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Permit rt CITY OF TIGARD BUILDING PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: BUP2014-00157 Date Issued: 11/03/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S112C600900 Jurisdiction: Tigard Site address: 15000 SW HALL BLVD Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8 Project Description: Construction of a new 3-story senior living facility. School construction excise tax collected at residential rate per determination by Tigard-Tualatin School District. Contractor: BONAVENTURE CONSTRUCTION Owner: SCHMIDT FARM LLC 3425 BOONE RD SE 25717 SW LABROUSSE RD SALEM, OR 97317 SHERWOOD, OR 97140 PHONE: 503-566-5715 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: MF Class of Work: NEW Type of Const: VA Permit Fee-COM-New Construction 10/28/2014 $84,871.20 Occupancy Grp: 11 Occupancy Load: 1991 12%State Surcharge-Building 10/28/2014 $10,184.54 Plan Review 07/16/2014 $55,166.28 Dwelling Units: 181 Plan Review-Fire Life Safety 07/16/2014 $33,948.48 Stories: 3 Height: 0 ft Park-Commercial and Industrial 10/28/2014 $189,487.30 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM New-Bldg 10/28/2014 $149.50 Value: $20,621,326 DC Provision Review,COM New-Ping 10/28/2014 $149.50 DC Provision Review,COM New-LRP 10/28/2014 $44.00 Floor Areas: Info Process/Archiving-Lg$2.00(over 10/28/2014 $236.00 11x17) Total Area: 157067 Info Process/Archiving-Sm$0.50(up to 10/28/2014 $320.00 Accessory Struct: 0 11x17) Metro Const.Excise Tax-Commercial 10/28/2014 $12,000.00 Basement: 0 Use Carport: 0 Permit Fee-COM-New Construction 10/28/2014 $8,082.00 Covered Porch: 0 12%State Surcharge-Building 10/28/2014 $969.84 Deck: 0 Plan Review 10/28/2014 $5,253.30 Plan Review-Fire Life Safety 10/28/2014 $3,232.80 Garage: 0 Tig-Tual School CET-Residential 10/28/2014 $183,768.39 Mezzanine: 0 Total $587,863.13 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Yes Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-r• _• •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I.-sued By: �` , c Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i$uillin2 Permit Application Pp P\U t 3--(.QUO li Commercial cc•ISS\S°.D FOR OFFICE USE ONLY City of Tigard ! It Received 7 ' 13125 SW Hall Blvd.,Tigard,OR 972 i Q� Date/13 : / 1 V i�', J Permit No ` •i' l +vU J g J Z Plan Review I ,. 0 — ' _- Phone: 503.718.2439 Fax: 503.598.1960 V U Date/By: / l Other Permit. Inspection Line: 503.639.4175 �t Date Ready :y: ]uric ® See Page 2 for ,t i Supplemental Information T[G n R D Internet: www.tigard-or.gov ,.,,\'�'`�� i �C,���` Notified/Method: v�/2�� / :�t 1 ? - . / ' - to TYPE OF WORK ' i ED 1 ATA:I-AND 2-FAMILY DWELLING bietfew 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. ❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory buildingvlulti-family Number of bedrooms: El Master builder 11]Other: Number of bathrooms: �. JOB SITE INFORMATION AND LOCATION Total number of floors: I, Job site address: 1 5-0 60 S w t-!-e1 i 6h/4 New dwelling area: square feet M City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Zy,a„,e,,,L`,t,,P t^ -F-'T CAI Covered porch area: square feet Cross street/directions to job site: 7oc s Deck area: square feet ri Other structure area: square feet ■ REQUIRED DATA:COMMERCIAL-USE CHECKLIST cli Subdivision: I Lot no.:/Soo U Permit fees*are based on the value of the work performed. '' fax map/parcel nu.: V Z/ 2 c€>00 D Indicate the value(rounded to the nearest dollar)of all t0 equipment,materials,labor,overhead,and the profit for the q DESCRIPTION OF WORK work indicated on this application. Valuation: $ �- �� C C✓NShUC-4-,' C.,� Y1eW 3 •51�r� ce.„,, 1tu,, IFtTat, r C , 1 ,• L ! Existing building area: square feet New building area: �51 o (a 7 square feet ❑ PROPERTY OWNER ❑ TENANT / Number of stories: 3 Name: B lMIL tre.,.,.