Permit (147) •
CITY OF TIGARD is ger- 1 SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2017-00028
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
TIGARD` ` g Parcel: 1 S 136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: Site work for new five-story, 152 room hotel with parking structure.
Contractor: CONSTRUCT ONE LLC Owner: DVKOCR TIGARD, LLC
PO BOX 1467 1419 W MAIN STREET,SUITE 110
RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604
PHONE: 503-932-1152 PHONE: 360-723-0024
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/21/2018 $4,311.62
Plan Review 06/21/2018 $2,802.55
Type of Use: COM 12%State Surcharge-Building 06/21/2018 $517.39
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/21/2018 $68.00
11x17)
Project Valuation: $879,160.00 Info Process/Archiving-Sm$0.50(up to 06/21/2018 $50.00
11x17)
Erosion Control w/Development 06/21/2018 $761.40
Site Specifics:
Excavation Volume: 442 cu.yd.
Fill Volume: 12310 cu.yd.
Impervious Surface: 70631 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: Yes Accessible Parking:
Fence: Yes
Total $8,510.96
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 (ling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 1/
' r � � �f'L/C.9=j-7CR
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.
CITY OF TIGARD SITE WORK PERMIT
III ■ COMMUNITY DEVELOPMENT Permit#: SIT2017-00028
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
T f ,`IL t� 9 Parcel: 1S136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: Site work for new five-story, 152 room hotel with parking structure.
Contractor: CONSTRUCT ONE LLC Owner: DVKOCR LLC
PO BOX 1467 1419 W MAIN STREET
RIDGEFIELD,WA 98642 BATTLEGROUND,WA 98604
PHONE: 503-932-1152 PHONE: 360-524-3101
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/21/2018 $4,311.62
Plan Review 06/21/2018 $2,802.55
Type of Use: COM 12%State Surcharge-Building 06/21/2018 $517.39
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/21/2018 $68.00
11x17)
Project Valuation: $879,160.00 Info Process/Archiving-Sm$0.50(up to 06/21/2018 $50.00
11x17)
Erosion Control w/Development 06/21/2018 $761.40
Site Specifics:
Excavation Volume: 442 cu.yd.
Fill Volume: 12310 cu.yd.
Impervious Surface: 70631 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Stom Drains: Retaining Wall: Yes
Fire Underground: Yes Accessible Parking:
Fence: Yes
Total $8,510.96
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 ar- set forthOAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC • callin. 13.2. 1987 or '.&i . 3/344.
1 „`
Issued 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.
4
Building Permit Application VEDRE
Site Work FOR OFFICE USE ONLY
ii1J 2 4 2017 REtie ( LA
dPermitNo.:SvTigardOR 97223 � JUl7 �q 0rPhone: 503.718.2439 Fax: 503.598.1960 $T � , ' Date/BI2Z-24Other Permit:'Z/.e✓ )f7 G) S e j
Inspection Line: 503.639.4175 ��g 4' d e Read Juris: �JKSee Page 2 for
T I G A RD Internet: www.tigard-or.gov i 4�g otified/Method (//J I Supplemental Information
/46L7724
',I`
W E'OF WORK REQ "D'DA A:I 2 Y E 'n
� �-f fir , �m��
-, iii �°iI UiE�61 u; i d -
0 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
"� CAT OR work indicated on this application.
❑ 1-and 2-family dwelling ❑■ Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
i JO XI$1 1 TIO AND LOC TION Total number of floors:
Job site address:11799 SW 69th Avenue New dwelling area: square feet
City/State/ZIP:Tigard OR,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Hampton Inn&Suites Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Located in the Tigard Triangle, one block north of Dartmouth Street. Other structure area: square feet
Subdivision:Portland Heights Lot no.:10 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S136DD02100,1S136DD02200,1S136DD02300,1S136DD02400,1S136DD02500 Indicate the value(rounded to the neazest dollaz)of all
equipment,materials,labor,overhead,and the profit for the
ISFMC ���
DES€RIPTION o (I � s � gni � i� work indicated on this application. ; p} \c 0
Construction of a new 152-room,4-story,wood framed hotel with associated parking Valuation:
landscaping, utilities, lighting, and pedestrian facilities. Building design is Type V-A, Existing building area: 0 square feet
fully sprinkled, R-1 occupancy, and wood framed over podium. New building area: 87,872 square feet
i] IR`OPER'IY' OWNER Number of stories:5
r ��
L- - Hamra
Name:DVKOCR LLC (An Oregon LLC) Type of construction:1-A, 2-B,V-A
Address:1419 W Main Street Occupancy groups:
City/State/ZIP:Battleground/WA/98604 Existing:N/A
Phone:( 360)524 3101 Fax ( ) New:Mixed Use, R-1
111111111111,1014
sonma,kik -x
Business name:PBS Engineering+ Environmental All contractors and subcontractors are required to be
Contact name:Maureen White licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:4412 SW Corbett Avenue jurisdiction in which work is being performed.If the
City/State/ZIP:Portland/OR/97239 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360)567-2110 Fax::( )
E-mail:Maureen.White@pbsusa.com
IMIBISBEISV-7;51111IgU.00alr 1011111111110111P111011
Business name:Construct One B
Address:P.O. Box 1467 ' "
Structural plan review fee(or deposit):
City/State/ZIP:Ridgefield/WA/98642
FLS plan review fee(if applicable):
Phone:( 360) 727-3029 Fax:( )
Total fees due upon application:
CCB 1X.:175447
Amount received:
Authorized signature
zThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Peter Reich Date:9/26/2017 * 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)
•
4
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: 442(Does not include structural cut quantities or utility trenching)cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 11,868(Fill) cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90% of maximum density) 12,310 cu.yds.
