Permit CITY OF TIGARD SITE WORK PERMIT
11 COMMUNITY DEVELOPMENT Permit#: SIT2014-00002
Ti i A R C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 2S 101 AB01400
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: 12 ft.x 113 ft.pallet storage area for a new 137,900 square foot retail store.
Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHO Owner: PACIFIC REALTY ASSOCIATES LP
3330 E LOUISE DR STE 300 15350 SW SEQUOIA PARKWAY#300
MERIDIAN, ID 83642 PORTLAND, OR 97224
PHONE: 208-362-3040 PHONE: 503-624-6300
FAX: 208-362-3113
FEES
Description Date Amount
Specifics:, Permit Fee-Site Work 03/06/2014 $338.92
Plan Review 02/13/2014 $220.30
Type of Use: COM 12%State Surcharge-Building 03/06/2014 $40.67
Class of Work: OTR
Project Valuation: $25,000.00
Site Specifics:
Excavation Volume: cu.yd.
Fill Volume: cu.yd.
Impervious Surface: sq.ft.
Engineered Fill: Soil Report Required:
Paving: Grading:
Landscaping: Site Prep:
Storn Drains: Retaining Wall:
Fire Underground: Accessible Parking:
Fence:
Total $599.89
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 No• ion Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co f the rules
or dire questions to OUN 503.232.1987 or 1.800.332.2344.
Iss d By: K , f l/,,tg,la k I Permittee Signature: �C
' 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 RECEN
ED FOR OFFICE USE ONLY
Rece ived
City of Tigard Date/By: r Permit No.: C axbat
IN - • 13125 SW Hall Blvd.,Tigard,OR 97223 Q14 y I'� y J aO�k
tn� 3 Plan view j ( • : er Permit: ✓14/ ' .x ,(
Phone: 503.639.4171 Fax: 503.598.196��D y \ 0006,
Inspection Line: 503.639.4175 �11D DateRea: Juris ��
TIGARD p jIG Y 0 See
Internet: www.tigard-or.gov 01‘1 `' Notified/Method: 4' Supplemental Information
tovvIsto eSpakt �J �,
TYPE OF 'I ' 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.
12 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ID Accessory building El Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7600 SW Dartmouth Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Bale/Pallet Storage Area Covered porch area: square feet
Cross street/directions to job site:South side of SW Dartmouth Street Deck area: square feet
between SW 72nd Avenue and Highway 99W Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Addition of outdoor recycling area per Final Order 2014-01 PC Valuation: $25,000
Existing building area: square feet
New building area: 1,356 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Wal-Mart Real Estate Business Trust Type of construction: V-B
Address:2001 SE 10`"Street,Mail Stop 5570 Occupancy groups:
City/State/ZIP:Bentonville,AR 72716-5570 Existing:
Phone:(479)273-4000 Fax:( ) New: M-Mercantile
❑ APPLICANT ® CONTACT PERSON
NOTICE
Business name:PACLAND All contractors and subcontractors are required to be
Contact name:Shawn Nguy 1131p. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6400 SE Lake Road,Suite 300 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97222 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)659-9500 Fax::(503)659-2227
E-mail:snguy @pacland.com
CONTRACTOR
Business name:Engineered Structures,Inc.(ESI) BUILDING PERMIT FEES*
Address:3330 E Louise Drive,Suite 300 (Please refer to fee schedule)
City/State/ZIP:Meridian,ID 83642 Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Phone:(208)362-3040 Fax:(208)362-3113
CCB lic.: l(O�i 1016115 Total fees due upon application
I - 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: S/,/gq/' ,J6 , Date: 2/104 + Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
•
r r,
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: -200 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu. yds.) 200 cu.yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
90% of maximum density) —200 cu.yds.
Retaining structure? (Check one) ❑ Rock
® CMU
® Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 1,356 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: _ t-)
® 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 2 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 2 $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 12/27/06 2
Building Permit Number: 'ar l i'l_cbcr_14
III Building Permit Review
Commercial Projects with Approved Land Use
I1C,AR1)
Site Address: ri eC20 Stv bilba-ritiot)7fr i2c7P(1
Z.Verify site address is valid.
Project Name : lAJ At—ill lam` /319 G.E "444E- $7 246E i 2E-71.
Planning Review
.Land Use Case Number: 'DR 2 O/ 3 v C 03
Plans Match Approved Land Use: ves
,.'Site Plan iv*if Landscape Plan
motif. Urban Forestry Plan ,elevation Plan
Building Height: /01 Maximum Height / 6 Actual Height l0
Conditions Met: 0 Prior to Permit Submittal elV Prior to Permit Issuance
Approved by: ` _ Date: 2 -1 3 /y
Notes:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: a2//,j/1.1 By e.7:,
Site Plans: # 3
Building Plans: #
Create Case Record#: L�Enter case#above for Building Permit Number.
Workflow Routing: Ke an ng [-Egineering t Coordinator B'-Building
Workflow Sign-off: -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ngineering: (1) copy of permit application, (1) site plan, (1) building plan and
_c>riginal plan review routing form.
t� Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
1:1BuildingWorms\BIdgPennitRvw_COM_W ithLandUse_I 23013.docx
Engineering Review— reviewed by: th'I kA- ''v'
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes: IV* C. 50-" FF-
Approved by: Av./ Date: 2- 13/t
Revisions(after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Permit Coordinator Review
0 tiv i)4eetPrior to Issuance of Building Permit
Not s: l l/ f� 6-07/t Lt pII%� 7 f—
-
4-i s -r, ,/c/",'
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applic. t
Revision Notice 3: Date Sent to Ap.:., t A
/, A—
`iiiiii�G��_ Date: ifs
Okay to Issue Permit- �im t��:sirC
Apro•-400- r / _
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
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
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Site Work
499 Final inspection
PASS - No C of O
SIT2014-00002
Chip Barnett
Violation Summary:
Inspector Contractor