Permit •
CITY OF TIGARD SITE WORK PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: SIT2020-00007
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2020
T E Ln ARTS Parcel: 1 S134BC90008
Jurisdiction: Tigard
Site address: 10925 SW 121 ST AVE
Project: Woodspring Condominiums Subdivision: WOODSPRING CONDO Lot: 8
Project Description: New parking lot with(5)parking spaces and ADA parking.
Contractor: COAST PAVEMENT SERVICES INC Owner: ORHANOVIC, NEVEN &IVA
PO BOX 23697 10925 SW 121ST AVE
TIGARD, OR 97281-3697 TIGARD, OR 97223
PHONE: 503-227-4515 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 05/04/2020 $588.84
Plan Review 03/17/2020 $382.75
Type of Use: COM 12%State Surcharge-Building 05/04/2020 $70.66
Class of Work: ALT Erosion Control w/Development 05/04/2020 $161.40
Project Valuation: $58,825.00
Site Specifics:
Excavation Volume: 0 cu.yd.
Fill Volume: 0 cu.yd.
Impervious Surface: 1500 sq.ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: No
Landscaping: No Site Prep: No
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking: Yes
Fence: No
Total $1,203.65
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: Permittee Signature:
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 ONLI
CityofTigard REV ENE LD'eaceeBivedy: 3 /7 iv
PermitNo.: an—do
h..az77
III • 13125 SW Hall Blvd.,Tigard,OR 97223 O Plan Review �rr�� rr��
Phone: 503.718.2439 Fax: 503.598.1960 MAR 17 20� 3 Ol 6' 1Q Other Permit:
Date/By: JJ��
1-I t ,�it n Inspection Line: 50d-or.g4175 CITY�F Date Ready/By:�(�� `� Jame S See Page 2 for
Internet: www.tigardor.gov TIGARD otitied/Method KOa
iai Supplemental Information
BUILDING D\VISIOIN b'1916e- Af
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
: Valuation: $
❑ 1-and 2-family dwelling rif Commercial/industrial
ElAccessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (092 6 S (A) /2,/ 'Sf /ice New dwelling area: square feet
City/State/ZIP: 77( tf9-f 2.I')/ PR 912.23 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: w 0 t9 9 S f IZ_1 v G C D N V O 5 Covered porch area: square feet
Cross street/directions to job site: `�i4RC/NG L 7 f�00/7 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.
Valuation: $ 5 C, C, ..
/
�,/ ,�✓t�f�� et rr C5� c�k4J Existing building area: square feet
[� !�" New building area: square feet
El PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: wOod rin�gJ <ondOmin,t.rriS HOA All contractors and subcontractors are required to be
Contact name: , EVed 0W.L/ tNO 1//G licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1012S g w 12.1. r AVi✓ : jurisdiction in which work is being performed.If the
City/State/ZIP: 776 A.e O ok T722 3 applicant is exempt from licensing,the following reasons
apply:
Phone:($p3) 549-3719 Fax: :( )
E-mail: he ve-nv 22 e yctil Po,cow)
/ CONTRACTOR
Business name: COAST fIAIvEM en,T j'Ee✓iCE-S BUILDING PERMIT FEES*
Address: P. o, ,QO)C 236 9 (Please refer to fee schedule)
City/State/ZIP: Dili pt,eA, Oil ` 72$1 Structural plan review fee(or deposit):
Phone:(S43) 22.7— h S S- Fax:(Sb3)C 3?—'Pr OS FLS plan review fee(if applicable):
CCB lic.: fo+:o451f q( C(}{J 9 ' Total fees due upon application:
Amount received:
Authorized signature: �a nsvz_G This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: NEV EN O ANANO V!G Date: ..2/2 Si 2oZ0 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PemiltApp.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 Dwellinss:
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
❑ 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.
I:\Building\Pennits\SIT-PermitApp.doc 08/02/2016 2
A
■ Site Work Permit Application
Plan Submittal Requirements
T I G A R 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 El 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.
1:\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\Pennits\SIT-PermitApp.doc 08/02/2016 4
City of Tigard
IP/ e COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: $, >—a)607
Site Address: tOiIg S t,J tLt Avc. Suite/Bldg#:
Project Name: LIy m ,�6Ai (.M.�a f'�` L�'
(Nae o commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r
Proposal: / pork*, (A- co,i v ,
Verify site address/suite#exists and active in permit system.
