Permit (29) CITY OF TIGARD SITE WORK PERMIT
Na COMMUN
ITY DEVELOPMENT Permit#: SIT2023-00008
T i(3 A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2023
Parcel: 2S1060003300
Jurisdiction: Tigard
Site address: 13790 SW MERCANTILE TER
Project: River Terrace Town Center Subdivision: RIVER TERRACE TOWN CENTER Lot:
Project Description: Site work for(5)mixed-use buildings in the North lot.
Contractor: D&T EXCAVATION INC
Owner: AG EHC II (NWHM)MULTI STATE 2 LLC
PO 767 3
BOX
WILSO767 , OR 97070 BY THE NEW HOME COMPANY INC
BY KAWANAMI, MARK
15231 LAGUNA CANYON RD STE 250
IRVINE,CA 92618
PHONE: 503-263-2607 PHONE:
FAX: 503-263-2648
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 10/26/2023
Plan Review $7,301.96
04/24/2023 $4,746.27
Type of Use: COM 12%State Surcharge-Building 10/26/2023 $876.24
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 10/26/2023 $42.00
Project Valuation: $1,545,008.00 11x17)
Info Process/Archiving-Sm$0.50(up to 10/26/2023 $9.00
11x17)
Erosion Control w/Development 10/26/2023 $1,286.40
Site Specifics:
Excavation Volume: 791 cu.yd.
Fill Volume: 5679 cu.yd.
Impervious Surface: 195188 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 $14,261.87 I
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 areR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 4
I7( Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection
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.
a , a
Building Permit Application
Site Work
FOR OFFICE 1 SE ON1.1
City of Tigard RECEIV �ved / �
't 13125 SW Hall Blvd.,Tigard,OR 97223 1 1 /13 . / "" Permit No.: .)'L z,' _.i;.1*.•,er
! Phone: 503.718.2439 Fax: 503.598.1960 Plan Review v'a*'J K j`t
MAR 16 2023 Date Re c` .3Q Z3 Other Permit:
1 [i; \t t> Inspection Line: 503.639.4175 Date Read/B
Internet: www.tigard or gov Y 'o m"
Notified/Method: t(� �ir/ a I /1w/'�'(�,.�
See Page 2 for
� Supplemental Information
xY ors, 0 TY OF TiGARD ". {
®New construction - BU LDING DIVISION ' .R QUIRED DATA:I-AND 2-FAMILY D M ING'
❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
cA EGORY�OF`" T�UcTION. work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: g
❑Accessory building ,
®Multi-family Number of bedrooms:
r
ElMaster builder
❑Other: Number of bathrooms:
., kilt:.sn' 'AtifoRMATION ANDLOCATION Total number of floors:
Job site address: 13790, 13840, 13860, 13920, 13950 SW Mercantile Terrace New dwelling area: square feet
City/State/ZIP: Tigard, OR 97140 Garage/carport
g arport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace Town Center,
Covered porch area: square feet
Cross street/directions to job site: Mixed-Use Area,,Spaal:IT f 4 Pitt —
SW Roy Rogers and SW Roshak Rd �'-( Deck area: square feet
Other structure area: square feet
Subdivision: � ADD T'A: 'O Re414 Us ` IIEcK IST,
Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S1060003300 and 3301 Indicate the value(rounded to the nearest dollar)of all
:` equipment,materials,labor,overhead,and the profit for the
, 0090r114114,OFWORK work indicated on this application.
1, (Site work for 5 buildings on the Mixed-Use North lot lot Valuation:
,2")of River Terrace Town
a' Center S ii "��i ��C i�
`^ Existing building area: square feet
New building area: square feet
1 P OPERT O4'NEIi .. ❑ T IANT" Number of stories:
Name: Stanton Street Building Company, LLC
Type of construction:
Address:P.O. Box 1287
Occupancy groups:
t City/State/ZIP: Cannon Beach, OR 97110
Phone:(503 )314-0807 Fax: Existing:
1 New
. APPLICANT :, ( oNteke' P18 N �r
Business name: ' �'T"IE.: ''_
Pacific Community Design, Inc. All contractors and bcontractors are required to be
Contact name: Lexi Fisher licensed with the Or gon Construction Contractors Board
Address:12564 SW Main St. under ORS 701 and ay be required to be licensed in the
jurisdiction in whit work is being performed.If the
City/State/ZIP:Tigard, OR 97223 applicant is exempt om licensing,the following reasons
Phone:( 503 )941-9484 apply:
I Fax::( )
E-mail: lexi@pacific-community.com
Business name:" 4 -I` F) cez41 1
t alb G 4,1140WgrEI1�% 1�*Address: .gyp jp f 37 c 7 w, '-,.�+ **feesili
l
City/State/ZIP: Structural plan review fee(or deposit
%('' Owl V%(Ie O- 17070
Phone:( ) Fax:( ) FLS plan review fee(if applicable):
CCB lie.: (�J f t`,� } Total fees due upon application:
Authorized signatur •
Amount received:
This permit application expires if a permit is not obtained
Print name: ,�SSG `�. Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016
440-4613 T(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 5.0 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: 14 cu.yds.
