RE:Village at Washington Square - sitework SIT2020-00017 Attachments: Permit.pdf Hi Melissa, The Site Work permit for the Village at Washington Square is ready to issue now. The balance due is$973.93,and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (SIT2020-00017) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thanks, Branden Taggart City of Tigard r Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or,gov From: Branden Taggart Sent:Wednesday, November 4, 2020 11:29 AM To: Melissa Soots <melissa.soots@carletonhart.com> Subject: RE:Village at Washington Square-sitework SIT2020-00017 Hi Melissa, Plan review has been completed, but we still need to complete our final review. Currently there are more than 10 permits ahead of this permit. It may take another week or so. Thanks, 1 Branden Taggart q City of Tigard Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (5031718-2449 brandent@tigard-or.gov From: Melissa Soots<melissa.sootsPcarletonhart.com> Sent: Wednesday, November 4, 2020 9:59 AM To: Branden Taggart<brandent@tigard-or.gov> Subject: FW: Village at Washington Square - sitework SIT2020-00017 Caution!This message was sent from outside your organization. Allow sender I Block sender Hi Branden, Could you give me a status update for the approved sitework permit SIT2020-00017? I understand that it is in post review right now. Financial closing is planned soon and we will need an indication that the permit is ready to issue by 11/12 to stay on track. Please let me know if any additional information is needed from the project team. Thank you, melissa soots, NCARB I associate I project manager pronouns: she/her/hers CARLETON HART ARCHITECTURE PC Inspiring community through design for more than 25 years 830 sw 10th ave #200, portland, or 97205 1503.206.3187 From:Tom Hochstatter<TomH@tigard-or.gov> Sent: Monday, October 26, 2020 1:58 PM To: Melissa Soots<melissa.soots@carletonhart.com> Cc: Branden Taggart<brandent@tigard-or.gov> Subject: RE:Village at Washington Square-sitework SIT2020-00017 Melissa, I approved it this morning. Front office will call when post review is completed. Tom Hochstatter From: Melissa Soots<melissa.soots@carletonhart.com> Sent: Monday, October 26, 2020 1:37 PM To: Tom Hochstatter<TomH@tigard-or.gov> Subject:Village at Washington Square-sitework SIT2020-00017 Hi Tom, Village at Washington Square has submitted a sitework package after getting an approved Minor Modification from planning. Fees have been paid as of 10/14. Will you be responsible for review of SIT2020-00017, and if so can you give an estimate of when your review will be complete? Are there any other reviewers for that permit? For some reason the routing isn't showing up on the Tigard Active Permits page. 2 s Thank you, melissa soots, NCARB I associate ( project manager pronouns: she/her/hers CARLETON HART ARCHITECTURE PC Inspiring community through design for more than 25 years 830 sw 10th ave #200, portland, or 97205 1503.206.3187 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." 3