Permit CITY OF TIGARD SITE WORK PERMIT
1111 I . COMMUNITY DEVELOPMENT Permit #: SIT2012 -00006
13125 SW H all Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/28/2013
T I G A R D 9 Parcel: 2S 101 BA00101
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Tigard Retail Center Subdivision: WEST PORTLAND HEIGHTS Lot: 1 -3, PLl
Project Description: Site work for new retail center
Contractor: KERR CONTRACTORS Owner: WAL - MART REAL ESTATE BUSINESS TRUST
PO BOX 1060 2001 SE 10TH STREET MAIL STOP 5570
WOODBURN, OR 97071 BENTONVILLE, AR 72716 -5570
PHONE: 971- 216 -0050 PHONE: 479 - 273 -4000
FAX:
FEES
Description Date Amount
Specifics: Permit Fee - Site Work 05/28/2013 $27,300.42
Plan Review 04 /06/2012 $17,745.27
Type of Use: COM Plan Review - Fire Life Safety 04 /06/2012 $10,920.17
Class of Work: NEW 12% State Surcharge - Building 05/28/2013 $3,276.05
Project Valuation: Info Process /Archiving - Lg $2.00 (over 05/28/2013 $112.00
Project $6, 000,000.00 11x17)
Info Process /Archiving - Sm $0.50 (up to 05/28/2013 $162.50
11x17)
Site Specifics: Erosion Control w /Permit - Ping 05/28/2013 $4,575.00
Excavation Volume: 12950 cu. yd.
Fill Volume: 63400 cu. yd.
Impervious Surface: 526300 sq. ft.
Engineered Fill: Yes 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 $64,091.41
Required Items and Reports (Conditions)
1 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 are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct ques - • •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued - i 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 lEcrz.n/
4 Site Work 6 c j FOR OFFICE I SE O \L1
City of Tigard APR 2012 RDeecened 4, MOM Permit No.6r� _
/,a�e0 0
14 - • 13125 SW Hall Blvd., Tigard, OR 97223 OF G ^ Plan Review ` it I 7�/�
Phone: 503.639.4171 Fax: 503.598.196CIT Ot TIG L tp Date/B : iwi 1/ 12 Other Permit:
I<;,aRt� Inspection Line: 503.639.4175 BUILDING D VIJI0A1 Date Ready '•: ® � El SeePage2for
Internet: www.tigard - or.gov Notified/Meth.. , Supplemental Information
c 7 I
,. . !' PE OF WORK;, „ „ REQUIRED DATA: 1- AND 2- FAMILY 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Valuation: $
® C ommercial /industrial
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16 () 0 j W DCxv+rf' j. S New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Tigard Retail Center Covered porch area: square feet
Cross street/directions to job site: South side of SW Dartmouth Street Deck area: square feet
between SW 72 Avenue and Highway 99W Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: O / /D f eV/0 l Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
mo
DESCRIPTION OF t . . work indicated on this application.
Shopping Center development on 18.16 -acre property, with a 137,900 -sf anchor Valuation: $6,000,000
building and two 12,000 -sf multi - tenant retail buildings Existing building area: square feet
New building area: 162k square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Wal -Mart Real Estate Business Trust Type of construction: V -B
Address: 2001 SE 10 Street, Mail Stop 5570 Occupancy groups:
City/ State/ZIP: Bentonville, AR 72716 -5570 Existing:
Phone: (479)273 -4000 Fax: ( ) New: M- Mercantile
❑ APPLICANT El CONTACT PERSON NOTICE
Business name: PACLAND All contractors and subcontractors are required to be
Contact name: Shawn Nguy licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6400 SE Lake Road, Suite 300 jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland, OR 97222 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 659 -9500 I Fax: : (503) 659-2227
E -mail: snguy @pacland.com
CONTRACT •'
Business name: MD 1L f C c � TQ A L re, t2- / BUILDING PERMIT FEES*
rl ,
Address: POx j O iso
City/State/ZIP: LDG p b 3 g...,... p IQ- 97"? Structural plan review fee (or deposit):
Phone: qv) ail,- 6O Sa Fax: ( ) FLS plan review fee (if applicable):
• 7a S 91 Total fees due upon application: $28,665.44 (see
CCB lic.: // attached)
Amount received:
Authorized signatur ' This permit application expires ita permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 6).` XL Date: H /6ii a • Fee methodology set by Tri- County Building Industry
Service Board.
I :\Building\Permits\SIT- PermitApp.doc 10 /01/09 440- 4613T(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 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: —12950 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) —12650 cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
90% of maximum density) --63400 cu. yds.