Retaining structure? (Check one) El Rock
■❑ CMU
■❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 70,631 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 ; litl : p bL
:eiP tl
(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:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2
1
City of Tigard
:III
I' COMMUNITY DEVELOPMENT DEPARTMENT
111
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: ,Z,- / ,Ol 7 -CY0)F N
Site Address: 1171� �/,V (Q tti /4 V e Suite/Bldg#:
Project Name: iLiq,r, c.n �nIn
(Name of comm cial business occupying the space. If vacant,enter Spec Space.)
Planning Review /
Proposal: Cc,n--SL d t /ljo?-Pao 4.7 f o 7/e/
,121",71.1f37
site address/suite# exists and active in permit system...
2 River Terrace Neighborhood: ❑ Yes .I� No
.2 Land Use Case#: S-.DRaOry_0Qd63
..B—Plans Match Approved Land Use: & h0 A raj/1 ,)e ^c/ goo/ i S (6),-0 v, -.)-E3'CI
2 Site Plan ,ndscape Plan 0 er: (
411.00.
M---.. ban Forestry Plan MI levation Plan , ke..) re v,1\6?1,6)c,W__ /7 0 c(\v_r_r74,,_/(c.7 it.,.,,?(
111G uilding Height: Maximum Height / 67 Actual Height _
a Conditions Met: El Prior to Submittal Prior to Permit Issuance (C)177--)(7/
��c-
Su
❑ Business License:
Exists: ❑ Yes )2 No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit:
Required: IQ Yes,applicant was notified ClNo AppliedI� CI For: Yes No, stop intake
Notes: C---a•)73,/,'746,v ...../0 42 MG�r r\o,- fd i3.s�6?,-) C .e
Po c,">li'� t) 6 r J L l r t,,t beli' ,(� .,0i^ 771/4!:. y <I/Q 1-d-0 ��
Approved by Planning: Date: /0
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: /0/2 Li/j,
Site Plans: # z
Building Plans: # /
Building Permit#: L nter building permit#above.
Workflow Routing: ►: Planning 9. Engineering JE Permit Coordinator Building
Workflow Sign-off: I Sign-off for Planning(include notes from planning review)
Route Application Documents: I Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /-iii - ' / ,. Date: /Q /eC27
1:\Building\Forms\B1dgPermitRvw COM_WithLandUse_060116.docx
Enineering Review
�j e at building pad: 6 re
Q' PFI Permit#: PC/20/7 -00/9Y ElConditions "Met"prior to issuance of building permit w//pk Crho�t+/
liul Iwo( !o be Act 1!n)+- /v
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) /3"540K4•C.
lLWater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: El Yes ❑ No
Assess Water Quantity Fee in-lieu: El Yes ❑ No
LIDA Facility on lot: Yes • No
VS NOT Approved by Engineering:•' % Date /0/..e647
Notes: PAF/ Rr i red - S1-t10hn l ►nf 201-7 -00(7I 4
Approved by Engineering: Date:
Revisions (after B9.ifding Submittal only) ,�1.'eviewer D ate
Revision 1: roved CI Not Approved lir' i I d q /
Revision 2: LJ Approved El Not Approvedi� Sar/e'
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met" •prior to issuance of building permit
's0 Approved,NOT Released: � /VI�,t�1w>S f't MO At, Date: 111215,I n
Notes: Ole- LL.Q T P 4 - c(2-1 jis /h—
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:
Not- SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes El N/A
OK to Issue Permit
Approved by Permit Coordinator: 41l6V\It4 ��/ Date: 21--1 1 l�
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS: 1/751 tS '47 727
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " Transmittal Letter
etter
, t,A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: / 4'kil DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: LrN SEP 4 2018
CITY OF Ti I'D
COMPANY: ?,, \ _, ,`_, BUILDING ISION
PHONE: 3 —
RE: \ ",CC3�c�—� -cam vv\ (A.. \ W . 5 rj(P it I�ur�Ibe (7-
(Sit � ress)teaS:L . kc_,..... r
'roject name or suTrvrsron name an' of num ger A
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Co'. ' : 'escription:
Z.— Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
�(1V
gBeam calculations. Engineer's calculations.
