Permit CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit #: SIT2012 -00003
T I GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/17/2012
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Paving of existing gravel parking lot, resurfacing track installation of impervious surfaces for sports purposes.
Contractor: PORTLAND ROAD & DRIVEWAY CO INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
10500 SE JENNIFER ST 6960 SW SANDBURG ST
CLACKAMAS, OR 97015 -9511 TIGARD, OR 97223
PHONE: 503 - 650 -5006 PHONE: 503- 431 -4000
FAX: 503 - 650 -8022
FEES
Description Date Amount
Specifics: Permit Fee - Site Work 04/13/2012 $1,110.25
Plan Review 03/09/2012 $721.66
Type of Use: COM 12% State Surcharge - Building 04 /13/2012 $133.23
Class of Work: OTR Info Process /Archiving - Lg $2.00 (over 04/13/2012 $22.00
11x17)
Project Valuation: $166,555.00 Info Process /Archiving - Sm $0.50 (up to 04/13/2012 $20.00
11x17)
Erosion Control 04 /13/2012 $80.00
Site Specifics: Erosion Plan Review CWS 04/13/2012 $26.00
Excavation Volume: 178 cu. yd. Erosion Plan Review COT 04/13/2012 $26.00
Fill Volume: 84 cu. yd.
Impervious Surface: 22934 sq. ft.
Engineered Fill: Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking: No
Fence:
Total $2,139.14
Required Items and Reports (Conditions)
EIS /lAJ eot.-MO0C .5 — LAI —qq
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 q - stions • •UNC • calling 503.232.1987 or 1.800.332.2344.
Issued By: i / O 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 D •
Site Work CEDED FOR OFFICE USE ONLY
ece
City of Tigard MAR DRa« ived : � a Permit No.:�" � TaQ /� -06063
• 13125 SW Hall Blvd., Ti ax: OR 97223 9 201'1 Plan Review ►7
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Pr
Other Permit: UI } � aO4�' -�/ f
Ph e: 503.718.2439 Fax: 503.598.jg4,0�v 9 DateBy: 1/ 1 %
T 1 GA R D Inspection Line 503.639.41 l j a d Op TTG Date Ready/By: kris: 0 See Page 2 for
Internet: www.tigard- or BUILDI NG ARD No'fied/Method: V/ AO ' i f Supplemental Information
D IVISIO. i� ,1111 % /7PTG. t «11/i
°= i i R F, QI] 1RF, 1]; 1nkTA 1" 4> N) p'2 ?Fi671LYnWElii < ;'; •
❑ New construction ❑ Demolition Permit fees• are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® r -- • . • on/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. - ::: a :: - c .= TE ORX _QI
= , j _._ ...... : CT ~.: _ .... work indicated on this application.
: :r: .,
..... ... . . . . .::, _ CA _ t : ? ONS TRIICTI O M : _ : : 5.- :;:': : ,.,; .. :;� " : ] 7.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: S
❑ Accessory buildin ❑ Multi - family Number of bedrooms:
❑ Master builder ® Other: Educational Number of bathrooms:
- -i JOB i 1NI ORMATION - AND„" LOCATION.:;...: -:' ::,::::., Total number of floors:
Job site address: 9000 SW Durham Road New dwelling area: square feet
City /State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet •
Suite/bldg. /apt. no.: I Project name: Tigard High School Track Covered porch area: square feet
Cross street/directions to job site: SE corner of Durham Road and SW 92o Ave Deck arca: square feet
Other structure area: square feet
"REQ[IIREU DATA:::COM 'IER.C[ ...... C CKIsi$T
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S1 W 14AA -00100 Indicate the value (rounded to the nearest dollar) of all
:- = =: :::- ._ ..:.:. . .::::..::::..:::::.- overhead, and the profit for the
equipment, materials, labor, overhe d an e r
:.:::,:::•r_i_IV::•t- c -ar: s _`::::: . - ON- : :; : - : : ; : .. : -' � a 1: : : :_' = ° ,; ...: = a: work indicated on this application.
Paving of an existing gravel parking area, resurfacing of existing track and Valuation: $5166,555.01) •
construction of impervious surfaces for sports purposes adjacent to the track Existing building area - square feet
New building area: square feet
PROP: -::- _ —_ _ = = - _ _ : -__ __
T; IZ-TY? - - _ _ Number of stories: ::I�. N beo oes
::: _::- � - . ._ .............._.. ...._...Q!'.F�i!flrl<t:;` -s:� ^'; �' =_ � <'';`�s:: ❑;:TENANT`:;:_ �_ °;;� �::::= =- �. =� s '
Name: Tigard - Tualatin School District Attn:Phil Wentz Type of construction: '
Address: 6960 SW Sandburg Road Occupancy groups:
City /State /ZIP: Tualatin, Oregon 97223 Existing:
Phone: (503)431.4000 Fax: (503)431.4020 New:
. :.. ., la APPLICAN :0 CON'I'•ACI; PERSON :.`:'_
•....._:._........._:..
Business name: l'igard-Tualatin School District All contractors and subcontractors are required to be
Contact name: Phil Wentz licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6960 SW Sandburg Road jurisdiction in which work is being performed. If the
City/ State/ZIP: Tualatin, Oregon 97223 applicant is exempt from licensing, the following reasons
a pp ly '
Phone: (503) 431.4000 Fax:: (503) 431.4020
E -mail: pwentz@tisd.k12.or.us '
.......
