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Permit (2) p CITY OF TIGARD SITE WORK PERMIT 1111 -' COMMUNITY DEVELOPMENT Permit#: S1T2013-00030 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/26/2014 Parcel: 1 S 136DA02400 Jurisdiction: Tigard Site address: 11123 SW 68TH PKWY Project: 68th Non-Accessory Parking Lot Subdivision: WAY LEE Lot: 1 Project Description: Site work for new non-accessory parking lot. Contractor: RANES EXCAVATING INC Owner: WAY W LEE GENERAL CONTRACTOR INC 8575 SW LARSON RD 5210 SE 26TH ST GASTON, OR 97119 PORTLAND, OR 97202 PHONE: 503-985-3377 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-Site Work 06/26/2014 $1,411.08 Plan Review 11/21/2013 $917.20 Type of Use: COM 12%State Surcharge-Building 06/26/2014 $169.33 Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/26/2014 $48.00 11x17) Project Valuation: $233,654.00 Info Process/Archiving-Sm$0.50(up to 06/26/2014 $21.50 11x17) Erosion Control w/Permit-Eng 06/26/2014 $300.00 Site Specifics: Excavation Volume: 5000 cu.yd. Fill Volume: 5000 cu.yd. Impervious Surface: 25465 sq.ft. Engineered Fill: Yes Soil Report Required: Yes Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Yes Retaining Wall: Yes Fire Underground: No Accessible Parking: No Fence: Yes Total $2,867.11 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' -= io --nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may •btain a copy of the rules or direc ,uestions to O b C - c• in 503.232.1987 or 1.800.332.2344. / ' IIssue4 By: �� (� { _' 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. • BeildinErPermit Application Site Work Si) FOR OFFICE USE ONLY City of Tigard � . "' !) y Pei nut No: l fo'�l3—1.4/9 30 III • 13125 SW Hall Blvd.,Tigard,OR 97 , Plan R w ■ e � ' a Other Phone: 503.718.2439 Fax: 503.598. �3 Othe Permit: w. n n— 2 C 10 Date/B �� Dl�-PCJ�J�J T I G A R D Inspection Line: 503.639.4175 NRI 2 Date Ready/ y: t ® See Page 2 for Internet www.tigard-or.gov `* ��1Gkap Notified/Method. Le jj /11 Supplemental Information TYPE OF WOR 1,��Ctl" R QUIRED DATA: I-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. Valuation: $ ❑ i-and 2-family dwelling IN Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder Ill Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of tloors: P Job site address:11123 SW 68th Parkway New dwelling area: square feet LCity/State/"LIP:Tigard, Ore rroject on 97223 `A Garage/carport area: square feet Suite/bldg./apt.no.: P name: `'e C� ��s� Wa4 ee • I?axlc�.nq� Covered porch area: square feet Cross street/directions to job site: South of intersection of Highway Deck area: square feet 99W and SW 68th Parkway Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Tax Lot 2400, Tax Map 1S 13 6DA 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. Construction of a non accessory parking area with storm Valuation: 5233, 654 water detention and water quality facilty, a gravel Existing building area: square feet access and associated site grading New building area: square feet t \ ® PROPERTY OWNER I ❑ TENANT Number of stories: 1,..,..., Name:Way W. Lee General Contractor, Inc. Type of construction: Paving/site grading ocy Address:5210 SE 26th Ave Occupancy groups: 1 City/State/ZIP: Portland, Oregon 97202 Existing: Phone:(503 ) 234-0591 Fax:( ) New: e APPLICANT ❑ CONTACT PERSON NOTICE Business name:Way W. Lee General Contractor, Inc. All contractors and subcontractors are required to he M Contact name:Ken Lee licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 5210 SE 26th Ave jurisdiction in which work is being performed.If the City/State/ZIP: Portland, Oregon 97202 applicant is exempt from licensing,the following reasons apply: Phone:(503) 234-0591 Fax::( ) E-mail: CONTRACTOR /! �N t A• � Business name: r f S Exult% H-17/.X.7�� C/ BUILDING PERMIT FEES* (Please refer to fee schedule) Address: giir , INA- 5ot.3 -Kb, Structural plan review fee(or deposit): •City/State/ZIP: �p�TOIJ 012E 47J i - Phone:(gD3)C`gs-?j�j77 Fax:( ) -- _ FLSplanreviewfee(ifapplicable): — CC'B lie.: t �1 4 1 Total fees due upon application: ,�l Amount received: 'Y�tr�?.y3 Authorize. azure: This permit application expires if a permit not obtained �. within 180 days after it has been accepted as complete. Print n W�� Date: /1-11.