Permit CITY OF TIGARD SITE WORK PERMIT
■. COMMUNITY DEVELOPMENT Permit#: SIT2013-00025
Ti G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2014
Parcel: 2S 112AB02000
Jurisdiction: Tigard
Site address: 14344 SW MILTON CT
Project: Bonita Water Pump Station Subdivision: BONITA INDUSTRIAL PARK Lot: 2
Project Description: Site work for new water pump station
Contractor: PACIFIC EXCAVATION INC Owner: CITY OF TIGARD
79 N DANEBO AVE 13125 SW HALL BLVD
EUGENE, OR 97402 TIGARD, OR 97223
PHONE: 541-726-7380 PHONE: 503-639-4171
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 05/28/2014 $4,401.42
Plan Review 05/28/2014 $2,860.92
Type of Use: COM 12%State Surcharge-Building 05/28/2014 $528.17
Class of Work: NEW Erosion Control w/Permit-Eng 05/28/2014 $750.00
Project Valuation: $900,000.00
Site Specifics:
Excavation Volume: 330 cu.yd.
Fill Volume: 165 cu.yd.
Impervious Surface: 12500 sq.ft.
Engineered Fill: Soil Report Required:
Paving: Grading:
Landscaping: Site Prep:
Storn Drains: Retaining Wall:
Fire Underground: Accessible Parking:
Fence:
Total $8,540.51
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 calling 503.232.1987 or 1.8 0.332.2344. ��
Issued By: 1/
_'� Permittee Signature: A
`
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.
4. ;4
1 °Builging Permit Application
Site Work RECEIVED FOR OFFICE USE ONLY
Received
Cl of Tigard S E P O 3 Permit No.:
Date/B : o?�/ �. d.7 /3-t.�oa s
Erl" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ►�
Phone: 503.718.2439 Fax: 503.598.19 �e/B : I A=FZ� Other Permit: —C10440 ,r
Inspection Line: 503.639.4175 `CITY OF TIGARD Date ResayB : y 7uria: 0 See Page 2 for
TIGARD BUILDING DIVISION Notified/Method: pep /'4 Supplemental Information
Internet: www.tigard-ocgov DIVISION
(t N4 hiss•+ i..-da. "V
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
, iew 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 CO I'RUTT ON work indicated on this application.
❑ 1-and 2-family dwelling ❑Commerciallmdustrial
Valuation: $
❑Accessory building —❑Multi-family
Number of bedrooms:
A ❑Master builder ,34her: 01), G a. (t i_ Number of bathrooms:
�` , JOB SITE INFORMATION AND LOCATION Total number of floors:
a� Job site address: I Ll 3Li (I S m.) � to�,, F New dwelling area: square feet
1 City/State/ZIP: �� - ,) b O�'722-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: te,‘„,6' S/rl-1 �J� Covered porch area square feet
•
Cross street/directions to job site: Deck s
L J 1 , I, 4 J ii), l eck area square feet
i � T Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
1 Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
t'n i- � c / Indicate the value(rounded to the nearest dollar)of all
''• Tax map/parcel no.: /U h /10 ac ! / 3.A A() 2 Co0. equipment,materials,labor,overhead,and the profit for the
DESCRIPI ION OF WORK work indicated on this application.
��� ( 1.- [_ Valuation: $ /00 )
A 1� ;fv4... t7s, C Of t to [t l C / , v�(J
L Existing building area square feet
New building area: square feet
[1l/lt'ROPERTY OWNER I ❑ TENANT Number of stories:
Name: 7., ,_1 .- t j c.� Type of construction:
'''" / Address: 1S J AL I/ 8/v Occupancy groups:
City/State/ZIP: T,r �`�,-J vR 9 7z )- 3 Existing:
Phone:(SA) 7/ e, 5 6 Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (.1 ' 7---,,,,,,,,_,ci All contractors and subcontractors are required to be
Contact name: licensed with the Oregon(bnstruction Contractors Board
1'SOt^
G� under ORS 701 and may be required to be licensed in the
Address: f46Cy� Z„...,..4.--Q- / /3 jurisdiction in which work is being performed.If the
r f�J c� t.cJ
� applicant is exempt from licensing,the following reasons
City/State/ZIP: I > ."'Ac..,.., • Q Q r j apply:
Phone:( At 7 i u . �6 "Fax::( )
E-mail: f Ub v�(c-) 't-, y_,1 ci/- d C,c c)v-
�\ CONTRACTOR
1 Business name: ate« ExC.c..claa,A„ L BUILDING PERMIT FEES*
Address: 1C1 Ave_ (Please refer to fee schedu/J
Structural plan review fee(or deposit):
QT City/State/ZIP: E a,'�-R.� OIL Gtic-t t
S FLS plan review fee(if applicable):
Phone:(554( ) - ')386 Fax:( )
Total fees due upon application:
M CCB lic.: {350148
Amount received:
KAuthorized signature: iiiii, `j7 j/��i` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: )_^i /
( VIL} c tt 1 S-0`-N Date: c.14 _1 vI 3 * Fee methodology set by Tri-County Building Industry
"�` Service Board.
