Permit SITE WORK PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: SIT2010 00007
Date Issued: 04/21/2010
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Al GARI? Parcel: 2S101 BC00900
Jurisdiction: Tigard
Site address: 12291 SW KNOLL DR
Subdivision: Lot: 0
Project: The Knoll at Tigard
Project Description: Site work for 48 unit MF.
Owner: FEES
THE KNOLL AT TIGARD Description Date Amount
PO BOX 23206
TIGARD, OR 97281 -3206 Permit Fee - Site Work 04/16/2010 $4,352.03
Plan Review 04/16/2010 $2,828.82
PHONE: 503 - 293 -4038 12% State Surcharge - Building 04/16/2010 $522.24
Plan Review - Fire Life Safety 04/16/2010 $1,740.81
Contractor: Erosion Control 04/16/2010 $100.00
LMC INC Erosion Plan Review CWS 04/16/2010 $32.50
8324 SW NIMBUS Erosion Plan Review COT 04/16/2010 $32.50
BEAVERTON, OR 97008
PHONE: 503 - 646 -0521
FAX:
Type of Use: MF
Class of Work: NEW
Site Specifics:
Excavation Volume: 5005 cu. yd.
Fill Volume: 35 cu. yd.
Impervious Surface: 29135 sq. ft.
Engineered Fill: No Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Yes Retaining Wall: Yes
Fire Underground: Yes Accessible Parking: Yes
Fence: Yes
Total $9,608.90
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 set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
CaII 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.
Building Permit Application RECEIVED
Site Work FOR OFFICE USE ONLY
City of Tigard FEB 2 5 [ ►0 �� Penait NO.• . r • - .<-1
1111 ,r;
. 13125 SW' fall Blvd.,'figard, OR 97223 flan Revietiv
_ Prone: x03.639.4 t 7f Fax: 503.598. t 960 CITY OF TIGARD Date,'Uy P: 1 i d Other t'ennit:i Oer2010 • 3
Date RcadyiBy: tuns 67 See Pa
Inspection tine: 03.639.4175 e 2 for
7'IGA(LD 5 BUILDING DIVISIO >
•1- Internet: wtivw.t or.gov Notified - 'Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
NI New construction ,Demolition Permit f ees* 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 Valuation: S
❑ Commercial/industrial
❑ Accessory building ,Multi- family Number of bedrooms:
❑ Master buildci ❑ Other:
Number of bathrooms:
144,/ oS klsknLIturlglT "total number of floors:
` t _ " .- New dwelling area: square feet
Job site address: ..
City/State/LIP: -T---,',,,,, AfyF p9.._ . Gara /carport arca: square feet
Suite/bldg./apt. no Project name: - ri . tyac.t AT .p� fi D_ -
Covered porch area: square feet
FkE
C'ross street/directions to job site: I`4 C._ c ...3 4 - . o .F 5 . 14 . -� Deck area: square feet
'j\1 t -\ - _%4. - t�f-- _.- .....- .__._. Other structure arca: square feet 1
REQUIRED DATA: COMNIERCiAI. -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value oldie work perfbrmcd.
- Indicate the value (rounded to the nearest dollar) of all
Iax map /parcel no.: 2 I of f3c - 0400'9 0 - oO o - 01 00
_ _ _.-__ t —_ equipment, materials, labor, overh° d and the rofi for the
DESCRIPTION OF WORK work indicated on this a1tptlieation-Yg j R) ..a-
' f Valuation: S 1 7
_ .._ IstkU t.-l - .FA_ N`\ l._.. _....._.. J 8 ` o t,111-- X51 t ^ 4 Act DEVo—c '! 1L ..._. '� 1 i �-a--n-n
-
Existing building area: " --- square. feet
e ac.�u pt+'i 6T SvpPer0 C SF ..ia.5 4NP - Y,Tle'1a -- \03 ...--- -_
' tT - t NA P p. - .6 --fT New building area: 4/(,,, y2 Z- square leer
Ell PROPERTY OWNER ❑ 'TENANT Number of stories: GI
Name: '^( ti4F' 4-- t_.e__ AT t t ra,- pozz) C-1- - C- .,CI 1 LA- t - 1 t4 t T' of construction: A
Address F o. E- 7. •2 -. Occupancy groups: .2 -2..
City/ State / LIP: --4--,, el. fot2 ? C'`P -- 72_8 1 ` 32,0 (,, -- - Existing: —_-
Phonic: (5Q3) 2 1 - `4 0 38 Fax: ( ) New: F--
__ APPLICANT � ❑ CONTACT PERSON NOTICE -i
IIusi ness name
__.__.... Ct'E°► _.. .---- ..._.. NI. r {� TE - U(� - All contractors and subcontractors are required to be
Contact name: "� licensed with the Oregon Construction Contractors Board
'� w ‘ - r : - .. _ . under ORS 701 and may he required to be licensed in the
Address: '3 2 2 IA "*..;,( jurisdiction in which work is being performed. if the
applicant is exempt from licensing. the following reasons
City/State/ZIP: 'ofz- r1_41,6.4,0) / 0 ¢ - 1 7'2_01
i 1 a pply ._........ --
Phone: (So3) 2 . c ( 0 - 3 1 if � Fax:: ( )
E-mail: b ,-tn.t.. IA r-(¢- 6v..K4- .