Grading Volume: �7
(Soils report required for>5,000 cu.yds.) �1 ° 1 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to S1 67 9
90%of maximum density) cu.yds.
Retaining structure? (Check one) 0 Rock
N. CMU
Concrete
Other:
*Total new impervious area including all buildings, 1�c 1$
sq.
sidewalks, and pavin J
ft.
Site Utilities Plumbing Work:
E... ""
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:
[B Site Plan with Vicinity Map showing ADA 0 *Parking(including ADA)and Lighting
compliance Plan
® Grading Plan and details 0 *Landscaping Plan
ElErosion Control Plan and details ❑ Soils Report(if required)
El Retaining Structures
*Does not apply to One-and Two-family dwellings.
Plan Submittal Permit Fee:
$.00 to$500.00 $51.09 minimum permit fee
a ��_%:4:0r $500.0]to$2,000.00 $51.09 for the first$500.00 and
Commercial 3 $2.69 for each additional$100 or fraction
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
One-&Two-Family Dwelling 3 $25,000.00.
$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
" COMMUNITY DEVELOPMENT DEPARTMENT
D Building Permit Review — Commercial —Land use/TMU zone
TIGAR
Building Permit #: Z/ � oc,u6
Site Address: 1-'2,7,1 0, I 3 g i 3 464 t 3 ei'za i 3`i s c Ivte.^c o44(ai to ldg#:
Project Name: --t- 0 Ito �r C ,� — s;- N<.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S;)e We rK -fir Lc>4 r .� fit; t� b.•�, ��i�J> ( z, cla s c„,4,yi eli r
LJ Verify site address/suite#exists and active in permit system. - ('la`+` "A-I '�`ei' "`1 `'' a.� 3/7/)'c'
• River Terrace Neighborhood: C{Yes ❑ No
,._../
[ Land Use Case#: OO°c0 4
❑ Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
❑ Business 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 0 No,stop intake
Notes: Po $.i el, prt).'2 v�i;i c';/a1 ' 'i4 i q pro . )c) .Je j ur1p _,, ul*° A.rt _zaz3At
Approved by Planning: i :� . Date: `
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: ,�//4/8
Site Plans: #
Building Plans:
Building Permit#: ❑ Enter building permit#above.
Workflow Routing ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ 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: Greg' 7 yv t.4 f/ c L1 /�/ ` 4 mot- /14lti..+7�j�w
By Permit Technician: _ �- Date: 4, /`}/,7j,
I:BuildingWoneslBldgPermitRvw_COM_WithLandUse_09072022.docx
Engineering Review
1'Slope at building pad:
❑ PFI Permit#:
.i)
❑ Conditions "Met"prior to issuance of permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
11 JIWater Quality/QuantityFacility:' Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
N. Notes:
Approved by Engineering:
Date: -S7Z,S�c'3
Revisions(after Building Submittal only)
Reviewer Date
N4„ Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
k
Permiter Coordinator Review
��*conditions "Met"prior to issuance of permit
Approved,NOT Released: C-0 Date: " )(~4P��
ENG Revisions Required: Date:
otes:
WN SDC Exemption ❑ Applied for ❑ Received [Zf Does not apply
* Fees Entered: Wash Co Trans Dev Tax: Yes N/A El Deferred
Tigard Trans SDC: Al Yes N/A ❑ Deferred
Parks SDC: PA Yes N/A ❑ Deferred
LIDA Fee: ❑ Yes N/A
XOK to Issue/Approved by Permit Coordinator:
Date: Ib ' 1It' 2,415
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
IABuilding\Forms\BldgPermitRvw_COM_WithLandUse_08162022.docx