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Permit (136)
CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT14 Permit#: SIT2017-00018 TRAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017 Parcel: 2S 104AB00100 Jurisdiction: Tigard Site address: 12050 SW 135TH AVE Project: Progress Landing Subdivision: None Lot: None Project Description: Retaining wall for access road. Contractor: LANPHERE CONSTRUCTION AND DEVELOPMENT L Owner: SUNAMOTO, TOMO TRUST 13625 SW FARMINGTON RD 2740 SW BUCHAREST CT BEAVERTON, OR 97005 PORTLAND, OR 97225 PHONE: 503-642-4333 PHONE: FAX: 503-718-7935 FEES Description Date Amount Specifics: Permit Fee-Site Work 08/03/2017 $701.82 Plan Review 08/03/2017 $456.18 Type of Use: SF 12%State Surcharge-Building 08/03/2017 $84.22 Class of Work: ALT Info Process/Archiving-Sm$0.50(up to 08/03/2017 $32.00 11x17) Project Valuation: $80,000.00 Site Specifics: Excavation Volume: 11.4 cu.yd. Fill Volume: 12 cu.yd. Impervious Surface: 90 sq.ft. Engineered Fill: Soil Report Required: Paving: Grading: Yes Landscaping: Site Prep: Storn Drains: Retaining Wall: Yes Fire Underground: No Accessible Parking: Fence: Total $1,274.22 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 2 Structural Observation 3 Special Inspection(see plans) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 :: -1 w'+ m., obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 1.80 4. Issued By: ,9„,e... s-� ittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection da •. 41111b- This permit card shall be kept in a conspicuous place on the job site until completion oft • . . - Approved plans are required on the job site at the time of each inspection. r 1 ili, 'n, Permit A I Ilii!!. EIVEI) :Work 1 O1z ()1 1( I .1 I)vI v �/ City of Tigard JUL 2 5 2017 Received 7'� �rS 10/1_�sg 11(3`,„7,1vel / Permit No.: ,- 13125 SW Hall Blvd.,Tigard 7 pReview 9 Phone: 503.718.2439 Fax:W[3 TI V[ARPlanI) Date/B : Oder Permit:b 90,4-G I 7 inspection Line: 503.639,4125 � �DIVISION Date Ready/By: Term: Internet: www.ti -or. ILDING \ Notified/Method: See Page 2 for !; Supplemental Information Permit fees*are based on the value of the work performed. ❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 14 Other:tl)pyL G'Oy1$f-e4,6,440,4 equipment,materials,labor,overhead,and the profit for the m- -µ -� �ss ,Y'' � } "" "'�i €, '�: work indicated on this application. 23'o 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder /.I Other:W 13th &SAS{f(j! 4077 Number of bathrooms: ' ! ' s •' 5 f Total number of floors: Job site address: /2,t)//o .9w /3 s It? /r L, New dwelling area: square feet City/State/ZIP: 77 9 ' 7 7 2 3 Garage/carport area: square feet • Suite/bldg./apt.no.: I Project name: / f43 l(D/A/ej Covered porch area: square feet Crossestreett/directions to job site: Deck area: square feet P(-7 w6te-PI 61)/9-UA/u% ASL) //.S' Other structure area: square feet Subdivision: .fj ,y �.,0 4/F7 I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all ZS/o R3O )/DD equipment,materials,labor,overhead,and the profit for the ?�.. .: « :' e=,, _.*a --„1,`'E ,,,,e'` `' ` f work indicated on this application. Valuation: $ 860/re 0 /06/F R-N t7 I'dtieff , Gd A- i Existing building area: square feet New building area: square feet k • Number of stories: Name: / V p'/,e2g- i /yam l/ Type of construction: Address: /7o/3? A/44J Ari. f 3 . 73 Occupancy groups: , City/State/ZIP: i j vr,Jz'! ?700 t a Existing: Phone:( ) Qq f47 Fax:( ) New: Business name: S,}- AT 4 'VE All contractors and subcontractors are required to be Contact name: /1/(e1 kis74A/ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons apply: Phone:( ) I Fax::( ) E-mail:/kin14JALCO l./ L P-tgVeOf/clF/eli - c/,/-7 . ts z. � b fi��� �.. .-,.� � .. f,tc,�.,.. <.A.4....-,,,,-,,f�t�, �'” Business name: a�-6- �3 ,, Oo/ n ._ .t Address: 3 -: � r -= ,: -�,. '' , r /: �� /461 • Structural plan review fee(or deposit): City/State/ZIP: 1,-/7-2,4i-071/ 7� Phone:( )3) 7/f_ ?93 y/ Fax:( ) FLS plan review fee(if applicable): CCB lic.: /9 f Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit Is not obtained Print name: 4// ki.fe4✓ Date: 7/ //// * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\SIT-PemuitApp.doe 08/02/2016 440-4613T(11/02/COM/WEB) ini Building Permit Appli b , l` 'E Site 'Work FUR OFl I(l: I ,I U\I.1 City of Tigard J U L 2 5 l_017 Received '�a"�, , OOD`$ 13125 SW Hall Blvd.,Tigard •: 7� Dan E : �� Permit No.: r��� Phone: 503.718.2439 Fax:(5.c' t,;, I GA R 11 Plan Eerie Inspection Line: 503.63r9.44-75U11 9, 1 _ '■ 1eT Pem"t' �1�0' t t G 11 I) ! DING DTV I S D) Date Ready/By: f� '� Jars: See Page 2 for Internet: www.tigard or. d NotifRea4/thod