-405 * Fee methodology set by Tri-County Building Industry Service Board. V I:\Building\Permits\SIT-PermitApp.doc 10/01/09 4404613T(I1/02/COM/WEB) 4) - �a 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: 5,000 cu. yds. Grading Volume: (Soils report required for>5,000 cu.yds.) 10,000 cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90%of maximum density) 5,000cu. yds. Retaining structure? (Check one) ❑ Rock © CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: 25,465 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 $500.01 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-I 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. I\Building\Permits\SIT-PermitApp.doc 05/25/2012 2 I « Building Division Development Code Provision Review " Commercial Projects - With Approved Land Use Building Permit No.: iT c_9,0 1)-60630 Land Use Case File No.: ,SQ R.oRO I Project Name: bgl- 1 k -190-0-f 5602 �/ i- Kr 17" Site Address: l 11�� ) 1 C 5,6 02 , Suite/Bldg #: Plans Routed: Original Plan Submittal Date: // al / 3 Routed Bra_ 1" 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 (1) 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 le' side that are approved. Planning Review(contact Iii.. at(503) 718- Z1 c f' or �}Qom/ @tigard- or.gov) / v Land Use Approval „l —Building Plans Match Approved Plan/. Yes No ❑ J2-"Maximum Building Height Al l ❑ Conditions Met la- Street Trees Protected Trees Notes: W ee- .2- /AJO i? / Original Plan: Approved Not Approved ❑ Date: /- _/ 3 7y Revision 1: Approved 0 Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 I CURPLN\Masters\Development Code Provision Review\DCPR COM WithLandUse.doc Rev.01/16/13 Engineering Review(contact Mike White at(503) 718-2464 or MikeW @tigard-or.gov) e Actual Slope: V6121 66 .0' PFI Permit# I ; -- eUO 4-? ❑ Conditions Met Notes: ,N E-4.1 irb 1 - C.-c3-..."11.--0-166.-s. CS! B-; ►U 6-01 C.14.1 5 1 2-trio - L t■! Original Plan: Approved ❑ Not Approved X Date: / 'r Revision 1: Approved A Not Approved ❑ Date: , 1Lri 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 1 Okay to Issue Permit: Yes $/ No I/ 5/1 4 Date Routed to Building. lrj— oZ 4 H PJt- ' D t7 -N $.._p\N 0�N V I Page 2 of 2 1:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_WithLandUse.doc Rev.01/16/13 lidAM Transmittal ENGINEERING&Fommrn r 13910 SW Galbreath Dr#100, Sherwood, OR 97140 TO: n/a FROM Trevor Synkelma City of Tigard AKS Engineering & Forestry 13125 SW Hall Blvd 13910 SW Galbreath Dr#100 Tigard, OR 97223 Sherwood, OR 97140 trevors @aks-eng.com 503-925-8799 PROJECT: SW 68th Commercial Site 11/21/2013 3282 SUBJECT Way Lee Non-Accessory Parking - 00004 Building/Plumbing Permit Submittal (SDR2013-00005) PURPOSE: For your review and comment Delivered by AKS Engineering DESCRIPTION OF CONTENTS QTY DATED TITLE NUMBER SCALE REVISION 2 11/18/2013 GeoPacific Foundation Investigation 2 10/2/2013 GeoPacific Ultra-Block Wall Report 111813 Signed Engineering Construction 5 11/18/2013 Plans 1 11/18/2013 Check#1483- $1409.43 1 11/18/2013 Check#1484-5561.58 1 11/18/2013 Tigard Permit Apps(Signed) 1 11/21/2013 112113 Stormwater Report Page 1 of 1 Albert Shields From: Albert Shields Sent: Wednesday, January 15, 2014 11:03 AM To: 'trevors©aks-eng.com' Cc: Gary Pagenstecher; Mike McCarthy Subject: SIT2013-00030, SDR2013-00005, 68th Non-Accessory Parking Attachments: Conditions-01-15-2014.pdf Trevor, in reviewing the site plan for SIT2013-00030 Planning and Engineering have the following comments: "Need to meet conditions. Need CWS 1200-CN." I've attached a list of the Conditions of Approval for the underlying SDR2013-00005 that shows 14 of the Conditions of Approval that are required before a site permit can be issued as "Not Met." Please have these Conditions signed off as "Met" and then resubmit. Please let me know if you have any questions. Albert Shields is City of Tigard ih I a Permits/Projects ` Coordinator TIGARL) jjbert,ttgard-or.gov (503) 718.2426 (503)624-3681 • 13125 SW Hail Blvd. Tigard,OR 97223 , I 6 - 3 5 p 4 + 1. t Ad vi v K� /am Q e-- 14 ..e ` 'fir 0j ti devi. S 3 e a .., iati /to-/i t.M. &VA' il;', ,114A■L'ott /74 C i6P w '� g' L 593, 31 x',6103" 1 . . II CITY OF TIGARD 1/15/2014 10:27:44AM 13125 SW Hall Blvd. T I GA R f.) Tigard,OR 97223 (503)639-4171 Conditions Associated With Case #: SDR2013-00005 Project Name: 68th Non-Accessory Parking Area # DESCRIPTION STATUS STATUS,.DATE SEVERITY APPLIED BY ACTION BY 01. REVISED SITE PLAN/PARKING LOT -blot Met .. 9/13/13 Gary Pagenstecher Albert Shields 01. Prior to site work, the applicant shall submit a revised site plan and landscape plan showing that the parking lot is set back a minimum of 8 feet from the post-dedication right of way boundary of SW 68th Parkway. 02. TREE PROTECTION VERIFICATION Not Met 9/13/13 Gary Pagenstecher Albert Shields 02. Prior to site work, the project arborist shall perform a site inspection for tree protection measures, document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval directly to the city manager or designee within one week of the site inspection. 03. BIWEEKLY ARBORIST REPORTS Not Met 9/13/13 Gary Pagenstecher Albert Shields 03. The project arborist shall perform bimonthly(twice monthly)site inspections for tree protection measures during periods of active site development and construction, document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval directly to the project planner within one week of the site inspection. 04. TREE ESTABLISHMENT BOND Not Met 9/13/13 Gary Pagenstecher Albert Shields 04. Prior to site work. the applicant shall provide a tree establishment bond for all trees to be planted per the approved urban forestry plan. The total bond amount shall be equivalent to the city's average cost to plant and maintain a tree per the applicable standards in the Urban Forestry Manual for a period of two years after planting multiplied by the total number of trees to be planted and maintained. 05. URBAN FORESTRY FEE Not Met 9/13/13 Gary Pagenstecher Albert Shields 05. Prior to continued site work. the applicant shall provide a fee to cover the city's cost of collecting and processing the inventory data for the entire urban forestry plan 06. PFI PERMIT REQUIRED Not Met 9/13/13 Mike McCarthy Albert Shields 06. Prior to issuance of a site permit, a Public Facility Improvement(PFI)permit is required for this project to cover half-street improvements and any other work in the public right-of-way. Five(5)sets of detailed public improvement plans shall be submitted for review to the Engineering Department. NOTE: these plans are in addition to any drawings required by the Building Division and should only include sheets relevant to public improvements. Public Facility Improvement(PFI)permit plans shall conform to City of Tigard Public Improvement Design Standards. which are available at City Hall and the City's web page(www.tigard-or.gov). If there will be no work in the public right-of-way, no PFI permit would be necessary. 