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Permit
CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT Permit#: SIT2013-00020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013 Parcel: 25101 DC04500 Jurisdiction: Tigard Site address: 7555 SW TECH CENTER DR A Project: LaCie Subdivision: TECH CENTER BUSINESS PARK Lot: 1 Project Description: Site work for parking lot remodel:new truck dock/retaininig wall,paving gravel lot for new parking stalls,stormwater swale and ADA and pedestrian improvements. Contractor: PERLO CONSTRUCTION LLC Owner: SUMMIT PROPERTIES INC 7190 SW SANDBURG ST 5550 SW MACADAM BLVD STE 205 PORTLAND, OR 97223 PORTLAND, OR 97201 PHONE: 503-624-2090 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 08/22/2013 $908.20 Plan Review 08/22/2013 $590.33 Type of Use: COM 12%State Surcharge-Building 08/22/2013 $108.98 Class of Work: ALT Erosion Control w/Permit-Eng 08/22/2013 $225.00 Project Valuation: $122,000.00 Site Specifics: Excavation Volume: 314 cu.yd. Fill Volume: 340 cu.yd. Impervious Surface: 121969 sq.ft. Engineered Fill: Soil Report Required: Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Yes Retaining Wall: Fire Underground: No Accessible Parking: Yes Fence: Total $1,832.51 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by ailing 503.232.1987 or 1.800.332.2344. Issued By: ' /, 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. 07/25/2013 08:25 FAX MACKENZIE. L 002 • Building Permit Application ' , Site Work RECEIVED rOI(OOI"I't(F,USE()NIA Reccfvcd City Of Tigard 00 Permie NO.: i i 2 DarrJB : y, Ta?or3 oa°�O 13125 SW Dill Blvd__Tigard.OR 97223 . 1... 5 2013 Plus Rena f.7' ' •• Phone: 503.718.2439 Fax: 503.598.1960 �cug : ,�r/ Oche't'enroi:/wj6io _65,09.g '10 P idy B,.Iy; Q / A �/ '"`:Inspection Line: 503.639.4175 CITY OF TIG RD ® See Page 2 For T I L A R D �w t: ww .ugnrd orgov BUIIDINGDNISION Notfied�M KcGtss 0,9- SupplemenmllnP ormation ,:PFil:��r\A. �V 4 � g. 1:, .,�.;..:,\t". i 1,• � �l: Y r�,':•,u&:,..l" i;�:s�>"'� r.•i.i n , .,.��i.i.4,, .\Y,.t d A �. µ 1;: \.4! ozovig J",;:;`' ®New construction ❑Demolition Permit fees°arc based on the value of the work performed_ vy( Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment materials,labor,overhead,and the profit for the '�af't:,,; •,Z1� `�;.;n"; .;1) fir� ,,• 8,,n t .„ .. ,,.e^,,,,::,,e,„:, work indicated on this appli cation.iu :;�,.T,:,; N, , i ,: y p : -. O Valuation: $❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building ❑Multi-fam Number of bedrooms: I ily ❑Master builder ❑Other: • Number of bathrooms: 8iq,0„.;,.,;;Q�-;,;,'..h•.p.1,,'`4,,p� a'.' ]B:„' „ �,,.'©�G A:.,TION 4.ND,,-,LIO r.�ag ;,;c,;;,.1:„„=;; ,,.:.,;,;•,'.::'\'.;',:,',,;,•; Total number of floors: Job site address:7555 SW Tech Center Drive - Ncw dwelling area: square feet (,' City/SLate/Z1P:Tigard,OR 97223 • Garage/carport area: square feet V” Suite/bldg./apt.no.: I Project name:LaCie-US Operations Covered porch area: square feet Cross street/directions to job site:SW Tech Center Drive and SW 72nd Ave Deck area: square feet Other structure area: squat[:feet \'.' !D; RATA,COMIVIF t ;U'.*,,• CKi4ST;;;; o Subdivision: I Lot no.: Permit fees*are based on the value of the work perforrned. Tax mo.:2S101DC4500 Indicate the value(rounded to the nearest dollar)of all r;;;a'' +'`.a;•;.�:,el map/parcel o.:it; . V” ''s .G,o 1„t,:c.r;, :.P.;4,c ' equipment,materials,labor,overhead,and the profit for the 0 ”; .''; M+?`P. . 1;.; ;,.;11 I ':Q)("�� 9R:...,:g;,a1';;^:':1',�!;;, `; 'I;:E':;1;?:,;�:;,,;%::::.,; work indicated on this application. New stripping and landscaping within parking area.New track dock/retain wall. valuation: $$122,0110.00 10,044 SF of new paving in the gravel yard area for new stalls. Existing building arca: 51370 square feet (h New vegetated stormwater swale,ADA and pedestrian improvements. New building are 51370 square feet -J\ "?tf 1S`•' `. 