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Permit
CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT Permit#: SIT2021-00001 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/16/2021 Parcel: 2S113AB00701 Jurisdiction: Tigard Site address: 16145 SW UPPER BOONES FERRY RD Project: Kiddie Academy Subdivision: CIRCUIT PARTITION Lot: 2 Project Description: New day care facility:hardscape,erosion control&private utilities Contractor: ROBERTSON&OLSON CONSTRUCTION Owner: 16821 SE MCGILLVRAY BLVD#210 VANCOUVER,WA 98683-3404 PHONE: 360-699-4724 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 06/14/2021 $2,039.68 Plan Review 01/07/2021 $1,325.79 Type of Use: COM 12%State Surcharge-Building 06/14/2021 $244.76 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/14/2021 $32.00 11x17) Project Valuation: $373,884.00 Info Process/Archiving-Sm$0.50(up to 06/14/2021 $27.50 11x17) Erosion Control w/Development 06/14/2021 $386.40 Site Specifics: Excavation Volume: 45 cu.yd. Fill Volume: 2962 cu.yd. Impervious Surface: 31094 sq.ft. Engineered Fill: No Soil Report Required: Yes Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Retaining Wall: No Fire Underground: Yes Accessible Parking: Yes Fence: No Total $4,056.13 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: WWI/De/Wege Permittee Signature: OYVA n�� pp 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 _ i Building Permit Application 13- Ill 1 120 Site Work RECEIVED FOR O FICi: USE ONLY City of Tigard Received �Of•Orj 2d2/ J% Permit Ne s/T22O2/.—OO f Date/Bv: lig • 13125 SW Hall Blvd.,Tigard,OR 97223 SEC 14 2020 Plan Review ^ r ' Phone: 503.718.2439 Fax: 503.598.196 Date/By: a- Jo a', Other Permit: -!I G -It D Inspection Line: 503.639.4175 ^�y C tt p Date Ready/By di lari BI See Page 2 for Internet: www.tigard-or.gov CITY Or TIGARD Notifiedethod: ��/ fl . 4 Supplemental Information BUILDING DIVISION Ilff�� TYPE OF WORK REQUIRED DATA:l AND 2-FAMILY DWELLING IXi New construction ❑Demolition Permit fees*are based on the value of the work performed. -- Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the I `:,1trt ;itu I,,p1 ,', CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling IX Commercial/industrial Valuation: $ El Accessory building ❑Multi-family Number of bedrooms: Llr` ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16145 SW Upper Boones Ferry Rd New dwelling arca: square feet City/State/ZIP: Tigard/OR/97224 Garage/carport area: square feet l Suite/bldg./apt.no.: Project name: Kiddie Academy-Tigard Covered porch arca: square feet Cross street/directions to job site: SW Upper Boones Ferry Rd Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:00701 Permit fees*arc based on the value of the work performed. Tax map/parcel no.: 2S113AB00701 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Site work for new daycare facility: hardscape, erosion control measures & Valuation: $ 373, 884 (site work) private utilities. Existing building arca: square feet New building area: 10,$61 square feet M PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Kalvi LLC Type of construction: VB Address: 8821 NW Savoy Ln. Occupancy groups: E I City/State/ZIP: Portland/OR/97229 Existing: Phone:(503)577-3822 Fax:( ) New: 0 APPLICANT N CONTACT PERSON NOTICE Business name: CIDA Inc. All contractors and subcontractors are required to be Contact name: Gavin Russell licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 15895 SW 72nd Ave., Suite 200 jurisdiction in which work is being performed.If the City/State/ZIP: Portland/OR/97224 applicant is exempt from licensing,the following reasons apply: PPY Phone:(503)226-1285 J Fax::( ) E-mail: gavinr@cidainc.com CONTRACTOR Business name: �4,,P 2 o' e r}Sey' S 0\3 0'\ BUILDING PERMIT FEES* Address: `f_Q`Z\ (1(>c !_\`W V'evl 'e o (Please refer to fee schedule) City/State/ZIP:tJ VOJJ✓ W c 1T��Q Structural plan review fee(or deposit): `f l `i� D FLS plan review fee(if applicable): Phone:C R& Gtot Z—v1 Fax:( ) CCB lie.: `abSOU Total fees due upon application: ��^—( � Amount received: Authorized signature: /' \ 4.44/1 This permit application expires if a permit is not obtained // within 180 days after it has been accepted as complete. I Print name: Gavin Russell Date: /Z.//-20 24l * Fee methodology set by Id-County Building Industry Service Board. I:\Building\Pennits\SIT-PermitApp.doc 08/02/2016 440-4613T(I l/02/COM/WEB) 1 .. • 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. :1, Excavation Volume: W'j cu. yds. Grading Volume: (Soils report required for>5,000 cu.yds.) D cu.yds. it Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90°710 of maximum density) 29(92 cu.yds. Retaining structure? (Check one) ❑ Roc. El /AA I Concrete ❑ •t er: i *Total new impervious area including all buildings, /r o9� sidewalks,and paving: sq.ft. ;i t Site Utilities Plumbing Work: it 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 El *Parking(including ADA)and Lighting q compliance Plan 0 Grading Plan and details El *Landscaping Plan is ❑ Erosion Control Plan and details 1i ❑ Soils Report(if required) il ❑ Retaining Structures - i *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 9 $.