Permit q CITY OF TIGARD SITE WORK PERMIT
S COMMUNITY DEVELOPMENT Permit#: SIT2021-00018
Date Issued: 5/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DB09600
Jurisdiction: Tigard
Site address: 8803 SW OMARA ST
Project: Tigard Senior Housing Subdivision: TIGARD SENIOR HOUSING Lot: 1
Project Description: New construction for 58-unit building of affordable housing.
Contractor: WALSH CONSTRUCTION CO/OREGON Owner: TIGARD, CITY OF
2905 SW 1ST AVE 13125 SW HALL BLVD
PORTLAND, OR 97201 TIGARD, OR 97223
PHONE: 503-222-4375 PHONE:
FAX: 503-274-7676
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 05/10/2022 $9.852.28
Plan Review 10/19/2021 $6,403.98
Type of Use: COM 12%State Surcharge-Building 05/10/2022 $1,182.27
Class of Work: NEW Erosion Control w/Development 05/10/2022 $1,736.40
Project Valuation: $2,113,601.00 Info Process/Archiving-Lg$2.00(over 05/10/2022 $50.00
11x17)
Info Process/Archiving-Sm$0.50(up to 05/10/2022 $33.50
11x17)
Site Specifics:
Excavation Volume: 64 cu.yd.
Fill Volume: 36 cu.yd.
Impervious Surface: 43800 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 $19,258 43
Required Items and Reports(Conditions)
1 Special Inspection(see plans)
2 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 set forth in 0 -001-0010 through OAR 952-001-0090. You ma ' a copy of the rules
Issued By: /'4,_... .c.._ 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.
9
Building Permit Application
Site Work RECEIVE i FOR OFFICE USE ONLY
City of Tigard Received /O �/ �� �/ �ry/�
S E P 2 3 2021 Date/By: * Permit No.: s`T�2/-900 S
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 TIGARD ' Other Permit:
Date/By: I�� � �-
f l GA RD Inspection Line: 503.639.4175 CITY OF Date Ready/By: Juns See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. s/�/� �_� 4)-;
�f� Supplemental Information
e t-..(v'et I Lf-el -I):;t, 'Tell-,ll 1 / )a t-',-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction El 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.
❑ 1-and 2-family dwelling ❑Commercial'industrial Valuation: $
❑Accessory building NI Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8803 SW OMARA ST New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Tigard Senior Housing Covered porch area: square feet
Cross street directions to job site: r
Site is shared with Tigard Senior Center. Deck area: square feet
Site is on a flag lot. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.. Permit fees*are based on the vclue of the work performed.
Tax map parcel no.:2S102DB09600
Indicate the value(rounded to the nearest dollar)of all
N. equipment,materials,labor,overhead,and the profit for the
NJ DESCRIPTION OF WORK work indicated on this application.
tV
N,' New construction for 58-units of affordable senior housing. Valuation: $ Z li3, SOD/
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER [I TENANT Number of stories: 4
Name: Northwest Housing Alternatives Type of construction: V-A
Address: 2316 SE Willard Street Occupancy groups:
City/State/ZIP: Milwaukie, OR 97222 Existing:
Phone:( 503 1 654-1 007 Fax:( 503)654-1319 New: B, A-3 and R-2
IXI APPLICANT 0 CONTACT PERSON
NOTICE
Business name: SERA Architecture and Design g All contractors and subcontractors are required to be
Contact name: John Cline and Ariel Chavarria licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 338 NW 5th Avenue jurisdiction in which work is being performed.If the
City/State ZIP: Portland, OR 97209 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503)445-7372 Fax: :( 503)445-7395
F-mail: johnc@seradesign.com; arielc@seradesign.com
CONTRACTOR
Business name: Walsh Construction Company BUILDING PERMIT FEES*
Address: 2905 SW 1st Avenue (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP: Portland, OR 97201 39�
Phone:(503)222-4375 Fax:(503 )274-7676 FLS plan review fee(if applicable):
CCB lie.: 147267 Total fees due upon application: 0,4t,41,ctS-
r, Amount received:
Authorized signature:
,, �, I This permit application expires if a permit is not obtained
fA i 4tle
within 180 days after it has been accepted as complete.
Print name: V v, 0
t IAtA , l i 6t Date: 1,� 'I 21 * Fee methodology set by Tri-County Building Industry
l' Service Board.
