Permit CITY OF TIGARD SITE WORK PERMIT
4
II COMMUNITY DEVELOPMENT Permit#: SIT2013-00029
Date Issued: 01/16/2014
TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503 718 2439 parcel: 2S101AD03500
Jurisdiction: Tigard
Site address: 6600 SW HAMPTON ST
Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Site modifications to concrete walkways,stairs,loading dock, and parking.
Contractor: LCG PENCE CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
2720 SW CORBETT AVENUE ATTN: N PIVEN
PORTLAND, OR 97201 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-252-3802 PHONE
FAX: 503-256-3684
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 01/16/2014 $1,258.42
Plan Review 11/14/2013 $817.97
Type of Use: COM 12%State Surcharge-Building 01/16/2014 $151.01
Class of Work: ALT
Project Valuation: $200,000.00
Site Specifics:
Excavation Volume: cu. yd.
Fill Volume cu. yd.
Impervious Surface sq. ft.
Engineered Fill Soil Report Required
Paving Grading
Landscaping. Site Prep
Storn Drains: Retaining Wall
Fire Underground Accessible Parking
Fence
Total $2227 40
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 calling 503.232.1987 or 1.8 2344.
134C - 71/ L Y.
Issued By: Permittee Signature:
€7,cI-(A-- `7 - C12-irl'i4cZtNL
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall bo 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.
r
Building Permit Application
Site Work FOR OFFICE USE ONLY
City of Tigard Date/I3 : u `l 13 , t>eim it No.. 1n1 �. _ r _-
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `1'
11111 1 Phone: 503.718.2439 Fax: 503.598.1960 DatelB
��4- ®1, Other Permit: ; P •f �i
T I G AR D Inspection Line: 503.639.4175 Date Ready/B . i- )ads in Set Page 2 for
Internet: www.tigard-or,gov Notifed/Metltod:ADP'02y /3 e ' Supplemental Information
TYPE O iREQUIR ;a`, ;11(6'.-/III "--_
�S Permit fees* are based on the value of the work performed.
❑New construction ❑ )•mo p
`\(T' SON Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑ Other: - ` , \Cj equipment,materials,labor,overhead,and the profit for the
•TEGORY OF CONSTR 7 work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Comm.'•'‘) Industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
OB SITE h\FORMIATIO% A■D LOC 1TIO Total number of floors:
Job site address:6600 SW Hampton St New dwelling area: square feet
City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet
Suite/bldg.lapt.no.: �'roject name:Pacific Parkway Center Covered porch area square feet
Cross street/directions to job site: Intersection of SW Hampton and SW 68th Deck area: square feet
Other structure area: square feet 1%"......,
L,LQUIRED DATA:CO slI lERC1AL-USE CHECKLIST
iti
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dolls)of all (�
equipment,materials,labor,overhead,and the profit for the (�
-i DESCRIPTION OF WORK work indicated on this application. P.
SITE MODS TO CONCRETE WALKWAYS,STAIRS LOADING DOCK AND Valuation: $8200,000.00 N.
PARKING.
Existing building area 40680 square feet
New building area: 40250 square feet
Number of stories: I
Name:Pac Trust Type of construction: VB
Address:15350 SW Sequoia Parkway Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing: B
Phone: (039G24 776 (1 t)3 54 44-I.3io Fax:i 3 ) 4,,Z 4e-7755 New: B
❑ APPLICANT ❑ CONTACT PERSON 1
Business name.TVA Architects All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Aaron Cook under ORS 701 and may be required to be lcensed in the
Address:920 SW 6th Ave suite 1500 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Portland OR 97204 apply:
Phone:(503)220-0668 Fax: :( )
E-mail:aaronc @tvaarchitects.com
Business name: LC(p t!_e.4/c4. ( ' r aL. 1111116,BUILDING PERMIT FEES',.
n (Please refer N fee schedule) .
Address: g-711? '/ce Lew) d Structural plan review fee(or deposit):
City/State/ZIP: ç4/ - U' '7� d.2 FLS plan review fee(if applicable):
Phone:( ) - _ 70/ Fax:( )
Total fees due upon application:
CCB lic.: is-3/6 '
7-0.-e- t r t a ( #%.. 'V,r S o G t r C t� Amount received:
Authorized signature: // This permit application expires if a permit is not obtained
8 Y �f(�-• within 180 days after it has been accepted as complete.
Print name: gt,,,,,,47.$ ,", MGR.t P P46 rf 2 C Date: IA 114,'eyr t 3. * Fee methodology set by Tri-County Building Industry
Service Board
1:1Building\Permits\SIT-PermitApp.doc 10/01/09 440-46131(1 1/02/COM/WEB)
11111 I ' Building Division
Development Code Provision Review
1 `"A ii I) Commercial Projects - With Approved Land Use
Building Permit No.: 52-r^ D'3-ccOO,l
Land Use Case File No.: 11-ihn&)/3-coo 3/
Project Name: Pac. ,c. atrkc..l;•y Ct'nt1rr-
Site Address: aoox si4) tiIfj Sf , Suite/Bldg#:
Plans Routed:
Original Plan Submittal Date: ////it/i j Routed By: &7'
1" Revision Submittal Date: 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 (1) 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�o/n,th�e left side that are approved. r'
Planning Review(contact }j f SS f-00100 !- at (503) 718-24 21 or tne'S� @tigard-
or.govl.
Land Use Approval
tuilding Plans Match Approved Yes' No ❑
❑ Maximum Building Height
13/Conditions Met
❑ Street Trees tl 1p,
❑ Protected Trees (/1 pi-
Notes:
Original Plan: Approved- Not Approved ❑ Date;
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 Review\DCPR COM_WithiandUse.doc Rev.01/16/13
Engineering Review(contact Mike White at (503)718-2464 or MikeWW'@tigard-or.gov)
❑ Actual Slope: furl °
❑ PFI Permit# �8-
❑ Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: /2. —11 - 1 3
Revision 1: Approved ❑ Not Approved ❑ Date:
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:
f) t/?--t'3
Page 2 o12
I_\CURPLN'Masters',DevelopmentCode Provision Review'.DCPR_COM_WithLandUse.doc Rev.01/16/13