B Supplemental Information '/4/4 #t//,k./ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement Other: Indicate the value(rounded to the nearest dollar)of all 96 CS ti(©i.J equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrialValuation: S ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder qid Other:to i u &Ai 61;cm Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /21)G2 6 Yu) /3 S-t-/-1 New dwelling area: sq uare feet City/State/ZIP: (fig 1 7 2 2 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: //2p 2e.5'3 L /D,'rt! Cj Covered porch area: square feet Cross street/directions to job site: �� �' Deck area: square feet "1 ,l)e-e7l 60, /qvi A1t/� '-el l/S Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL.-USE CHECKLIST eetA40/4/� l Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: ZS'/D(�L f f/3 /Q o Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. y��c Valuation: $ 3G/ire, 0 �Q F` IV"I /ma 0 r Ad- �/1"Z� Existing building area: square feet New building area: square feet [ PROPERTY OWNER I 0 TENANT te)( /,� �, /� Number of stories: Name: V �%t�G /7 �'/� 1,1--?-- Type a Type of construction: Address: /7/3 Ai/xi /�/ L� Jk ?7CJ City/State/ZIP: VZ7JD/t/ Cj 701) f/ � Occupancy groups: Existing: Phone:( ) ( &I cert< 7p Fax:( ) Of� ( New: ` APPLICANT 0 CONTACT PERSON Business name: ,t NOTICE �iB7� S 4& 2(/ All contractors and subcontractors are required to be Contact name: /1/(e4 mniti[S� licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons Phone:( ) apply: /I Fax::( ) E-mail:IQrnoAISpR./ L- rPPv Si�F/l am, Cf-n7 CONTRACTOR Business name:Liffirp1rli,w- 4)1..5 41 v o: n BUILDING PERMIT FEES* �'^_`/ 2$ �Fv.�s//(Ai/ dei/ (M refermleesekeduI!) Address: /z City/State/ZIP: •V/� 7 o cam--- Structural plan review fee(or deposit): Phone: j) 7,6 _ -7y3Fax:( ) FLS plan review fee(if applicable): CCB lic.: /CI /=" Total fees due upon application: Authorized signature: - Amount received: -- / This permit application expires if a permit Is not obtained Print name: 47/ /. �. icifii� I Date: . I7 I within 180 days after it has been accepted as complete. F� * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\SIT-PetmitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB) City of Tigard NI I I' COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential <w� Building Permit #: -/-r-c9-0 1 -7 -cool I Site Address: I 2-'0.L. o ,s w 3 S- 1-, evv-� Project Name: Pn , ti S3 G L CJ 0 Cts'") , Lot #: (New Ywelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: W MI C/O 03 tt-r-v t? •1 , V r?ctS., P ci (= ;, i- L1..h J t-xj CitC(x3S C.livl ofrv ,l c t'10 .•m P 0 nd. FVerify site address/suite#exists and active in permit system. 4 River Terrace Neighborhood: 4 No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: Three(3)copies of site plan ❑ sructures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations iiZr1North arrow Utility locations&easements(required for new and additions) Site address,project or subdivision name and lot number ay approach .Applicant information(name and phone number) /septic systems Y"OLot dimensions and building setback dimensions nr istiit-tteas.to be retained with drip line,and tree ❑Square footage of buildings to be demolished protection measures -g-Inetxrea,building coverage area,percentage of coverage and e* t tz P size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ❑Streetnames El—Property-corner elevations(2 foot contour lines if more than 4 foot differential) us area created or replaced? ER Ye ;No If yes,is a storm water quality facility shown? al Yes r. o yi Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified Cl No Received: ❑ Yes ❑ No A Public Facilities Improvement(PFI) Permit: pc-x-2-01-7- 0003 -1 Required: ❑ applicant pplicant was notified ❑ No Applied For: p� pp Zi' Yes ❑ No,stop intake /`J Land Use Case#: S V e-w I ( - 00001, yi Zoning: (2-- .411.s ❑ Required-Setbacks: Front 20 Rear t S Side S Street Side t S Garage `L. it T; `''._gp_-.R equirement: i\//A % ❑ Lot-Cu v gage Maximum: Ni A % 0 Building Height: Maximum Height '0 Actual Height CA- C c U Si [istrat-C—learance Er-Sensi ve ands: ❑ Yes ❑ No Type E—ertran-Parestry Plan 4 Conditions "Met"prior to issuance of building permit Notes: Approved By Planning: (;)'li^=-\.. .._ Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx Building Permit Submittal `/ Original Submittal Date: 7(2 6-A7 7 Site Plans: # _ _ _ Building Plans: # Building Permit#: 2-Enter building permit#above. Workflow Routing: O'Planning —ngineering 0"-Irermit Coordinator --in-Building Workflow Sign-off: E'Sign-off for Planning(include notes from planning review) Route Application Documents: 2-Engineering: (1) copy of permit application, (1) site plan, (1)building plan and o al plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: . _:,�-' _ - Date: 7 ge7 Engineering Review ❑ Slope at building pad: AJ/4- El Conditions "Met"prior to issuance of building permit El Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: El Yes ❑ No LIDA Facility on lot: ❑ Yes El No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: :5;7.1 6,34.