Permit (4) tpqCITY OF TIGARD SITE WORK PERMIT
;' COMMUNITY DEVELOPMENT Permit#: SIT2022-00014
Date Issued: 9/26/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD00100
Jurisdiction: Tigard
Site address: 7520 SW BONITA RD
Project: Bonita Villa Apartments Subdivision: DURHAM ACRES Lot: 65
Project Description: Parking lot reconfiguration and resurfacing with accessible path upgrades.
Contractor: LMC INC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
19200 SW TETON AVE 111 NE LINCOLN ST #200-L
TUALATIN, OR 97062 HILLSBORO, OR 97124
PHONE: 503-646-0521 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 09/22/2022 $6,534.17
Plan Review 07/06/2022 $4,247.21
Type of Use: COM 12%State Surcharge-Building 09/22/2022 $784.10
Class of Work: ALT Info Process/Archiving-Lg$2.00(over 09/22/2022 $60.00
11x17)
Project Valuation: $1,375,000.00 Info Process/Archiving-Sm$0.50(up to 09/22/2022 $49.00
11x17)
Erosion Control w/Development 09/22/2022 $1,136.40
Site Specifics:
Excavation Volume: 50 cu.yd.
Fill Volume: 0 cu.yd.
Impervious Surface: 2700 sq.ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: No
Landscaping: Yes Site Prep: No
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking: No
Fence:
Total $12,810.88
Required Items and Reports(Conditions)
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 s forth in OAR 95 -001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: -J- , k,4. 75
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 FOR OFFICE USE ONLY
CI of Tigard 1F i Received
}�, k ♦ Permit No.: ' 0 Li
`J g `3 . ". lit/By: �J f?-7 Jv� ., 54.....
`r ? —W�i l L
I v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Other Permit: ey' ��L�t
''' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7 .1 1�� ijlr�V� bvv I
I IC.A1217 Inspection Line: 503.639.4175 Date Ready/By: �tuns: See Page 2 for
Internet: Www.tlgard-or.g°v Notified/Method: /4 Supplemental Information
_�
TYPE OF WO RI QUIRT])DATA 1-AND 2-FA WEL NG
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
L_Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CO\STRUCTION work indicated on this application.
Valuation:
❑ 1-and 2-family dwelling ❑Commercial/industrial i
Number of bedrooms: 96
❑Accessory building V, ulti-family
❑Master builder ❑Other: Number of bathrooms: 97
Jolt SITE INFORMATION AND LOCATION7-4' Total number of floors:
Job site address. 7520 SW Bonita Road New dwelling area: 0 square feet
City/State/ZIP: Portland OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Bonita Villa Apartments Covered porch area: square feet
Cross street/directions to job site: SE corner of SW Bonita Deck area: square feet
Road and SW 76th Ave. Other structure area: square feet
- REQUIRED DATA:COMMERCIAL-LSE CIIECKLIS"I' -'
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
2S1 12BD00100 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: _ equipment,materials,labor,overhead,and the profit for the
r
DESCRIPTION OF WORK work indicated on this application.
Parking lot reconfiguration and resurfacing (grind and Valuation S 11375 1
overlay). Accessible path upgrades. Site utility Existing building area: square feet
repairs/replacement. New building area: square feet
LJ PROPERTY OWNER ❑ TENANT
Number of stories:
Name: HAWC AHP4 LIMITED PARNTERSHIP Type of construction:
Address: 111 NE LINCOLN ST. SUITE 200-L Occupancy groups:
City/State/ZIP: HILLSBORO, OR 97124 Existing:
Phone:( ) 503-846-4794 Fax:( ) New:
u`� CONTACT PFRSON
APPLICANT ❑ NOTICE
Business name: PINNACLE ARCHITECTURE All contractors and subcontractors are required to be
Contact name: RYAN CAI N licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 960 SW DISK DR. SUITE 101 jurisdiction in which work is being performed.If the
City/State/ZIP: BEND, OR 97702 applicant is exempt from licensing,the following reasons
apply.