-• Ire'G 1' 7 lc0 c6 LL ',Al ') Type of construction: /v A Address: 2,q2_5 J j�" 1 Occupancy groups: r I�44 � \ City/State/ZIP: C �` �l-1 \ �\ Existing: 2 / "1---- i Phone:( 503) Sl0C . G "7(`-- Fax:( New: /t\ �� Cyyr•[� V APPLICANT CONTACT PERSON / BUILDING PERMIT FEES* 12)01,N (Please refer to fee schedule) Business name: CtrPrA.„Life +� Lf V !AEI Structural plan review fee(or deposit): Contact name: ,J t 1„,.‘,.‘1„,.‘,.‘ C co -v)r lc.C " � FLS plan review fee(if applicable): Address: 2742 C 13 0-01,42 � ( 02- Total fees due upon application: City/State/ZIP: S fiK 1 3, Amount received: Phone:( 45%15 3 . 3 I(, 5 Fax::( ) E-mail: 1 C- - t a (—LS ef,� e 1; v e g S i_4 -C�v1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of 1 CONTRACTOR ' roof-top mounted Photo Voltaic Solar Panel System. Business name: ��1 a lt-f!t��i Me �',,,5 Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 5�+�� (J, 2 k v Solar Installation Specially Code checklist. City/State/ZIP: Permit fee(includes plan review $180,00 I and administrative fees): Phone:(5 3) 3?2> . 3 1 6, 3 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: t v j,ch 1 6(410(tc Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (-026:24( 01 r S� Date: * Fee methodology set by Tri-County Building Industry ✓ Service Board. I:�Building�Pertnits�BUP COM PermitApp.doc 1 440-46131(1 l/02/COM/WEB) ti a September 9, 2014 RE: BONAVENTURE SENIOR LIVING Project Information Building Permit: BUP2014-00157 Construction Type: 5A Tenant Name: Bonaventure Occupancy Type: I-1 cond. 2 Address: 15000 SW Hall Occupant Load: ? Area: 157067 Sq Ft Stories: 3 The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 2014 edition and 2014 Oregon Fire Code as amended by TVF&R. The submitted plans are approved subject to the following conditions. This plan review was done under the assumption of a type 5A, sprinkled, "I-1 condition 2 /A" occupancy building. 1) Code summary indicates an R-2 occupancy classification — Please clarify. 2) Please provide page A7.2. 3) R15 insulation is required for heated slab edge insulation. 4) Please provide drawing showing through floor penetration of tub P trap at one hour floor ceiling. 5) Radon mitigation shall be installed as per OSSC sec 1811, and sec 1704.17 and shown on plans. 6) Please provide flame spread information for wainscoting used in corridors. 7) Show compliance with OSSC sec 420.4 and 420.4.1. Include travel distance to smoke barrier doors and occupant loads for refuge areas. 8) Provide completed TVFR fire flow calculation sheet. Respectfully, Dan Nelson, Senior Plans Examiner (503) 718-2436 dann @tigard-or.gov City of Tigard ■ COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: i'P2 0/4 — Site Address: e301 S s&✓ s1J Suite/Bldg#: Project Name: /1i*veS&,ii (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: bet./ Solo,.,. `. ser / Cis'/s' 7 ❑ Verify site address/suite #exists and active in permit system. ❑ Land Use Case#: PP x. 00/.5 -0400/ ❑ Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan ❑ Building Height: Maximum Height _ Actual Height ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Notes: /16SS Lr� elirnf Tev Asa SAfel 4 it A/ /,0� Ifs Cift•liKoh r lt,,n w ah, c 44.1 f /PArAgr-fiwzi Approved by Planning: 0�41,91,4 Date: ii//y Revisions (after Building Submittal only) Revie er to Revision 1: )4 Approved ❑ Not Approved Ij f l� /Q / ,f7 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit# above. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 744 I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse042914.docx r' _ • Engineering Review . Actual Slope: ':i PFI Permit#: P1■s6V/41—.422, L XConditions Met,�,r,e-ess,,,,� Notes: � ' I �ti • Approved by Engineering: i .atit : 416'`1i.