Permit CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2018-00006
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2018
TIGARD
f[,A L7 g Parcel: 2 S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Site work for modernization project:New north and west parking lots,fire lane,drop-off lane,and landscaping.
Contractor: LCG PENCE CONSTRUCTION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
2720 SW CORBETT AVENUE 6960 SW SANDBURG ST
PORTLAND, OR 97201 TIGARD, OR 97223
PHONE: 503-252-3802 PHONE:
FAX: 503-256-3684
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 07/16/2018 $19,245.36
Plan Review 03/29/2018 $12,509.48
Type of Use: COM 12%State Surcharge-Building 07/16/2018 $2,309.44
Class of Work: NEW Plan Review-Fire Life Safety 07/16/2018 $7,698.14
Project Valuation: Info Process/Archiving-Lg$2.00(over 07/16/2018 $148.00
$4,205,135.00 11x17)
Info Process/Archiving-Sm$0.50(up to 07/16/2018 $60.50
11x17)
Site Specifics: Erosion Control w/Development 07/16/2018 $3,311.40
Excavation Volume: 2533 cu.yd.
Fill Volume: 3551 cu.yd.
Impervious Surface: 65941 sq.ft.
Engineered Fill: Yes Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: No
Fire Underground: Yes Accessible Parking: Yes
Fence: Yes
Total $45,282.32
Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
2 Final Observation&Acceptance
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, 80 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the r -s .dopted the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. )Y: aia%py of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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.
Building Permit Application
Site Work
P,,,,,E0 ,
City of Tigard - Received #77----
' Permit No.: ���+++
1111 . Date/B /yf�{ � i
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ` C/
= Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 9 Date/By: 7^! ? Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: j r ® See Page 2 for
Internet: www.tigard-or.gov # F/ or j�Iii? et1(1�Iethod: 7/ i/1 t Supplemental Information
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
Ad dition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
-
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ❑Comercial/industrial VValuation: g
m
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: kO00 SW "�,,,..f�M Qc' i New dwelling area: square feet
City/State/ZIP: -1-1GATIgv O Ili /�/4`®`JGarage/carport area: square feet
Suite/bldg./apt.no.: Project name: 11 %Zia , Z �l� Covered porch area: square feet
Cross street/directions to job site:
�0/�fj .w\A ���VV�I' Deck area: square feet
v"s . we . 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.: u4._ A � '�® 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.
__15,- WDKK-NEW i\ko n-r -wES� ? {zK.1Nj Valuation: $ 4 2051 I5.
5� ff�� �� t �� �/� `,'F�pLA EJ ° Existing building area: ��,32 uare feet
,,,,.):.BV I., > 1T\ l l� 9 New building area:,431 Glh square feet
PROPERTY OWNER 0 TENANT Number of stories: /2
Name: iTc..-ikkry_ Ltik"wk\k lW T'M�' ,c Type of construction:
4 n Address: efiG 5VJ �` ` S v1- Occupancy groups: E��� -
--��-+ N%�9�J�J�� 1 / P Y
City/State/ZIP: l 1lo 0� CA 1'__P 3 Existing: E
Phone: '3, ��® Fax:( )
�, New: E
6 . APPLICANT 0 CONTACT PERSON
�` NOTICE
�
Business name: gp1 V All contractors and subcontractors are required to be
Contact name: .-VT LEW`3 licensed with the Oregon Construction Contractors Board
�`�'(�^ ��A 1 M�y'� n; under ORS 701 and may be required to be licensed in the
Address: � 12_0 V V r v J\ 4� kit . MV jurisdiction in which work is being performed.If the
City/State/ZIP: 1FtirtAkAp Og. (1 112 ► applicant is exempt from licensing,the following reasons
apply:
Phone:M5) 41 Fax::( )
E-mail: • "�1 ` o Wil M16AnOv COM
CONTRACTOR
Business name: \ j ( e eVACe.. COR5 p BUILDING PERMIT FEES*
„4 Address: 21 F "5,E,I (Please refer to fee schedule)
City/State/ZIP: O1 . Qr1 ®� Structural plan review fee(or deposit):
Phone:(503) _1 d 12� Fax:( ) FLS plan review fee(if applicable):
CCB lic.: t,PS�0ali Total fees due upon application:
,..../-2,‘
t Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: "' i' a 2� ..O within 180 days after it has been accepted as complete.
Date: SCJ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\SIT-PermitApp.doe 08/02/2016 440-4613T(11/02/COM/WEB)
RECEIVED
City of Tigard: Site Work Permit Checklist APR 4 2018
Page 2 - Supplemental Information CITY OF TIGARD
3UILDING DIVISION
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: 2533 cu.yds.