Vireir Terrace Neighborhood: ❑ Yes L12'No
d Use Case#: l"lJ T 1,8—Oii i tl
L(Y flaanss atch Approved Land Use:
EIY Site Plan El Landscape Plan 0 Other:
❑ Urban Forestry Plan 0 Elevation Plan
itilkuilding Height: Maximum Height Actu 1 Height
Conditions Met: ❑ Prior to Submittal E.-Prior to Permit Issuance
OA-Business License:
Exists: 0 Yes ❑ No,applicant was provided a business license application
[ublic Facilities Improvement(PFI) Permit: �/
Required: ❑ Yes,applicant was notified [ No Applied For: 0 Yes ❑ No,stop intake
Notes:
Approved by Planning: 2_ Colet
Date: '3`12-2y Lti
Revisions (after Building Submittal only) Reviewer ` Date
Revision 1: ,<Approved 0 Not Approved / ,�,, Rne'_ 41 I2 1 (20
Revision 2: ❑ Approved 0 Not Approved ((JJ
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 9// 7/9-n
Site Plans: #
Building Plans: # 4_
Building Permit#: nt rbuilding permit#above.
��
Workflow Routing: Pl ning f_ ngineering [ emit Coordinator EhBuilding
Workflow Sign-off: Si ff for Planning(include notes from planning review)
Route Application Documents: IrThuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: '` Date: 3/„��ry
I:\Building\Fonns\BldgPermitRvw_COM_W ithLandUse_11 1819.doc x
Engineering Review
I3Slope at building pad: 2—"
[ 'FI Permit#: N/14
R.—Conditions "Met"prior to issuance of building permit tidp
0 Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ❑ No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No
Er-NOT Approved by Engineering: %neh/ e. Date 3/2 3/zoa0
Notes: /(/L'idS iL t/!U/9 n irni g,rUl--0,05- rz Y•Cati
Approved by Engineering: f 4 Date: (-7/(27I2u4k
Revisions (after Building Submittal only) Re ewer Date
Revision 1: Er Approved ❑ Not Approved 7&q ,, 7 51).17/000J
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit
Approved,NOT Released: e yyla 1 tOtr ctppL t rant _At- Date: 3/241 O
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:
,l SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes '1 N/A
Tigard Trans SDC: 0 Yes gr N/A
Parks SDC: 0 Yes MN/A
OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPenaitRvw_COM_W ithLandUse_111819.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ig EMT LigiCks) DATE_RECEIVED:
DEPT: BUILDING DIVISION HECEIVED
APR 2 3 2020
FROM: Vi+ fie' .NE VC OA-On- VA
(21qC1iYOf'1',GAflD
WOO s ly/�Y� O >�'� BUILDING DIVISION
COMPANY: Wioo 7 P .VA Cie>N DOS
PHONE: CS03 7 f `" / By.
RE: 11o9 26 SW /2/ , - le, 77- 20,20 410007
(Site Address) (Permit Number)
rolect name or subdivision name and lot number)
l.N t S 13,` / TA 3 ,vevd o
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions: 4/PA-
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: 9-Z$- 10 Initials:
Fees Due: ❑ Yes No Fee Description: Amount D e:
$ J
I1S
,,%1' __ $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doe 05/25/2012
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New Note
garding the LIDA re...
N Trent
Regarding the LIDA requirement for our parking tot.we would like to use a permeable paver surface
instead of an impervious surface,
The permeable surface wilt allow precipitation to drain naturally.
We plan to use a vegetated grid system where the grid will be filled with sod and seeded with
low maintenance grass,making the system friendly to the environment. using`allowing steps:
-excavating the area of future parking lot
-smoothing and lightly compacting the soil
-placing a geotextile fabric
-placing and loosely compacting drain rock
-placing thin bedding course
-placing pervious paver material
-which is than backfield as described before
Since this will be only an overflow parking lot;we believe that a vegetated grid will be maintainable,
I would appreciate it if you could continue the permitting process for a permeable surface.
Thank you,
Neven
Wuoddorino+-OA President
® Cancel
Agnes Lindor
From: Agnes Lindor
Sent: Tuesday, March 24, 2020 8:34 AM
To: neveno22@yahoo.com
Cc: Trent Brickey;Albert Shields
Subject: SIT2020-00007
Good morning-
Your permit requires a revision. Engineering is requesting that LIDA be shown on the site plan for new impervious area.
If you have questions, please contact Trent Brickey copied on this email.Thanks,
Agnes Lindor I Associate Planner
City of Tigard I Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223s
Phone: 503.718.2429
Email: AgnesL@tigard-or.gov
1