Other(explain):
REMARKS: L.c.i e S i cs-; I P/,-v-
FOR OFFICE USE ONLY
Routed to Permit Technic'.4 : ate: Initials:
Fees Due: Yes r NV Description: Amount Dde:
Q.- - Or p) , ( f e✓ $ ) go---t/
$
$
Special
Instructio• :
Reprint 'ermit(per PE): ❑ Yes I/ /\No ❑ Done
App ' ant Notified: Date: yhz 1i i Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
CITY OF TIGARD SITE WORK PERMIT
' Permit#: SIT2017-00028
COMMUNITY DEVELOPMENT
Date Issued: 06/21/2018
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: Site work for new five-story,152 room hotel with parking structure. 12/31/2018: REPRINT permit to change
contractor.
Contractor: WRIGHT HOTEL DEVELOPMENT Owner: DVKOCR TIGARD, LLC
3214 NE 42ND ST 1419 W MAIN STREET,SUITE 110
VANCOUVER,WA 98663 BATTLEGROUND,WA 98604
PHONE: 503-484-1103 PHONE: 360-723-0024
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/21/2018 $4,311.62
Plan Review 06/21/2018 $2,802.55
Type of Use: COM 12%State Surcharge-Building 06/21/2018 $517.39
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/21/2018 $68.00
11x17)
Project Valuation: $879,160.00 Info Process/Archiving-Sm$0.50(up to 06/21/2018 $50.00
11x17)
Erosion Control w/Development 06/21/2018 $761.40
Site Specifics: Additional Plan Review 09/12/2018 $180.00
Excavation Volume: 442 cu.yd.
Fill Volume: 12310 cu.yd.
Impervious Surface: 70631 sq.ft.
Engineered Fill: Yes Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: Yes Accessible Parking:
Fence: Yes
Total $8,690.96 I
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 503.232.1987 or 1.800.332.2344. � I
Issued By: Z>54.70.4...c._
Permittee Signature: eM •%1-/,p/'/�
7-7,0A,/
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 WorkRECEIVE OR Oil l( I. I SI:O'\I.1
Cl Of Tl and DEC 31
201 Received PemutNo
13125rSW Hall Blvd.,Tigard,OR 97223 L Plan R v 1 �� �� �� S?T�17/7
e
a Phone: 503.718.2439 Fax: 503.598.1960
I11�Date/B : Other Permit:
GnKDInspection Line: 503.639.4175 e Ready By. Jars
See Page for
Internet: www.tigard-or.gov ified/Method: Supplemental Inf
ormation3I0ff �
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Elm
1-and 2-family dwelling 0 Comercial/industrial Valuation: $
Accessory buildingNumber of bedrooms:
❑ ry 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11795 SW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Hampton Inn&Suites Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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 OE WORK_ work indicated on this application.
Change Contractor on existing Permit#SIT2017-00028 Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ,0 TENANT Number of stories:
Name:DVKOCR Tigard,LLC Type of construction:
Address: 1419 W Main St.,Suite 110 Occupancy groups:
City/State/ZIP:Battle Ground,WA 98604 Existing:
Phone:(360)723-0024 Fax:( ) New:
APPI4CANT, 0CONTACT DN,
PE
Business name:DVKOCR Tigard,LLC All contractors and subcontractors are required to be
Contact name:Alkesh Patel licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1419 W Main St.,Suite 110 jurisdiction in which work is being performed.If the
City/State/ZIP:Battle Ground,WA 98604 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)723-0024 Fax::(
E-mail:apatel@evergreenhdg.com
CONTRACTOR
Business name:Wright Hotel Development BUll DING PERMIT FEES*
Address:3214 NE 42°d Street teasePl 'efer tof` /re
Structural plan review fee(or deposit):
City/State/ZIP:Vancouver,WA 98663
FLS plan review fee(if applicable):
Phone:(503)484-1103 Fax:(503)484-1119
Total fees due upon application:
CCB lie.: 188427 DocuSigned by:
�,�,� Amount received:
Authorized signature: P re/ This permit application expires if a permit is not obtained
1CC086D76B3R459 within 180 days after it has been accepted as complete.
Print name:Alkesh Patel Date:12/18/18 * 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)