Permit (36) CITY OF TIGARD SITE WORK PERMIT
I ' COMMUNITY DEVELOPMENT11111
Permit#: SIT2019-00004
7-i(;AR 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2019
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Site work for the demolition of 132,000 sq.ft.of existing building and to rebuild 117,524 sq.ft.of new building.
Contractor: TRIPLETT WELLMAN INC Owner: UNION HIGH SCHOOL DISTRICT
PO BOX 160 NO. 3 JT
WOODBURN, OR 97071 00000
PHONE: 503-982-4188 PHONE:
FAX: 503-982-0390
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/13/2019 $21,027.89
Plan Review 02/19/2019 $13,668.13
Type of Use: COM 12%State Surcharge-Building 06/13/2019 $2,523.35
Class of Work: ALT Erosion Control w/Development 06/13/2019 $3,611.40
Plan Review-Fire Life Safety 06/13/2019 $8,411.16
Project Valuation: $4,602,500.00 Info Process/Archiving-Lg$2.00(over 06/13/2019 $112.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/13/2019 $250.00
Site Specifics: 11x17)
Excavation Volume: cu.yd.
Fill Volume: 3191 cu.yd.
Impervious Surface: 236389 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: Yes Accessible Parking: Yes
Fence: Yes
Total $49,603.93
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 e rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. may obtain a copy of the rules
or direct questions to OUNC by calling 503 ,32.1987 or .800.332. .44.
Issued By: .,66 /t/ / 'j Permittee Signature:
X
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 Application
-Site Work FO1L OFFI(t: t St:()\I 1
,:
City of Tigard 4.
Date/B
L Permit No.: --
a 13125 SW Hall Blvd.,Tigard,OR 97223:11111 Plan Review Received �t e,
' ! Phone: 503.718.2439 Fax: 503.598.1960 iB 4 2 019 Date/B : �" J 11 Other Permit:
1-1( n R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov �,.rp.g ie y , EI- stn e; ,<i Notified/Method: 'y r / Supplemental Information
!
1 -4 J -' - 5I cc..J .._.
TYPE'OF WORK C• A! ) REQUIRED DATA: 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 CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder rOther:School Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14650 SW 97th Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Twality Middle School Covered porch area: square feet
Cross street/directions to job site:97th and Murdock 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S111ACO2700 equipment,materials,labor,overhead,and the profit for the
{{ DESCRIPTION OF WORK work indicated on this application.
AT\\ '5 ce- %.4.)%>"--le—%.4.)%>"--le— it—t, r1C oN‘. itQ At - ( 4.XZ ll\c, Valuation: $ -t,lot�Z, SbQ
��`\` ;N` �b ` � fie ) 5 c{w•e_.1t Existing building area: Z�1 t4square feet
G W1 New building area:Q t-1-'S24 square feet
a 0 PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Tigard-Tualatin School District Type of construction: Type V-B
Address:6960 SW Sandburg Street Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: Group E
Phone:(503)431-4000
Fax:( ) New: Group E
►'. APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Day CPM All contractors and subcontractors are required to be
Contact name:Shawn Christensen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6960 SW Sandburg Street jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:(971)727-4168 Fax::( )
E-mail:shawn.christensen@otak.com
= CONTRACTOR '
Business name:Triplett Wellman BUILDING PERMIT FEES*
Address:1717 Mt Jefferson Ave (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:Woodburn,OR 97071
Phone:(503)982-4188 Fax:( ) FLS plan review fee(if applicable):
CCB lic.:43496 Total fees due upon application:
Amount received:
Authorized signature: CV
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Shawn Christensen Date:02/11/2019 I * Fe,- ethndoingyset by Tri-Cnnnty Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB)
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: (NET OFFHAUL) 0 cu.yds.
Grading Volume: (CUT/FILL ONSITE)
(Soils report required for>5,000 cu.yds.) 17,725 cu.yds.
Fill Volume: (IMPORT)
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) 3,191 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
® Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 236,389 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.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2
Agnes Lindor
From: Agnes Lindor
Sent: Monday, April 22, 2019 3:00 PM
To: shawn.christensen@otak.com
Cc: Monica Bilodeau; Mike White;Albert Shields;#Building Permit Technicians;Tom
Hochstatter
Subject: SIT2019-00004 Twality Site Work
Attachments: Conditions -04-22-2019 (PDR2017-00002).pdf; Conditions - 04-22-2019
(CU P2018-00007).pdf
Good afternoon-
This permit has been placed on hold for unmet conditions, as provided in the condition status reports attached. Please
work with Mike White on engineering conditions and Monica Bilodeau on planning conditions.Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard,Oregon 97223
Phone: 503.718.2429
Email:AgnesL@tigard-or.gov
1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
111111 2
T 1 c A R o Building Permit Review — Commercial - With Land Use
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Building Permit #: , 7;,j/1_.V jo
Site Address: /4/(p cb cRO 9-�lL /9ve— Suite/Bldg#:
Project Name: --7700.2t4 ,1/I d aC IND 1
(Name of co ercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: �/ leo 4
Verify site address/suite# exists and active in permit system.
er Terrace Neighborhood: ❑ Yes L►�]" No
nd Use Case#: P,� .QQ j 4-_ / Q-J/Z2j1, �4
Plans atch Approved Land Use: '""'° "
Site Plan 0 dscape Plan ❑ Other:
��❑ Urban Forestry Plan Elevation Plan
UCI Building Height: Maximum Height 67 Actual Height 2/4
0 Conditions Met: El Prior to Submittal 0 Prior to Permit Issuance
112 Business Licens :
Exists: t2 Yes El No,applicant notified to obtain business license
lIQ Public Facilities provement(PH) Permit:
Required: 101 Yes,applicant was notified 0 No Applied For: [ Yes El No,stop intake
Notes: L (inofk f Gip t fi v'PC' Gi}—i'Li. i(bcin i.,;,;-e.ihill
"eCit.1 rc1. P1 rte- iSSt;tyr)-,- ..
Approved by Planning: 11'1 ;�i.-�,�,.. Date: / I ii
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date:
*ii/1Site Plans: ## 3
Building Plans: # 3 /:1! 3 c x . Go 'le f
Building Permit#: [Zi--Etffer building permit above. � /
Workflow Routing: ming [Meering L4'I'errr it Coordinatording
Workflow Sign-off: -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: .1/14/______
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse 060116.docx
Engineering Review 'f
,Slope at building pad: (/
❑ PFI Permit#:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
p'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ,❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes .D No
LIDA Facility on lot: ❑ Yes /,12---No
O NOT Approved by Engineering: Date
Notes: IL)A-i r F6D1-- F ( (W-6/r,v,R-R-r"k -) _-6
Approved by Engineering: -14‘— --- Date: (-7 (
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved termit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
,Approved,NOT Released: Date: L)laa I I q
Notes: Or ' Cffictrt11111g—nYlA fd q19pU coiVtf .
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:
' SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes Ci< N/A
Tigard Trans SDC: ❑ Yes c N/A
iP-arks SDC: ❑ Yes tr N/A
OK to Issue Permit /4f/7
APP Y roved b Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM_WithLandUse_070915.docx