]:',Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(ll/02/COM/WEB)
I►
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: 64.2 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu. yds.) 28.0 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90% of maximum density) 36.2 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑X Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 43,800 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:
❑X Site Plan with Vicinity Map showing ADA ® *Parking(including ADA) and Lighting
compliance Plan
n Grading Plan and details ❑ *Landscaping Plan
O 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 $.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:ABuilding\Permits\SIT-Perm itApp.doc 08/02/2016 2
City of Tigard
' COMMUNITY DEVELOPMENT DEPARTMENT
i
T,G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: svT2b2/-OOO!R
Site Address: ggO3 SQ) e9 f/ / ,4 5r, Suite/Bldg#:
Project Name: 6 S •AIM /Ou5f
(Name of commercial business occupying the space. If 17cant,enter Spec Space.)
Planning Review
Proposal:
Verify site address/suite# exists and active in permit system,
.. River Terrace Neighborhood: ❑ Yes No
)_.and Use Case#: D�,q ..2/ `o'zfLtZ
,Flans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
Building Height: Maximum Height '3 Actual Height Ve(
Conditions Met: ❑ Prior to Submittal Prior to Permit Issuance
,'Business License:
Exists: s ❑ No, applicant was provided a business license application
-Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: s ❑ No, stop intake
Notes: Mi- r flT 6._e /- ecre. l�P12 20�./—O Z/
Approved by Planning: ��/5 '" i crt-e -'-` 1_ Date: i o 7-2.- (
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0/23,4Oz/
Site Plans: # ,3
Building Plans: # 3
Building Permit#: [ Enter building permit#above.
Workflow Routing: Ik Planning Engineering u- Permit Coordinator [Building
Workflow Sign-off: Ga.—Sign-off for Planning(include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: ��/%1 /�1J�' Date: /p////2O2i
1:\Building\Fonns\BldgPennitRvw_COM_W ithLandUse_l 11819.docx
Engineering Review
E Slope at building pad: 42
Ca' PFI Permit#: pi--
O Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er No
Assess Water Quantity Fee in-lieu: ❑ Yes Q' No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date
Notes: `{/r6,,se cinh/ cohati Ho?j die 0.1 �L z,. ice') Piz grprOV
Approved by Engineering: Trv-wl Date: 1 i/t
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
Cb fr� /Released: 1 , Date:
N 4� Meth e A p1t WSk kccvCaJ -
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:
/lZr SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes 7f N/A
Parks SDC: ElYes X' N/A
OK to Issue Permit
Approved by Permit Coordinator: t U[W Date: ¶• 9• le5Z7 ,
Qtrto Alain
1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_111819.docx
City of Tigard
111 1 Deferral Until Occupancy Request
T I G A R D Washington County Transportation Development Tax (TDT),Transportation and Parks System
` Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required,then
upon land use approval(TMC 3.24,as amended by Ordinance No. 21-09).
Date: 3/16/2022 Site Address: 8803 SW Omara St
Project Tigard Senior HousingLand Use Case or BUP2021-00236 / DDR2021-00002
Name: g Building Permit#:
Tax Lot Total Parks
#: 2S102DB09600 Amount*: N/A- Exemption for all except 1
TDT $365,168.00 Total TSDC* N/A- Exemption for all except 1
Amount: Amount*:
Tire hown above is the sum of$ for TSDC-Improvement,$ =ro�i'S1S -
Reimbursement,and$ r
*The total Parks S DC am Not applicable -err, for Parks
ent,and either$ for Parks-Neighborhood or$ for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC, and Parks SDCs, as provided above,
until occupancy.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
S7--..Ay..
Property Owner: Date:
3/16/22
Developer: 4Iu( Date: 3/16/22
Permit Coordinator: fit " " Date: 3/17/22
Agnes Lindor
From: Agnes Lindor
Sent: Thursday, March 3, 2022 1:19 PM
To: John Cline; Ariel Chavarria
Cc: Gary Pagenstecher; #Building Permit Technicians;Trent Brickey
Subject: SIT2021-00018/ BUP2021-00236 Senior Housing
Good afternoon-
The permits in the subject line for the Tigard Senior Housing have been approved but cannot be released until all
conditions of approval (Per DDR2021-00002) are met and the PFI permit is issued.Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email:AgnesL@tigard-or.gov
1
Parks Estimate 3/3/2022
8803 SW Omara St BUP2021-00236 AML
ALL PARKS RATES EFFECTIVE 7/1/21
0 Yes
Project is in River Terrace ? ® No
Note: All Neigh-Imp# Units entries= 0 if project is in River Terrace;
All Neigh-RT# Units entries=0 if project is elsewhere in the city.
