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Permit (185) CITY OF TIGARD SITE WORK PERMIT fa COMMUNITY DEVELOPMENT Permit#: SIT2016-00020 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2016 l "�I`Dg Parcel: 2S113BA00100 Jurisdiction: Tigard Site address: 7420 SW DURHAM RD Project: Durham Square Subdivision: None Lot: None Project Description: Site grading work and construction of retaining wall. Contractor: REVCON INC Owner: MISSION HOMES NORTHWEST LLC 16655 SW IVY GLENN ST PO BOX 1689 BEAVERTON, OR 97007 LAKE OSWEGO, OR 97035 PHONE: 503-848-7300 PHONE: FAX: 503-356-5599 FEES Description Date Amount Specifics: Permit Fee-Site Work 11/22/2016 $363.10 Plan Review 10/18/2016 $236.02 Type of Use: COM 12%State Surcharge-Building 11/22/2016 $43.57 Class of Work: OTR Info Process/Archiving-Sm$0.50(up to 11/22/2016 $12.50 11x17) Project Valuation: $28,000.00 Erosion Control w/Development 11/22/2016 $107.60 Site Specifics: Excavation Volume: 300 cu.yd. Fill Volume: 2500 cu.yd. Impervious Surface: sq.ft. Engineered Fill: Yes Soil Report Required: Yes Paving: Grading: Yes Landscaping: Site Prep: Yes Storn Drains: Retaining Wall: Yes Fire Underground: No Accessible Parking: No Fence: Total $762.79 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 tification Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or rect questions to OU C : ailing 503.232.1987 or 1.800.332.2344. sued By: ,/ Permittee Signature: 441-- 41011) 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 RECE1V:4 I' Site Work FOR OFFICE USE ONLY City of Tigard Received ` f C 1 Date/By: /© /- ,./6 �w-', Permit No `7 ?//..060020 u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review __ (JLr /11111 I Phone: 503.718.2439 Fax: 503.598.1960 { q{ �{ / Other Permit: TI G A R D Inspection Line: 503.639.4175r OF Il Ptl]PA Ddte/Read}�18}h /,,//�` ,/,Juris: I la See Page 2 for Internet: www.tigard-or.gov d/Method: ///62///40'!lr Supplemental Information BOLIN)G i *;yn //f ,„ ,„ , Gr //r� ,.,t,. / ! �. .,!r.,,i// fir;,/, frj.�%f n^/.,�'%J. :. „!,,r/ /,/,�11/`. r r`` lr r %f�', /F- y/ r.. / r�,� f� r'f r'� .r,1.- , f! f7, �i -i' .�',J, .. '",F.., rr.� /:/-.,/ „r_ .f ,f/:: ``�!�r..�.' /r'�,r, /'R���f," r/�/r'rr/'+f,x .��''�jf/�<%/3�ii;�/��i���,��.. �tr',J/j�':�^ F„!y//, ,:'s�,l+ l�f��f� '.'�,r �, � s, 0 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: equipment,materials,labor,overhead,and the profit for the 00y'a 1 g // ,/f r! /ffg 1;4/4 work indicated on this application. ❑ 1-and 2-family dwelling %I Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: r> A 1T .9 411 '!:,,ANP'„, A. 9 / /f ff/ f//, Total number of floors: 5;,-.12;;?':/„? .,.. H....�/,� r.r ��. .;�/,o« .: ,�,/ 1cs/r,.,,6.;„✓r1>r,..f f/�� !!f,!r Job site address: 7 tl'tr.; `tet.:) ,-,r-L.',..- R.p New dwelling area: square feet City/State/ZIP: Ti t„A2 U;Z (ON N Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 4s`Or//A a-� << G uc�'C► Covered porch area: square feet .J . Cross street/directions to job site: Deck area: square feet )).,14...,E 5,,.> ;7'4 II. Ade_ Other structure area: square feet Ff,F. 4i Off, � -/.yit r.�"'i 1 i; 't.'fi r F F/f`V Subdivision: — Lot no.: - Permit fees*are based on the value of the work performed. Z, Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: I I3 am 00 I 0 U equipment,materials,labor,overhead,and the profit for the ' ' % � f f rr fi.70 e 4i3O* 7/"0 itii t:07411.7 , work indicated on this application. Valuation: $ ”" Zf! c�c� 4 M..jS 6,2...o it.)t:, er.4,N 14..: ; L✓41.e.-tom•. I Existing building area: square feet New building area: square feet �r ":J09.m6 if //fi U! /%/ l/%�r ri 27 3rd/ //41/, �r//`i'' / r® ® I i/fj ,f/!/r,e%i�`�%' // </e4#;`,1,,,,,�f/r4/ /'4r f Number of stories: �f�`r !`:"`. ,,,,/,' .F;,rAfi'r-i'r: fFF:^riir/^'/ o '��!�//,,,/.< '�i/.7 di; ,��%/, /,%�7"04/ 4 Name: M,S`,l:, j-kn �sc...e.s l t LLC- Type of construction: Address: pp /6 eri Occupancy groups: City/State/ZIP: /Ake 9Sc="f i.i c, , j Z 97 o 5--- Existing: Phone:( yz,y) ,,0'9,0-V,,,, ,'m;if Fax ( ) New: 0,7/ ,r r. � ,/, ii i /.d . v7� .rJn % ��/ 44..:.„ ' fs./.2 /�. .?../% %/ f , .�� % / �• ,O ��f.r, , ! r/.. t > / 42. e Business name: M t SS t c,.> 40,,.,r`-3. )J0,t.:{L-•wz s; L 1---C.- All contractors and subcontractors are required to be ) licensed with the Oregon Construction Contractors Board Contact name: le 4-- b�Li3L under ORS 701 and may be required to be licensed in the Address: /)o & l(c,b^l jurisdiction in which work is being performed.If the City/State/ZIP: C applicant is exempt from licensing,the following reasons ty L Ae C�c i- y:1 / ©.� 1 h3.5 apply: Phone:(5. ) -7-f�I ._ %b i �l Fax:..(- -j E-mail: K.Ia,..adr/e_ G>M,)( . Li,,u- f / / fiN r+ /-,/�/1 / ' /M r/,/✓r,' /�., _ j/ f1 /W 1%/ /_ /r. ,; ,1 „ / ,-,.Y.c /!