11 1•i'PIQPqEpBp�L P.� ,.54 ,'l:y.uJ�yl '��P'^ 'i1�:r ��,:, ,.',+R�'ENY,r :Ja. �M:e,�'.:J `..;..,,.,,^'#, . ".;:fi. .,I;.i•ai•: 4,::i' :6'a..: ;;:,V,:g4..,4`..„„,4•,„"'”.;:,1•;,.-4.;;,.';?:;,•1,, Number of stories: 1 y Name:LaCie,LTD-Melissa Cahill Type of construction: 1 . — Address:22985 NW Evergreen Way Occupancy groups: \ City/State/ZIP:Hillsboro,OR 97223 _ Existing: Phone:(503)8444537 Fax:( ) — '":iY° :,,;\o,,.>,:.Y.,, `, J y;,: „';r:°:ti;;• ti:. ,.,„�., New: •. ?t.:'.r,i:l,'i. :r• :i:.',,s, dpi. 'ri;` ',,,:',4-.--'',‘,.'\'•'�„,,I •'.¢ ,`�::;'„":.;t<�!, n.�.,,,'„��..'�.,”.��C9w':.F_a �.,,.. �., . n,.. ,, .,,,a....,,.f•'."o!,-!,.. ,:f'y.. ���ccr? 'I� .,�1. ;`.� a1�S ,•,�;, •,;.,i� ,II,� yil,,`n4.; .,•�;,.1 ,��P ... `, ;,:1;,;,.'i. .I`;p i4.;cf�'',;.h`,. QTti� .... ,;1,..�'�- '��,r;.`„.;'1, +■s(,. Business name:Group Mackenzie All contractors and subcontractors are required to be T Contact name:Erica Jankowski licensed with the Oregon Construction Contractors Board — under ORS 701 and may be required to be licensed in the Address:1515 SE Water Avenue jurisdiction in which work is being performed-If the '.;, City/State/ZIP:Portland,OR 97214 applicant is exempt from licensing.the following reasons apply: Phone:(503)224-9560 I Fax::(503)228-1285 — P' E-mail:EJanknwski @mcknze.com . a1 Q.q e: t'7' '%Ai) : _;-,; is '.\ w1:0 '.''5 ' 1 , :',:nip "}_ : Business name:Perlo Construction n[ {1tw` i2,:4•,.b1,;Ji1J`:`�::,:•i/1CWY,D � 51.'1 `I i`i:�',• .."; V Address:16101 SW 72nd v "•`.k:..,;:g c'-,. ,a,®e';ie er.eer erne .:'_ e ;•,, ?' a:4 Ave.,Suite 200 1 1 ?=",' Structural plan review(cc(or deposit): City/State/ZIP:Portland,Oregon 97224 — N Phone:(503)624-2090 Fax:(503)639-4134 �.S plan review fee(if applicable): CCB lic_:189245 Total fees dug upon application: } Amount received ' Authorized signature: _ f _��� This application o�/�' permit pp expires if s permit is not obtained Print name:Erica Jankowski Date:7/23/13 within 180 days after it has been accepted as complete Fee methodology set by Tn-County Building Industry Service Board. I:\Building\Perrmits1SIT-PcrmirApp:doc 10/01/09 440-4613T(11/02/COM/WEii) 07/25/2013 08:25 FAX MACI;ENZIE. 21003 City of Tigard: Site Work Permit Checklist Page 2-Supplemental Information • Commercial Multi-Famil and One-and Two-Famil Dwellin s: 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 most apply for a sensitive lands review (SLR). Please complete all items below,unless otherwise noted. Excavation Volume: 314 cu.yds. Grading Volume: (Soils re.ort rewired for>5,000 cu. ds.) 654 Cu. ds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90% of maximum density) 340 cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ® Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks,andyaving: 1 21,969 sq ft. Y�'� ti\'�1Y,`:•"� A ,1,P�v' .�.1Z1�''+�Cw �1l,...:.hPt,l',�CTti J14:•r:i ..t.o�•.t.•- �G'\j— A,_ j1.1„ .;:FY..rl,.tr]�'Ni�Nll:�.d'`w�.41i. ^•�ly.•��'�` .nrn':n\1±��•N1T.- �.1,`�i�l.�,��1::...i1M'�{..i.r��1_`�.•: �.' .ri:5�1.. ,•S`i..Ai'�.\�1n.N,r11'..`':y�41^f i a�\�� '.dl::' 1L,•�.�,{:2':Y'.,. J'J<...,{��w:,4•o y�.1 15••�F:,n�1:'U 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 n *Parking(including ADA) and Lighting c liance Plan Grading Plan and details ® *Landscaping Plan Erosion Control Plan and details 41 Soils Report(if required) ® Retainin&Structures Fire Line *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYP.E'OF S iV TT'AL' :#of Plans'.;" ' ;1 � u. :r•,r;: ` rypw;;:,- . //��11�11 ��11 -I+a.ate .lC ., J , q'v';'y,�e,ti, .. .,•. • � .., 11�wi1i:Pi,:,:'::Yi:'::•�'F�`.v:i�?;j v •�!��.i.4{.:r{�15.��1;1�.,: .t„u rMA__w+:�•:�:':1♦ ((New,°Additions oi,: +R' i ed: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 Multi-Family R-I Occupancy 3 $10.76 for each additional$1,000 or fraction Thereof,to and including $25,000.00. One-&Two-Family Dwelling • 2 525.000.01 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$1(10,000.00 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. $100,000.01 and over $809.42 for the first$100.000.00 and $4.49 for each additional$1.000.00 or fraction thereof. I:1Build ing\PeTmitskSlT-Permitapp.doc 05/25/2012 2 07/25/2013 08:24 FAX MACKENZIE. 2001 . i t 1 . E . s03.224.95600 • 503,228.12as ',. FAX FAX COVER ki:+url:;!CUr:h�r.ti:1.•;$_'rVJ:£•r:,wen��,hti.:J.p•i•:lq i'.` .i'i.�.°.1.: PROJECT NUMBER: Z1300-79.0 0 DATE: —7/2S-7(3 PROJECT NAME: j.4 ( FROM: gya, scLeA COMPANY: 64.1. T a r6 TOTAL # of pages ATTENTION: ` Awis1c (Including this cover ' 1 sheet): FAX NO.: NOTE: If you do not receive all pages, please �U �° call our Records Department at 503-224- 9550. SUBJECT: SiA-e Wc9�� Gfk, 4- -Co II LA-Cie • • C: by FAX to: FAX #: coNFirgziriarry NOTICE: The information contained In this facsimile transmission Is confidentiol and is intended Only for the use of the individual or entity named above. If the reader of this message Is not the intended recipient, this serves as notification that any reading,disclosure,copying,distribution,or the taking of any action in reliance on the contents of this communication is strictly prohibited. If this transmission was received in error,immediately nolify us at 503-224-9560 to arrange for return of the original facsimile. Internal Use Only (below this line) FAX INSTRUCTIONS: PLEASE NOTE THAT AN ORIGINAL OF THE FAXED INFORMATION WILL NOT BE SENT TO RECIPIENTS UNLESS SPECIFIC INSTRUCTIONS ARE GIVEN BELOW: DISTRIBUTION: ORIGINAL;(check one) COPY: OTHER INSTRUCTIONS:(Only if necessary) n To File I To File Q To Sender n To Sender IT To Moil(by WP) To To Moil(by WP) E To Other(in house):_ E To Other(in house):_ C\Documents and Settingslfrontdesk1DesktnpU1:ax Cover.docx IN Building Division Development Code Provision Review T t c A R J Commercial Projects - With Approved Land Use Building Permit No.: ("1- (901S - 0009-0 .ri p(-Prt3 5 45 _61A.P90/3-6o07-,_ Land Use Case File No.: .6-b 4 9,013 -c t )3 Project Name: Q l Site Address: 755 5 Et C- -b-) -DR- , Suite/Bldg #: Plans Routed: Original Plan Submittal Date: 7/eav// 3 Routed B3C-3-al)° 1st Revision Submittal Date: dF;20/42 Routed By: 2nd Revision Submittal Date: Routed By: 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 kl n.tS V-O45 G' at(503) 718-2t{21 or GtlYeS @tigard- or.gov) lJ D----6iid Use Approval aif LV uilding Plans Match Approved Plan : Yes E1 No ❑ ' Maximum Building Height onditions Met L►Y Street Trees ❑ Protected Trees Nlq- Notes: Original Plan: Approved le Not Approved ❑ Date: g 120 I I3 Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 1:\CURPLN\Masters\Development Code Provision RevieWDCPR_COM_WithLandUse.doc Rev.01/16/13 Engineering Review(contact Mike White at(503) 718-2464 or MikeW @tigard-or.gov) ❑ Actual Slope: ❑ PFI Permit# ❑ Conditions Met Notes: Original Plan: Approved ' Not Approved ❑ Date: g//2/1.& Revision 1: Approved ❑ Not Approved ❑ Date: 1/ Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert @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 No ❑ • Date Routed to Building. ?� • Page 2 of 2 1:\CURPLN\Masters\Development Code Provision Reviev■WCPR_COM_WithLandUse.doc Rev.01/16/13 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7555 SW TECH CENTER DR A, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection 2013-11-08 (null) SIT2013-00020 PASS - No C of O Violation Summary: Inspector Contractor