07. EXACT LEGAL NAME ON PFI Met 12/20/13 Mike McCarthy Al Dickman 07. The PFI permit plan submittal shall include the exact legal name, address and telephone number of the individual or corporate entity who will be designated as the"Permittee". and who will provide the financial assurance for the public improvements. For example, specify if the entity is a corporation, limited partnership, LLC, etc. Also specify the state within which the entity is incorporated and provide the name of the corporate contact person. Failure to provide accurate information to the Engineering Department will delay processing of project documents. 08. DOCUMENT PARKING ACCESS Not Met 9/13/13 Mike McCarthy Albert Shields 08 The proposed parking area would be accessed via the property to the north. Prior to obtaining a site permit, the applicant shall provide signed. recorded agreements as necessary to fully authorize use of this access. Page 1 of 3 # DESCRIPTION i,T,{,JS,. STATUS DATE.._ VFwITY ��..,+AP�LIED BY ;,.�.�,� � ACTION BY 09. REVISED PLANS/WQ SWALE Met 12/20/13 Mike McCarthy Al Dirk'nan 09. Prior to obtaining a site permit,the applicant shall revise the plans to show the water quality swale at a location that does not conflict with the future street alignment. If the applicant chooses to keep the swale at its current location, it shall be designated on all plans and documents on which it is shown that it is a temporary facility that will be moved when the street is constructed. 10. ROW DEDICATION/68TH PKWY Not Met 9/13/13 Mike McCarthy Albert Shields 10. The applicant shall dedicate additional right-of-way to provide a public right-of-way half-width of 35 feet from centerline along 68th Pkwy along the full frontage of the subject property. It appears that the necessary dedication width is 5 feet. Dedication documents in final form shall be submitted prior to obtaining the site permit. 11. REVISED PLANS/NO CURB CUTS Met 12/20/13 Mike McCarthy Al Dickman 11. Prior to obtaining a site permit,the applicant shall revise the plans to clarify that no new curb cuts(to 68th Pkwy)will be constructed with this proposed development. 12. PRELIMINARY ACCESS REPORT Not Met 9/13/13 Mike McCarthy Albert Shields 12. Prior to issuance of a site permit,the applicant shall provide a preliminary access report which verifies design of driveways and streets used by site traffic are safe by meeting adequate stacking needs, sight distance and deceleration standards as set by the City and AASHTO, and confirming that the access used by site traffic is outside the queuing area of adjacent intersections. 13. TVF&R APPROVAL Not Met 9/13/13 Mike McCarthy Albert Shields 13. The applicant shall provide approval from Tualatin Valley Fire&Rescue(TVF&R)for access and hydrant placement(if necessary)prior to issuance of the site permit. 14. PAY ADDRESSING FEE Not Met 9/13/13 Mike McCarthy Albert Shields 14. Prior to issuance of permits,the applicant shall pay the addressing fee as applicable. (STAFF CONTACT: Paul Izatt, Public Works). 15. TVWD APPROVAL Not Met 9/13/13 Mike McCarthy Albert Shields 15. Tualatin Valley Water District(TVWD)provides service in this area. The applicant shall obtain approval from TVWD of all aspects of the proposed development (as it relates to water service)prior to issuance of the site permit. 16. WQ& DETENTION Not Met 9/13/13 Mike McCarthy Albert Shields 16, The applicant shall provide on-site water quality and detention facilities as required by Clean Water Services Design and Construction Standards(adopted by Resolution and Order No. 00-7). The preliminary stormwater report provides preliminary information on these facilities. Final plans and calculations shall be submitted to the Engineering Department(Mike McCarthy)for review and approval prior to issuance of the site permit. In addition, a proposed maintenance plan shall be submitted along with the plans and calculations for review and approval. 