�„..! ,i?;%rfffru' /��Jo ' Business name: V[Gt-, e f �r ,� /r.;,.:/„1, (JBU3@'•C fe $cI Gr(TSeleil :%',<,„,,/„ Address: Z1'ILo Nb✓ it)it»(�A S er t17-12,1 Structural plan review fee(or deposit): a City/State/ZIP:: // i3citz L Phone:( rj-,3) ..I 7.3- 4/4 Fax:(5I ) Ss - ,�S t�6I FLS plan review fee(if applicable): CCB lie.: i(0 4 i (4/ 6 /g Total fees due upon application: Amount received: GQ34 , y,;2 - Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: c r. S N Date: W io /6, * Fee methodology set by Tri-County Building Industry / Service Board. I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB) f +, • 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: 30o 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 Z ' 90%of maximum density) cu.yds. Retaining structure? (Check one) ❑ Rock CMU j )5 F = gat ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving �- sq ft. fly; ;�r�i� r ! ��:�r rrrr,r";' ,1 `r r "%i//;%`..i;6�frr;�'.... ,/ ��r ,y��r"�� .'r r/,<'�/ �r:vf r%�-' y,/iFir',�"'!-r'/iy .;%';4/,;`r��;,%`,,, '% ; ,�'�i"i"',�'� 'i�` ;/rSi., ,�%`',r'r'�.�,:, .. ;r/'rr �',f f` �`r '•,�f,- '' Y A;f i' /r//.r�.,,/ r�,,, ,// r',F `Ei`�j� if%%t his ��� e/ %��,rFr,, fr �� �''�'/f,�.4iflf `��F".�r�.i'u5%ki./'��r ,r��,�� i'i/v% %lr/f,���`s �! ;�1�r�s,z� ,,f��. ����`//i�i/6;Fr�`�xf�;✓1€�/,� 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 [ 1----tr.osion Control Plan and details [ -oils Report(if required) Retaining Structures *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: _ r � r 1 ��� �� / *` �iii/r'/e*y� ,F: ,r 0,' „`� 1r 'F�4 1pl ns rr fi .�,�? ,i t /rF 'r ',° 9 8 010.1,,!'",!!" !!!!!' ,;01/e)::# .� � �����i/��1���.��j '�s��� , ;�,r r ,. ; �`/'" ,=' r > to X11' � C wr1 $.00 to$500.00 $51.09 minimum permit fee s , tera ns), /f SubiittaI',' $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 3 $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 08/02/2016 2 1 8 Y ®'PI L' Site Work Permit Application Plan Submittal Requirements T I G A R D 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. ❑ map &tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ 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: Three (3) 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 depailment 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. I:\Building\Pemrits\SIT-PennitApp.doc 08/02/2016 3 r 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. 1805). B. Fire flow and hydrant worksheet. C. Plan review deposit based upon project valuation. I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 4 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Commercial - With Land Use Building Permit #: S/7;20/6" — e00 Site Address: 2 V,20 sec)3 Suite/Bldg#: Project Name: Qvrh oim cS'gvcrt C rP)d., '7 only (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: S wurk �v - -eAskt,-c... eo ryI rnerc of tete-l)p.,ntn 4 60;1614119 only kr Verify site address/suite#exists and active in permit system. IN--River Terrace Neighborhood: ❑ Yes No Land Use Case#: S1S,e.,2cwp-00067cp, Si 4. 2t9/4, D00O 5 /t- G'P.a? %(a Doeo/ APlans Match Approved Land Use: Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan NI Building Height: Maximum Height Actual Height ©Conditions Met: ❑ Prior to Submittal p4 Prior to Permit Issuance Business License: Exists: ❑ Yes ID4i No,applicant notified to obtain business license Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified 'No Applied For: ❑ Yes ❑ No,stop intake Notes: 14I,1S1- mat eoridikdvis vm e/f5,i -rinJc prior -h . silnJ . Approved by Planning: Al Q(31- e/x. et)0 of _etAAA Date: jo / ) ce 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 Submittal Date: /0/////r Site Plans: # 3 Building Plans: # J Building Permit#: [ Enter building permit#above. Workflow Routing: [ Planning ❑`Engineering ' 'ermit Coordinator Building Workflow Sign-off: C,��'S -off for Planning(include notes from planning review) Route Application Documents: R"Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 4*CW/r4 - Date:4//'06„ I:\Building\Forms\B1dgPermitRvw_COM_W ithlandUse_070915.docx , Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No KNOT Approved by Engineering: A .0 Date l,49;/g- Notes: ,--.:r_t r 40P __ i_ ar— _ , Jr.. '•1 r 0i� i_ _ Dia Approved by Engineering: Date: 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 ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: n //�Date: Notes: / V it�i � ,�lTf 2�r�c f WatX� Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: CI Yes ir`�/A Tigard Trans SDC: ❑ Yes /A Parks SDC: ❑ Yes '4 N/A e?OK to Issue Permit /;(/3"1:4" Approved by Permit Coordinator: / Date: 1° C I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 070915.docx