Permit n CITY OF TIGARD SITE WORK PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: SIT2021-00013
Date Issued: 12/2/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126DC00901
Jurisdiction: Tigard
Site address: 9650 SW GREENBURG RD
Project: Terrace Glen Apartments Subdivision: TERRACE GLEN APARTMENTS Lot: None
Project Description: Site work for(2)new apartment buildings. Work includes parking,courtyard,and landscaping.
Contractor: WALSH CONSTRUCTION CO/OREGON Owner: GETHSEMANE EVANGELICAL
2905 SW 1ST AVE LUTHERAN CHURCH
PORTLAND, OR 97201 9640 SW GREENBURG RD
PORTLAND, OR 97223
PHONE: 503-222-4375 PHONE:
FAX: 503-274-7676
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 11/29/2021 $7,095.42
Plan Review 08/03/2021 $4,612.02
Type of Use: MF 12%State Surcharge-Building 11/29/2021 $851.45
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 11/29/2021 $50.00
Project Valuation: $1,500,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 11/29/2021 $28.00
11x17)
Erosion Control w/Development 11/29/2021 $1,211.40
Site Specifics:
Excavation Volume: 3379 cu.yd.
Fill Volume: 7129 cu.yd.
Impervious Surface: 97457 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: No Accessible Parking: Yes
Fence: Yes
Total $13,848.29
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
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.
Building Permit Application
Site Work RECEIVED �"" ��z/
FOR OFFICE USE ONLY
City of Tigardq q Received �
g JUN 2 L�L� Date/By: _ Permit No.: < (
III
• 13125 SW Hall Blvd.,Tigard,OR 97223P la Review(b ?I 5inreogi- Gtv v
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: J3—a Other Permit:
I 1 t; R i) Inspection Line: 503.639.4175 CI Date ReadyBy: Jura: la See Page 2 for
B
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:lit' A/ I h Tree Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
X]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 ElCommercial/industrial Valuation: $
❑Accessory building )0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9650 & 9660 SW Greenburg RD. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Terrace Glen Apartments Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Directly East of SW Washington Sq. Rd. & Other structure area: square feet
& North of SW Lehamn St REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:1S126D000901/R238291 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Construction of 144 affordable housing apartments to be spread Valuation: $ 1,500,000
foil
between two new buildings. Work to also include parking, Existing building area: square feet
.- courtyard, and landscaping. New building area: 143,528 square feet
in PROPERTY OWNER 0 TENANT Number of stories: Four
Name: Related NW Type of construction: V-A
v. Address: 208 SW 1st Ave., Suite 240 Occupancy groups:
City/State/ZIP: Portland/OR/97204 Existing: A, R-2
Phone:( ) Fax:( )
New: R-2, B
lia APPLICANT 1 CONTACT PERSON
NOTICE
Business name: C2K Architecture Inc. All contractors and subcontractors are required to be
Contact name: Kevin Grant licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1645 NW Hoyt St jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Portland/Oregon/97209
apply:
Phone:(503)444.2211 Fax::( )
E-mail: kgrant@c2karch.com
CONTRACTOR
Business name: Walsh Construction Co. BUILDING PERMIT FEES*
Address: 2905 SW 1st Ave (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP: Portland, OR 9720
Phone:(503)222.4375 Fax:( ) FLS plan review fee(if applicable):
CCB lie.: ORCCB147267
Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kevin Grant Date: June 23, 2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB)
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: 3,379 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 14,029 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) 7,129 cu.yds.
Retaining structure? (Check one) ❑X Rock Along Greenburg
❑ CMU
❑X Concrete Along North & East
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 97,457 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:
❑ Site Plan with Vicinity Map showing ADA ❑ *Parking(including ADA) and Lighting
compliance Plan
❑ Grading Plan and details ❑ *Landscaping Plan
❑ 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 s.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
$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
City of Tigard
!Pi " COMMUNITY DEVELOPMENT DEPARTMENT
I .
T 1 r n u a Building Permit Review — Commercial - With Land Use
Building Permit #: T- /,. OW )3
Site Address: 9650 / 9660 SW Greenburg Road Suite/Bldg#:
Project Name: Terrace Glen Apartments
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
P1an.0itW.ReVietp
Proposal: Site work
® Verify site address/suite# exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes ® No
® Land Use Case#: SDR2020-00005
I Plans Match Approved Land Use:
X Site Plan )(Landscape Plan tig Other:
1 Urban Forestry Plan a Elevation Plan
Mg Building Height: Maximum Height Actual Height
0 Conditions Met: ® Prior to Submittal 0 Prior to Permit Issuance
Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
�C7 Public Facilities Improvement (PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: E Yes ❑ No, stop intake
Notes:
Approved by Planning: Date: , 127 1202 t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Buildiri Permit Submittal
Original Submittal Date: ir/042/
Site Plans: #
Building Plans: # �_
Building Permit#: n�ter uilding permit# above. ��
Workflow Routing: arming ngineering rm eit Coordinator K-fSutlding
Workflow Sign-off: G/Slgn-o for Planning(include notes from planning review)
Route Application Documents: adding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 'P-7 Date: 20/O
1:\Building\Forms\BldgPermitRvw COM_WithLandUse_111819.docx
1ineeriz-Review
Zr Slope at building pad: 2 ro
[2:r-PFI Permit#: 2 p 21 00
Conditions "Met"prior to issuance of building permit
Ed Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
ri Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes iii No
Assess Water Quantity Fee in-lieu: 0 Yes No
LIDA Facility on lot 0 Yes I 'No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: t�4..it46,4 Date: 7-(, —2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
fe
Perrtiit Coordinator Review
Conditions "Met"prior to issuance of building permit
)zr Approved,NOT Released: COAr., h ,i) e, t Pfl 1c,,wep(. 1- Date: 10IlI-1(202A
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:
jzr SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes [/N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: 0 Yes / N/A
)7(OK to Issue Permit
Approved by Permit Coordinator: Date: lt-(bl f Zc21
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_l 118 19.docx