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Permit
CITY OF TIGARD SITE WORK PERMIT ; ,. i a DEVELOPMENT SERVICES PERMIT # : SIT2005 -00004 c'fl -3k 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED : 7/21/2005 PARCEL : 2S113B0 -00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING : I -P SUBDIVISION: SEWER TREATMENT PLANT LOT: JURISDICTION : TIG Project Description: Durham Facility, Phase 4: site work for new influent pump station. CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: 7,000,000.0 EXCV VOLUME: 26,208 cy LANDSCAPING ?: Y FILL VOLUME: 1,273 cy SITE PREP ?: Y ENG FILL ?: U STORM DRAINS ?: Y SOILS RPT REQD ?: Y IMPERV SURFACE: 27,350 sf Owner: FEES CLEAN WATER SERVICES Description Date Amount 2550 SW HILLSBORO HWY [BUILD] Prmt Fee - Valu 7/21/2005 $20,566.60 HILLSBORO, OR 97123 [TAX] Valu 8% State Surcharg 7/21/2005 $1,645.33 [BUPPLN] Pln Ck - Valu 3/11/2005 $13,368.29 Phone: 503-681-3600 [FLS] FLS Pln Rv 3/11/2005 $8,226.64 [ERPRMT] Erosion Cntl 7/21/2005 $184.00 Contractor: [EROSN] Ersn Plck - COO 7/21/2005 $115.50 [WQUANT] Wtr Quant % 7/21/2005 $3,025.00 CONTRACTORS INC [ERPLN] Ersn Plck - CWS 7/21/2005 $115.50 PO BOX 637 Total $47,246.86 TUALATIN, OR 97062 Phone: 503 -692 -0100 REQUIRED ITEMS AND REPORTS Reg #: LIC 62834 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to fol • • es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 throw., OAR 952 -• 1 -0100 You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 - ;00- 332 -2344. Issue By: k Permittee Signature: 1?(.4..._ -�j Cali 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. Wo GENE® )` `� Building Permit Application ,, t= FOR UsE oN f t . `s g t'� S ... r.; City of Ti ar j �� U Ck J t `( . ow ,, " :? i k;:'P ::i,i • , 67 'r`. Received g Dale /By: _ / � 0 � Permit No.: 4 . .,A�,M 13125 SW Hall 1)k,d Prig a, OR"97 � Plan Review 7 / `/ CR/�iJ Phone: 503.63 q [[�� .` 4 1 4611 _ '{J:' ��1� u° � Date /By: u � 1 � Other Permit: i /. ... Inspection Line: s50 I i. 39.4175 j ' : e`II �_ Date Ready /By: rA See Page 2 for Internet: www tigard. us Notified/Method: 7 /Y 5 _p Cf / a , Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMWY DWELLING' ' ® New construction ® 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 O Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. o I- and 2- family dwelling ® Commercial /industrial Valuation: $N /A O Accessory building 0 Multi- family Number of bedrooms: ID Master builder O Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16580 SW 85th Ave New dwelling area: square feet City/State /ZIP: Tigard, OR 97224 62.6,6 Loh-rEd- 5gAiseAs Garage/carport area: square feet Suite/bldg. /apt. no.: N/A Project name: Elarham E at...s a c....e..se,,., . Covered porch area: square feet Cross street/directions to job site: SW 85th Ave. and SW Durham Rd Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST, Subdivision: Lot no.: 600 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: 2S113B equipment, materials, labor, overhead, and the profit for the . DESCRIPTION OF WORK work indicated on this application. New raw sewage influent Pump Station, associated pipework and site work, Valuation: $7,000,000.00 including flow splitter structures, meter vaults and odor control units. Existing building area: Zero square feet P / f l - L r New building area: 22,082 square feet 2 PROPERTY OWNER ® TENANT Number of stories: 2 (Two) Name: Clean Water Services Type of construction: Type H -B Address: 16580 SW 85th Ave. Occupancy groups: City/State /ZIP: Tigard, OR 97224 Existing: Phone: (503)547 -8150 Fax: ( ) New: F -2 Low Hazard Industrial . : ❑ APPLICANT ' ❑ CONTACT PERSON`" Processing Operations NOTICE . Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons a pp l y: # AC 54p(p Phone:( ) Fax::( ) a R4 E -mail: X3 34 g • e A ° ( 9` t CONTRACTOR j , �(S ° 3g Business nam : (1 _ n S i xl� t� t BUILDING PERMIT FEES* Address: © 13 OX & 3' Please refer to fee schedule. 