Permit ,� CITY OF TIGARD SITE WORK PERMIT
•° ! g COMMUNITY DEVELOPMENT111
Permit#: SIT2019 00010
13125 SW Hall Blvd.,Tigard OR 97223 503.718.24
.!t "gip �' 4 1 Date Issued: 10/09/2019
TIGARD Parcel: 1 S 136DA02500
��� Jurisdiction: Tigard
V At L //
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Site work for new construction,4 story multifamily with(48) 1-bedroom apartments and accessory space including
a community room.
Contractor: LAUZON CONTRACTING LLC Owner: COMMUNITY PARTNERS FOR AFFORDABL
13577 SE WILLINGHAM CT HOUSING
CLACKAMAS, OR 97015 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-482-5445
PHONE: 503-293-4038
FAX: 503-482-5446
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 10/08/2019 $3,647.10
Plan Review 04/08/2019 $2,370.62
Type of Use: MF 12%State Surcharge-Building 10/08/2019 S437.65
Class of Work: NEW Info Process/Archiving-Lg S2.00(over 10/08/2019 $52.00
11x17)
Project Valuation: $731,790.00 Info Process/Archiving -Sm$0.50(up to 10/08/2019 $54.50
11x17)
Erosion Control w/Development 10/08/2019 $686.40
Site Specifics:
Excavation Volume: 641 cu.yd.
Fill Volume: 113 cu. yd.
Impervious Surface: 36900 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 $7,248.27
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 1.800.332.2344.
� l \
Issued By: Permittee Signature: `%�/ —�- </ ..w
Cal 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
f Site Work _Sj 7 a,O/ 01— Ft1R OFFICE 1 SE ONLI
I
City of Tigard OQ 6 D Received
DateB : / �> -r�(./�. ", �/
‘ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
III C Phone: 503.718.2439 Fax: 503.598.1960 DatcJB Other Permit:
L 1 G A D Inspection Line: 503.639.4175 Date ReadyJun ET Jun See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
RC-New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ElAddition/alteratlon/replacement 0 Other:
i
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUi - work indicated on this application
�a1 1-and 2-family dwelling o�eroyaVmdusutal Valuation:
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION:AND LOCA ON Total number of floors:
Job site address/�v � (iij, (-n J`(� / New dwelling area: square feet
Clty/State/ZIP: f �� j _ Garage/carport area: square feet
Suite/bldg./apt.no.: f Project nam 1 ed c c jr/ef3 Covered porch area: square feet
Cross street/directions to job site: 60A /4 d4/S 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.
�
IINQ hGI(nD (1� r� Valuation: $
J ' l ,,VExisting building area: square feet
1 1(� f 7)12 �1. 1 r f c - Per-M1+ S New building area: square feet
PROPERTY'OWNER 0 TENANT Number of stories:
Name:(0M/rgee7r X--I, 1�7,-�C /r i'a 64 f,L/ 64 j, Type of construction:
Address: ( 'a� / Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT .CONTACT:PERSON . NOTICE
Business name 4 to(s.J C8 -11712-^ 4r,
n (—L C__ All contractors and subcontractors are required to be
Contact name: ct(A. r• �7 /A C I ./ licensed with the Oregon Construction Contractors Board
_ J 7 under ORS 701 and may be required to be licensed in the
Address)3$�' 54_ l/ /n httn--, (Mu 2 t jurisdiction in which work is being performed.If the
City/State/ZIP:I ( ,C 17� S , 0 R, cl 7 i� appppli ant is exempt from licensing,the following reasons
Phone:6o )YO 01 45 jq -F-a�x:: ._2 j -5 (o
E-maill ctur'o,hea l a k4Z b A) ITo1C 1 1 CZ Jv7
CONTRACTOR ''""
Business name: ( 1. I j BUILDING PERMIT FEES*
Address:I k 1 ; (Please refer to fee schedule)
City/State/ZIP: t l I Structural plan review fee(or deposit):
1% 1 * 1\ I I FLS plan review fee(if applicable):
Phone:( ) Fax: )
CCB lic.: (53 3 /a g-t i, 3- 55 y P L Total fees due upon application:
� p Amount received:
Authorized signature:
(.lam!-,i i� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L<r^ )t 5 (Ly Date:Jd .t? / • Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\SlT-PemritApp.doc 08/022016 440.4613 (11/02/COM/WEB)
CITY OF TIGARD SITE WORK PERMIT
11111
%. COMMUNITY DEVELOPMENT Permit#: SIT2019-00010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2019
Parcel: 1 S136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Site work for new construction,4 story multifamily with(48) 1-bedroom apartments and accessory space including
a community room.
Contractor: LMC INC Owner: COMMUNITY PARTNERS FOR AFFORDABL
8324 SW NIMBUS HOUSING
BEAVERTON, OR 97008 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-646-0521 PHONE: 503-293-4038
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 10/08/2019 $3,647.10
Plan Review 04/08/2019 $2,370.62
Type of Use: MF 12%State Surcharge-Building 10/08/2019 $437.65
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 10/08/2019 $52.00
11x17)
Project Valuation: $731,790.00 Info Process/Archiving-Sm$0.50(up to 10/08/2019 $54.50
11x17)
Erosion Control w/Development 10/08/2019 $686.40
Site Specifics:
Excavation Volume: 641 cu.yd.