Phone:( ) 541-388-9897 Fax: :( )
E-mail: RYAN@PARCH.BIZ
i CONTRACTOR
Business name: LMC CONSTRUCTION BUILDING PERMIF FEES'`
Address: 19200 SW TETON AVE. (Please refer at fee achetrur)
Structural plan review fee(or deposit):
City/State/ZIP: TUALATIN, OR 97062 Phone:( ) 503-646-0521 Fax:( ) FLS plan review fee(if applicable):
Total fees due upon application: Sit,i ) -
CCB lie.: 161282 "j
— ,, s�b Ryan ,,_ Amount received:
g Ryan Cainc,,,eusE.�®�M1 ¢.OPini,paa permitapplicationexpires Authorized signature: 1K G24142 C This if a permit is not obtained
2022 06.2010:28:1247001
.-•— within 180 days after it has been accepted as complete.
Print name: RYAN CAI N Date; 6/23/22 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-461317(ii1/02/C)Ivk.IWEB)
V
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). No significant cuts or fills are proposed with
Please complete all items below, unless otherwise noted. this project. Minor excavation required for
parking along west property line
Excavation Volume: 50+/- cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) NA cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) NA cu.yds.
Retaining structure? (Check one) ❑ Rock
x❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 700 sft•
�l��G t ryp IN i� a4t t � �) �pIIII�IP� �iipl9 y1* m '
��at4„` M�Dd;'
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 a *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:
Mw g 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$1,000.00 or
fraction thereof.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2
City of Tigard
111 N COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 Az D Building Permit Review — Commercial - With Land Use
Building Permit #: c, "---/-19-601.1—jj6P1
Site Address: ��2Z..) (A3 'UU T74- Suite/Bldg#:
Project Name: ` ,c)iti ► t$ VI L,(414 AKOPeylT7
(Name of commercial business occupying the space. Ifqacant,enter Spec Space.)
Planning Review
Proposal: ram' I fE &JC IZ
V[;; site address/suite#exists and active inpermit system.
�' Y
dr~ race Neighborhood: ❑ Yes 2'" o
Use Case#: �l�Vl pZ 1 3
Plan tch Approved Land Use:
Ai Site Plan ❑ Landscape Plan ❑ Other:
iii Urban Forestry Plan ❑ Elevation Plan
FA-F2 Building Height: Maximum Height A Actual Height
(-t II Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
II Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Public Facilities Improvement (PFI)Permit:
Required: ❑ Yes,applicant was notified prNo Applied For: ❑ Yes ❑ No,stop intake
Notes:
71k
Approved by Planning: e -� Date: 2—?k2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7J/6/P-'
Site Plans: # /•j
Building Plans: # 3
Building Permit#: eloat.er building permit#above. � ��-- �
Workflow Routing: ii Planning L ngineering i•YYf'ertnit Coordinator [ Building
Workflow Sign-off: f for Planning(include notes from planning review)
Route Application Documents: ii Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: r /ev'`e-c.A)
By Permit Technician: /�y_f Date: 7/4/72,
I:\Building\Forms\BldgPennitRvw COM_WithLandUse 111819.docx
Engineering, Review
[ Slope at building pad:
2/PFI Permit#:
13 Conditions "Met"prior to issuance of building permit
g Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) 41'
wr Water Quality/Quantity Facility: ���///
Assess Water Quality Fee in-lieu: ❑ Yes L� /o
Assess Water Quantity Fee in-lieu: ❑ Yes No
LIDA Facility on lot: ❑ Yes 2/No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: $19/202.2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El 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 N/A
Tigard Trans SDC: ❑ Yes / N/A
Parks SDC: ❑ Yes N/A
LIDA Fee: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 878(20 2 Z
I:\Building\Fonns\BldgPennitRvw COM_WithLandUse_111819.docx
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Vicinity Map
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ash ow:, Water Hydrants
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_ ow Test Yes
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' Map Created: (503) 639-4171 f4 z.
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