—fil Revisions (after Building Submittal only) ev ewer Date Revision 1: Approved ❑ Not Approved /� /� 4i G j a-` .03/4-- Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved ❑ 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: OK to Issue Permit ` i Approved by Permit Coordinator: , Date: /0_31;,L I:\Building\Fortes\BldgPermitRvwCOM_WithLandUse 042914.docx 4 .Br.Iilding Permit Application P°P (, t 3--C 0UC ri Commercial y - ' -Air' aq . FOR OFFICE USE ONLY City of Tigard 4.1 , . Received J 61 pr `J b : Date/By: 7�i V C}� i Permit No.: �/�!]f� (,r v� t�7 13125 SW Hall Blvd.,Tigard.OR 97_ \.t.1 Plan Review 1� Pv t Phone: 503.718.2439 Fax 503598.1960 \.,\ '0 Other Permit. i Date Ready/By: Juris. ® See Page 2 fur Inspection Line: 503.639.4175 ,;, �i y: TIGARD Internet: www.tigard-or. yea i`{‘,...1C „. t'\ \ Notified Method: 14.- Supplemental Information TYPE OF WORD REQUIRED DATA:t-AND 2-FAMILY DWELLING ( ew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alterationireplacement ❑Other: equipment.materials,labor,overhead-and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORNLATION AND LOCATION Total number of floors: Job site address: / S O op S w i &tic{ New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: A,,e,^�,�,,,,p c-f--T\ CAL F Covered porch area: square feet Cross street/directions to job site: 7 c S Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.:/s'oC,0 Permit fees*are based on the value of the work performed. Tax map/parcel no.: � ( ;2_5 1! 2 C. .D G 9 CC; Indicate the value(rounded labor,to the ead.and the profit of all materials,labor,overhead and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: s P J ' /� C G�S tw C-1-,v,., c,~ IA e CA1 ^ -5 Y �..---« 1 t v, 0 1, %+r++ 1' I • (_% r Existing building area: square feet rc-C . t New building area: '4' 1l A G 7 square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: ! 0r'.ft trey�*1,-..Ire G C 7 ,c pa.v ^CL e \\`"') Type of construction: V!a Address: 77`L ZS 13t 0"-e P eS c f Occupancy groups: 1 t k City/State/ZIP: C *-,■\ of-) 1i n -�V /. Existing: Phone:( ) 51( . S 7(5--- Fax:( T v /7 New: /4 I-1 es".-S I jr] APPLICANT CONTACT PERSON /7 BUILDING PERMIT FEES* Business name: / (Please refer to fee schedule) I� (t"to✓0�`--' Le L.-4\J i t^Ei Structural plan review fee(or deposit): Contact name: i w1 C r '�S J av, FLS plan review fee(if applicable): Address: 2)42 C 13 c-ory.0 Sa C�� , q 7' Total fees due upon application: City/State/ZIP: J ��Q �2 . 2 I b 5r- Amount received: Phone:( '/ 7 7 Fax::( ) E-mail: C t a rk_s cr,r� e l 1 V I° g L• -C�1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* - Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: C7 CMS Q l t-e K`F �r„S C b� Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Installation Specialty Code checklist. SCL.-►ti2 Os 2 ,. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( 3) 37 2, • 31 (G 3 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: ( Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: / f✓� ti r 5� Date: (I 4 t * Fee methodology set by Tri-County Building Industry I . 1-1' Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) J - Albert Shields From: Albert Shields Sent: Monday, September 08, 2014 5:41 PM To: 'Eric Rouse'; Jim Clarkson; Tony Weller Cc: Dwight Wildeson; John Bosse; John Floyd;Al Dickman; Dan Nelson Subject: Bonaventure-SIT2014-00014 - Conditions of Approval not met, BUP2014-00206 Demo - Tree Protection Not Installed. Attachments: Conditions - 09-08-2014.pdf Gentlemen: Planning and Engineering have reviewed your site permit application, SIT2014-00014, and find that it cannot yet be issued because: 1. The PFI permit has not yet been issued. Engineering tells me that their redlines were sent back to you on August 13 and that they are waiting to receive a complete set of corrected plans. 2. 