Retaining structure? (Check one) ❑ Rock
• CMU
❑ Concrete
® Other: SRW - Keystone
*Total new impervious area including all buildings,
sidewalks, and paving: —526,300 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:
® Site Plan with Vicinity Map showing ADA ® *Parking (including ADA) and Lighting
compliance Plan
® Grading Plan and details ® *Landscaping Plan
® Erosion Control Plan and details ® Soils Report (if required)
IN Retaining Structures
*Does not apply to One - and Two - family dwellings.
Plan Submittal: Permit Fee:
TYPE 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 2 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 2 $10.76 for each additional $1,000 or
fraction thereof, to and including
$25,000.00.
One- & Two - Family Dwelling 2 $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.
•
1:\ Building \Permits \SIT - PermitApp.doc 12/27/06 2
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• Building Division
Development Code Provision Review
r G ° Commercial Projects with Approved Land Use
Building Permit No.: t iT Ao 1 a - DODO
Land Use Casefile No.: P.b 9.0D g' D 06o I
Routed Plans:
Submittal Date: 'i 4' /
Submittal Date: /0 3 /� (OP
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked ( ✓) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the left side that are approved.
Planning Review (contact at 503 -718- 2 3 or @tigard- or.gov)
7 Land Use Approval ' J
❑ Building Plans Match Approved Plan: Yes ❑ No .0'
fa" Maximum Building Height YS
❑ Conditions Met .,�
Notes: Ga'�M / Ti's /. 2 y s hid •4.� .�i /s1 ?/ Sb?
PAW'S %Riad c c 7
Original Plan: Approved ❑ Not Approved $ Date: ? ' /Z.
Revision 1: Approved, Not Approved ❑ Date: 1 t0 7- /7-
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
..0" Actual Slope: V A/L 4 (`/
❑ PFI Permit #
❑ Conditions Met
Notes: '5 1,c )'-' L A'S
Original Plan: • p •fir` Not Approved Date:
Revision 1: • .- Not Approved ❑ Date: I
Revision 2: Approved • Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) •
D LJ Street Trees
Protected Trees a
Notes: Mcs f a ,wc, �, rr� c �GI•._� , I � 5 �� 7� o Y� / 0 , f lI 'e, ��—
Original Plan: Approved ❑ Not Approved 12 Date: 4
Revision 1: Approved,}' Not Approved ❑ Date: !o I Z t
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 -718 -2426 or albeit @tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes yit No ) 1/ 7 4 ) ,p
Date Routed to Building:
Page 2 of 2
a-
Albert Shields
From: Albert Shields
Sent: Thursday, April 26, 2012 11:35 AM
To: 'Icole @beradesign.com'; 'snguy @pacland.com'
Cc: Gary Pagenstecher; Todd Prager
Subject: RE: Walmart BUP2012 -00067 and SIT2012 -00006
Attachments: Albert Shields.vcf
Loretta and Shawn, please see Todd's email below regarding a required cover memo and revisions to the plan sets for
the BUP and SIT permits. Please call if you have any questions.
Albert Shields
Albert Shields
City of Tigard
yi
Program
Development
T I G A R D Specialist
Albert@tigard -or.gov
(503) 718 -2426 Work
(503) 624 -3681 Fax
From: Todd Prager
Sent: Thursday, April 26, 2012 9:05 AM
To: Albert Shields
Cc: Gary Pagenstecher
Subject: Walmart BUP2012 -00067 and SIT2012 -00006
Albert,
I am reviewing the BUP and SIT for tree conditions at Walmart.
The applicant needs to provide a cover memo explaining how Conditions 2, 4, 5, 6, 7, 8, 9, 10, and 11 are met. Revisions
to the plan set are needed to show how these conditions are met. The detailed requirements are in each of the listed
conditions.
Thanks,
Todd Prager, AICP, Cert. Arborist
Associate Planner /Arborist
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
www.tigard- or.gov
Phone 1 503.718.2700
Email I todd @tigard- or.gov
DISCLAIMER: E -mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
1
RECEIVED
Tualatin Valley Fire & Rescue
APR 6 2012
Tualatin Valley Fire Flow and Hydrant Worksheet CITY OF TIGA?D
Fire & Rescue PUILD!NG DIVISION
North Operating Center Central Operating Center South Operating Center
20665 SW Blanton Street 11945 SW 70th Avenue 7401 SW Washo Court, Ste 101
Aloha, OR 97007 Tigard, OR 97223 Tualatin, OR 97062
Phone: 503-259-1400 Phone: 503 - 649 -8577 Phone: 503 - 259 -1500
Fax: 503-259-1224 Fax: 503- 642 -4814 Fax: 503 - 259 -1520
Fire 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. For assistance completing this form, see the Fire Flow and Hydrant Worksheet Instructions or call the Operating
, Center nearest you.
