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Permit „ CITY OF TIGARD SITE WORK PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: SIT2013-00016 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013 TIGARD Parcel: 1 S134BC00300 Jurisdiction: Tigard Site address: 12220 SW SCHOLLS FERRY RD Project: Greenway Town Center Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Site and facade improvements to accomodate new tenant at 12220 SW Scholls Ferry Road. Contractor: JR ABBOTT CONSTRUCTION CO INC Owner: FW OR-GREENWAY TOWN CENTER LLC 307 SE HAWTHORNE AVE., SUITE 150 PO BOX 790830 PORTLAND, OR 97214 SAN ANTONIO,TX 78279 PHONE: 360-597-2036 PHONE: FAX: 503-293-2400 FEES Description Date Amount Specifics: Permit Fee-Site Work 08/06/2013 $3,054.42 Plan Review 06/27/2013 $1,985.37 Type of Use: COM 12%State Surcharge-Building 08/06/2013 $366.53 Class of Work: ALT Info Process/Archiving-Lg$2.00(over 08/06/2013 $30.00 11x17) Project Valuation: $600,000.00 Info Process/Archiving-Sm$0.50(up to 08/06/2013 $20.50 11x17) Erosion Control w/Permit-Eng 08/06/2013 $525.00 Site Specifics: Excavation Volume: 110 cu.yd. Fill Volume: 144 cu.yd. Impervious Surface: 25187 sq.ft. Engineered Fill: Soil Report Required: Yes Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Stom Drains: Yes Retaining Wall: Yes Fire Underground: No Accessible Parking: Yes Fence: No Total $5,981.82 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: .,Zz27./ _.___ 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 RECEIVE:6' Site Work l' g!� FOR OFFICE USE ONLY City Tigard JUN 2 7 2013 Received a �� /3 ; , `ermitNo.: �' g Date/B : �t/ i3 Doo�d lig 'a 13125 SW W Hall Blvd.,Tigard,OR 97223 Plan Revicty_ 0 Phone: 503.718.2439. Fax: 503.598.1960 CITYOFTIGAR I Date/By: / _3( to' _... Other Permit: TIGARD Inspection Line: 503.639.4175 BUILDINGDNISI I ate ReadylBy: Juris: Supplemental See Page 2 for Internet: www.tigard-or.gov otified/Method:,3V /3 Supplemental Information VII A// /4e4020/.3 —eee.46- TYPE OF WORK REQUIRED DATA:1-AND I-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. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12220 SW Scholls Ferry Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:Greenway Town Center Covered porch area: square feet Cross street/directions to job site:S.W.Scholls Ferry Rd between SW 125'" Deck area: square feet Ave and SW 12151 Ave. Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.:0300 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1s134BC00300 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. Parking lot rehabilitation and storm water treatment and plaza construction. Valuation: $600,000 Existing building area: 93725 square feet New building area: 93725 square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: I Name:Regency Centers Type of construction: Address:5335 SW Meadows,Suite 295 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: Phone:(503)603-4726 Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON NOTICE Business name:Canino All contractors and subcontractors are required to be Contact name:Seth Galley licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:5415 SW Westgate Dr.Suite 100 jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97221 applicant is exempt from licensing,the following reasons apply: Phone:(503)419-2500 Fax: :(503)419-2600 E-mail:seth.garey@cardno.com CONTRACTOR Business name:JR Abbott Construction BUILDING PERMIT FEES" Address:307 SE Hawthorne Ave,Suite 150 (Pkasenferro fee 8chrdnlr) City/State/ZIP:Portland OR 97214 Structural plan review fee(or deposit): /i I 1 P one:(360)597-2036 I Fax:(503)293-2400 B lie.:54656 (P FLS plan review fee(if applicable): Total fees due upon application: CC 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:Rob Mokry I Date:6/19/13 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\SIT-PermitApp.doc 10/01/09 440-4613T(1I/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: 110 cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) 144 cu.yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) 144 cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ® Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks,and paving: 25,187 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 $500.0 1 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$1,000.00 or fraction thereof. 1:\Building\Permits\SIT-PermitApp.doc 05/25/2012 2 •_. . Building Division Development Code Provision Review r i c A rz Commercial Projects - With Approved Land Use Building Permit No.: -5 /TAO/3 - e.906/( Land Use Case File No.: /0ieE020/3 -OOQ/--s" Project Name: a/LE��uJgy 7-777J^/ C&-jv e Site Address: ao?0 s'e-tJ .S'C/G t,S 1 72 x/ , Suite/Bldg #: Plans Routed: Original Plan Submittal Date: /7/3 Routed By: 1St Revision Submittal Date: Routed By: 2nd Revision Submittal Date: Routed By: To the Applicant: Each review type must be approved. If the plan is not approved,please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review(contact Ayes �yvaC� at(503) 718-2,142,1 or s @tigard- or.gov) V V i and Use Approval / uilding Plans Match Approved Plan: Yes is No ❑ Maximum Building Height 29 �$h ❑ Conditions Met — h p ❑ Street Trees 1,i 1A. ❑ Protected Trees NI P Notes: V i tiw mU) Original Plan: Approved ❑ Not Approved. Date: 1121 13 Revision 1: Approved Not Approved ❑ Date: 1(24 Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 1:\CURPLN\Masters\Development Code Provision RevievADCPR_COM_WithLandUse.doc Rev.01/16/13 Engineering Review(contact Mike White at(503) 718-2464 or MikeW @tigard-or.gov) ❑ Actual Slope: ❑ PFI Permit# ❑ Conditions Met Notes: LA--)4171 wiG7 eiJ t. TP114.4., w P TP% — L.-0514.4 01-0 L4_Tt Original Plan: Approved Not Approved ig Date: •© i 3 Revision 1: Approved Not Approved ❑ Date: LW'not)iu/41- 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 / No Date Routed to Building: , � 1 1 • • • • Page'2 of 2 '" I:\CURPLN\Masters\Development Code Provision RevievADCPR COM_WithLandUse.doc Rev.01/16/13 ;i"' a 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 12220 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection PASS - No C of O SIT2013-00016 Chip Barnett Violation Summary: Inspector Contractor