22 of the Conditions of Approval for PDR2013-00001 have not yet been met. John noted a few of these Conditions in his email of August 12th but those Conditions remain unmet. Both Planning and Engineering advise me that most of what is needed to meet each of the outstanding Conditions has been done and that we are waiting for your submittals on the remaining issues. I've attached a copy of the Conditions of Approval on which I have highlighted the Conditions that are still "Not Met." When the required plan changes and corrections have been made, please send us a complete revised plan set rather than individual corrected sheets. In net, it seems that in this case the tail, representing the still incomplete details, is wagging the dog. Please review the status of each of the Conditions, particularly whatever elements are still needed for each one. Then we can meaningfully review them together at our meeting on Thursday morning. We understand your eagerness to get a demo permit, a grading permit, and the 1200-C and we are happy to work with you to get those permits issued as soon as possible, however, we cannot issue permits until the required Conditions have been met. 1. In the case of the 1200-C, once plans are correct and complete they will be forwarded to Cleanwater Services and DEQ for review and permit issuance. Please bear in mind, however, that CWS and DEQ have heavy workloads right now and may take as long as 4 to 6 weeks to complete their reviews and issue a permit. And we do not yet have complete and correct plans to submit. 2. Regarding a grading permit, grading permits have a somewhat different set of requirements than site permits and are generally less demanding, particularly because a 1200-C is not required. So a grading permit could be issued much sooner than a site permit. We will get back to you with the specific requirements for a grading permit but again, complete plans are needed. 3. And as for the demo permit, normally, we require the issuance of a site permit before a demo permit but we have waived this requirement in this case. Nonetheless, we can't issue this permit until we receive written certification from the project arborist that the required tree protection measures are properly installed. (Condition #7). Please let me know if you have any questions. Albert Shields Permit Coordinator 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15000 SW HALL BLVD, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Building BUP2014-00157 Inspection Type: Inspector: 242 Interior shearwall Jeff Grove Result: Scheduled Comments: Violation Summary: Inspector Contractor 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Building 242 Interior shearwall PART BUP2014-00157 Jeff Grove "c" wing interior shear except for stairwell furring walls Violation Summary: Inspector Contractor City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT INr Request for Permit Action T 1(; R p 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ErCity Staff Check(V)one REFUND OR Name: ` � INVOICE TO: (Business or Individual) -BQ vy -- ,2L cS£IJ11OR_ t—tou51tk!6- Mailing Address: 3 2-2.0 c r1rm..-- 67-, / ' .1-400 City/State/Zip: 3- L.e.kk I .0(Z 9 4 3o/ Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ■ ► EL/VOID PERMIT APPLICATION. Iffl REFUN 11 PERMIT FEES (attach copy of original receipt and provide explanation below). Iii i i CE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit #: 1 U P P--C>/'r/—aO)5 7. Site Address or Parcel #: 15 coo Y11 4141.1-- 11.xi1j/ .