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 i fraction thereof,to and including :1 $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 1 fraction thereof,to and including ` $100,000.00. $100,000.01 and over $809.42 fbr the first$100,000.00 and $4.49 for each additional$1,000.00 or fraction thereof. rh l I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2 l` 3 l a 4 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III T 1 G A x D Building Permit Review — Commercial - With Land Use Building Permit #: 7-2O2/-©C0a/ Site Address: 16145 SW Upper Boones Ferry Rd Suite/Bldg#: Project Name: Kiddie Academy (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planniri Review- Proposal: Site work IN Verify site address/suite# exists and active in permit system. ® River Terrace Neighborhood: ❑ Yes IN No Xl Land Use Case#: SDR2020-00002 I. Plans Match Approved Land Use: g Site Plan KsLandscape Plan ❑ Other: g. Urban Forestry Plan n/® Elevation Plan WE Building Height: Maximum Height Actual Height ® Conditions Met: ® Prior to Submittal 0 Prior to Permit Issuance n/ Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application f7 Public Facilities Improvement (PF1) Permit: PFI2020-00486 Required: 1 Yes,applicant was notified ❑ No Applied For: $] Yes ❑ No, stop intake Notes: Meet conditions prior to issuance. Approved by Planning: I Oetmzbiti Date: 1 S (2.02-i Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Buildir Permit Strbrhittal Original Submittal Date: 1d i 4 2020 Site Plans: # L3 Building Plans: # Building Permit#: C -Enter building permit#above. Workflow Routing: Ca-'Planning C-Engineering Es-Permit Coordinator C --Building Workflow Sign-off: El.-Sign-off for Planning(include notes from planning review) Route Application Documents: lZk Building: original permit application,site plans,building plans, engineer and beam calculations and trust d tails,if applicable,etc. Notes: By Permit Technician: Date: O/Os/2421 I:\Building\Forms\B1dgPermitRvw_COM_W ith LandU se_111819.docx ii eerll RePlel;r Air i Slope at building pad: .32 Erri; I Permit#: ?Ff Z02. ^©0*ste,6' LF1 Conditions "Met"prior to issuance of building permit VEasements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) Water Quality/Quantity Facility Assess Water Quality Fee in-lieu: ❑ Yes 1:!(No Assess Water Quantity Fee in-lieu: ❑ Yes 2/*No LIDA Facility on lot: E Yes I" No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: 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 ❑ 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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /2(N/A Tigard Trans SDC: ❑ Yes de N/A Parks SDC: ❑ Yes 7f N/A OK to Issue Permit Approved by Permit Coordinator: Date: 5 I2_1I'W 2-1 I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_111819.docx RECEIVED DEC 1. 42020 Engineer's Cost Estimate CITY OF TIGARD Kiddie Academy Tigard - Private BUILDING DIVISION AAI Project Number:A20043.10 By:Craig Harris, PE Date: 12/08/2020 Item Quantity Units Unit Cost Total Mobilization 1 EA $ 10,000 $ 10,000 Mass Grading and Off-Haul 1 EA $ 7,000 $ 7,000 $ 17,000 Onsite Hardscape Demo w/Off-Haul 1 LS $ 4,000 $ 4,000 Curb 827 LF $ 15 $ 12,405 Sidewalk(repair/replace panels as required) 4740 SF $ 6 $ 28,440 Asphalt 15289 SF $ 4 $ 61,156 Aggregate base 15289 SF $ 2 $ 30,578 Wall 425 LF $ 65 $ 27,625 Fence 685 LF $ 18 $ 12,330 $ 176,534 Erosion Control Measures Sediment fence 315 LF $ 5 $ 1,575 Inlet Protection(silt sack) 7 EA $ 250 $ 1,750 $ 3,325 Private Utilities Fire line 67 LF $ 60 $ 4,020 Domestic water 101 LF $ 30 $ 3,030 Water Tap 1 EA $ 2,200 $ 2,200 Sanitary line 75 LF $ 45 $ 3,375 Sanitary Tap 1 EA $ 2,200 $ 2,200 6"Storm 775 LF $ 40 $ 31,000 8"Storm 78 LF $ 45 $ 3,510 12"Storm 95 LF $ 50 $ 4,750 Connection to Public Main 1 EA $ 2,400 $ 2,400 Catch Basin 4 EA $ 3,000 $ 12,000 Storm Filter Catch Basin 3 EA $ 12,000 $ 36,000 Water Quality Manhole 1 EA $ 5,000 $ 5,000 Flow Control Manhole 1 EA $ 7,500 $ 7,500 Detention System 1 EA $ 60,000 $ 60,000 $ 176,985 Total Improvements 0., $ 373,844 1 + - l a I __ "Al2 } \ >, R I:.. , t L. tip1 2., , ti%;/ 'err,; pi , it Iµ;.i !�; . rtft;r��j�� Branden Taggart From: Branden Taggart Sent: Monday, June 14, 2021 11:57 AM To: Gavin Russell Subject: Kiddie Academy Site Work Permit: SIT2021-00001 - 16145 SW Upper Boones Ferry Rd. Attachments: Invoice.pdf Hi Gavin, The Site Work permit for Kiddie Academy is ready to issue now. The balance due is $2,730.34, 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 SIT2021-00001 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, we will need to receive the contractor's CCB license number prior to permit issuance. Thank you, Branden Taggart a City of Tigard ■ Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov 1