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Permit
CITY OF TIGARD SITE WORK PERMIT '' - ' COMMUNITY DEVELOPMENT Permit#: SIT2021-00005 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/21/2021 Parcel: 2S111ACO2700 Jurisdiction: Tigard Site address: 14650 SW 97TH AVE Project: Twality Middle School Subdivision: TIGARDVILLE HEIGHTS Lot: 44 Project Description: New synthetic turf field,fencing,and gates,and replacement of track rubber surfacing. Contractor: BENCHMARK CONTRACTING INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J 5809 JEAN ROAD 6960 SW SANDBURG ST LAKE OSWEGO, OR 97035 TIGARD, OR 97223 PHONE: 503-780-9760 PHONE: FAX: 503-649-1170 FEES Description Date Amount Specifics: Permit Fee-Site Work 04/21/2021 $7,544.42 Plan Review 03/03/2021 $4,903.87 Type of Use: COM 12%State Surcharge-Building 04/21/2021 $905.33 Class of Work: ALT Info Process/Archiving-Lg$2.00(over 04/21/2021 $14.00 11x17) Project Valuation: $1,600,000.00 Info Process/Archiving-Sm$0.50(up to 04/21/2021 $6.00 11x17) Erosion Control w/Development 04/21/2021 $1,286.40 Site Specifics: Excavation Volume: 3406 cu.yd. Fill Volume: 8975 cu.yd. Impervious Surface: 0 sq.ft. Engineered Fill: Yes Soil Report Required: No Paving: No Grading: Yes Landscaping: Yes Site Prep: Storn Drains: Retaining Wall: Fire Underground: No Accessible Parking: Fence: Yes Total $14,660.02 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: Permittee Signature: 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. r I Building Permit Application 92// A) -j/ Site Work FOR OFFICE USE ONLY City Tigard 'EC E J r „E D Received )I k 13125 SWW Hall Blvd.,Tigard,OR 9721)3 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/By: C. D. I 1 Other Permit: Internet: Line: 503.639.4175d-or.gov ?n Ready/By: y/ / 76 S See Page 2 forn I l l N l Ur r-� n 1 Date Read/B Jura Internet: www.tigard-or.gov Notified/Method: \ � Supplemental Information -`w' Ems' ,'.e'-, . ;. . ,,,,,, TYPE OF WORK ``' �.i ' Y) RN:QUIRED DATA:1-XND2-FA .YDWELLING 0 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. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder ®Other: Synthetic Turf Field Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 14650 SW 97th Ave. New dwelling area: square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt,no.: Project name: Twality MS Athletic Field Covered porch area: square feet Cross street/directions to job site: SW Murdock St./From 1-5 south take exit 294 to Deck area: square feet merge onto HWY 99 S.Turn Left onto Hall Blvd and travel 1 mile.Turn left onto SW Other structure area: square feet McDonald St.,travel 0.5 miles and turn left onto SW 97th. Destination on Left. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.2700 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S111AC Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Proposed synthetic turf field,new fencing and gates, replacement of track Valuation: $ 1,600,000.00 ` rubber surfacing. Existing building area: 0 square feet New building area: square feet al PROPERTY OWNER ❑ TENANT Number of stories: N. Name: Tigard-Tualatin School District C/O David Moore Type of construction: alteration Address: 6960 SW Sandburg St. Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: E-Educational Phone:( 503 )431-4000 Fax:( ) New. E-Educational ��NC APPLICANT [$] CONTACT PERSON rt ... NOTICE Ny Business name: Cardno All contractors and subcontractors are required to be Contact name: Mary Wiser licensed with the Oregon Construction Contractors Board i , under ORS 701 and may be required to be licensed in the 1 1 Address: 6720 5 Macadam Ave.,Suite 150 jurisdiction in which work is being performed.If the J applicant is exempt from licensing,the following reasons City/State/ZIP: Portland,OR 97219 aPPIY: Phone:( 503)419-2500 Fax::( 503)419-2600 E-mail: mary.wiser@cardno.corn CONTRACTOR Business name: TBD S�,.�,�� t' iI✓f.VvrYrv[.( (!{YN i�C' rhs') BUILDING PERMIT FEES* Address: Set ,� � D J (Please refer to schedule) City/State/ZIP: Lir tKl. /y,�..