� I (Z C 13 00900 Subdivision Name: A/M- Lot #: i - I EXPLANATION: iTip-vAtp v-g,-- 3(- /O ben/. IC !' MY CR f b I /96-#970%15-r- % '577, 359 7-"D-P 7>19,t, r/AV/G• Signature: ,--T-' , - Date: 15/2-e//4 Print Name: Refund Policy, 1. The citi's Community Development Director,Building Official or City 1?ngineer may authorize the refund of: • .Anv fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. :All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. /VOTc-` 1-06 72.6-- /v.es /n/ Coe-cis/7- VD fi e6,0.2._ /;>00/G , Route to Sys Admin: Date By Route to Records: Date y Zy::- /6, By Refund Processed: Date r//?.tV/(0 I I1, Invoice Processed: Date By Permit Canceled: Date /V�A' B, ,.14r• Parcel Tag Added: Date ByI:A Building\I'orms\Rey Permitil ction_U)2314.doc : . q ip, . . TIGARD City of Tigard April 28, 2016 Bonaventure Senior Housing 3220 State St., #200 Salem, OR 97301 Re:Permit No. BUP2014-00157 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 15000 SW Hall Blvd. Project Name: Bonaventure Job No.: Refund: ® Check#220838 in the amount of$40,144.10. ❑ Credit card "return" receipt in the amount of$ . E Trust account"deposit" receipt in the amount of$ Notes: Refund a portion of Washington County TDT paid prior to determination of developer credits available. If you have any questions please contact me at 503.718.2430. Sincerely, 424417,47j42____ Dianna Howse Building Division Services Coordinator Enc. 1:\Budding\Refun UmGn t23'ti e'Ah1H©trp yiVrg?Ovegon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov III I City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use,development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Bonaventure Senior Housing DATE: 4/6/2016 3220 State St., #200 Salem, OR 97301 REQUESTED BY: Dianna Howse 4V--- TRANSACTION INFORMATION: Receipt#: 401660 Case#: BUP2014-00157 Date: 1/25/2016 Address/Parcel: 15000 SW Hall Blvd Pay Method: Check Project Name: Bonaventure EXPLANATION: Refund a portion of Washington County TDT paid prior to determination of developer credits available. e 4:Y1.41.;':',1,,%; s t e s t A' . a c: ; t�- t"�` �'i �+'t _1 " t '-'*;"r147,1,?:3:13'':::'`i:Luttl Wash Co Trans Dev Tax 405 0000 43320 $40,1 . TOTAL REFUND: $40,144.10 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Managersi _ _NY; j_e14., If under$50,000 City Manager --144W-- If over$50,000 Local Contract Review Board /✓//� 4 FOR TIDEMAI I SYSTEM ADMI IISTRATIOI�T USE DI�1LY `:- Case Refund Processed: Date: rZ�/�6 By: �C %i✓ I:\Building\Refunds\RefundRequest.doc x 09/01/2010 J 0 WASHINGTON COUNTY, OREGON Department of Land Use and Transportation Credit Estimate Form Engineering/Surveying Division 1400 SW Walnut St, MS 17A, Hillsboro, Oregon 97123 (503)846-7900•FAX: (503)846-7910 _e_lote TDT/TSDC Credit Analysis For: (Project Name and Case File Number) Date Submitted for review: (County Staff) Date Reviewed: (County Staff) Estimate Performed By: (Applicant/Estimate preparer) ~.Ll Estimate Reviewer: (County Staff) �L ITEM# ITEM DESCRIPTION UNIT REQUESTED APPROVED REQUESTED APPROVED REQUESTED APPROVED QTY. QTY. UNIT PRICE UNIT PRICE CREDIT CREDIT ! I :rte County Staff County Staff County Staff r °� r- - 5�� - SI- $ _ $ $ - $ - <3l X7.06 _ $ - $ - - $ 376-rr $ - �- - Q $ $ - "� .`» - 2452-� $ 6 ,_ /:_.-0-0,7" dr-40h - $ $ - $ - $ - i ' 7� 8T. "- ice!„ ,.,+j r� - .� $ $ -.. �� $ '-�- 9 rte• L - $ . $, ; ? - -,�-- .B 10 :! �..,� 5 / ._! . Sill?. $in 'o :� $/177a. ,e3 $ , - • ((77�� 9 $ $ $ $ 12 i____,,- ____ je, o. Z.5 I ---e9--- - _ SUBTOTALIgo,�..1,-w 7 7.5Z 6 5 y,1Q?1.6D 3p.4t's ENGINEERING/SURVEYING $ - $ y 7�9� COSTS(UP TO 13.5%OF CONSTRUCTION COSTS► 0.000 ,3a �} RIGHT-0F-WAY COST ACRE 0.000 0.000 $ $ - $ - �' � 75 ELIGIBLE CREDITS $ - x s NOTE# , i ; 141/1 k? 1 County staff to fill in the shaded(yellow)boxes. 7 �f 2 Transportation Development Tax credit will be given in accordance with Washington County Code section 3.17.070. 3 North Bethany and Bonny Slope West Transportation System Development Charge credit will be given in accordant 4 Please include invoices and documentation for requested quantities and unit prices, a with applicable codes. 5 Right-of-way credits will be based on Washington County Department of Assessment&Taxation records. 