Business name: d OQ,� l') �(tb _
�j� l.l} = - _ � litl.1)f P. NG-PER3VIIT-FEES' :,.:':. :,i:H _ ._ '
Address: (OSDO „,,g.. 3E t o l 2 - :. i = ':c: ::'.-' (Please eje :
City /State /ZIP: M C 9 7[// Structural plan review fee (or deposit):
Phone: wy 6 L - 500 7 Fax: ( ) FLS plan review fee (if applicable):
CCB lie.:
Total fees due upon application: $721.66
Amount received: —4 76 , e,0
Authorized signature: This permit application expires If a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: R O 6 SA X TU 1J I Date: 3/9// Z * Fee methodology set by Tri- County Building Industry
Service Board. • -
1:\ Building \Permits\SIT- PermitApp.doc 10/01/09 440- 4613T(II /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: 178 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) 94 cu. yds. •
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
90% of maximum density) 84 cu. yds. ,
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete •
® Other: none
*Total new impervious area including all buildings,
sidewalks and paving: 22,934 sq. ft. i
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 N *Parking (including ADA) and Lighting
compliance Plan
?g Grading Plan and details ® *Landscaping Plan •
X] Erosion Control Plan and details Soils Report (if required)
Er Retaining Structures
*Does not apply to One - and Two - family dwellings.
Plan Submittal: Permit Fee:
TYPE Oh SUBMITTAL . . ' ,: ;,`:_ .., . ,... :;...; • # of Rlans :valua'tion.. Perrtuf Fed _- .... i • :(New,;Addititiris or Required at $.o0 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 - Occupancy 3 $10.76 for each additional $1,000 or
fraction thereof, to and including
$25,000.00.
One- & Two-Family Dwelling 2 $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\SlT- PermitApp.doc 03/03/2011 2
I I 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. IN map & tax lot # IN project name ® site address EI suite number
zoning ® applicant name ig 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: Two (2) 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.
l: lBuilding \Permits\SIT- PermitApp.doc 03/032011 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. 1 805).
B. Fire flow and hydrant worksheet.
C. Plan review deposit based upon project valuation. •
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I: Building \Permits \STT- PermitApp.doc 03/032011 4
�,9,2 A 6/1 o /1
1114 o ° Building Division --224-CA
/ODO ,04J -- Dulifrf - `y
Development Code Provision Review
T I G A R D Commercial Projects with Approved Land Use
Building Permit No.: 1 r- a p - 0°603
Land Use Casefile No.: ill D (90 /2. 6b0O l
Routed Plans: I r
Submittal Date: 3 0
Submittal Date: 4 /// Sb ?.
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the left side that are approved. •
Planning Review (contact at 503-718-44 C/ 5 or / @tigard- or.gov)
EI/Land Use Approval _/
❑ Building Plans Match Approved Plan: Yes E No ❑ '
❑ Maximum Building Height
❑ Conditions Met
Notes:
T/U *wh 4..v. cAc.8, ,( — 'Away` wwrjit- evrea e G447,4,
Original Plan: Approved L Not Approved ❑ Date: — �.5"1Z.
Revision 1: Approved M" Not Approved ❑ Date: /7
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
0 Actual Slope: fi -' - 1 ' %
PFIPermit# 2- 012. - 0000
❑ Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: i J //
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date: - -
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @ tigard - or.gov)
C�Jtreet Trees
9' Protected Trees r /
Notes: • re J ,p1,, 14 mt ? e,r 5 (2r— (1010 (evJ J) r� /iL f ,,,J
Original Plan: Approved ❑ Not Approved Date:
Revision 1: Approved Not Approved ❑ Date: f/7/
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit •
Notes: ' , '
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applica
Revision 2: Date Sent to App • ant
3/�//z—
Okay to Issue Permit: Yes No
Date Routed to Building: _
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Page 2 of 2
RECEIVED
MAR 9 2012
CITY OF TIGARD Camino
TRANSMITTAL BUILDING DIVISION WRG
Shaping the Future
To: Debbie Adamski Date: March 9, 2012
City of Tigard - Building Division Project: Tigard HS Track 5415 SW Westgate Drive
Suite 100
13125 SW Hall Blvd. Project #: 21196690 Portland, Oregon 97221
USA
Tigard, Oregon 97223 Case /File#:
Phone (503) 419.2500
Fax #: Total Pages: Fax (503) 419 -2600
From: Alex Umbdenstock
www.cardnowrg.com
Transmitting Via: Purpose:
Messenger ® For your review and comment
❑ Other: ❑ Other: _
Quantity Description
2 Full size Site plans (24x36) for Building Department review
7 . Full size,plans (24x36) for Engineering Department review
2 Copies of the Storm Report
1 Signed Site Work Permit Application
1 Signed Plumbing Permit Application
1 PFI Permit Application
1 Check for the Building Department ($721.66)
1 Check for the Engineering Department ($300)
Comments:
Debbie -
Please see the submittal package for the Tigard High School track and parking lot project
for your review. Please contact myself or Matt Lewis if you have any questions or
comments.
Thank you,
Signature: J II I I AL
C:
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