I:\Building\Permits\SLT-PermitApp.doc 10/01/09 440-4613T(Il/02/COM/WEB)
�.
s
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: cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) cu. yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks,and paving: 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 El *Parking(including ADA)and Lighting
compliance Plan
❑ Grading Plan and details ❑ *Landscaping Plan
❑ Erosion Control Plan and details ❑ Soils Report(if required)
❑ Retaining Structures ❑ Fire Line
*Does not apply to One-and Two-family dwellings.
Plan Submittal: Permit Fee:
TYPE OF SUBNIITTAL #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 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-1 Occupancy 3 $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.
I:1Building\Permits\.SIT-PermitApp.doc 05/25/2012 2
V
I 'a
gi
III
Site Work Permit Application
•
Plan Submittal Requirements
T I G A R D Commercial,Multi-Family and One- &Two-Family Dwellings
A site work permit is required for all commercial projects including new buildings, additions,
accessory buildings larger than 120 square feet, modular structures and multi-family R-1
occupancies. A site work permit is required for excavation, fill,grading,paving, retaining walls,
fire hydrants and fire department access on private property for work on individual lots not
covered under the subdivision development.
Note: A separate "plumbing" permit for site utility plumbing work is required for sanitary
sewer, storm sewer and potable water systems on private property. Please see the Site
Utilities - Plumbing Permit Application for plan submittal requirements.
1. SITE PLAN and vicinity map (fully dimensional, drawn to scale) showing the geographic
location labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ applicant phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads (drawn to scale) with project location.
2. BUILDING PLAN submittal requirement: Two (2) complete sets, Civil only.
All details listed below shall be incorporated into the plans:
A. Site plan showing:
1) Required parking spaces and driveways.
2) A route, accessible to persons with disability,leading from the public way to an
accessible building entrance.
3) Accessible parking spaces and adjacent access aisle connecting with the accessible
route.
4) Curb ramps along the accessible route, curb, sidewalk and gutter.
5) Finish grade elevations along the accessible route.
B. Topographic survey plan showing grade elevations crossing the entire site.
C. Overall grading plan.
D. Utilities plan showing:
1) Fire hydrant location and pipe size if on private property.
2) If the building is to be protected with an automatic fire sprinkler system, show
location of the water service vault and the fire department connection (FDC)
within 70 feet of a fire hydrant.
3) Size of underground water service for the sprinkler system.
E. Erosion control plan complying with the requirements of the Clean Water Services
(CWS) agency showing:
1) Silt fence locations.
2) Bio-filter bags/other approved barrier material surrounding catch basins.
I:\Building\Permits\SIT-PermitApp.doc 05/25/2012 3
3) Illustrations detailing the correct installation of the silt fencing and catch basin
protection.
4) Any other measures to ensure compliance with CWS standards.
F. Landscaping plan.
3. ADDITIONAL REQUIREMENTS:
A. Soils (geotechnical) report. A soils report is required for new buildings and additions
to contain the following:
1) The report shall address the potential of soil liquefaction and instability (OSSC
Sec. 1804.2).
2) Fills to be used to support foundation of buildings (OSSC Sec. 3301.1).
3) Foundation and lateral pressures exceeding 1,500 lb./sq. ft. (OSSC Sec. 1805).
B. Fire flow and hydrant worksheet.
C. Plan review deposit based upon project valuation.
I:\Building\Permits\SIT-PermitApp.doc 05/25/2012 4
11111 1 ' Building Division
Development Code Provision Review
TI c n Ei I) Commercial Projects - With Approved Land Use
Building Permit No.: 11-,-9( 1 ?J- LCD
Land Use Case File No.: §bQ az) (3- lOGoo 8 5Ef SI.Rzol 3-Coon 1
Project Name: �C7/J r' LL.),,,Ti 2 Pt4 H i STe1 T/oti
Site Address: /4 3 /q (5w h i LTG (T , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 9/AL// 13 Routed By:(,L__ _
1't Revision Submittal Date: Routed By:
2"d 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 CAery ! (.at,i n e 5 at (503) 718-.2443 7 or Che rift C. @tigard-
or.gov)
0. Land Use Approval
R. Building Plans Match Approved Plan: Yes No ❑
M' Maximum Building Height N/Pr -1✓ ' I T
Conditions Met
Street Trees
Protected Trees
Notes:49 A C eA- e o r`d:-}i or.s 1 - LI 1 , n s4 u I( 4-1-4-A- pr-0 it e..�i rn ...6"1 at., el
hove i1- iI1 ec.kd L i `4.t. pr7:$ec.-- Qrb er;1-1- . stA)o re.i 4- c.,-Ica d eCs+'t rep or+ .
