Permit (97) CITY OF TIGARD SITE WORK PERMIT
INa . COMMUNITY DEVELOPMENT Permit#: SIT2018 00009
T i GFF;C3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2018
A
Parcel: 2S1138000600
Jurisdiction: Tigard
Site address: 16320 SW 85TH AVE
Project: CLEAN WATER SERVICES Subdivision: None Lot: None
Project Description: Secondary Treatment System:Site work for expansion of the secondary treatment system,including new aeration
basin,new secondary clarifier,electrical building,odor control,and expansion of tunnels.
Contractor: MCCLURE&SONS INC Owner: CLEAN WATER SERVICES
15714 COUNTRY CLUB DR 2550 SW HILLSBORO HWY
MILL CREEK,WA 98012 HILLSBORO, OR 97123
PHONE: 425-316-6999 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 05/17/2018 $7,230.12
Plan Review 04/23/2018 $4,699.58
Type of Use: COM 12%State Surcharge-Building 05/17/2018 $867.61
Class of Work: ALT Info Process/Archiving-Lg$2.00(over 05/17/2018 $36.00
11x17)
Project Valuation: $1,530,000.00 Erosion Control w/Development 05/17/2018 $1,286.40
Site Specifics:
Excavation Volume: 92000 cu.yd.
Fill Volume: 50600 cu.yd.
Impervious Surface: 61000 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: No
Fire Underground: No Accessible Parking:
Fence: No
Total $14,119.71
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 at opted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00 0. ou may obt•' a cop, rules
or direct questions to OUB b calling 3.232.1987 or 1.800.332.2344. /
Issued By: 11.. �. �r Permittee Signature: �,./
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 FOR OFFICE USE ONLY
Received „1,,/ Permit No.. S t+� ��l,
City of Tigard DateBy: / t_t� �`L
, 14 - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review— Other Permit: �lw it
• Phone: 503.718.2439 Fax: 503.598.1960 , ,, ;i, '` Date/By: "•� '
Inspection Line: 503.639.4175 ., /• , Juris: ® See Page 2 for
Date Ready/By:
7
TIGARD p , Notified/Method: 5/ fi jd Supplemental Information
Internet: www hgazd or gov
af P= ° � �J: i n " t 5 liut4 ,°ia, ? ` *-rr� -rs iK= 4V.w+1iVt'cl.,. *
lb
®New construction 0 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
,: 5 , lu: �� work indicated on this application.
11 t r�RAJ
'� .. .�K �P, � Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
0 Master builder
0 Other:
o ,t u * 9* Total number of floors:
Job site address:16320 SW 85th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Phase 5 Secondary Covered porch area: square feet
Cross street/directions to job site: Treatment System Expansion Deck area: square feet
Durham Road and SW 85th Ave Other structure area: square feet
0.4 ` ►fix *1r a"97-4,;,,..,, „,,:,),,,c,,,, L
.r, psi” R t,e4 a y, - 1 m,. 7i'
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
r�� ie " * work indicated on this application.
-07-4-9,719,944N144,
4 � , it .;� is 4 4 o
Valuation: $1,530,000.00
Expansion of the secondary treatment system,including new aeration basin,new
Existing building area: square feet
secondary clarifier,electrical building,odor control and expansion of the
tunnels.
;`_ f 4TH --- ` a r a u.- �`s� v, 1stories:
II
Name:Clean Water Services Type
Address:16060 SW 85th Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing
6
Phone:(503)547-8043 Fax ( ) /
4F1 -,',.,17.-;,, 4P � = .,.,. . �
i_�� < fi ( � Cr,-; ` t �"s °
Business name:Clean Water Services All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board -/
Contact name:Dan Garbely under ORS 701 and may be required to be licensed in the
Address:16060 SW 85th Ave jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,OR 97224 apply:
Phone:(503)547-8043 Fax::( )
E-mail:garbelyd@cleanwaterservices.org
Business name: A l..c.1.(� / �. , ttf.,
Address: < L^u��1 / ._„1„ Structural plan review fee(or deposit)4ii y C11.53
City/State/ZIP: ��,,( cc rC L /4�J Qty l,.
FLS plan review fee(if applicable):
Phone:(i.126) 5' - 6 co 1 Fax:( j) 5'I 7<‘41 Total fees due upon application:
CCB lic.: 7/' 7 Amount received:
Authorized signatures: � This permit application expires if a permit is not obtained
_.....;",,,e2,/
�/ �e-r_J within 180 days after it has been accepted as complete.
Print name: /Z1ellAt'-4_, &,.r ayl Date: A* * 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)
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: 92,000 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 2,500 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90% of maximum density) 50,600 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and 'avin 61,000 se ft.
41'
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.
ti a
Plan Submittal: Permit Fee:
TYPE OF S ITTAL of Plans r °m• t a
(1e*10diito0 it s iRequ0cl:r t 7
$.00 to$500.00 $51.09 minimum permit fee
� It r tioai 4' x # ^` mitta $500.01 to$2,000.00
I� � y , �� ,� $51.09 for the first$500.00 and
Commercial 3-A 71111 $2.69 for each additional$100 or fraction
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-I Occupancy 3 $10.76 for each additional$1,000 or
fraction thereof,to and including
One-&Two-Family Dwelling 3 $25,000.00.
$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
City of Tigard
® COMMUNITY DEVELOPMENT DEPARTMENT
I
T l c n u n Building Permit Review — Commercial - No Land Use
Building Permit #: sL_ Olr a)U(9 q
Site Address: & ,2e, S10 ac-4 hize Suite/Bldg#:
Project Name: (7 iL)24,. �S2e ,;a, 1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Q/74,4:2
417
Existing Business Activity: U( -Cla30r �r; 717nfii.i— --1--i/iy___,
Prop d Business Activity: // // //
Verify site address/suite# exists and active in permit syste
'"' er Terrace Neighborhood
❑ Yes LJ No
u oning: 1
riPermitted Use: ltd Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: LIQ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _ 7/I Date: 4 9/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved El Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: . j
% '� / / .—
Site Plans: # 3
Building Plans: #
Building Permit#: building permit#above.
Workflow Routing: ming Ia..-PusFmit Coordinator ceding
Workflow Sign-off: B—Sign-off for Planning(include notes from planning review)
Route Application Documents: 1:g-1r 1'ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
Date: y�7�8
I:\Building\Forms\BldgPemiitRvw COM NoLandUse 060116.docx
Engineering Review
Slope at building pad: 30
2PFI Permit#: 49
2-Conditions "Met"prior to issuance of building permit
®"Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
2-Vater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes B No
Assess Water Quantity Fee in-lieu: ❑ Yes ®'No
LIDA Facility on lot: ❑ Yes 2--No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 6v- fYSi-ff-A, Date: j-/---(0
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: Date:
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:
+ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
rOK to Issue Permit
Approved byPermit Coordinator: / Date: b i ft t
1:\Building\Forms\B1dgPennitRvw_COM_W ithLandUse_070915.docx
CleanWater Services
April 19, 2018
s a {
TO: City of Tigard
Building Department
•
RE: Building Permit
Site Work Application for BUP2018-00087
For Jobsite Address: 16320 SW 85th Avenue
Tigard, OR 97224
For Durham Secondary Treatment Expansion project 6757.
We are sending you:
Two sets of Civil Drawings.
Mike Idehara, Senior Engineer
Clean Water Services
16060 SW 85th Avemue
Tigard, OR 97224
16060 SW 85th Avenue,Tigard,Oregon 97224 p:503.547.8150 f:503.547.8151 cleanwaterservices.org