- Date: 0/17 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: C Fees Entered: Wash Co Trans Dev Tax: Li Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA ❑ Yes N/A C-73K to Issue PermitZ )S /) Approved by Permit Coordinator: /0-Date: I:\Building\Forms\131dgPermitRvw_RES_061417.docx City Site Work Permit Chst Page 2-Supplemental Information CommercialofTigard:Multi-Famil and ne-and oh -FamileckliDwellin 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 is in a flood plain,drainage way,or wetland,the applicant must apply for a sensitive lands review (SLR). (SLR). Please complete all items below,unless otherwise noted. CI P (om.)7t It Excavation Volume: Grading Volume: cu. ds. Soils re.ort -•aired for>5,000 cu. ds. Fill Volume: cu. ds. (Fill exceeding 12"in depth shall be compacted to 90%of maximum densit Retaining structure? (Check one) I, cu. ds. ■ Rock ❑ CMU ® Concrete • *Total new impervious area including all buildings, Other: sidewalks,and .avin:: 90 s. 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 followin: must accom.an this a..lication: Site Plan with Vicinity Map showing ADA I *Parking(including ADA)and Lighting g U Gradin: Plan and details Ell Plan 11101 *Landsca.in:Plan 11•11 Erosion Control Plan and details Soils Retainin: Structures R.-111111111111111111111.11111111.... .ort if •.aired *Does not apply to One-and Two-family dwellings. Plan Submittal: TYPE OF,SUBMTT m.. .` #of Plans Permit Fee: Valuatjo • , � (1+1t'w;Additions Required :Submittal Alterations) . uminaat $.00 to 5500.00 $500.01 to$2,000.00 $51.09 minimumtfir : fee551.09 for the fust$500,00 and Commercial 3 $2.69 for each additional$100 or fraction thereo to and includin_$2 000.00. $2,000.01 to$25,000.00 $91.44 for the first$2,000.00 and Multi-Family R-1 Occupancy $10.76 for each additional$1,000 or One-&Twc-Family Dwelling fraction thereof,to and including $25,000.01 to$50,000.00 $292,00. $333 8..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$1,000.00 or fraction thereof. I:\Building\Perntits1SJT-Pertnitgpp.doc 08102!2016 2 City of Tigard: Site Work Permit Checklist Page 2-Supplemental Information Commercial,Multi-Family and One-and Two-Family Dwellings: No permit is required if fill is less than 50 yards(5 dump truck loads),or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill,it must be engineered fill. If fill is in a flood plain,drainage way,or wetland,the applicant must apply for a sensitive lands review (SLR). Please complete all items below,unless otherwise noted. f�l(-an et 0(.A4_ tAi-zt II Excavation Volume: Grading Volume: I cu.yds. (Soils report required for>5,000 cu.yds.) Fill Volume: cu.yds. (Fill exceeding 12"in depth shall be compacted to 90%of maximum density) Retaining structure? (Check one) ❑ Rock 4 cu.yds. ❑ CMU 0 Concrete *Total new impervious area including all buildings, ® ether. Atl-an 61,,c4c.., a l+ sidewalks,and paving: 1,8o 97,fs kOaWOiOMNNOAMMy ^ Wa a ;Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached. The following must accompany this application: ❑ Site Plan with Vicinity Map showing ADA ❑ *Parking(including ADA)and Lighting compliance Plan A Grading Plan and details ❑ *Lancaping Plan Erosion Control Plan and details 0 Soils Report(if required) O Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYPEOF$UBMI 'T&I, .,µµ s f y, 1. ?0!lP t► z a 2 x i� s ?,ir+*i 's`r".. 3''"�,,,,1r1 a+*} # RC1 ew,Aaidi>ionli or Required at P>�t ,,,'- ,, ;y.. ,,fir , ,e,-$`fe x v „ :, .... $.00 to$500.00 $51.09 minimum a�ilterations) Subtni permit$5fee -Submittal $500.0 I to 52,000.00 $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 51,000 or fraction thereof,to and including One-&Two-Family Dwelling 3 525,000.00. $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 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:\Build ngIPennits\51T-PennitApp.doe 08/02/2016 2 !AI Site Work Permit Application Plan Submittal Requirements t c,1 t: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: Three (3) 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 depaituient 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\STT-PermitApp.doc 08/02/2016 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 08/02/2016 4