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Permit CITY OF TIGARD SITE WORK PERMIT • • COMMUNITY DEVELOPMENT Permit #: SIT2013 -00001 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/04/2013 TIGARD 9 Parcel: 1 S 136CC00100 Jurisdiction: TIGARD Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: 2006 -016 PARTITION PLAT Lot: 3 Project Description: Onsite sitework for remodel and addition Contractor: TODD HESS BUILDING CO Owner: CITY BIBLE CHURCH 9414 SW BARBUR BLVD SUITE 150 9200 NE FREMONT ST PORTLAND, OR 97219 PORTLAND, OR 97220 PHONE: 503 - 220 -5953 PHONE: FAX: 503 - 222 -2670 FEES Description Date Amount Specifics: Permit Fee - Site Work 04/04/2013 $1,801.71 Plan Review 01/03/2013 $1,171.11 Type of Use: COM 12% State Surcharge - Building 04/04/2013 $216.21 Class of Work: ADD Plan Review - Fire Life Safety 01/03/2013 $720.68 Info Process /Archiving - Lg $2.00 (over 04/04/2013 $134.00 Project Valuation: $320,360.00 11x17) Info Process /Archiving - Sm $0.50 (up to 04/04/2013 $65.00 11x17) Site Specifics: Erosion Control w /Permit - Ping 04/04/2013 $375.00 Excavation Volume: 834 cu. yd. Fill Volume: 2073 cu. yd. Impervious Surface: 52443 sq. ft. Engineered Fill: Yes Soil Report Required: Yes Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Yes Retaining Wall: Yes Fire Underground: Yes Accessible Parking: Yes Fence: Total $4,483.71 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 i rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N 'cation Ce r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You m -y .. ain a copy of the rules or dir ques`ions to OU llm 503.232.1987 or 1.800.332.2344. lssu d By: I Permittee Signature: / I i ,/,41111 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 RECEIVED s ev u-gi• Site Work JAN 03 2013 , i)k[il Ill l (•E .,1\1 7 of Tigard CITY OF TIGARD FFargitiami Pecan No. ;,raa 3 -0060/ 13125 SW Hull Slid, 710wdt txt 1ILDING DIVISION Mom: : s03113112439 Faac 51)3398,1 ,1 2 '..�� �� o Perna. /414 /414 0 m I- oo af, 0 i 4ee6011 usit 501.6394175 stir lateto mw tt nnv.liprd-ori rr t4rriirit►MIYrd: t ' . 0 New construction 0 DmaIi1kal l mrit fees* ere bawd ea the mime Odle souk performed. p 0 our b dime 1136 +dare (rdrided net dm some aaa.r) erne equipment. mderials, lobar. omelus , and the profit for the %WA hufiwled m this eppfiraikd 01- tad 2, -dally deal% a Omummialormidrial Ysi vatigp: S 0 Aaxesory boiling 0 Number of toms,: a WON �Yr 0 Oi — Number of bedrooms: w { • " m ? Total ember *Mom Job site addrem I/NSW Hartle One New dud[in& area: square feet CiQY5tale/ZTP: Tigard, OR !7223 GmagdarDart arm Rum fear Suitefbld:Japt. um: I Project curses: Wer4tile C1eYira MB Covered porch arcs square foe Cross saect/daenions to job site: HWY !'! W ar Deck area: ,quite fort Other sttmar.e wag opmeir fiat Subdivistam 1 totem.: Pont has are Iwo, em as value o week petiormoi. Tat rntplparoel so : LSLtit_�C T1 tor 1 ao laicals the table (roueded to rde »cereal denary d aft ' D cRw r1 (iN (> f? F wa '"Maisie Labor, twetlread. sod the profit fbr the wet harmed cut this apphea ioa Ore lte s fix remodel sod Whim Valuation: - Lthti'd bolding area: 35145 swim feet IL C31 New balder errs 25052 slum foe Tb00PERTY OWNER .- Tt IAtTJf Number of stark= 1 Nam W4nld& (3Sristrae fib Schorr) Type of etmtructim 0.8 : Of5 Carman Drive Lae owwedo. CA 971135 tbcspaac7 Phoi (Slit )701,7115 F. :q� E Fart: p1L2ltM hare- E 0 0:iNTACT • Dasinms steer" Wallaide C3eirYa• WgJh Seraei N a selnctms tad tolbeteNscime m tugietl le be Coated met= 425 Quilbr liswd wide Sae Howe Crammuloo C4ruiractors Rand Addeo: 4503 Comm D elMe rude ORS 701 nod eater be required to be licensed a Uac _ joriediedsw io whitlt tuck is Whig performed. If tbe C i t y / S t a r : MP: L a s 1 0 u u ' + p , PR 0 7 0 3 5 spl kid Is 'wept from Tioorrris. tie knowing reasons WI Pbaua (511317/11.4710 T E- msikdm.eemelerrmo Business swum lhdd Has lkelfmg Compri lizsiimom Address: 9424 SW Barber Bl d, s.iie ,sit CirySStatelZJP: PoA:load Oregon !7219 Structural Pao review Lee (or ); Phone: (543) 2m -9953 Fax: MR) X20. FLS plum review We {if applicable): (X11 4� 16821 Tad fear du: wean agapheatintE This pent* Atador Qualm 1 : • /I .� r weds b# remit Amami receive* bees sot d eo�Nq• Dote: 1/3/13 I • Pee meliodolov suet by Tri C sty Bead* Isoussy Service 1: 1BwidiosiPtrmitst517- 70milApp�dx 1601009 440- t613T(ltl�) �d • 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: 834 cu. yds. Grading Volume: (Soils report required for >5,000 cu. yds.) 1239 cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) 2073 cu. yds. Retaining structure? (Check one) ❑ Rock ® CMU ® Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 52443 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 ® 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. 1: \Building \Permits \SIT- PennitApp.doc 05/25/2012 2 Building Division Development Code Provision Review r G A r: ° Commercial Projects with Approved Land Use Sig' ac)/3 0000/ u,JLS j Si be" C t -fir- S7 /4 ki Building Permit No.: 13 0P 0201 3- 0 b 00 L1 Land Use Casefile No.: 1-4 M I =C i 1 On 0 I - 7 Routed Plans: Submittal Date: ii 3 / S-(f Submittal Date: 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 I ft side that are approved. Planning Review (contact at 503 -718- t or @tigard or.gov) .B' Land Use Approval building Plans Match Approved Plan: Yes AR No ❑ ❑ Maximum Building Height ❑ Conditions Met ma- 4e1.“4/ • .0' Street Trees ❑ Protected Trees -me ct..►A l 7 / 44.1_ Notes: �` `^""ok . 10 1 2 ■ 2 2 L 3 co-t) 201/- 00902- 40.1 nut" g_ l�uLalN - I, -Ill Molt Lott-. i7 h 4 ianL AM Original Plan: Approved ❑ Not Approved kr Date: 1 - ` '' /-3 Revision 1: Approved $ Not Approved ❑ Date: ' ©�� . OP Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slope: 11 % .0' PFI Permit # Zb l 3 ) O O o ( 0 Conditions 11Qz Notes: D D NA T I S `>U E V ) 7/ c-- 15 5 c) Original Plan: Approved Not Approved ❑ Date: //e3 / ( 3 Revision 1: Approved ❑ Not Approved ❑ Date: 111 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 Ap ant Okay to Issue Permit: Ye N ► '/� Date Routed to Building: ! 71 / Page 2 of 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection PASS - No C of O SIT2013-00001 Chip Barnett Violation Summary: Inspector Contractor