Permit �� CITY OF TIGARD SITE WORK PERMIT
a ' COMMUNITY DEVELOPMENT Permit #: SIT2012 -00015
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/30/2012
Parcel: 1 S127DD01200
Jurisdiction: Tigard
Site address: 10031 SW CASCADE AVE
Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14
Project Description: Site work
Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHO Owner: KRAUSZ PUENTE LLC
3330 E LOUISE DR STE 300 BY THE KRUASZ COMPANIES INC
MERIDIAN, ID 83642 44 MONTGOMERY ST STE 3300
SAN FRANCISCO, CA 94104
•
PHONE: 208 - 362 =3040 PHONE:
FAX: 208- 362 -3113
FEES
Description Date Amount
Specifics: . Permit Fee - Site Work 08/20/2012 $3,566.28
Plan Review 08/20/2012 $2,318.08
Type of Use: COM 12% State Surcharge - Building 08/20/2012 $427.95
Class of Work: ALT Info Process /Archiving - Lg $2.00 (over 10/30/2012 $28.00
11x17)
Project Valuation: $713,339.00 Erosion Control w /Permit - Ping 10/30/2012 $675.00
Site Specifics:
Excavation Volume: cu. yd.
Fill Volume: cu. yd.
Impervious Surface: 39177 sq. ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Yes Retaining Wall:
Fire Underground: No Accessible Parking: Yes
Fence:
Total $7,015.31
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, o . ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to Ilow the rules adopted by the Oregon
Utility . ■ . ification C- ' er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -00 You may obtain a copy of the rules
or dir ct questions to O C b - - ng 03.232.1987 or 1.800.332.2344.
Issu- . By: — = �/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspectio 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.
.. .
Buildin Permit A lica 'o
Site Work WED FOR OFFICE USE ONLY
City
of Tigard 0 AV / ' Pennit No.: r ,04i�.c '9 /J�
`.1 g /� � �I 2 0 2012 Date /By: �
e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review !� `, o
I Phone: 503.718.2439 Fax: 50 9 TIGARD Date/By: h li (0 Z ( Other Permit: MKa aQ1 p ZiJ(no
T I G A R D Inspection Line: 503.6394175 Date Ready /By: / ®
Jury: See Page 2 for
Internet: www.tigard BUILDING DIVISION N`o ed/Method. re q / / • /' Supplemental Information
TYPE OF WORK "R EQUIRED 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 (0 Other: Tenant Imp. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling ® Commercial /industrial 9J
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
ti
JOB SITE INFORMATION AND LOCATION Total number of floors: O.
Job site address: 10031 SW Cascade Ave. New dwelling area: square feet 0
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Orchard Supply Hardware Covered porch area: square feet
Cross street/directions to job site: Corner of S.W. Scholls Ferry Rd & S.W. Deck area: square feet
Cascade Ave, South Side of Street Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: TIS, RI W, Willamette Meridian I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: I S137DD01200 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.
Tenant Improvement to existing 40,000 SF single story building. New 5,000 SF Valuatip . - _ $2,300,400 '7 3 ) � * �
open air nursery addition. New hardscape areas and adjusting drainage. Existing building area: 40000 square feet
New building area: 5000 square feet
❑ PROPERTY OWNER I ® TENANT Number of stories: I
Name: Orchard Supply Hardware Type of construction: V -B
Address: 6550 Via Del Oro Occupancy groups:
City /State /ZIP: San Jose, CA 95119 Existing: M /B /S -1
Phone: (408)281 -3500 Fax: (408)365 -2425 New: M /B /S -1
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: Ware Malcomb All contractors and subcontractors are required to be
Contact name: Neville Willsmore licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6363 Greenwich Drive, Suite 175 jurisdiction in which work is being performed. If the
City /State /ZIP: San Diego, CA 92122 applicant is exempt from licensing, the following reasons
apply:
Phone: (858) 638 -7277 Fax: : (858) 638-7506
E -mail: nwillsmore @waremalcomb.com
CONTRACTOR
Business name:: £ +vAlmhcr j $ -VN feb T� BUILDING PERMIT FEES*
Address: 3330 � _ ` p J „,_a 56-,\4. 30a (Please refer to fee schedule)
Structural plan review fee (or deposit): $6,947.00
City /State /ZIP: Me .-t.t tr t T 9 8310141
Phone: l2 _ 3 (4,z-30'.tc Fax: FLS plan review fee (if applicable): N/A
CCB tic.: Total fees due upon application: $6,947.00
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: NSVlVt,,ei W‘VVSMI'. i Date: 8 l 10 I `Z * Fee methodology set by Tri-County Building Industry
1 Service Board.
1:\ Building \Pennits \SIT- PermitApp.doc 10/01/09 440 -4613T(I1 /02 /COM /WEB)
• - r 4
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: 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: 39,177 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)
LI Retaining Structures ❑ Fire Line
*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 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 \SIT - PermitApp.doc 05/25/2012 2
111111 a Building Division
Development Code Provision Review
T I G A R D Commercial Projects with Approved Land Use
Buildin g Permit No.: I l a0 / - 0O0
Land Use Casefile No.: 1-1 an la- lxpDO $
Routed Plans:
Submittal Date: /9-
Submittal Date: a i /?.. (O•
Submittal Date: a .. r .