ch t + -(t pr- d-t.chi ay. c c;"5 a^ S;-(e/ c o,c 81 n.l plan— OiC, p-b 1Cc-fi Lrv■ o n
I J .,_4( el Ch
Original Plan: Approved I �i l( ��Not Approved 0 Date: �7-ILI
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
-. -----��- -: _ —- - - ' • , ( ? • ■ . _c�.�• ' _
s _ ■'
. • - • -- —• — - Li.....t*-■•■%1/AimitaimIIIr— r,
s.
(Re-iew Continues on Page 2)
Page 1 of 2
1:,CURPLN\Masters\Development Code Provision Review\.DCPR_COM_WithLandUse.doc Rev.01/16'13
Engineering Review(contact Mike White at(503)718-2464 or MikeW @tigard-or.gov)
❑ Actual Slope:_0-411-
❑ PFI Permit# 19--
❑ Conditions Met
Tb f 1$064•J / l'444,N+
Original Plan: Approved ❑ Not Approved. Date: I /IC 7
Revision 1: Approved a Not Approved ❑ Date: . - S- 1 4
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
f,Yf Engineering Okay to Issue Permit- Sca. p,.,��,,,0 vu M fk:(ti K ce e..-w+) e.%
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
5 - F- i`1 Gtc. c„,- P•(be A- S i-..":Q
Okay to Issue Permit: Yes No ❑-L
Date Routed to Building. S'�,- T
Page 2 of 2
1:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_WithLandUse.doc Rev.01/16/13
RESPONSE TO THE CONDITIONS
,/
ASSOCIATED WITH CASE# SLR2013-0001
TIGARD
SECTION I. APPLICATION SUMMARY
FILE NAME: BONITA PUMP STATION
CASE NOS.: Sensitive Lands Review SLR2013-00001
Site Development Review SDR2013-00008
PROPOSAL: Construct a new water pump station as part of the Lake Oswego-Tigard
Water Partnership. The proposed building is 2,922 square feet. A new
access and public sidewalk are proposed within a portion of the 100-year
floodplain and wetland buffer. An emergency generator is also proposed for
periods of power loss or heavy power usage.
APPLICANT/
OWNER: City of Tigard
Attn: Rob Murchison
13125 SW Hall Blvd.
Tigard,OR 97223
COMPREHENSIVE
PLAN/ZONE
DESIGNATIONS: I-L: Light Industrial District. The I-L zoning district provides appropriate
locations for general industrial uses including industrial service,
manufacturing and production, research and development, warehousing and
freight movement, and wholesale sales activities with few, if any, nuisance
characteristics such as noise,glare, odor, and vibration.
LOCATION: 14344 SW Milton Court; Washington County Tax Map 2S112AB, Tax Lot
2000.
APPLICABLE
APPROVAL
CRITERIA: Community Development Code Chapters 18.775.070.B and 18.360.090.
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SLR2013-00001/SDR2013-00008 BONITA PUMP STATION PAGE 1 OF 5
Dan Nelson
From: Rob Murchison
Sent: Thursday, May 22, 2014 5:12 PM
To: Laura Barrie
Cc: Dan Nelson
Subject: RE: Dan stopped by Bonita Pump Station
Dan,
See below for the requested information on page 2 of the site plan application. FYI-there is no planned retaining
structure.
Thanks,
Rob
Please complete all items below, unless otherwise noted.
Excavation Volume: 330 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 120 cu.yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
900 of maximum density) 165 cu. yds.
Retaining structure? (Check one) Rock
CMU
Concrete
Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 12,500 sq.ft.
From: Laura Barrie
Sent: Wednesday, May 21, 2014 10:45 AM
To: Rob Murchison
Subject: Dan stopped by Bonita Pump Station
He needs the 2"d page of the site plan application. You will NOT get permits until he has this'll'
Dan is leaving at 1:30 today, he will be in tomorrow.
1
Laura Barrie
IN ■ Senior Administrative Specialist
II DIRECT 503-718-2465
T IGARD EMAIL laurab @tigard-or.gov
WEB www.tigard-or.gov
Cite of Tigard I PI RI.IC%%ORKS IE PARTME:NT
13125 SW Hall Boulevard, Tigard, OR 97223
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2