—``""''`ly 490 Structural plan review fee(or deposit): Phone:( ) V hl Fax:( ) FLS plan review fee(if applicable): —174:00 Total fees due upon application: CCB lie.: pi.)-75—/ P $4,903.87 Date: 2021.01.29 Amount received: Authorized signature: Mary Wiser 14:25:32-08'00' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Mary Wiser Date: 01/29/2021 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Penults\SIT-PermitApp.doc 08/02/2016 440-4613T(1 I/02/COM/WEB) r v 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: 3,406.73 cu. yds. Grading Volume: (Soils report required for>5,000 cu. yds.) 0 cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90%of maximum density) 8,975.15 cu.yds. Retaining structure? (Check one) ❑ Rock El CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 0 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 ❑ *Parking(including ADA)and Lighting compliance Plan X❑ Grading Plan and details X❑ *Landscaping Plan x❑ 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 tee Alterations) Submittal 5500.01 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\Permits\SIT-PermitApp.doc 08/02/2016 2 11111 me Site Work Permit Application Plan Submittal Requirements TIGARD Commercial,Multi-Family and One- &Two-Family Dwellings A site work permit is required for all commercial projects including new buildings,additions, accessory buildings larger than 120 square feet,modular structures and multi-family R-1 occupancies. A site work permit is required for excavation, fill,grading, paving, retaining walls, fire hydrants and fire department access on private property for work on individual lots not covered under the subdivision development. Note: A separate "plumbing"permit for site utility plumbing work is required for sanitary sewer, storm sewer and potable water systems on private property. Please see the Site Utilities -Plumbing Permit Application for plan submittal requirements. 1. SITE PLAN and vicinity map (fully dimensional, drawn to scale) showing the geographic location labeled with: A. El map&tax lot# ❑ project name El site address ❑ suite number ❑ zoning El applicant name ❑ applicant phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads (drawn to scale) with project location. 2. BUILDING PLAN submittal requirement: Three (3) complete sets, Civil only. All details listed below shall be incorporated into the plans: A. Site plan showing: 1) Required parking spaces and driveways. 2) A route,accessible to persons with disability,leading from the public way to an accessible building entrance. 3) Accessible parking spaces and adjacent access aisle connecting with the accessible route. 4) Curb ramps along the accessible route,curb, sidewalk and gutter. 5) Finish grade elevations along the accessible route. B. Topographic survey plan showing grade elevations crossing the entire site. C. Overall grading plan. D. Utilities plan showing: 1) Fire hydrant location and pipe size if on private property. 2) If the building is to be protected with an automatic fire sprinkler system,show location of the water service vault and the fire department connection (FDC) within 70 feet of a fire hydrant. 3) Size of underground water service for the sprinkler system. E. Erosion control plan complying with the requirements of the Clean Water Services (CWS) agency showing. 1) Silt fence locations. 2) Bio-filter bags/other approved barrier material surrounding catch basins. I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 3 • yr, 3) Illustrations detailing the correct installation of the silt fencing and catch basin protection. 4) Any other measures to ensure compliance with CWS standards. F. Landscaping plan. 3. ADDITIONAL REQUIREMENTS: A. Soils (geotechnical)report. A soils report is required for new buildings and additions to contain the following: 1) The report shall address the potential of soil liquefaction and instability (OSSC Sec. 1804.2). 2) Fills to be used to support foundation of buildings (OSSC Sec. 3301.1). 