Grading Volume:
(Soils report required for>5,000 cu. yds.) 6084 cu.yds.
Fill Volume:
(Fill exceeding 12" in depth shall be compacted to
90%of maximum density) 3551 cu.yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 65,941 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
$10.76 for each additional$1,000 or
Multi-Family R-1 Occupancy 3 fraction thereof,to and including
$25,000.00.
One-&Two-Family Dwelling 3 $25,000.01 to$50,000.00 $3 8.926 for
each first$25,000.00
00.$8 $1,00 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
Agnes Lindor
From: Agnes Lindor
Sent: Thursday,June 28, 2018 1:31 PM
To: Matthew Lewis; Deepa Bharatkumar
Cc: #Building Permit Technicians;Albert Shields; Tom McGuire
Subject: SIT2018-00006/BUP2018-00090 Tigard HS
Good afternoon-
The following permits have been approved, but are on hold:
SIT2018-00006—Site work for the THS modernization project
BUP2018-00090- Demo permit for THS
Conditions of approval shall be met prior to issuance. The PFI also needs to be issued prior to these permits being
issued.Thanks,
Agnes Lindor I Associate Planner
City of Tigard l Community Development
13125 SW Hall Boulevard
Tigard, Oregon 97223
Phone: 503.718.2429
Email: AgnesL@tigard-or.gov
1
Branden Taggart
From: Branden Taggart
Sent: Tuesday, April 03, 2018 3:34 PM
To: 'Deepa Bharatkumar'
Cc: #Building Permit Technicians; Susan Rice
Subject: Tigard High School Site Work Permit Application: SIT2018-00006; 9000 SW Durham Rd
Attachments: Branden Taggart.vcf
Hi Deepa,
The second page of the Tigard High School site work permit application was not completed at submittal. If you can
complete the second page and email it to us, I will forward it to our plans examiner.
Thank you,
Branden Taggart
City of Tigard'
LII �. Senior Permit Technician
Community Development.
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or,gov
1
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
T l c u n Building Permit Review — Commercial - With Land Use
Building Permit #: j /6'—c, .,
Site Address: 9.WO Skni Dumurn Q4 Suite/Bldg#:
Project Name: T116(.0 � hschon I
(Name f commercial lAirdness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 110m vi -(-}91/5c,a.)1 (2enc:U -;o,,': S work 00\y .
$ Verify site address/suite#exists and active in permit system.
2K River Terrace Neighborhood: ❑ Yes 14 No
g Land Use Case#: pDR2c 1 i - 0000 3
'Plans Match Approved Land Use: ✓ ty IreCS Sh€iwv\! t) uv. Do.✓l�wfl
Site Plan Landscape Plan ❑ Other: t1 Oh. C12-4,4 Pc--L
Urban Forestry Plan N1NElevation Plan
1•1A Building Height: Maximum Height Actual Height
LI Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: ` I Yes ❑ No,applicant notified to obtain business license
Q Public Facilities Improvement(PFI)Permit:
Required: tS,Yes, applicant was notified ❑ No Applied For: JA Yes ❑ No,stop intake
Notes: DO hal-- t Ssu-e . CAnekji s yr+ Inie+.
Approved by Planning: Date: sj2q I IS
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: :3/0?-4/it
Site Plans: # 3
Building Plans: # 3
Building Permit#: a-Sri-terlJ-151���� building permit#above. ,�
Workflow Routing: anning —gineering LJ—Per----mit Coordinator g-t`u'fding
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: [ fig: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 41.-111Er Date: Gf'
I:\Building\Forms\BldgPernlitRvw_COM_WithLandUse 060 I I6.docx
En ineering Review
•
LE-Slope at building pad: — S/.
E'I Permit#: P`/2j/g-OO67 7
[^�onditions "Met"prior to issuance of building permit CoA SACC. d N i it-r—
L ' sements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
1 Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: �❑ s ❑ No
LIDA Facility on lot: Lam" Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
IDb 467 eL-LE-4SE u.4)re_ / /
Approved by Engineering: 410V /33-a f / it,-'aA'JCE . Date: (j!/,a� 1
Revisions (after Bu' ing Submittal only) /e fewer at
Revision 1: L� Approved 111 Not Approved �� 7 /s /if
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
00 Conditions "Met" prior to issuance of building permit
Approved,NOT Released: Date: e(2k'11'
Notes: Natio i hrue- C�ct0-c--s o- ti o n vP 4 w�- 14--h I I f S S uc t imr_. U-C pR _
� c ap pt 1eh►v-1- .
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 •► N/A
Tigard Trans SDC: 0 Yes i N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
?‘
Approved by Permit Coordinator: ate: //ir--------
i, --i- gn tce,.. . ./Y1/ r-----
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 070915.docx