/d 'f - /1
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 t c at 503 -718 -2'1 or @tigard- or.gov)
,' Land Use Approval
❑ Building Plans Match Approved Plan: Yes No ❑ ; 5 ITS . af LAVAIOSOVE Pilit""S No
❑ Maximum Building Height 2 '
❑ Conditions Met
Notes: AGl/ /Si' / /9' CenS /St .'f i/ 67100 r /Tiovv AA rnmD.
W 1rH Ta 6. / k� cry g = �A�cl 4
so 0 1 < t P M(<' �G /5 � � '° z f4 eoises i to/, A -w.a.) •,Des f �
,....zi:.-• / 65:0 v.
;' Al iniksiorpg w c - 5404.0 ve4, /v-- 26 ,/ , N eZI e. a r YU?
Original Plan: Approved • Not Approved ' Date: 4r" 2 2 - / Z - ND AMte4i sr/(/
Revision 1: Approved ❑ Not Approved-Jar Date: e t ~I I - r2 —
Revision 2: Approved 0 Not Approved )?! Date: 7 "2-7"/
lAI i b - , - Z
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
,0' Actual Slope: 7
❑ PFI Permit #
❑ Conditions Met
Notes: I' b 1 K../n 6 f kilos 70 J it
Gw5- i20a C - N Lot u.. g 0f w2dI
7 771z &'wb 7d Bio Ei
Original Plan: Approved Not Approved Date: 0 7
Revision 1: Approved Not p ve Date: q ! /t-
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)
❑ Street Trees /
❑ Protected Trees /
Notes:
Original Plan: Approved ❑ No pproved ❑ Date:
Revision 1: Approved ❑ of Approved ❑ Date:
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 Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes . �� Q
Date Routed to Building: , VVV �i I '%
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• . •• � t. i . _• SAWN �A . �w` P� �4�� - 11��t - 6. ,• , :' }�1 •• ;•
��a !� • 1 •
••'
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•
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Page 2 of 2
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.
III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
-r I C n It 15 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: K. , DATE RECEIVED:
DEPT: B , ING DIVISION rfna iii:fl
8 ,.; 1..
OCT 0 1 2012
FROM: y
CV OF COMPANY: LADa_C 6--wL('J gG'Pl o't(.'' €i')r
PHONE: 9 2.5 - a q ii ~ % go By
RE: DA %- ^at.., (0 C Ui._4 t .�_ 5 IT ob 1'� —Coo l s
�' (Permit Number)
) 00 k .1 C, Cie —•
(Project name or sus ''vision name and lot numbe
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
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: t . a. _ ...i ) l 4
■
�'
FOR OVFITE USE ONLY
Routed to Permit Technics Date: (Q 2-- (_ Initials:
Fees Due: ❑ Yes LJ'No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Building\ Forms \TransmittalLetter- Revisions.doc 05/25/2012
tZlz
4E S EQ�V \CE
TRANSMITTAL ?412.%\ aw n®
Shaping the Future
To: Gary Pagenstecher Date: 09/ -Z00/5 12
Orchard Supply
• City of Tigard Project: Hardware - Tigard 5415 SW Westgate Drive
Suite 100
13125 SW Hall Blvd Project*: 2129973000 Portland, Oregon 97221
USA
Tigard, OR 97223 Case /File #:
Phone (503) 419-2500
•
Fax #: Total Pages: Fax (503) 419 -2600
From: Kevin Russell, PE
RECEIVE?"
•
Transmitting Via: Purpose: SEP 2 6 2012
Messenger ® For your approval
El Other: ❑ Other:- CITY OF T IGARD •
• PLANNING /ENGINEERING
Quantity Description
3 Architectural Site Plan A1.1
3 Civil Sheets C0.0 -C4.3 and Landscape Sheets L1.0 -L3.2
•
Comments:
Gary, please accept the attached for the City's final planning and building review. We
have incorporated the modifications to the landscape buffers and screening per the City's
request, as well as relocated the bicycle racks closer to the store entrance.
Please don't hestiate to contact us should you have any questions or need any additional
information.
Thank you.
Signature:
C:
Australia • Belgium • Indonesia • Kenya • New Zealand • Papua New Guinea
United Arab Emirates • United Kingdom • United States • Operations in 60 Countries
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Site Work
499 Final inspection
04/17/2013 00:00
SIT2012-00015
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Site Work
499 Final inspection
03/28/2013 00:00
SIT2012-00015
FAIL
Canceled
Violation Summary:
Inspector Contractor