17. EROSION CONTROL PLAN Not Met 9/13/13 Mike McCarthy Albert Shields 17. An erosion control plan shall be provided as part of the Public Facility Improvement(PFI)permit drawings. The plan shall conform to the"Erosion Prevention and Sediment Control Design and Planning Manual, February 2003 edition(and any subsequent versions or updates)." 18. 1200-C PERMIT Not Met 9/13/13 Mike McCarthy Albert Shields 18. The applicant shall obtain a 1200-C General Permit issued by the City of Tigard pursuant to ORS 468.740 and the Federal Clean Water Act if necessary. 19. FINAL ARBORIST REPORT Not Met 9/13/13 Gary Pagenstecher Albert Shields 19. Prior to final building inspection,the project arborist shall perform a site inspection,document compliance/non-compliance with the urban forestry plan and send written verification with a signature of approval to the city manager or designee. 20. FINAL PLANNING INSPECTION Not Met 9/13/13 Gary Pagenstecher Albert Shields Page 2 of 3 # DESCRIPTION . u STATUS <� ,...�w 1JEB� 8 . MT,.�. CTION BY 20. Prior to final building inspection,the planning division shall be contacted to conduct an inspection to verify that the proposal was completed in accordance with this decision and the approved plans. 21. TREE ESTABLISHMENT PERIOD Not Met 9/13/13 Gary Pagenstecher Albert Shields 21. Following final building inspection the tree establishment period shall immediately begin and continue for a period of two years. 22. INFRASTRUCTURE COMPLETE Not Met 9/13/13 Gary Pagenstecher Albert Shields 22. All elements of the proposed infrastructure(such as transportation, sanitary sewer,storm drainage,water,etc.)systems shall be in place and operational with accepted maintenance plans prior to public use of the proposed parking area. 23. DEDICATE ROW 68TH PKWY Not Met 9/13/13 Mike McCarthy Albert Shields 23. The applicant shall dedicate additional right-of-way to provide a public right-of-way half-width of 35 feet from centerline along 68th Pkwy along the full frontage of the subject property. It appears that the necessary dedication width is 5 feet. Final recorded documents shall be complete and approved by the city prior to public use of the proposed parking area. 24. FINAL ACCESS REPORT Not Met 9/13/13 Mike McCarthy Albert Shields 24. Upon completion of the improvements,the applicant's engineer shall submit a final access report to City engineering staff which verifies design of driveways and streets to be used by site traffic are safe by meeting adequate stacking needs, sight distance and deceleration standards as set by the City and AASHTO. The applicant shall obtain approval of this report prior to public use of the proposed parking area. 25. WQ SWALE Not Met 9/13/13 Mike McCarthy Albert Shields 25. If part of the water quality swale is constructed in the area of the future backage road, prior to public use of the proposed parking area the applicant shall provide a signed recorded agreement(of form acceptable to the city)that the water quality swale is a temporary swale that will be moved(at no cost to the city)when the a public facility(such as a road)is constructed in the are shown for the backage road. Page 3 of 3 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 11123 SW 68TH PKWY, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection FAIL December 2, 2014 at 7:28:35 AM SIT2013-00030 Dan Nelson Provide ﬁnal erosion control prior to building ﬁnal. Violation Summary: Inspector Contractor 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 11123 SW 68TH PKWY, TIGARD, OR, 97223 Commercial - Site Work 499 Final inspection PASS - No C of O December 22, 2014 at 8:19:00 AM SIT2013-00030 Chip Barnett Violation Summary: Inspector Contractor