'City /State /ZII1._t_ 19" L . Phone: ( ) f Fax: ( ) Fees due upon application CCB lic.: t i )-//�„ h� Amount received l O� Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: is \Building\Pennits \SIT- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB) 12:22/21104 14:05 FAX 5035981900 C1J U1 11(Axll to mu wS /C6 0 Fire Marshal's Division Offices 3r 1 d Q,) North Division South Division last Division f: 4 14480 SW Jenkins Rd. 7401 SW Washo Court 624 7th Street • valley Beaverton, OR 97005 Tualatin, OR 97062 Oregon City, OR 97045 Fire Rescue (503) 356 -4700 (503) 612 -7000 (503) 657 -1365 Fax (503) 644.2214 Fax (503) 612 -7003 Fax (503) 657 -7913 FORE FLOW and HYDRANT WORKSHEET This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ) before any permits for new building construction, building expansion, or fire hydrants will be issued by any building department within the TVF&R District. Please complete, sign, and date the PREPARER INFORMATION block. Then complete the GENERAL BUILDING INFORMATION block. Lastly, complete either item A or B, and items C, D, E and F on page 2 titled CALCULATING REQUIRED FIRE FLOW. Please clearly print all requested information. See the instruction book for help filling out the form or call one of the above numbers. PREPARER INFORMATION Preparer: MWH INC. Phone: (503) 226-7377 Fax: (503) 226-0023 Architect / Engineer of Record: KEVIN KAI (925) 274 -2327 (925) 274 -2373 Phone: Fax: Preparer Signature: --.r.— • �:� �:iP. Date: -. GENERAL BUILDING INFORMATION 1. Project Name: DURHAM FACILITY PHASE 4 EXPANSION, INFLUENT PUMP STATION 2. Project Address: 16580 SW 85TH AVENUE City: TIGARD County: WASHINGTO zi 97224 3. Construction Type(S) ❑ Type I Fire Resistive or Type 11 Fire Resistive Q Type II One -hour or Type 111 One -hour O Type IV Heavy Timber or Type V One -hour Type II Non -rated or Type III Non -rated ❑ Type V Non -rated 4. Total Building Area: 22 Square Feet 5. Total Fire Area: 22,082 Square Feet 6. Building Fire Flow: 3 Gallons per Minute (Table A- III -A -I) 7. Describe the Fire Area: (If more than one fire area. include an 8 1/2 X 11 or 11 X 17 drawing Indicating the various fire areas) NEW RAW SEWAGE INFLUENT PUMP STATION. CONCRETE AND STEEL CONSTRUCTION. O. Type of Occupancy or Use of Building: LIGHT HAZARD OCCUPANCIES THIS UNE IS FOR FIRE DEPARTMENT USE ONLY......... ................... FW / / 11 12/22/2004 14:05 FAX 5035981960 CITY OF TIGARD 4003 CALCULATING REQUIRED FIRE FLOW 1 Single Occupancy Hazard of using item A, DO NOT use item 8) Al Building Fire Flow 3,250 GPM A2 Occupancy Factor 1.00 A3 (Multiply line Al by line A2) Required Fire Flow 3,250 GPM • B. Multiple Occupancy Hazard (If using item 9, DO NOT use item A) B1 ....Determine percent of each occupancy hazard in the fire area. (Occupancy Hazard Class) (Fire Area) (Total Fire Area) (Percent of Fire Area) Light Hazard SF _ SF x 100 = Ordinary Hazard Grp 1 SF : SF x 100 = Ordinary Hazard Grp 2 _ SF y SF x 100 = Extra Hazard GRP 1 SF _ SF x 100 = Extra Hazard GRP 2 SF SF x 100 = Add all of the percentages In the last column, they must equal 100% 82 ....Calculate Flre Flow (Occupany Hazard Class) (Factor) (Fire Area) (Fire Flow) (Bldg Fire Flow) Light Hazard 1.00 x % x GPM = GPM Ordinary Hazard Grp 1 1.20 x _ % x GPM = GPM Ordinary Hazard Grp 2 1.30 x °/, x GPM = , GPM Extra Hazard Grp 1 1.40 x °/, x GPM = GPM Extra Hazard Grp 2 1.50 x % x GPM = GPM B3 Required Fire Flow GPM C. Calculate the minimum number of fire hydrants required Required Fire Flow (A3) or (83) 3,250 GPM 1500 = 2•17 No. of Hydrants (Minimum 2 Req.) D. Reduction of fire flow (check one box only and then complete the calculation In Section E) 01 Multiply either line A3 OR line 83 by 75% for a full fire alarm D2 ❑ Multiply either line A3 Qg line B3 by 50% for automatic sprinklers D3 0 Multiply either Ilne A3 O� line B3 by 25% for central station supervised sprinkler protection E. Required fire flow Fire Flow 3,250 GPM x Reduction 75% % = Total Req. Fire Flow 2437.5 GPM' (Lino A3 or B3) (Line 01. 02. 03) Minimum 1500 - Maximum 3000 GPM F. Available Fire Flow to the Building Test Results: GPM Please attach documentation of the flow test that was made. It shall include date, time, location of static/residual and now hydrants, and the tester's name. phone number and address.