Former Use
Rate Type Use # ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 0 $542 $0.00 vacant
Parks-Reim 1 0 $99 $0.00 0
Neigh-Imp 1 0 $0 $0.00 0
Neigh-RT 1 $0
2 $0
Total Parks Former Uses $0
Proposed Use
Use# ITE Code # Units Rate Parks Amount Description
Parks-Imp 1 220 58 $4,727 $274,166.00 58-apartments
Parks-Reim 1 220 58 $1,112 $64,496.00 0
Neigh-Imp 1 220 58 $1,752 $101,616.00 0
Neigh-RT 1 $0.00
Parks-Imp 2 $0.00
Parks-Reim 2 $0.00 0
Neigh-Imp 2 $0.00 0
Neigh-RT 2 $0.00 0
Parks-Imp 3 $0.00
Parks-Reim 3 $0.00
Neigh-Imp 3 $0.00
Neigh-RT 3 $0.00
Total Parks Outside RT Proposed Uses $440,278.00
Less: Total Parks Outside RT Former Uses $0.00
Total All Parks Outside RT Net Increase $440,278.00
Total Parks RT Proposed Uses $0.00
Less: Total Parks RT Former Uses $0.00
Total All Parks RT Net Increase $0.00
Total Parks-Imp $274,166.00
Total Parks-Reim $64,496.00
Total Neigh-Imp $101,616
Total Neigh-RT $0 No Neigh-RT
For Non-Residential Calculations:
Prior Use: xxxx=xxxsf/EE; xxxx/xxx=xxEEs.
Proposed Use: =sf/EE; SF/SF per EE=XXEEs.
Parks-Imp=Parks Improvement,Citywide including River Terrace
Parks-Reim=Parks Reimbursement,Citywide including River Terrace
Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace
Neigh-RT=Neighborhood Parks Improvement Inside River Terrace
TDT/TSDC Estimate 3/3/2022
8803 SW Omara St BUP2021-00236 AML
TDT& RESIDENTIAL TSDC RATES EFFECTIVE 7/1/21
NON-RES:TSDC CITYWIDE EFFECTIVE 7/1/21
O Yes
Project is in River Terrace ? 0 No
* For TDT and residential formula has been replaced with published rate per unit.
Former Use ITE Rate per Rate per TDT/TSDC
Rate Type Use# Code PHVT PHVT Unit* # Units Amount Description
TDT 1
$0.00 vacant
TSDC-Imp 1 0.00 $0 $0 $0.00
TSDC-Reim 1 0.00 $0 $0 $0.00
TSDC-RT 1 0 $0 0.00 $0.00
TDT 2 0 $0 0.00 $0.00
TSDC-Imp 2 0.00 $0 $0 0.00 $0.00
TSDC-Reim 2 0.00 $0 $0 0.00 $0.00
TSDC-RT 2 $0 0.00 $0.00
Did total TSDC need to be reduced to 80%of TDT? Use 1 No Use 2 No
Total TDT and TSDCs Former Uses $0
Proposed Use ITE Rate per Rate per TDT/TSDC
Use# Code PHVT PHVT Unit* # Units Amount Description
TDT 1 220 $6,296 58.00 $365,168.00 58 apartments
TSDC-Imp 1 220 0.00 $0 $3,903 58.00 $226,374.00
TSDC-Reim 1 220 0.00 $0 $225 58.00 $13,050.00
TSDC-RT 1 0.00 $0 $0 0.00 $0.00
TDT 2 0.00 $0.00
TSDC-Imp 2 0.00 $0 $0 0.00 $0.00
TSDC-Reim 2 0.00 $0 $0 0.00 $0.00
TSDC-RT 2 0.00 $0 $0 0.00 $0.00
TDT 3 0.00 $0.00
TSDC-Imp 3 0.00 $0 0.00 $0.00
TSDC-Reim 3 0.00 $0 0.00 $0.00
TSDC-RT 3 0.00 $0 0.00 $0.00
Did total TSDC need to be reduced to 80%of TDT? Use 1 No Use 2 No Use 3 No
Total All TDTs &TSDCs Proposed Uses $604,592.00
Less: Total All TDTs &TSDCs Former Uses $0.00
Total All TDTs&TSDCs Net Increase $604,592.00
Total Net County TDT $365,168.00
Total Net TSDC-Imp $226,374.00
Total Net TSDC-Reim $13,050.00
Total Net TSDC RT Overlay $0.00
TDT TSDC Imp+ Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $1,304,171 $798,080
Estimated Unmitigated Impact $939,003 $558,656
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 29% 30%
Estimated Total Impact $2,102,251 $0
Estimated Unmitigated Impact $1,497,659 $0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
Extended Combination SDC Calculator-091018-I:\Community Development\Permit Coordinator\SDC Calculators