6 An electronic(.xis)version of this form with calculation capabilities maybe requested q ues ted from county ty staff bycalling ng 503.846.7900. Bonaventure of Tigard-TDT Credits rev dk2 1 16 2/8/2016 =onaventure o igar• 15000 5W Hall Blvd. Tigard OR 97224 Job # 893 - Hall Blvd TDT Credit Costs ITEM # COST DESCRIPTION CODE QTY UNIT UNIT PRICE CONTRACT PRICE Hull Blvd. Lighting 1.00 Co#24 Trench and set 7 light pole bases along Hall Blvd 510 LF $ 6.23 i $ 3,176.79 3177.40 2.00 Co#4 Provide conduit ,vaults&wiring for 7 street lights EA $ 984.00 I $ 4€.f3a.GQ 295, $ 490á1 6125 t.ct, Hall Blvd 3 . ., Sidewalk .- _� 3.00 Base Prep&Pour sidewalk along Hall Blvd excludes driveway approach �•y��$ 7.34 $ 24,088.32 �0680•� 4.00 ADA Truncated Domes $ 150.00 $ 300.00 1.54.44 spa-3a�-3�• Hall Blvd Paving =' , )(*.N4 5.00 Base Bid to pave Hall Blvd prior to change order Nu ui $ 85.54 $ "" 6.00 ICO#5 Change Order to pave west side of Hall Blvd 100 TONS $ 85.54 I $ - •! - Hall Blvd Striping ., '1s« 7.00 Base l•emove exis ing an• ins a s riping per •ti• pavemen mar rags ' $ 11,770.00 $ 11 770.00 �---• d d --' 7: -.-mss Hall Blvd Traffic , //, 7 Q •$a V .4..t 8.00 Base Traffic Control for 5 days 1 LS $ 3,500.00 $ _, .:.:. ' Hall Blvd Pedestrian Access N, , .t't 9.00 CO #32 Provide and install a pedestrian access at NW property line per 1 LS $ 4A798,. T' $ X387989.:•53` ObOTr-vis-. r-. -st Right-of-Way - .. 4 a. ,421sup = '' .4.: . , 10.00 Right of Way return credit - J 1111111111R? 27„. $ .7.379.24-76.0- „pp��4 Bonaventure TDT Creditable Costs 1/21/20161111111111Wilkati if 4(5?7Y ' +13.5%Admin. i $ 19,879.26 X 1.137 $ 167,133.01 55154 - — — ' X.7,.5 X 75%for Arterial — $ 125,349.75 yt,14 14 `µ” Bonaventure of Tigard-TDT Credits rev dk2 1 16 ..... _. �`�i+i+1l SCJ • — di onal Tim Costs Bonaventure of Tigard i 15000 SW Hall Blvd. Tigard OR 97224 Job #893 - New Roads @ 83rd Avenue, Mathew Park Street& Ross Street TDT Credit Costs ITEM# COST CODE DESCRIPTION QTY UNIT UNIT PRICE CONTRACT PRICE Lighting 11.00 Co#24 Trench and set 6 light pole bases along Ross/83rd/MathewPark `3 540 LF $ 6.23 $ 3,363.66 _12.00 Co#4 Provide conduit,vaults&wiring for 6 street lights 6 EA $ 984.00 $ 5,904.00 Sidewalk $ 9,267.66 13.00 !Base Prep&Pour sidewalk along Ross/83rd/MathewPark excludes drivewayapproach 4618 SF $ 7.34 I $ 33 914.59 14.00 IADA Truncated Domes _ lin LS $ 150.00 $ 900.00 I Paving $ 34,814.59 15.00 (Base Bid to pave Ross/83rd/MathewPark prior to change order 351 TONS $ 85 54 024 54 $ 30,024.54 16.00 #5 Change Order to pave additional SF of Rass/MathewPark - - !CO �-"-- ----- 58 TONS $ 85.54 $ 4,961.32 I Signage $ 34,985.86 . __-- - i ---------- -r...-.._,-.-... ' 44r`,��_ 1,....a.0,--.tet 17.00 iBase Provide and install 10"No Parking Anytime"signs,2"STOP"signs&2 Street signs. i1 LS $ 1,200.00 ....- Earthwork& Rock $ 1'200'00 . 18.00 I Base Provide and install excavation,rock&compaction per City stand. 1 LS $ 38,072.00 $ 38,072.00 19.00 1CO#8 Over excavation on the north end of 83rd&rock replacement 43 CY $ 54.00 $ 2,322.00 20.00 COI #14 Over excavation on the south end of 83rd 1 LS 32 CY $ 54.00 $ 1,728.00 $ 42,122.00 Waterline Extension 21.00 ICO#15 Provide and install 200 If of 8"CL 52 DI,with 2 blow offs 1 LS $ 16,945.00 $ 16,945.00 Right-of-Way _. 22.00 Right of Way credit return(30,014sf x$7.52) 30,014 SF $ 7.52 $ 225,705.28 Bonaventure TDT Creditable Costs 1/21/2016 +13.5%Admin. ' $ 49,280.45 _ $ 414,320.84 /� X 50&for Arterial/New Road .--(-�T $ 207,160.42 V --..\.. Bonaventure of Tigard-TDT Credits rev dk2 1 16 1 Bonaventure Revised Final TDT Credits, Numbered 1 thru 10, Submitted by the developer for Credit for Hall Blvd, 83'' _3ve. and Matthew Park Sts and the TDT calculated allowable credits available to the developer. ITEM 1&2= Street Lights: Credit allowed for street lights at normal spacing on a residential street. Developer requests: trenching of 510 LF at $6.23 LF and set 7 light poles = $3,177.00. There are actually 6 light poles but the trenching length remains the same. Developer requests: provide conduit, vaults and wiring for 7 street lights at $984.00 each. The number of street light on a residential street of this length would be 3.. 