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Permit CITY OF TIGARD SITE WORK PERMIT ■ COMMUNITY DEVELOPMENT Permit#: SIT2020-00019 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 5/12/2021 TIC;t1iY.L7 9 Parcel: 2S108CC00100 Jurisdiction: Tigard Site address: 15600 SW RIVER TERRACE BLVD Project: Art Rutkin Elementary Subdivision: None Lot: None Project Description: Site work for new elementary school. Contractor: P&C CONSTRUCTION CO Owner: TIGARD-TUALATIN SCHOOL DISTRICT 2133 NW YORK ST 6960 SW SANDBURG ST PORTLAND, OR 97210 TIGARD, OR 97223 PHONE: 503-665-0165 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 05/12/2021 $7,652.18 Plan Review 05/12/2021 $4,973.92 Type of Use: COM 12%State Surcharge-Building 05/12/2021 $918.26 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 05/12/2021 $90.00 11x17) Project Valuation: $1,623,663.00 Info Process/Archiving-Sm$0.50(up to 05/12/2021 $50.50 11x17) Erosion Control w/Development 05/12/2021 $1,361.40 Site Specifics: Excavation Volume: 28218 cu.yd. Fill Volume: 50029 cu.yd. Impervious Surface: 168840 sq.ft. IEngineered 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: Yes Total $15,046.26 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 2 Special Inspection(see plans) 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: � i —,L A 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. 4 Building Permit Application Site Work rOROFrICE USE ONI.% Cityof Tigard `/ A,�'�� ae,, . g i R E 4 f pl , Rl v i t (O/ �— rem,;[Na.: W—1 OCIO'e/—IJKJf 9 „� 's 13125 SW Hall Blvd.,Tigard,OR 97.2 1� Plan Rcvicw Phone: 503.718.2.439 Fax: 503.598.1960 a a, Other Perm;[:a p , .-05-3 I1C,AP.I) Inspection Line: 503.639.4175 NOV 2 2020 Date Ready/By: ���/// funs: El See Page 2for Internet: www.tigard-or.gov t outicd/Method: ,,,, /1 11 Supplemental information TYPE 01 ,Al .0 REQUIRED DATA: I-AND 2'.FAMILY I)WEI.JjNG ®New construction El Demolition Permit fees*arc based on the value of the work performed. 1441/ l Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: ren, )it h) equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCT/ON ' (pj work indicated on this application. —1 ts41 r}p `.`r" ' luation: $ ID1-and 2-family dwelling ❑Commercial/industrial 1 ElAccessory building El Multi-familyNumber of bedrooms: El Master builder ®Other:School Number of bathrooms: JOB SITE`LNFORMATION AND LOCATION Total number of floors: Job site address: 15600 SW River Terrace Boulevard New dwelling area: square feet ' City/State/ZIP: Tigard, OR 97224 Garage/cat-pert area: square feet Suite/bldg./apt. no.: Project name: Art Rutkin Elementary School Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Temporary access to the site is from Taylor Lane. Future access will be from the Other structure area: square feet future River Terrace Boulevard. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:WCTM 2S108CC00,Tax Lot 100,western half Indicate the value(rounded to the nearest dollar)of all _ equipment,materials,tabor,overhead,and the profit for the bESCRIPTION OF WORK work indicated on this application. Site work for new elementary school. _ Valuation: . ' S 1,623,663 - Existing building area: square feet New building area: square feet .4 [ PROPERTY OWNER ❑ TENANT Number of stories: Name: Tigard Tualatin School District Type of construction:Address: 6960 SW Sandburg St. _ Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: Phone.