CON'TRACFOR
_
Business name: 1 C. C. at..4c,j
- .C 0 BUILDING PERMIT FEES*
'2.. (Please refer to fee schedule)
Address: 4 V` �k t f.A.) >V?' �v �- :_.- .__._. --
_-- .-......._..._._ - Structural plan review fee (or deposit): 1 3 170. 045
city,'State!ZlP: B e ave21a4, 0c2 I 7 o a 8 _ - .- . .............................__ _
PLS plan review fee (if applicable): e 1 5.7(a -9C,
Phone: (Sv ,) (o4 {v - 0 5 2 Fax: ( )
_-____.. Total fee, due upon application: 2.'2
CCBlc.: I(0 !7_82 J ,5�,�.o0
- Amount received: S.2. �7 00
Authorized signature:" - - -"�- --
� r ' •.,,Q.� --.. //s. } This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name': t4 l Date: 0 1 U
L fr 4 1 - - .. - --- .__ r ...._ _ _ methodology Fee methodology act by "I'ri- County Industry
hadust
Service Board.
1:1I3uilding\ \ Penults \SIT- PcrntitApp doe 10/01/09 440.4613'I'( 11 /02 /COM /W' i3)
Commercial Application. Checklist
RECEIVED
f ''ry City of Tigard
IN _, ° 13125 SW Hall Blvd.. Tigard. ()R 97223 OFFICE COPY FEB 2 4 mu
J. ,. ; Phone: 503.639.4171. Fax: 503.598.1960
r I G A R D' CITY OF TIGARD
_ : + Internet address: www.tigard- or.gov
BUILDING DIVISION
', liff, 4 1VIdi ' F x ` t N ; ,� ;PRQJ OAN FORMATIQN "• ,�-4 "r4-,7A-7.4'
' A rL A '' a et k
Project name: The Knoll at Tigard Date: 0'2 . 24 . 10
Address: 12340 & 12360 SW Hall & 8485 SW Hunziker City: Tigard State: OR ZiP: 97223
Scope of work: 48 -unit multifamily new construction and site improvements
Reference no.: Map and tax -lot no.: 25101 BC- 00800, - 00900, -
01000
Contact person name: Ben White Company: Carleton Hart Architecture
Phone: 503.206.3174 Fax:
Cellular phone: E -mail: ben.white@carletonhart.com
rrs i � ;9 an � F �ix� F1 Z � � a a ir. a �
d i � 1 d +7, "r7C 7'Y ��t-� � h `4' 3+ a. F. ,u �� -.
?.i 'i''"� :.'gzt?�,,;�'l''4h.` NOTLS;.AND�I ",, a', t t ,',,-
r xv, t�,, . "�. ate.; .. hi ,sl e
O The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan
review will not take place until a complete package is submitted.
This checklist can be used for all commercial construction projects, including new construction, additions,
alterations and tenant improvements.
D For complex projects, applicants should use the "location" space to note the item's location and page
number from the plans or the specification book.
® it is not necessary to duplicate submittal information, even if it is asked for in multiple sections.
® In the checklist, "Required" means that the applicant must provide this information for plan review.
® In the checklist. "P" means —
• if checked by the applicant — the information is provided for the plan review.
• if checked by the plans reviewer — this information is required for the plan review.
® In the checklist, "NA" means that the information does not apply.
O Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project
Data," must be included with each roject submitted.
iVil 't ` t-4i. V492 w , " PRE SUB84KtAL gla.cSS " '' .:4 grOt V A." - ) 4 ".; o4
An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the
applicant has completed plans.
tt14 s„ fiVa ttri 'r &INllEX OF A: CHECKLIST, SEC + " , WM.; :' ,. +r ..
1.0 General project data • Page 2 7.0 Mechanical data (Types I and II
2.0 Civil data Page 2 kitchen -hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9
improvement, gas- piping permits) Page 5 1 1.0 Fire- detection and fire -alarm data Page 9
6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10
rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties.
440 -2734 (8/01 /WEH /COMM)
1:1Building \ Form s \COM- Chrcklisi.dot: 02/18/10
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: 5 0 0 5 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds. ..............._...._. 6 } 0 cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
90% of maximum density) 3S cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ cMu
,Concrctc
_ [] Other:
*"total new impervious area including all buildings,
sidewalks, and paving: 2-9 , 1 3'5 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
Fr Site Plan with Vicinity Map showing ADA t *Parking (including ADA) and Lighting
compliance Plan
Cri Grading Plan and details 0 *Landscaping Plan
Erosion Control Plan and details ® Soils Re ort (if rccquired)
.�.� Retainin: Structures
*I:)oes not apply to One- and Two - family dwellings.
Plan Submittal: Permit Fee:
TYPEOF SUBMITTAL # of Plans Valuation: • Permit Fee:
(New, Additions or Required at $.00 to $500.04 $51.09 minimum permit fee
Alterations) Submittal $500.01 to 52.000.00 $51.09 for the first $500.00 and
$2.69 for each additional $100 or fraction
Commercial 2 thereof, to and including $2.000.00,
$2,000.01 to $25.000.00 $91.44 for the tirst $2,000.00 and
Multi - Family R - Occupancy 2 -- S1 0.76 for each additional $1,000 or
fraction thereof, to and including
— $25,000.00._ _
One & "Two - Family Dwelling 2 $25,000.01 to 550.000.00 $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 5100,000.00 `5540.42 for the first $50,000.00 and
$5.38 for each additional $1.000.00 or
fraction thereof. to and including
$100,000.00.
5100.000.01 and over `5809.42 for the first $100,000.00 and
54.49 for each additional 51.00000 or
fraction thereof.
1.'\ 1uilding \Pcrmits'.SI'I - PcrmitApp.doc 12/27/06 2