Permit (196) CITY OF TIGARD SITE WORK PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: SIT2016 00022
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2017
Parcel: 1 S 135AD03400
Jurisdiction: Tigard
Site address: 8701 SW SPRUCE ST
Project: Hall Pointe Townhomes Subdivision: 1990-053 PARTITION PLAT Lot: 2
Project Description: Site work for(3)buildings containing(14)townhouse units,and(3)carport structures.
Contractor: RICH DUNCAN CONSTRUCTION INC Owner: DAVIS, EUGENE REVOCABLE LIVING T
2295 RURAL AVE SE 10875 SW 89TH AVE
SALEM, OR 97302 TIGARD, OR 97223
PHONE: 503-390-4999 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 08/03/2017 $777.14
Plan Review 11/07/2016 $505.14
Type of Use: COM 12%State Surcharge-Building 08/03/2017 $93.26
Class of Work: NEW Erosion Control w/Development 08/03/2017 $161.40
Info Process/Archiving-Lg$2.00(over 08/03/2017 $36.00
Project Valuation: $93,615.00 11x17)
Site Specifics:
Excavation Volume: 448 cu.yd.
Fill Volume: 152.91 cu.yd.
Impervious Surface: 25027 sq.ft.
Engineered Fill: Soil Report Required:
Paving: Grading: Yes
Landscaping: Site Prep:
Storn Drains: Retaining Wall: No
Fire Underground: Accessible Parking:
Fence:
Total $1,572.94
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 1.800.332.2344.
Issued By: i(/ Permittee Signature: �rC //?. /-2
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.
' `Building Permit Applicat +,I N V ��P � -
Site Work FOR OFFICE USE ONLI
i OCTCity of Tigard O1 rt Received
III13125 SW Hall Blvd.,Tigard,OR 97223 t) PDate/By:lan Review."/� 3/ /a) • Permit No.: cji��lG--�0O9?
II Phone: 503.718.2439 Fax: 5 a -p��'� ) 1 Other Permit: 677�apls DOQ'�S
;� Date/By:
TI G A R D Inspection Line: 503.639.417A. s, z " ' •I Date Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov is '1 _ z I d Dili' In P Notified/Method:d/ Supplemental information
��NJ 9it- 57 11-9,V,E
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
'New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application. jl
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
—
g7®/ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -47-1-5-r5"" GT % 1 New dwelling area: square feet
City/State/ZIP: .- ^-4 &- 010(("111. .> L_ ,, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: t.1.CS. e N,YI\`�prrw' Covered porch area: square feet
Cross street/directions to job site: S\1 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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 dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
00
1 `
SL C �ry�J�/1�9� Valuation: $ C‘ ) A s
� �� n7$ Existing building area: square feet
New building area: square feet
IA PROPERTY.OWNER 0 TENANT Number of stories:
Name: e V L% . -(- Type of construction:
Address: d 2t0cti)° 0,ti - Occupancy groups:
City/State/ZIP: - Existing:
Phone:(963) 2 (a., IS L-, Fax:( f\ New:
9 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: C-c\4,9_ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: *3) S (t`'•••Q. Z. jurisdiction in which work is being performed.If the
City/State/ZIP: �+ 6S41730 3ery applicant is exempt from licensing,the following reasons
a .n�- 1 d apply:
Phone:(t,D31 S q,b-y CNC\Ql Fax::( ,O ) 'so..2 (e 3 3
E-mail: ASktIpa, • (.4)'Hr^
CONT:ACT4ncerzr.OR
City/state/ZIP b7 3t
Business name: Q,_ �y I� (fie X BUILDING PERMIT FEES*
Address: 2 C`S Vtw` �/v`Q S\--:_-- (Please refer to fee schedule_)
Structural plan review fee(or deposit):
Phone:( ) 3 q B ,.1 Q c q Fax:( )
FLS plan review fee(if applicable):
` 5�33o Total fees due upon application:
CCB lic.: A
fNy/1Amount received:
Authorized signature: J This permit application expires if a permit is nwithin 180 days after it has been accepted asPrint name: �,V\'f\ b �,,., 4 Date: k tij``3 k(Q * Fee methodology set by Tri-County Building In
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB)
I
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
7\)/1141-
❑ 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
*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 3 $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.
uilding\Permits\SIT-PermitApp.doc 08/02/2016 2
1 i 1 c-,/ (-) I `C; " OCC: cis`r
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: ,r.0--
Grading Volume: .•) cu. ds.
(Soils report required for>5,000 cu.yds.) 32 5.84u.
Fill Volume: u.yds.
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density)
Retaining structure? (Check one) • Rock Ai cu. ds.
❑ CMU l
[2] Concrete
i\ /Ir
•
*Total new impervious area including all buildings, Other:
sidewalks, and paving: 2 52 027 0 c 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 following must accompany this application:
❑ Site Plan with Vicinity Map showing ADA 0 *Parking(including ADA)and Lighting
compliance Plan
El Grading Plan and details
■ Erosion Control Plan and details 0 Landscaping Plan
• Retainin. Structures ❑ Soils Report(if required)
*Does not apply to One-and Two-family dwellings.
Plan Submittal: Permit Fee:
TYPE OF SUBMITTAL #of Plans Valuation:
(New,Additions or Re ��at Permit Fee:
Alterations Q
Commercial
5.00 to 5500.40 SS 1.09 minimum permit fee
Submittal 5500.01 to$2,000.00
52,000.01 to 525,000.00
$51.09 for the first$500.00 and
3 $2.69 for each additional$100 or fraction
thereof,to and including$2.000.00.
