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Permit (2)
CITY OF TIGARD SITE WORK PERMIT IN 2 ' COMMUNITY DEVELOPMENT Permit#: SIT2022-00011 Tf GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/29/2022 Parcel: 2S112DD00900 Jurisdiction: Tigard Site address: 15690 SW UPPER BOONES FERRY RD Project: Tigard Towneplace Suites Hotel Subdivision: None Lot: None Project Description: Site Work for a new five-story hotel:Enlarging parking area and new retaining walls to support parking lot expansion. Contractor: JANSEN CONSTRUCTION Owner: BHGAH TIGARD LLC 722 MAIN STREET 5895 JEAN RD STE 100 OREGON CITY, OR 97045 LAKE OSWEGO,OR 97035 PHONE: 503-607-1700 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 09/28/2022 $2,636.85 Plan Review 06/16/2022 $1,713.95 Type of Use: COM 12%State Surcharge-Building 09/28/2022 $316.42 Class of Work: NEW Plan Review-Fire Life Safety 09/28/2022 $1,054.74 Project Valuation: $506,650.00 Info Process/Archiving-Lg$2.00(over 09/28/2022 $94.00 11x17) Info Process/Archiving-Sm$0.50(up to 09/28/2022 $99.00 11x17) Site Specifics: Erosion Control w/Development 09/28/2022 $536.40 Excavation Volume: 1400 cu.yd. Fill Volume: 2850 cu.yd. Impervious Surface: 6334 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 $6,451.36 I Required Items and Reports(Conditions) 1 Special Inspection(see plans) 2 Ersn Cntrl 503-639-4175 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules IS/ C."'Issued By: I T t/ ,/ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application lit ' Site Work FOR OFFICE USE ONLY City of Tigard !V . ed j v 13125 SW Hll Bew Phone: 503,71$.2439 Fax: 503.59& DateBy; 6- � Other Permit. „p3.ry T I G A R l� 3.1 Inspection Line: 503.639.4175 bate Ready/By: Luria: H See Page 2 for Internet: www.tigard-or.gov ire ii, ZUZZ Notified/Method: ., !mow Supplemental Information sy4. tl�c i %4 IL `fi/1I TYPE OF WOE _;'F F. : -¢ .. r�t°REQUE[tEDDA'1`A 1-AND FAMII,YDWELLING', - 0 New construction I] e DIVISI N. ~ �` Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 6 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY'OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling Xj Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: , ❑Master builder 0 Other: Number of bathrooms: JOB S1TTION AND LOCATION Total number of floors: Job site address� SWAj thiones Ferry Road New dwelling area: square feet City/State/'LIP: Lake Oswego, OR 97007 Garage/carport area: square feet Suite/bldg./apt.no.: Project nameTigard Townplace Suites Covered porch area: square feet Cross street/directions to job site: Behind Burgerville and around the Deck area: square feet existing Holiday Inn Express hotel Other structure area: square feet REQUIRED DATA:COMMERCIAL USE CHECKLIST 4 Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2S112D D00900 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. enlargement of the parking area, construction of retaining walls to Valuation: $ C 5 1 Cayce 1st support the parking lot expansion, addifionaTstorm drain facilities Existing building area: square feet land other onsite utilities u tt�, New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: jo Name: BHGAH TPLO, LLC Type of construction: Address: 5895 SW Jean Road, Suite 100 Occupancy groups: City/State/ZIP: Lake Oswego, OR 97035 Phone:(503 ) 482-5129 Fax: Existing: ( ) New: 0 APPLICANT IN CONTACT PERSON NOTICE Business name: Sisul Engineering All contractors and subcontractors are required to be Contact name:Tom Slsui licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 375 Portland Avenue jurisdiction in which work is being performed.If the City/State/ZIP: Gladstone, OR 97027 applicant is exempt from licensing,the following reasons apply: Phone:(503)657-0188 Fax::( ) E-mail: tomsisul@sisulengineering.com CONTRACT*, Business name: 4 nCsa,f) �S✓/,. t-�C--�'{// BUILDING PERMIT FEES* Address: 7,1 ,f�A`c t I 1 s-f (Please refer to fee schedule) City/State/ZIP: Q -il Cl.l� , (Ttr C Structural plan review fee(or deposit): Phone:( )( Or7 . on t , Fax:( ) J FLS plan review fee(if applicable): CCB Iie.: I is I el t Ly3L/3 L.I Total fees due upon application: Authorized signature: ( Amount received: _ . i This permit application expires if a permit is not obtained Print name:! / y Date: within 180 days after it has been accepted as complete. ! 