Permit CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2021-00009
T i G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/22/2021
Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Site work for a new covered maintenance storage facility.Repaving parking lot on east and west side of Durham
O&M Building.
Contractor: RL REIMERS CO Owner: CLEAN WATER SERVICES
3939 OLD SALEM RD STE 200 2550 SW HILLSBORO HWY
ALBANY, OR 97321 HILLSBORO, OR 97123
PHONE: 541-926-7766 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 07/01/2021 $2,017.23
Plan Review 06/03/2021 $1,311.20
Type of Use: COM 12%State Surcharge-Building 07/01/2021 $242.07
Class of Work: NEW Info Process/Archiving-Sm$0.50(up to 07/01/2021 $32.50
Project Valuation: $369,000.00 11x17)
Erosion Control w/Development 07/01/2021 $386.40
Site Specifics:
Excavation Volume: cu.yd.
Fill Volume: cu.yd.
Impervious Surface: sq.ft.
Engineered Fill: Soil Report Required: Yes
Paving: Yes Grading:
Landscaping: Yes Site Prep:
Storn Drains: Retaining Wall:
Fire Underground: No Accessible Parking:
Fence: No
Total $3,989.40I
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 se forth in OAR 2-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
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.
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) cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
E Concrete
❑ Other:
*Total new impervious area including all buildings, NO CHANGE
sidewalks, and paving: 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:
El Site Plan with Vicinity Map showing ADA ❑X *Parking(including ADA) and Lighting
compliance Plan
x❑ Grading Plan and details x❑ *Landscaping Plan
To be prepared by ►❑ Erosion Control Plan and details rig Soils Report(if required)
contractor once
selected lig 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 5.00 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
S50,000.00.
$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.
L\Building\Permits\.SIT-PermitApp.doc 08/02/2016 2
Branden Taggart
From: Branden Taggart
Sent: Thursday, July 1, 2021 3:37 PM
To: Dan Garbely
Subject: Site Work Permit for Covered Maintenance Storage Facility: SIT2021-00009 - 16580 SW
85th Ave.
Attachments: Invoice.pdf
Hi Dan,
The Site Work permit for the covered maintenance storage facility is ready to issue now. The balance due is$2,678.20,
and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number SIT2021-00009 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make it available for pick up. Also, please note that we will need contractor license information prior to
permit issuance.
Thank you,
Branden Taggart
1111 ■ City of Tigard
, Senior Permit Technician
� Community Development
TIOARO
� 13125 SW Hall Blvd
Tigard, OR 97223
1(5031718-2449
brandent@bgard-or.gov
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