SECTION 1 - Preparer Information
a. Preparer Name: 'Eric Jeter (Date: I 4/5/2012
Phone:1503- 659 -9500 1 Fax:1503- 659 -2227 I E- mail:' ejeter @pacland.com
b. Architect / Engineer of Record: 'Shawn Nguy I
Phone:1503 659 - 9500 1 Fax:1503- 659 -2227 I E- mail:' snguy @pacland.com
SECTION 2 - General Building Information
a. Project Name: IWalmart I
Project Address: 'SW Dartmouth Rd. & SW 72nd Ave
City:ITigard I County:IWashington I Zip:I97223 I
b. Construction Type: I Type V -
C. Total Bldg Area: I 137,000 I sq ft (as defined by the OSSC)
Total Fire Area: ' 137,000 I sq ft (as defined by the OFC)
Bldg Fire Flow: I 8000 'GPM (base amount without adjustment for occupancy hazard classification)
d. Describe Fire Area: (if more than one fire area, include an 8 112 x 11 or 11 x 17 drawing indicating the various fire areas)
e. Type of Occupancy or Use of Building: 'Commercial Retail 1
Page 1 Revised: August 2011
I Fire Flow and Hydrant Worksheet (continued) 1
SECTION 3 - Occupancy Hazard
a. Percentage of Occupancy Hazard Classifications (see Worksheet Instructions - tables 1 and 2)
Occupancy Hazard Classification Fire Area Total Fire Area Percent of Fire Area
Light Hazard 2700 SF / 137,000 SF x 100 = 1.97 %
Ordinary Hazard Grp 1 0 SF / 137,000 SF x 100 = 0
Ordinary Hazard Grp 2 (HPCS I & II) 17100 SF / 137,000 SF x 100 = 12.48 %
Extra Hazard Grp 1 (HPCS III) 0 SF / 137,000 SF x 100 = 0 %
Extra Hazard Grp 2 (HPCS IV & HH) 117200 SF_ / 137,000 SF _ x 100 = 85.55 %
Total must equal 100% I 100 I'i
b. Calculated Fire Flow
Occupancy Hazard Classification Factor Fire Area Fire Flow Bldg Fire Flow
Light Hazard 0.75 x 2 % x 8000 GPM = 118 GPM
Ordinary Hazard Grp 1 0.85 x 0 % x 8000 GPM = 0 GPM
Ordinary Hazard Grp 2 1 x 12 % x 8000 GPM = 998 GPM
Extra Hazard Grp 1 1.15 x 0 % x 8000 GPM = 0 GPM
Extra Hazard Grp 2 1.25 x 86 % x 8000 GPM = 8555 GPM
c. Required Fire Flow with Occupancy Hazard Adjustment I 9671 IGPrv1
SECTION 4 - Minimum Number of Fire Hydrants Required
Refer to Table C105.1 below (2010 OR Fire Code, Appendix C) for the minimum number of hydrants required.
Required Fire Flow: I 9671 I GPM
TABLE C105.1
NUMBER AND DISTRIBUTION OF FIRE HYDRANTS
FIRE -FLOW REQUIREMENT MINIMUM NUMBER
(9pm) OF HYDRANTS
1,750 or less 1
2,000 -2,250 2
2,500 3
3,000 3
3,5Q4 - 4,00Q 4
4,500 -5.000 5
5,500 6
6.000 I 6
6,500 -7,000 ! 7
7,500 or more i 8 or inure"
Page 2 Revised: August 2011
Fire Flow and Hydrant Worksheet (continued)
SECTION 5 - Reduction of Fire Flow
Reduced by 75% for an approved automatic sprinkler system, installed in accordance with NFPA 13 or
NFPA 13R (choose multiplier 0.25 in Section 6).
SECTION 6 - Required Fire Flow
Fire Flow: 9671 IGPM x ( 0.25 I 2418 IGPM
(Min. = 1500, Max. = 3000)
SECTION 7 - Available Fire Flow to the Building
Manually enter available fire flow here. Please attach documentation of the flow test that was conducted. It
must include date, time and location of static /residual and flow hydrants, as well as the tester's name, phone
number and address.
Test Results: I 3440 I GPM
Page 3 Revised: August 2011
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Site Work
499 Final inspection
PASS - No C of O
SIT2012-00006
Chip Barnett
Violation Summary:
Inspector Contractor