( ) Pax:( ) New:I El APPLICANT ® CONTACT PERSON NOTICE Business name: DayCPM/Otak' All contractors and subcontractors are required to he aContact name: licensed with the Ore on Construction Contractors Board Debbie Pearson under ORS 701 and may be required to be licensed in the Address: 696D SW Sandburg St. jurisdiction in which work is being performed.If the City/State/ZIP: Tigard, OR 97223 applicant is exempt from licensing,the following reasons -- apply: Phone:( 503)969-5454 Fax: :( ) E-mail: Debbie.Pearson@otak.com CONTRACTOR Business name: P&C Construction BUILDING PERMIT FEES* Address: 2133 NW York Street (Please refer to(re schedule) Structural plan review fcc(or deposit): City/State/ZIP: Portland, OR 97210 Phone:( 503) 665-0165 Fax:( ) FLS plan review fee(if applicable): CCB lie.: 38619 Total fees due upon application: 61 " 1j _ Amount received: Authorized signature: / Ir/ This permit application expires if a permit is not obtained Y t" 1 within 180 days after it has been accepted as complete. Print name: Debbie earson Date:to r,7,11D * Fee methodology set by Tri-County Building Industry ("W Service Board. 1:1Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(I I/02/COM/WEB) INCity of Tigard I 1111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: rJ'o �--C-tY.)1y Site Address: 15600 SW River Terrace Blvd Suite/Bldg#: Project Name: Art Rutkin Elementary School (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Site Work ® Verify site address/suite#exists and active in permit system. a River Terrace Neighborhood: N Yes ❑ No NI Land Use Case#: CUP201 9-00001 Iii Plans Match Approved Land Use: IN Site Plan a Landscape Plan ❑ Other: ❑ Urban Forestry Plan a Elevation Plan EX Building Height: Maximum Height N/A Actual Height ® Conditions Met: ❑ Prior to Submittal NI Prior to Permit Issuance ®/business License: Exists: ❑ Yes E No,applicant was provided a business license application a Public Facilities Improvement (PFI) Permit: PFI2020-00112 Required: ❑ Yes, applicant was notified ❑ No Applied For: 11 Yes E No, stop intake Notes: Approved by Planning: MB Date: 11/25/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved D Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 11/711i° Site Plans: # Building Plans: # Building Permit#: me ldingperm t.# bove. Workflow Routing: laannniir g E F;ngineering rit C moordinator Workflow Sign-off: Lgn-of r 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: By Permit Technician: eriY/ -Date: 4,1 r)/ 1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_l 11819.docx Engineering Review ,Si/'ope at building pad: PFI Permit#: 2y p—41)0e/2 / Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) rater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes �No Assess Water Quantity Fee in-lieu: ❑ Yes o LIDA Facility on lot: ❑ Yes VJ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: 7 /1/e. 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 El 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: Re v.sion Notice 3: Date Sent to Applicant: OkWasDC Fees Entered: h Co Trans Dev Tax: ❑ Yes N/A i Tigard Trans SDC: ❑ Yes /A Parks SDC: ❑ Yes N/A ci(OK to Issue Permit , �f / Approved by Permit Coordinator: !7 Date: s/Cj�`/ 1:1BuiI ding\Forms\BldgPermitRvw_COM_W ithLandUse_111819.docx 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 i III ■ 41 Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.gov TO: tan DAE � V ; DEPT: BUILDING DIVISION D FROM: �66f . FEB 1 12021 COMPANY: ()T u CITY OF TIGARD 3UILDING DIVISIM PHONE: 9",Sys y By. EMAIL: /GMf901�_ , leacSc{v✓P—O7 k.L2W' RE: /5-606 4Sz--) /6,, 1/ri T—62._ G'/ 14/abiti—l)0v1I (Site Address) (Permit Number) 4)2-Ea-uivv �/,,,eriaa-�, (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 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. Engineer's calculations. A e. Other(explain): v2()/y iF�2-c) ( y/�. rriptr . REMARKS: FOR OFFICE USE ONLY Routed to Permit chnician: Date: a' g -3.1 `-'J{- Initials: Fees Due: ❑ Yes No Fee Descriptiio(n: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes `121 No ❑ Done Applicant Notified: Date: $7 /N Initials: 4_r I.\Bui Iding1Forms\TransmittalLetter-Revisions_073 I20.doc