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