$91.44 for the first$2,000.00 and
Multi-Family R-I Occupancy 3 $10.76 for each additional 51,000 or
fraction thereof,to and including
One-&Two-Family Dwelling 3 $25,000.00.
525,000.01 to 550,000.00 5338.92 for the first$25,000.00 and
$8.06 for each additional$1,000.00 or
fraction thereof,to and including
550,000.00.
550,001.00 to$100,000.00 $540.42 for the first 550,000.00 and
1 55.38 for each additional$1,000.00 or
fraction thereof.to and including
$100,000.00.
5100.000.01 and over S809.42 for the first 5100,000.00 and
$4.49 for each additional S1,000.00 or
fraction thereof.
I. Building',Pemiits SlT-PetrnitApp.doc 08 02,2016
2
IIICity of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: o / ra-O / 6, — ,,7c),c,,,9._.2--
Site Address: c ^C I SID gice ` i- Suite/Bldg#:
Project Name: ,// J -7-z7,,,,,AOS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: j Zuor k.. ,CZ..e!)J? ir-- /Jj// / i;, v� s
/yi-ia A ! / ,bu// .C
[Verify site address/suite#exists and active in perrm /yste .
'`�1 'ver Terrace Neighborhood: ❑ Yes I No
Land Use Case#:
,gbEOIS= Cx
'Plans Match Approved Land Use:
[Site Plan V Landscape Plan / 4 ther:
Urban Forestry Plan elevation Plan
f fJ 4':uilding Height: M um Height �s g �/ A Mr t J
Actual Height / �U��r/_ C��/�vJ
V. conditions Met: Prior to Submittal ❑ Prior to Permit Issuance K /�
®/Business Licen : i/
Exists: V Yes ❑ No,applicant notified to obtain business license
Public Facilitie Improvement(PFI) Permit:
Required: 101 Yes,applicant was notified ❑ No Applied For: 1/Yes ❑ No,stop intake
Notes: (may ,. 4 . 't
Approved by Planning: ,...►
— .- T.yi1r Date: /0/-7777
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: 707/3/!4p
Site Plans: # 3
Building Plans: # 3
Building Permit#: lav-Enter building permit#above.
Workflow Routing: ilanning Engineering l-I ermit Coordinator D'Building
Workflow Sign-off: iirSI off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, sitelans,buildingplans,engineerand
beam calculations and trust details,�jif applicable,etc.
Notes: c,y�.L 4.0 ..-d1.2rn,,'ef -JYle e_ 64,06 X735',
By Permit Technician: U ae �j_ ) Date:
A? /1///'&
I:\Building\Forms\BldgPermitRvw COM_WithLandUse 070915.docx
Engineering Review
Slope at building pad: /2,
,2 1-PFI Permit#: do. /d —tZi�6'
Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes 0 No
0 NOT Approv:, b Engineerin_: Date
Notes: _ //..1r. i... s,-a 4.. .- -. - --
Approved by Engineering: WI ..8 Date: /'1--4/--A
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
Zile,proved,NOT Released: le/If/Date: /1/9/40.
Notes: r_ ,,1 ,,q4„ y`"'
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
(›
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ YesN/A
OK to Issue Permit
Approved by Permit Coordinator:
Date: -772 ?X. --
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l.--
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 07091 5.docx
PUBLIC FACILITY PLAN Project: SUB2016- Elderberry Ridge
■ COMPLETENESS CHECKLIST
TIGARD
GRADING
® Existing and proposed contours shown. SHOWN
Does proposed grading impact adjacent
parcels? ❑ Yes ® No NO IMPACT
❑ Adjacent parcel grades shown. NOT SHOWN
STREET ISSUES
® Right-of-way clearly shown. SHOWN
• Centerline of street(s) clearly shown. SHOWN
❑ Street name(s) shown. NOT ALL
Existing/proposed curb or edge of pavement
shown. SHOWN
❑ Street profiles shown. NO PROFILES
Future street plan: Must show street profiles,
topo on adjacent parcel(s), etc. NO FUTURE STREETS
• Traffic impact report. HAVE REPORT
❑ Street grades compliant? NO PROFILES
• Street widths dimensioned and appropriate. YES
Private streets?Less than 6 lots and width
appropriate? NO PRIVATE STREETS
❑ ENTER TEXT ENTER TEXT
SANITARY SEWER ISSUES
® Existing/proposed lines shown. SHOWN
® Stubs to adjacent parcels required/shown? NOT SHOWN FOR 76TH
WATER ISSUES
❑ Existing/proposed lines w/ sizes noted? NOT SIZED
❑ Existing/proposed fire hydrants shown? NO HYDRANTS ON PLAN
REVISED: 2/1/2016 Page 1 of 2
/ �►
❑ Proposed meter location and size shown? NOT SIZED
® Proposed fire protection system shown? NOT REQUIRED
STORM DRAINAGE AND WATER QUALITY ISSUES
® Existing/proposed lines shown? YES
Preliminary sizing calcs. For water YES
quality/detention provided?
Water quality/detention facility shown on TWO SHOWN
plans?
® Facility shown outside and wetland buffer? YES
❑ Storm stubs to adjacent parcels NOT SHOWN
required/shown?
ENTER ANY ADDITIONAL TEXT HERE
The submittal is hereby deemed ❑ Complete ® Incomplete
By:Al Dickman,Senior Engineering Technician Date: 11/2/2016
REVISED: 2/1/2016 Page 2 of 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8701 SW SPRUCE ST, TIGARD, OR, 97223 October 30, 2018 at
11 :35:23 AM
Record Type: Record ID:
Commercial - Site Work SIT2016-00022
Inspection Type: Inspector:
499 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor