Permit (85) CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2017-00017
Date Issued: 11/09/2017
EGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA02300
Jurisdiction: Tigard
Site address: 7560 SW DURHAM RD
Project: Durham Square Subdivision: 2017-013 PARTITION PLAT Lot: 2
Project Description: Building 2:Site work for new commercial building.
Contractor: REVCON INC Owner: MISSION HOMES NORTHWEST LLC
21420 NW NICHOLAS CT PO BOX 1689
HILLSBORO, OR 97124 LAKE OSWEGO, OR 97035
PHONE: 503-848-7300 PHONE:
FAX: 503-356-5599
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 11/09/2017 $854.32
Plan Review 07/27/2017 $555.31
Type of Use: COM 12%State Surcharge-Building 11/09/2017 $102.52
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 11/09/2017 $26.00
11x17)
Project Valuation: $109,855.50 Erosion Control w/Development 11/09/2017 $236.40
Info Process/Archiving-Sm$0.50(up to 11/09/2017 $8.50
11x17)
Site Specifics:
Excavation Volume: 625 cu.yd.
Fill Volume: 1045 cu.yd.
Impervious Surface: 29600 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall:
Fire Underground: Yes Accessible Parking: Yes
Fence:
Total $1,783.05
Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
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 503.2 .1987 or 1.800.332.2344.)474;
Issued By: Permittee Signatures
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.
Z
ilding Permit Application
Site Work ECEIVE? FOR OFFICE USE ONLY
City of Tigard Received
y
f' ' 7 �,( DateBy / 7 /7JPermit No../' /7 4,eM
IN . 13125 SW Hall Blvd.,Tigard,OR 97223 , ,ui
Plan Revi� Q
Phone: 503.718.2439 Fax: 503.598.1960 y Date/By: x=� +" !u Other PermeLt/99 0/ O
T I G A R D Inspection Line: 503.639.4175 CIT` OF !( AR,`�Date Rea. y: ` Juris: ® See Page 2 for
Internet: www.tigard-or.gov G Notified/Method: O , j7 err Supplemental Information
BUILD') DWI SI. 1,-, , s.
f EAz. x 1° t t �:77,e4 , l .,t AE f' r.
pNew 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
V # ® tVwork indicated on this application.
El1-and 2-family dwelling 14 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
%r,,w„rr, f/' r/ 'fr ri-f r'rrrevee ',, r?,4-7,4
, , ,�J;/5i J^% �s roxs g r s
r/,/`1 01/*rG�f,rfip. z, IAS,,®' / '/, �1'� ,g # 1 a ,,r'"'1;rte'frJ' Total number Of floors:
`f1,. f,,,r',''� Jyrr,,` r,`r/'r',- �rrrl�,;,�.',r;,F�.r�a n1J.!rrx,/ids."°..'���•.�v�,�.s. .�£r�`!�iJ'f��,lr;.rrl.r�',,r,"�//.crfF,��:%.
Job site address: ]Lk t6 5 t/�l 17 L�.P2{-\--AN l p 1) . New dwelling area: square feet
City/State/ZIP: 71.CILt), 0(2.. 019-2_2..k.4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: D l }At'-k. S(' k-ki 2...j Covered porch area: square feet
Cross street/directions to job site:S u'.1 17 L.I 2A Qc1M ("2-t-.). S "341S f\t je• Deck area: square feet
Other structure area: square feet
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.: 'S t t 3 1-f\ct, L•'j
)`'' f equipment,materials,labor,overhead,and the profit for the
' 0,0/ z.rf�/�,^r f 4P*Oti ! ti P,r t m�. r ; r Jylr f`rrf :ff q work indicated on this application.
1;r.7%„G/::'/i.,-4;r/r�f ,!i,''f,.x4.0470 r,. c 1 „' 47,44 F r.J`.44 i1.!
Valuation: $ 0 2 55 5
Existing building area: square feet
New building area: square feet
% /7 F!4 fTir 'i4 , //'�;-J 5I� t, F/' �� Prr / r� ; rif f
Number of stories:'.";4,%4,**," i / fFr ,,,,,,,4..-,,,,, ,1004.4,W
i,40/lrff /
r......rr,."r'r tri,;;r%/41 ,r/'1''..
Name: I'll 5 S 1 G N ttO NA-LS NCt2-T 'u,..N, ST L.LC.. Type of construction:
Address: p G t3 OX I Lc, 'Ci Occupancy groups:
City/State/ZIP: LE. k)......`e 0, Oft_ cim,t35 Existing:
Phone:('Gj ) 7-c(; t cs'1 11 Fax ( )
,
New
ri4 /„ y r. �s BrrrY 'Nf r J/f % rrffr� r'/y-w
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,,,„:1,1:, '%ff`
Business name: ki .S l L7\ - cC S LA.L_—FAK S, INC.. All contractors and subcontractors are required to be
Contact name: S{---k-) -D \-��[ licensed with the Oregon Construction Contractors Board
t ,,� under ORS 701 and may be required to be licensed in the
Address: t 5 t s sue S (l..tc)( V L.t t4 'S. , ST • t'S�c.; jurisdiction in which work is being performed.If the
City/State/ZIP: --c.[G P.\c-t) , 012._ qq2-2.-LE apply:
Phone:(5/163) ( ç.(, 4-- v C 52— Fax: :( )
f'E-mail: S(\0. E W cA ,e' si. (G..�/...( t+15(Kt f`G...tv7"'S` C_c11�1
rr '/r'f r fJt'x�'f yr Jr r rr rr r.� Jf , s',gRR.ri?Jj omf rc ,,r'/Ae/f
ir"�i`s,'''S'/c,`'L��`y�/f,��'f,�,/J'f'/'0`,r,,.'�rs. r// �#s �#� ���'d'�'/r�%'r rr,�;y 'Y yJJ` Fr`
,.�,,.�,;, f, , y.%rr,,�''r.f�,x,,.1,,n**,�,�. ,�„ffi;c,,;',��:.:.rfi�`v.,lih/i,.,a'r�:.
Business name: �E= '� 1 itis
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14 c,,,,,, ,,,,,,,;.,,,:,/, r �J /4,s r*As
,
Address: r> Structural plan review fee(or deposit):
City/State/ZIP: f( (.(e5 �J(2O.J L� —Iq
(?_Li,
]"OTO) W lam.(...Q._ — t-(� , Fax:( ) FLS plan review fee(if applicable):
Phone:(
Total fees due upon application:
CCB lic.: k(gIvl—( +
Amount received:
Authorized sigmature`�—� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: J11... D Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PernitApp.doc 08/02/2016 440-4613T(11/02/COM/WEB)
-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: CQ2--5 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) t i cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90% of maximum density) 1)(V)`i5 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
1E Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 2-9 f Cfl!65Z 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
*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 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:ABuilding\Permits\SIT-PermitApp.doc 08/02/2016 2
i liilli g ■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
TIGARD
Building Permit #: , /"7-;20/7 —000/ 7
Site Address: 1 S (o 0 tc W D O/ cit ry\ QI Suite/Bldg#: 2_
Project Name: )v Y h v1 N1 S Ut C
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Et Work- / Buil h a)
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: nn [IIYes ❑ No
C� Land Use Case#: S Di_ ?JO lb 00011
01 Plans Match Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Building Height: Maximum Height Actual Height
()Conditions Met: ❑ Prior to Submittal l_./ Prior to Permit Issuance
❑ Busines,License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement (PFI) Permit: P c-1:1_0(, - 0 0 I t t7
Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes: s tL't) 0 (-e elex(4 i rl lVt Gt / 'o p (0 l 1f'' o(,
ri Or tN) s s v ot n -L-
pP
Approved by Planning: V I Date: 7n ( le) 1 i 1
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: 7,//�//7
Site Plans: #
Building Plans: # __3
Building Permit#: [WEnter building permit#above. �,
Workflow Routing: 'Planning Engineering Permit Coordinator 'E Building
Workflow Sign-off: 12/Si -off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �'�''.4. , Date: /.2-- 7//7
1:\Building\Fonns\BldgPennitRvw_COM_W ithLandUse_070915.docx
Engineering Review
1 lope at building pad: • /22
PFI Permit#: Pc f z 1 7-c O f/O
Ll Conditions "Met"prior to issuance of building permit s4//,7/t Cota(At s st/or /1ET—
R'Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)51ww1..
"Water Quality/Quantity Facility: Nab- etCorM
Assess Water Quality Fee in-lieu: , ❑ Yes 6d
Assess Water Quantity Fee in-lieu: ,�❑ es ,I No
LIDA Facility on lot: L,d`" Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: .4/ % an Date: gii
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
pproved,NOT Released: GA,,c-1 may, %geG .e�4ti e. Date: 8(8/r-4-
Notes:
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: ❑ Yes /A
Tigard Trans SDC: ❑ Yes
Parks SDC: ❑ Yes N/A
2<)1(to Issue Permit
Approved by Permit Coordinator: `MDate: l()6/31/4
1:\Building\Fonns\B1dgPennitRvw_COM_WithLandUse 070915.docx
Westlakeconsultants,inc TRANSMITTAL
ENGINEERING ♦ SURVEYING ♦ PLANNING Phone:503 684-0652
Fax:503 624-0157
Date: July 18, 2017 Project No.: 2312-017
To: City of Tigard Project Name: Durham Square
Engineering Department SDR2016-00008
13125 SW Hall Blvd.
Tigard,OR 97223
From: Shad Haney CC:
Re: Durham Square Parcel 2 Site Dev. Permit
No.of
Copies Dated Description
1 7/18/17 Site Development Permit Application
3 7/12/17 Construction Documents
1 9/13/16 Geotechnical Report
1 7/12/17 Stormwater Report
1 7/18/17 Check No. 10887 for the amount of$555.31
Comments:
Erosion control sheets, C200 and C204 for an amendment to existing site work permit#51T2096-
00020, are included for reference.
If you have any questions,please do not hesitate to call.
-Shad
Fax 0 No. of Pages(including cover) Fax No.
Mail 0 Messenger 0 Overnight 0 Hand Delivery IN
Pacific Corporate Center, 15115 S.W.Sequoia Parkway,Suite 150,Tigard,Oregon 97224
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7560 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Site Work SIT2017-00017
Inspection Type: Inspector:
499 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor