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Permit
CITY OF TIGARD SITE WORK PERMIT I COMMUNITY DEVELOPMENT Permit#: SIT2014-00005 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2014 T f c;A fl 1� 9 Parcel: 2S101AB03000 Jurisdiction: TIG Site address: 7150 SW DARTMOUTH ST Project: RED ROCK CENTER Subdivision: 2012-009 PARTITION PLAT Lot: 2 Project Description: Building B-Site work for new 8,148 sq.ft.shell office building. Contractor: BRIAN CLOPTON EXCAVATION INC Owner: FRY, DOUGLAS P 0 BOX 509 23077 SW NEWLAND RD WILSONVILLE, OR 97070 WILSONVILLE,OR 97070 PHONE: 503-682-0420 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 06/17/2014 $899.22 Plan Review 06/17/2014 $584.49 Type of Use: COM 12%State Surcharge-Building 06/17/2014 $107.91 Class of Work: NEW Erosion Control w/Permit-Eng 06/17/2014 $225.00 Project Valuation: $120,000.00 Site Specifics: Excavation Volume: cu.yd. Fill Volume: 8000 cu.yd. Impervious Surface: 26650 sq.ft. Engineered Fill: Soil Report Required: Yes Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Retaining Wall: Yes Fire Underground: No Accessible Parking: Yes Fence: Total $1,816.62 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-•••• You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or •• •4. 4/ ApoIssued By: - _ - '•ee Signature: • 0 .; •.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 Site Work RECEIVE FOR OFFICE USE ONLY Received ./ City of Tigard Date/By: r(t/1� Penult No.. �r�A `(l— v —" 13125 SW Hall Blvd.,Tigard,OR 97223 APR 8 2014 Plan Review i• � •her Permit: O-v( Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ��" 11 Inspection Line: 503.639.417 5 Date Ready/By: ^ orris la See Page 2 for T I G A R D CITYOF TIGARD Notified/Method: d Supplemental I nfo rmation Internet: www.tigard-or.gov 9U1 ON u 1 .l _hl!lWW, ' t 41—.-._ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Fi New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rotnded 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. �` ID 1-and 2-family dwelling gl Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 4. ❑Master builder ❑Other: Number of bathrooms: ?� 7/5-0 JOB SITE INFORMATION AND LOCATION Total number of floors: v` Job site address: .I- n 3 - S w u� �.y Y 1/— New dwelling area: square feet City/State/ZIP: / I t, w/? 0 /" Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ,e{d /` -k (.1.,.... .-- Covered porch area square feet Cross street/directions to job site: Deck area: square feet ,...ii lec/ 7 Z c IA) kIt� ,) S%L 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. E Tax map/parcel no.: Indicate the value(rounded to the nearest dollar -o all equipment,materials,labor,overhead,and the profit fo e DESCRIPTION OF WORK work indicated on this application. '' C• L .. 51 r-, c-14' /3 i(1 Li 3 Valuation: $ j '2,....C.9) 0L1,e::) / t` t Existing building area square t ` d f s t Lt a. S � =_ New building area: ._-.___.. -" square feet d PROPERTY OWNER ❑ TENANT Number of stories: Name: 4v/C f3 i.S/ s ss /)ss/c.-(4 k-c 1 1-L L Type of construction: Address: / 8/g 7 c,Q 1,1 4. p r . Occupancy groups: City/State/ZIP: L.A,___ 7S o, or .1 )0-5 Y- 7Y- Existing: Phone:(a 5) "j u025 . 'Z'Z, Fax:( ) New: ❑ APPLICANT ,4 CONTACT PERSON NOTICE 1 Business name: All contractors and subcontractors are required to be Contact name: /3 r t w /` lti� licensed with the Oregon Construction Contractors Board t t- under ORS 701 and may be required to be licensed in the Address: /()pi t (2,4- Q , 1 2■ jurisdiction in which work is being performed.If the City/State/ZIP: r_ q 72.-1 y applicant is exempt from licensing,the following reasons apply: Phone:( 5-J.5) 7 (1 0 //'� 9 C(d Fax::( ) E-mail: 4 s k e /Cpl._¢ Y CC? 1'1'\, Q.a S.1- CONTRACTOR Business name: g v,w 090 i` / r BUILDING PERMIT FEES* Address: f, o . g r �Q 5 (Please refer to fee schedule) iS-vt. v,r ft D y — Structural plan review fee(or deposit): City/State/ZIP: t Phone:( '2j) (i}/y • U"{La il Fax:( ) FLS plan review fee(if applicable): Total fees due upon application: CCB lie.: S, -5 61261,0 Amount received: Authorized signature: This permit application expires if a permit is tained within 180 days after it has been accepted as complete. Print name) it , AN / E ( .if-C."2. Date: y/s,p7 * 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) / / 0000 6 - 4 City of Tigard: Site Work Permit Checklist �� oC ere :77-Dic137--- 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 ❑ *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 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 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:\Building\Permits\SIT-PermitApp.doc 05/25/2012 2 r i 10 / 000O S Ci ty of Ti g ard: Site Work Permit Checklist C :7-6/437-/ 7 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. I 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: a9c ►�R *Total new impervious area including all buildings, O sidewalks, and paving: Z ► 1, 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) ❑ Retaining Structures ❑ Fire Line *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 3 thereof,to and including$2,000.00. $2,000.01 to$25,000.00 $91.44 for the first 52,000.00 and Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or fraction thereof.to and including One-&Two-Family Dwelling 2 $25,000.00. y g $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. 