Fill Volume: 113 cu.yd.
Impervious Surface: 36900 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 $7,248.27
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 follohe rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0. 0. • may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800_332.2344.
Issued By: PefmitteeSignature:
Call`603.639.4175 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 o the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Site Work RECEIVED !EewZ
FOR OFFICE USE ONLY
City of Tigard APD 08 ff�\ 20 � ) 8 '� � 6 ��/ (�C/``" -�
TIGARDInspection Line: 503.639.4175 ciTY OF TIGARD NDateRed/dy/Byd: Duns: S e Page 2 for
Information
Internet: www.tigard-or.gov BUILDING DIVISION Supplemental
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Sif construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ti Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11090 SW 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Red Rock Creek Commons Covered porch area: square feet
Cross street/directions to job site: 68th Parkway south of Pacific Highway 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.:1 S136DA2500 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.
New construction, 4 story multifamily with 48 1-bedroom apartments Valuation: $ 131 --iqa, o0
including accessory spaces and exterior site improvements. Existing building area: square feet
�f New building area: 36,354 square feet
pQ PROPERTY OWNER ❑ TENANT Number of stories: 4
Name: Community Partners for Affordable Housing Type of construction:VA
Address: PO Box 23206 Occupancy groups:
City/State/ZIP: Tigard, OR 97281 Existing:
Phone:(503)293 4038 Fax:( ) New: R-2 with accessory occupancies
❑ APPLICANT l CONTACT PERSON NOTICE
Business name: Carleton Hart Architecture All contractors and subcontractors are required to be
Contact name: Anna Galloway licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 830 SW 10th Ave#ZOO jurisdiction in which work is being performed.If the
City/State/ZIP: Portland OR 97205 applicant is exempt from licensing,the following reasons
apply: _
Phone:( 503)206-3193 Fax: :( )
E-mail: anna.galloway@carletonhart.com
CONTRACTOR
Business name: LMC Construction BUILDING PERMIT FEES*
Address: 19200 SW Teton Ave (Please refer to fee schedule)
City/State/ZIP: Tualatin, OR 97062 Structural plan review fee(or deposit):
Phone:(503)646-0521 Fax:(503)646-6823 FLS plan review fee(if applicable):
CCB lie.: 161282Total fees due upon application:
.._ _
p t Amount received:
Authorized signature: \ , This permit application expires if a permit is not obtained
- i , ' :.�y �` within 180 days after it has been accepted as complete.
Print name: ��t I. 1 / int {: /' it. Date: i ) 11
* Fee methodologyset byTri-Count Building
1 � Y Industry
Service Board.
I:ABuilding\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB)
City of Tigard: Permit Checklist
Page 2 - Supplemental InformationSiteWork
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: 641 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu. yds.) 754 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) 113 cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
M Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 36,900 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
t
IN Site Work Permit Application
Plan Submittal Requirements
TIGARD 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 department 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\SIT-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
City of Tigard
i 'i COMMUNITY DEVELOPMENT DEPARTMENT
lilI.
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: 5_4-7 ,92.,{)/rj - 0-7,0(()
.
Site Address: //070 5k) G et( -?Jc.i y Il?if eb Oa Suite/Bldg#:
Project Name: az
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: g6?-1-90/7- ArLE (10c)SV4 -
Verify site address/suite# exists and active in permit system.
,E3 River Terrace Neighborhood: ❑ Yes .0—No
❑ Land Use Case#: /tom-'2De OivoWp -22(7- ' Y
a—Plans Match A roved Land Use: /
ly
pp
''Site Plan ..a-Landscape Plan ❑ Other:
Urban Forestry Plan [ —Elevation Plan
J Building Height: Maximum Height Actual Height
,✓hE Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
iEr Business License:
Exists: 0—Yes ❑ No,applicant notified to obtain business license
,,.11"-Public Facilities Improvement(PFI) Permit:
Required: Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: �/ Date: Gf/ '/q
Revisions (after Building Su al only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 4-(7:Z: /ig
Site Plans: #
Building Plans: #
Building Permit#: nter building permit# above.
Workflow Routing: Planning engineering . ermit 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:
i _/
By Permit Technician: >__ �` J . .„.,,,,,,,...., Date: 7
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_060116.docx
Engineering Review
Slope at building pad: 102
li/PFI Permit#: 2d/9- ood2
❑ Conditions "Met"prior to issuance of building permit /�l�
❑ 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: ❑ es ❑ No
LIDA Facility on lot: [h Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: 4,1/ 9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ 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: �//
02KDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes fly /A
Tigard Trans SDC: ❑ Yes Lr N
Parks SDC: ❑ Yes
JOOK to Issue Permit �j',�,�/
Approved by Permit Coordinator: `�f�Vate: l® /��
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 07091 5.docx