3) Foundation and lateral pressures exceeding 1,500 lb./sq. ft. (OSSC Sec. 1805). B. Fire flow and hydrant worksheet. C. Plan review deposit based upon project valuation. I:\Building\Permits\Srr-PermitApp.doc 08/02/2016 4 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review - .Commercial -.,With Land Use Building Permit #: 1 iy k.1.) Site Address: 14650 SW 97th ave Suite/Bldg#: Project Name: Twality Athletic Field (Name of commercial business occupying the space. If vacant,enter Spec Space.) Ala i it Review Proposal: Proposed synthetic turf and replacement of track rubber surfacing. New fencing and gates. N Verify site address/suite#exists and active in permit system. ® River Terrace Neighborhood: ❑ Yes ® No ▪ Land Use Case#: MMD2020-00029, PDR2017-00002 iN Plans Match Approved Land Use: ® Site Plan ® Landscape Plan ❑ Other: ❑ Urban Forestry Plan N Elevation Plan [� Building Height: Maximum Height N/A Actual Height N Conditions Met: ❑ Prior to Submittal /1 Prior to Permit Issuance EN/Ausines s license: Exists: ❑ Yes ❑ No,applicant was provided a business license application N Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: N Yes ❑ No, stop intake Notes: Approved by Planning: MB"'^:`- Date: 3/2/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved -13trildirtk Permit Stromittal Original Submittal Date: Site Plans: # Building Plans: Building Permit#: ntex b ding permit## above. Workflow Routing: aging engineering I r- Coordinator ��uilding Workflow Sign-off: ff for Planning(include notes from planning review) Route Application Documents: I��iuldtng: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 3 /7/ C1Building\Forms\BldgPermitRvw COM WithLandUse 111819.docx oiheerir>4$ePieW Z Slope at building pad: ?,.,V6 Er PFI Permit#: Pei 2 0/8 d0 3 4-7 Cr Conditions "Met"prior to issuance of building permit Er Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) Er 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: 44_ . —i- Date: L707/h/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved CI Not Approved Revision 2: ❑ Approved CI Not Approved Revision 3: ❑ Approved ❑ Not Approved t Cbordi atot leview Co .di dons "Met"prior to issuance of building permit IJ� ' pproved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: R vision Notice 3: 06..,e Sent to Applicant: Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: CI /A Parks SDC: CI Yes N/A OK to Issue Permit Approved by Permit Coordinator: �— C< Date: y4,l/,2/ I:\BuildingWorms1RldgPermitRvw_COM_W ithLandUse_l 11819.docx i ED FEB 1 2021 CITY OF TIGARD Clean\ ter Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 20-003172 1. Jurisdiction: Tigard 2. Property Information(example: 15234AB01400) 3. Owner Information Tax lot ID(s): Name: David Moore 2S111 ACO2700 Company: Tigard-Tualatin School District Address: 6960 SW Sandburg OR Site Address: 14650 SW 97th Ave. City,State,Zip: Tigard, Oregon, 97223 City, State,Zip:Tigard,Oregon,97224 Phone/fax: 503-431-4000 Nearest cross street: SW Murdock St. Email: 4. Development Activity(check all that apply) 4. Applicant Information Addition to single family residence(rooms,deck,garage) Name: Mary Wiser 0 Lot line adjustment 0 Minor land partition Company: Cardno ❑ Residential condominium ❑ Commercial condominium Address: 6720 S. Macadam Ave., Suite 150 ❑ Residential subdivision 0 Commercial subdivision City,State,Zip: Portland,OR,97219 ® Single lot commercial ❑ Multi lot commercial Phone/fax: 503-200-3221 Other Email: mary.wiser@cardno.com 6. Will the project involve any off-site work? 0 Yes 0 No ❑Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project Replacing existing grass athletic field with artificial turf and resurfacing the track surface. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form, the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/type name Mary Wiser Print/type title Civil Project Designer Signature ONLINE SUBMITTAL Date 12/2/2020 FOR DISTRICT USE ONLY O Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02 1,as amended by Resolution and Order 19-22_All required permits and approvals must be obtained and completed under applicable local,State and federal law. X Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Accnccment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT OR SERVICE PROVIDER� LETTER IS REQUIRED. Reviewed by «/ / / Date 12/7/2020 Once complete,email to:SPLReview/deanwaterservices.org • Fax: (503) 681-4439 OR mail to: SPL Review,Clean Water Services,2550 SW Hillsboro Highway,Hillsboro, Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 • p:503.681.3600 f: 503.681_3603 • cleanwaterservices.org Branden Taggart From: Branden Taggart Sent: Tuesday, April 20, 2021 7:07 PM To: Debbie Pearson Cc: 'Shawn Christensen'; 'Matthew Lewis'; 'Mary Wiser; Sarah Mehrabzadeh; 'Kelly Fitzpatrick' Subject: Twality Middle School Athletic Field Permit: SIT2021-00005 - 14650 SW 97th Ave. Attachments: Twality Site Work Permit Invoice.pdf Debbie, The Twality Middle School Site Work permit for the athletic field is ready to issue now. The balance due is$9,756.15, and I have attached an invoice above for you to reference. The fees can be paid online at https://aca- prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number SIT2021-00005 under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. If you prefer to pay with a check, I can meet you to receive payment. If paid online, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit and make it available for pick up. Thank you, Branden Taggart n City of Tigard ®. Senior Permit Technician Community Development TICAKD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent'trgard-o r,gov 1 i PERMIT FEE AUTHORIZATION Mary Wiser From: Shawn Christensen <Shawn.Christensen@otak.com> Sent: Thursday,January 28, 2021 6:42 AM To: Mary Wiser Cc: Matthew Lewis; smehrabzadeh@ttsd.k12.or.us Subject: RE:Twality MS Athletic Field Permit Fees Authorized for submission. REV I V U FEB ZO2 Shawn Christensen I Project Manager DAY CPM, an Otak division CITY OF TIGARU Mobile 971.727.4168 3UILDING DIVISION From: Mary Wiser<mary.wiser@cardno.com> Sent:Wednesday,January 27,2021 6:38 PM To:Shawn Christensen<Shawn.Christensen@otak.com> Cc: Matthew Lewis<Matt.Lewis@cardno.com> Subject:Twality MS Athletic Field Permit Fees Shawn- I have touched base with the City and they were able to provide me with the estimate for the site work permit based on our 1.6 million dollar valuation for the project,see below.Additionally, I was able to estimate the electrical and site utilities, see below.All permit applications require a plan review fee. Fee CaIc.Factor Job 600.00403 v Fee Taal 514.640.02 In`foice Dace Fee Rem Quantity ! F $ Assessed 01;272011 F Fee•Se Fork Eath 57 544.42 NEW l i 0tQ772021 Fa Reveh EaC'i 54.403.87 NEW 01,27/2021 ;' : __�`,: 3., adtg Ea0 5505 33 NEW 012712021 Eros r 'Wore! 51.28640 NEW Electrical Permit Estimate:$200.05 Site Utilities:$779.61 Note,these are just estimates and may change once in review. For our permit submittal, lust the site work plan review fee of$4,903.87 is due upon submittal.The rest of the application fees are due upon permit issuance. 1 I Please let me know if you have any questions and if you authorize the$4,903.87 to be deducted from the TTSD trust account at the City. Thanks!! Mary Wiser CIVIL PROJECT DESIGNER CARDNO Carlano� Office+1 503 419 2500 Direct+1 503 200 3221 Address 6720 S Macadam Ave Suite 150,Portland, Oregon 97219 Email marv.wiserecardno.com Web www.cardno.com CONNECT WITH CARDNO ® © ri p 75 YEAR5 Making a difference. Sustasnabdityatworlc GOLD CERTIFIED This email and its attachments may contain confidential and/or privileged information for the sole use of the intended recipient(s).All electronically supplied data must be checked against an applicable hardcopy version which shall be the only document which Cardno warrants accuracy.If you are not the intended recipient, any use,distribution or copying of the information contained in this email and its attachments is strictly prohibited.If you have received this email in error,please email the sender by replying to This message and immediately delete and destroy any copies of this email and any attachments.The views or opinions expressed are the author's own and may not reflect the views or opinions of Cardno. 2 1