1:113uilding\Permits\Srr-PermitApp.doc 05/25/2012 2 Building Permit Number: 6 r-r f 4-06605-- -06605 i 111 111 lig Building Permit Review Commercial Projects with Approved Land Use TIGARD Site Address: 7/50 /D A 2T Noce - _ ❑Verify site address is valid. Project Name : — k El) —1).o C(4., C g jTf Q - 73E-4 ( Li)? rJ Co� Planning Review Land Use Case Number: PM Z 61 0 - 0000 2_ Plans Match Approved Land Use p-Site Plan .0'Landscape Plan ❑ Urban Forestry Plan ❑ Elevation Plan ❑ Building Height: Maximum Height Actual Height Conditions Mct: ZrPrior to Permit Submittal Prior to Permit Issuance Approved by 0 Date: �/' Notes: Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved El Not Approved El Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Building Permit Submittal Original Plan Submittal: Date: y 4,f/51 B)k C Site Plans: # Building Plans: # 3 ,- e /� 1 t f �i j t•� �'cic;,\ pk,L,` 64.1- .t - Create Case Record#: [ 'Enter case# above for Building Permit Number. Workflow Routing: lg. Planning Engineering igt Permit Coordinator X.r Building Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)72 Route Application Documents: `rte" Engineering: (1) copy of permit application,(1) site plan, (1) building plan and i original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. R e v i e w e d B Q Date: if/o/y Notes: £i 4,0 t Cb-.,j--- ` ta_ CJ (.t.?e1 IL i-er-f�i '."` A yl_Lvt I / • - s _• _ _ 1 �. . -.�.� - �� 11- • • /. i I:1Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx • Engineering Review— reviewed by: k"1 k-Z ❑ Actual Slope: ❑ PFI Permit# ❑ Conditions Met Notes: 11-154-C Is 4 L {?(L E e9-F" Avicettif n3t_ — - 1.� G2e 'a v 1 -bit-1 C‘ "L " I S sat L(wa t "t !'�1✓ k.JdY SyC � �-1� Approved by: Date: Revisions (after Building Submittal only) Reviewer D to Revision 1 Approved ❑ Not Approved ( �L( t 0 I ‘71- Revision 2 Approved Not Approved ❑ / �' W4, G // /.y Revision 3 Approved Not Approved ❑ / Pit Coordinator Review nditions Met-Prior to I ssuance of Building Permit Notes: l C ( 1( /I16 a, I �, �a%�„�,� �/ Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applica t Revision Notice 3: Date Sent to Ap nt I/ 1A_:y4ovr/...„.■ �,//Okay to Issue Permit- Date: 1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_I23013.docx 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 7150 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection PASS - No C of O SIT2014-00005 Jeff Grove Violation Summary: Inspector Contractor FOR OFFICE USE ONLY-SITE ADDRESS: '7/5-D S� 7 / u 77/ This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !PI : Transmittal Letter I I L A R I) 13125 SW Flail Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: C--Dj2 DATE L vtp DEPT: BUILDING DIVISION AUG 1 014 FROM: 'FPr(-, . CIT I F TIGARD . COMPANY: ,FrY1mW,T l9- Cz -T , • BUI I ING DIVIS1 PHONE: O3 - �, 91/08 (/ RE: 1Z)'. \1J ■ Siw\od " • - (5 ( �/�{- � (Site Address Pe it Number A CIP PO c -' (Project . e or subdivision name and lot number) ' ATTACHED A r THE FOLLOWING ITEMS:_ Copies: Des' iptio . r opies: 1 escription: • i ditional set(s) f plans. Revisions: f ross section(s) details. Wall bracing and/or lateral analysis. ioor/roof framing. Basement and retaining walls. /Beam calculations. Engineer's calculations. Other(explain): REMARKS: TA)),I1PJ b ' JN-1�, 1 CAS( E/U4(10 i% P-I/\)1D FOR pFFIcE USE ONLY Routed to Permit Team_ician�: Date: 6 j_Q (4- Initial Fees Due: ❑ Yes WIV° Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: PtiV/y liN a7/&2c 6/ Initial 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 7 b City of Tigard 71 r COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Commercial - With Land Use Building Permit #: t1-0Q(3 l LI - DODO 6 Site Address: 7/SO o c1)42T1/oc" /4 677 Suite/Bldg#: Project Name: -Rock C E,o-c2 --I c.e ( LAD/ t`i 2 (Name of commercial business occupying the space. If vacant,enter Spec Space.) ■ Planning Review � ``��` Proposal: (X/ 61^0I7 )i T S frA ),Y (3, U ❑ Verify site address/suite#exists and active in permit system. ❑ Land Use Case #: 'PA A6(0 ^©CO ❑ Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan El Other: ❑ Urban Forestry Plan ❑ Elevation Plan ❑ Building Height: Maximum Height Actual Height ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Notes: Approved by Planning: �j? Date: 6"'1 S-/'y Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submitta , Original Submittal Date: ' v ir , Site Plans: Building Plans: # 3 Building Permit#: enter building permit# above. Workflow Routing: C1'lanning E_1~;ngineering iermit Coordinator [2.--tuilding Workflow Sign-off: P'''S -off for Planning(include notes from planning review) Route Application Documents: ding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I:\Bu ilding\Forms\Bl dgPermitRvw_COM_W ithLandUse_o42914.docx . - Engineering Review ❑ Actual Slope: V PJ Cl PFI Permit#: k 4- j "Conditions Met ✓4' Notes: nu 9 ' 1 ��-�y-- l " TF, Approved by Engineering: At I KIL Li-)/ Date: ` I S 1 f 4' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review conditions Met-Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: I) (C))K to Issue Permit Approved by Permit Coordinator: Date: W J/ /.7C 1:\Building\Forms\B1dgPermitRvw COM_WithLandUse 042914.docx