Permit CITY OF TIGARD SITE WORK PERMIT
1' COMMUNITY DEVELOPMENT Permit#: SIT2022-00006
Date Issued: 3/7/2022
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CB07400
Jurisdiction: Tigard
Site address: 10470 SW PARK ST
Project: Middleton Trust Building Subdivision: 1998-084 PARTITION PLAT Lot: 2
Project Description: Site work for a new 4,000 sq.ft.office/warehouse building with(10)parking spaces and site improvements.
Contractor: BRUNER PLUMBING Owner: MIDDLETON HOLDINGS LLC
PO BOX 23985 PO BOX 23985
TIGARD, OR 97281 TIGARD, OR 97281
PHONE: 503-484-5105(CELL) PHONE:
FAX: 503-624-2173
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 03/07/2022 $2,021.72
Plan Review 02/24/2022 $1,314.12
Type of Use: COM 12%State Surcharge-Building 03/07/2022 $242,61
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 03/07/2022 $24.00
117)
Project Valuation: Erosion$370,000.00 Erosion Control w/Development 03/07/2022 $386.40
Site Specifics:
Excavation Volume: 1600 cu.yd.
Fill Volume: 480 cu.yd.
Impervious Surface: 8200 sq.ft.
Engineered Fill: No Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: No
Storn Drains: Retaining Wall: Yes
Fire Underground: No Accessible Parking: Yes
Fence: No
Total $3,988.85I
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:
Ca 1503.639.4175 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
a COMMUNITY DEVELOPMENT DEPARTMENT
, .
111
T7GARD Building Permit Review — Commercial - With Land Use
Building Permit #: -e9z})-)...[' X.e
Site Address: 10 Li 1 D SW Parma St-. Suite/Bldg#:
Project Name: ltlddle'roh Th( \- Nd
l .
(Name of commercial business occupying the Woace. If vacant,enter Spec Space.)
Planning Review
Proposal: S tie. W0A-
Z'Verify site address/suite# exists and active in permit system.
f Z'River Terrace Neighborhood: ❑ Yes (I No
Land Use Case #: Sp 9-2o W-c cooG4.
Plans Match Approved Land Use: ,
gr-Site Plan 4'} Landscape Plan Other: I hrhwj
Urban Forestry Plan 'v- Elevation Plan J J
Building Height: Maximum Height Actual Height
yr Conditions Met: rkr Prior to Submittal ❑ 'rior to Permit Issuance
1J'l; Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Public Facilities Improvement(PFI)Permit:
Required: Yes, applicant was notified El No Applied For: %Yes 0 No, stop intake
Notes:
Approved by Planning: tin.712L, Date: zI 1 i 12022
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved D Not Approved
W.
Building Permit Submittal
Original Submittal Date: c'Y laa,
Site Plans: # , /
Building Plans: # 3
Building Permit#: 0.-Effer building permit#above.
Workflow Routing: R-Pfanning ii'g1neering Z-PrriffirCoordinator ceding
Workflow Sign-off 0.51gn-off for Planning(include notes from planning review)
Route Application Documents: GLBtlIlding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 2yn.
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Engineering Review
[ lope at building pad:
Permit#: QFt Zp2I -o61�3
E....-Conditions "Met"prior to issuance of building permit
12'E cements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
2 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes C \To
Assess Water Quantity Fee in-lieu: ❑ Yes a-No
LIDA Facility on lot: ❑ Yes 2-go Add Fee: 0 Yes 0 No
0 NOT Approved by Engineering: Date
Notes:
Approved by Engineering: )4, Date: a-a q-702 Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
0 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: 0 Yes /N/A
Tigard Trans SDC: 0 Yes �N/A
Parks SDC: 0 Yes K/N/A
LIDA Fee: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: AKJ, Date: 2.12! (ZD22
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_111819.docx