3 X $984.00 = $2,952.00. The total allowable TDT credit of both items = $6,129.00. 3&9= 8 FT wide Sidewalk: Credit allowed for additional width beyond the 5 ft. width of a residential sidewalk. The sidewalk length being the property frontage along Hall Blvd equals 485 LF X 3 width = 1455 SF at the developers' requested cost of $7.34 SF equals total allowable TDT credit of VV---7n in) $10,680.00 4= The developer is requesting compensation for 2 ADA Truncated Dome panels used on the Hall Blvd sidewalk at 2 X $150.00 each = $300.00. There is only 1 truncated dome used on the Hall Blvd sidewalk = 1 X $150.00 = $150.00. 5&6 = Credit is allowed for construction to the ultimate width and line. The 4 ft. widening on Hall Blvd was to allow the center "painted island" to become a turn lane into the project. Therefore the widening was not constructed to the ultimate width so the requested paving cost is not creditable = $0.00 7 = Striping of Hall Blvd. The striping is required due to the minimal widening and in this case may be considered a safety feature. Developers' request of$11,700.00 is shown on their request as being 'LUMP SUM (includes all costs associated with performing the work)"Therefore the total allowable TDT credit equals , , $11,770.00. 8= Traffic Control. The developer is requesting $3,500.00 for 5 days of traffic control for the work on Hall Blvd. Traffic control costs are allowable but only for the creditable work on the road. The 4 ft. widening is not creditable but the striping is creditable. However, the striping cost requested above (7) was shown as a lump sum. Therefore the cost for traffic control equals $0.00 1r ; ; 10=Right of Way dedication is creditable at the cost per square foot of the dedicated land at the purchase price. The developer is requesting $7.52 per square foot at 9830 SF = $73,921.60. The right of way dedication cost was calculated using the tax lot accessed value cost of$1,625,980.00 for the tax year 2014 / 2015 which is prior to the increased accessed value of$3, 572, 950.00 for the year 2015 / 2016. The tax lot is accessed as being 5.98 acres. 5.98 acres = 260,489 square feet. 6 feet of width at 491.45 feet of length was dedicated from the Hall Blvd frontage to become additional public right of way. • $1, 625, 980.00 (accessed value) divided by 260,498 (total square feet of property) = $6. 25 per square foot. • 6 ft (width of dedicated right of way) X 491.45 linear feet (length of right of way fronting Hall Blvd) = 2,948.70 total square feet of dedicated right of way. • 2,948.70 X $6.25 = $18,429.38 = $18,430.00 The developer is requesting compensation for the dedication of land for 83' and Matthew Park Sts. and the construction of the two streets themselves. 83" and Matthew Park Sts are not arterial or collectors and therefore are not creditable. The revised creditable costs are: $6,129.00 + $10,679.70 $10,680.00+ $150.00 + $11,700.00 $11,770.00+ $18,430.00 = $47,089.00 (47,088.70) $47,159.00. $47,159.00 X .135 (engineering and survey) = $6,366.47 $47,159.00 + $6,366.47 = $53,525.47 $53,446.02 X .75 (allowable % for arterial street improvements) = $40,144.10 ; p CITY OF TIGARD RECEIPT III i; % 13125 SW Hall Blvd.,Tigard OR 97223 - 503.639.4171 TIGARD Receipt Number: 403481 - 04/28/2016 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2014-00157 Wash Co Trans Dev Tax 405-0000-43320 $40,144.10 Total: $40,144.10 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Trust Account TDT2016-00003 DHOWSE 04/28/2016 $40,144.10 Payor: Bonaventure Senior Housing Total Payments: $40,144.10 Balance Due: $0.00 Page 1 of 1