1 /`2 � 2, * Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Perntits\SIT-PermitApp.doc t:/02/2016 440 4fi13T(1 I/02/COMIWEB) 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: 1400 cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 2850 90%of maximum density) cu.yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete [ Other: MSE wall with grids *Total new impervious area including all buildings, New Impervious area 6,334 SF sidewalks,and paving: Redeveloped 42,096 SF sq.ft. x . 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: E. Site Plan with Vicinity Map showing ADA E1 *Parking(including ADA)and Lighting compliance Plan f] Grading Plan and details in *Landscaping Plan [l Erosion Control Plan and details El Soils Report(if required) ® Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYPE OF SUBMITTAL #of Plans Valu'atioan: 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 $10.76 for each additional$1,000 or Multi-Family R-1 Occupancy 3 fraction thereof,to and including $25,000.00. One-&Two-Family Dwelling 3 $25,000.01 to$50,000.00 $3 8.926 for the each addit tional$25,$000.00 and or $8 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\Pemuts\SIT-PermitApp.doc 08/02/2016 2 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT , T 1 G A R D Building Permit Review — Commercial - With Land Use Building Permit #: j PN. C,n01 f Site Address: 15(p610 Ste) V p, y.cs V2c1 , Suite/Bldg#: Project Name: T�0 � plaa, a(Na of commercial businesccupying the space. If vacant,enter Spec Space.) Planning Review Proposal: S tic. Vv U i( %Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes j2/No ❑ Land Use Case#: S09-2tLg -r L.� AuT2,p2(—00004 %Plans Match Approved Land Use: Site Plan �NIA- Landscape Plan Other: i��V1� oak-) Urban Forestry Plan '`I 1 Elevation Plan 1i e'Building Height: Maximum Height tual Height Conditions Met: // Prior to Submittal 0 rior to Permit ktit License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Public Facilities Improvement (PFI)Permit: Required: // Yes,applicant was notified ❑ No Applied For: Yes ❑ No, stop intake Notes: h(* l a•C t tvi-h I CA s n't.6)0 ' ,{ pAV71 . Approved by Planning: Date: (p(tj(/0 ZZ Revisions (after Building Submittal only Reviewer tt Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: � 1 Site Plans: # 3 / Building Plans: # ' Building Permit#: ©�b iding,permit#above. Workflow Routing: CT Planning LEngineering mtt Coordinator Ong Workflow Sign-off: fi:.'"1:1;sx..erff for Planning(include notes from planning review) Route Application Documents: l�"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 6I0-/2),. I:\Building\Fonns\BldgPennitRvw COM WithLandUse 111819.docx Engineering Review E'Slope at building pad: y/ 0 !r YFI Permit#: Qe 4^26- [ Conditions "Met"prior to issuance of building permit C t7/ y>;T-r Al i' d''`2 to Ey ❑ 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 �No Assess Water Quantity Fee in-lieu: ❑ Yes tsi'No LIDA Facility on lot: ❑ Yes ego Add Fee: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: 00 I-Lb-r (1.,e-(2virs! i�)-'t� L � t' d�,�.,`�u1ti'T /4x4 [') Pr/ Approved by Engineering: it, tit S Date: c ( 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 /`J Approved,NOT Released: IVA CL) -t ISakcj Ce, Date: (p 12/24202/2-- 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: ,ZISDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes O N/A Tigard Trans SDC: ❑ Yes 7N/A Parks SDC: ❑ Yes 7N/A LIDA Fee: ❑ Yes ('N/A ftOK to Issue Permit Approved by Permit Coordinator: Date:latieletW 19.docx