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Permit
CITY OF TIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT Permit#: SIT2019-00021 Date Issued: 10/10/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD00701 Jurisdiction: Tigard Site address: 15800 SW UPPER BOONES FERRY RD Project: PacTrust Subdivision: None Lot: None Project Description: Revisions to building walkways and landscape to provide enhanced pedestrian connections from the parking lot to building entries. Contractor: FLYING H PLUMBING Owner: PACIFIC REALTY TRUST PO BOX 669 ATTN: N PIVEN CHILOQUIN, OR 97624 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 541-281-6548 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 10/10/2019 $728.72 Plan Review 09/24/2019 $473.67 Type of Use: COM 12%State Surcharge-Building 10/10/2019 $87.45 Class of Work: ALT Info Process/Archiving-Lg$2.00(over 10/10/2019 $10.00 11x17) Project Valuation: $85,000.00 Erosion Control w/Development 10/10/2019 $161.40 Site Specifics: Excavation Volume: 110 cu.yd. Fill Volume: cu.yd. Impervious Surface: 0 sq.ft. Engineered Fill: Soil Report Required: No Paving: Yes Grading: No Landscaping: Yes Site Prep: No Storn Drains: Retaining Wall: Fire Underground: No Accessible Parking: Fence: No Total $1,461.24 Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 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 1.880 332.2344. Issued By: -Permittee Signature: Air 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 FOR OFFICE USE ONLY i:alCity of TigardICENEt) Received /, jiiitel Penni[No_:{ 7 yi t l�—may� .IIIII '� 13125 SW Hall Blvd.,Tigard,OR 97223 y /V .. _1 ci-7dso L a�w g 4 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 SEP Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 q p D Date Ready/B© _ "— 1'� Juns 0 See Page 2 for Internet: www.tigard-or.gov {�1" y Of Y` �, .., Notified/Method:TO /c 1Ci /3'77 7 Supplemental Information , - TYPE;Cly'MA' s € $4 X15 2-FAMILY BW LL1N .5 ❑New 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 ® P ti Ij "3•R. OF CONSTRUCTION •Z work indicated on this application. dwellingValuation: $ 0 1-and 2-family ®Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JO 1 :Aunt AND: L ATION N \Z. �� : � Total number of floors: Job site address:15800 SW Upper Boones Ferry Road New dwelling area: square feet City/State/ZIP:Portland OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: 1 Project name:2obp171 2019 Site Upgrade Covered porch area: square feet Cross street/directions to job site:Sequoia Pkwy and Deck area: square feet Other structure area: square feet s 3t / A:COMMERCIA. - I`S CKLIST Subdivision: 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 equipment,materials,labor,overhead,and the profit for the ION OF WORK �. work indicated on this application. Revisions to building walkways and landscape to provide enhance pedestrian connections from Valuation: $85,000 The parking lot to building entries. Project also looks to remove obtrusive tree roots that are Existing building area: 10,438 square feet damaging existing pedestrian walkways at building entries and enhance landscape around building New building area: 10,438 square feet exterior with emphasis at main entries. �� ® I , ', # '" Number of stories: 1 Name:Pacific Realty Associates,LP. Type of construction: V-B non-sprinkled Address:15350 SW Sequoia Parkway,Suite 300 Occupancy groups: City/State/ZIP:Portland,OR 97224 Existing: B Phone:(503)624-6300 Fax:(503)624-7755 New: B 1if- t max. t;° ❑ CONTA t Business name:Pacific Realty Associates,LP. All contractors and subcontractors are required to be Contact name:Matt®gen licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:15350 SW Sequoia Parkway,Suite 300 jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97224 applicant is exempt from licensing.the following reasons apply: Phone:(503)624-6300 Fax::(503)624-7755 . E-mail:matto/ipactrust.com '..,''4'.'-..":":19,1;1',''''4' ONTRACTOR y Business name:F •IS ing II C ruction �1 bihfy s -- BUILDING PI12il11T FEES* A '' Address:23025 ' port Road NE P,0. j3 I 61 (Please referrofeeselredrtiej r 1X Structural plan review fee(or deposit): City/State/ZIP:Auer;f/115--70-02 e,a,I 1/11(146g...4 7 I FLS plan review fee(if applicable): Phone:(503)678-4224 Fax:( ) 1�A Total fees due upon application: if 73 67 CCB tic.:220686 �/ I "' Amount reccis ed: Authorized signature: This permit application expires if a permit is not obtained G� within 180 days after it has been accepted as complete. Print name:Hatt Oven / Date: �J—Z (_�''J * Fee methodolog\ set t-).Tri-County Building Industrc e Service Board. Odina\Permits\SIT-PernitApp.doc 08/02/2016 440-4613'1(1 l/02/COM/WFI3) 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: 110 cu. yds. Grading Volume: (Soils report required for>5,000 cu.yds.) 110 cu.yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90%of maximum density) NA cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and .avin.: 0 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 I I 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 of PIans Valuat>rnh F�r�z�t Fee: (New,Addition o r equired a a $.00 to$500.00 $51.09 minimum permit fee Alterati►s Submittals $500.01 to$2,000.00 $51.09 for the first$500.00 and 4 $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 traction 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 fur each additional$1.000.00 or traction thereof. I:ABuildingAPermits\SIT-PermitApp.doe 08/02/2016 2 City of Tigard 111 • COMMUNITY DEVELOPMENT DEPARTMENT 4 ■ TlcArzD Building Permit Review — Commercial - With Land Use Building Permit #: t;>`„ T7J/q-C,%j,1 Site Address: ( 5 e.00 SW (Tee/ 0"121 'Suite/Bldg#: Project Name: 019 p .17 1 Z-OIlt up crre4 ce-a- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review} Proposal: (1-Vi -e- 6it 4t.a.vcty)S i Lclods-cc( r .. ZfVerify site address/suite#exists and active in permit system. 7 River Terrace Neighborhood: ❑ Yes ❑ No 7fLand Use Case#: 1"`M 0 W%Ci-- 000 2_I Plans Match Approved Land Use: /1 Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan Building Height: W j& Maximum Height Actual Height 7 Conditions Met: 7 Prior to Submittal ❑ Prior to Permit Issuance I Business License: (0- Exists: ❑ Yes ❑ No,applicant notified to obtain business license KPublic Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified /6 No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: (V/i9"-- Date: C)/2•if 1/9 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: V4A1 Site Plans: # Building Plans: # 3 Building Permit#: IL--Etter ter building permit#above. Workflow Routing: inning B--Engineering [ -Pm t'CoCoordinator 11-44iiiletiTig Workflow Sign-off: gn-off for Planning(include notes from planning review) Route Application Documents: 3--t tldtng: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: /o7y/y -7- -.-ert,-,-..----/- . -- 1.0.- I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 060116.docx Engineering Review ❑ 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) Zi Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ErNo Assess Water Quantity Fee in-lieu: ❑ Yes Cc' o LIDA Facility on lot: ❑ Yes L7 No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: /ofd'/2e)i Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ 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: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes )/'/A Parks SDC: ❑ Yes L7 N/A OK to Issue Permit ) Approved by Permit Coordinator: /� ate: G0J d'?' I I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 0709 I 5.docx