Permit (183) CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2017-00032
TIGARD
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2018
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY
Project: Triangle Pointe Subdivision: VARNS ACRES Lot: 9
Project Description: Phase I-Parking lot redevelopment including tree removal on two lots.
Contractor: DEACON CONSTRUCTION LLC Owner: TRIANGLE POINTE TWO LLC
901 NE GLISAN ST STE 100 901 NE GLISAN ST, STE 100
PORTLAND, OR 97232 PORTLAND, OR 97232
PHONE: 503-297-8791 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 08/20/2018 $1,617.62
Plan Review 11/21/2017 $1,051.45
Type of Use: COM 12%State Surcharge-Building 08/20/2018 $194.11
Class of Work: ALT Erosion Control w/Development 08/20/2018 $311.40
Project Valuation: Info Process/Archiving-Lg$2.00(over 08/20/2018 $40.00
$280,000.00 11x17)
Site Specifics:
Excavation Volume: 2100 cu.yd.
Fill Volume: 1800 cu.yd.
Impervious Surface: 270183 sq.ft.
Engineered Fill: Yes Soil Report Required: No
Paving: Yes Grading: Yes
Landscaping: Yes Site Prep: Yes
Storn Drains: Retaining Wall: Yes
Fire Underground: No Accessible Parking: Yes
Fence:
Total $3,214.58
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 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to ow - ules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00.1. • J .btain a copy of the rules
or direct questions to OUNC by calling 503.23 7 or 1.800.332.2344. `‘
Issued By: Permittee Signature: TI.
Call 503.639.4175 by 7:00 a.m.for the next available inspectio da
This permit card shall be kept in a conspicuous place on the job site until comp he project.
Approved plans are required on the job site at the time of each ins•- •n.
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: 2,100 cy cu.yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 1 ,800 Cy cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to 1 ,800 Cy
90%of maximum density) _ cu.yds.
Retaining structure? (Check one) ® Rock
LJ CMU
IX Concrete
❑ Other:
*Total new impervious area including all buildings, xxxxxxxxx Sf
sidewalks, and paving: 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:
X❑ Site Plan with Vicinity Map showing ADA Q *Parking(including ADA) and Lighting
compliance Plan
X❑ Grading Plan and details *Landscaping Plan
x❑ Erosion Control Plan and details x❑ Soils Report(if required)
❑x Retaining Structures
*Does not apply to One-and Two-family dwellings.
Plan Submittal: Permit Fee:
TYPE OF SUBMITTAL #of Plans
V`aluation�..,,
(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
illq City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T1cnRD Building Permit Review — Commercial - With Land Use
Building Permit #: t5 -ret )/7'— )
Site Address: 1, S 333 sv 6R4.1,. ParL.1 Suite/Bldg#: J,
Project Name: , 11,1,j s ^ LLL
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
i444L Jr-r &/70-#
Planning Review io9 _ :1f„..4/70,-; ,2cvsiows
Proposal: K;^3 t1 ct4l'v.) ,. , • fr, ' 172 i ! ' .clow-f&v;
/2C/`1C t'41- Ci- 72 r CS C%"/ _2 4e/....i' Pt- 2. fro ,✓r.J�, ;
Verify site address/suite#exists and active in permit syste
River Terrace Neighborhood: ❑ Yes V No
❑ Land Use Case#: ; .. :t, G /7- C ( el / " /1 7./. /i_ (f'c. t. ("
El Plans Match Approved Land Use:
❑ Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
E l Building Height: .,,A Maximum Height Actual Height
El Conditions Met: (l;/rr, ❑ Prior to Submittal Prior to Permit Issuance
J Business License:
Exists: ,ZYes El No,applicant notified to obtain business license
V Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified El No Applied For: X Yes El No,stop intake
Notes: ;-1/414.-:. !,c='%t /L.J(„t I .� uc/ .e.,'"42,,,,„/"//04,y,5,
G 0 i /T,t v )L ( -{. ,' 411t,-( 11,„( 1/ ca ,ssc.ih� .
Approved by Planning: q�.. 1 Date: // --el ---/ 7
Revisions (after Building Submittal only) ' -viewer _i / Date
vuti V Revision 1: per Approved ❑ Not Approved _ _ 1 ,ka__ 8'- Z `//
Revision 2: ❑ Approved ❑ Not Approved _
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: il120 7
Site Plans: # 3
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: g."-Ii�anning ngineering Coordinator ceding
Workflow Sign-off: L7 Stmt-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and 1
beam calculations and trust details,if applicable,etc. 1
- _
By Permit Technician: - ,. Date: ///, 1// 7
I:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_060116.docx
L .
En eering Review /�
L7 Sl pe at building pad:
LTJ'PFI Permit#: 'J�v 17 -(50 02 V o
0/Conditions "Met"prior to issuance of building permit
E 'y,,g6ements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
� LIDA Facility on lot: El Yes ❑ No
L2�NOT Approved by Engineering: Date ia,51j 7
Not s: PF/ Red/1-es Mus C 1e ve4skt Qr,Lr h 43up -1 5/T Pe
pe 40' 5:4 FAO ch /
Approved by Engineering: Date:
Revisions (after B ilding Submittal only) ..,.....4; ewer Date
,rgo t.— Revision 1: Approved ❑ Not Approved ! if
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: eMG+lVd (gyp?1lcmv+ `hU-ttpp - kL 12IS117
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 4N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
? f°OK to Issue Permit
Approved by Permit Coordinator: Date: 4, 5/18
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
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
IIII Transmittal Letter
1 ?c;A I.n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 1/N /4+ DATE RECEIVED:
DEPT: BUILDING DIVISION
1�� �
AUG 2 2018
^
FROM: Ryavi �\ er& crry
COMPANY: D eacovx Ib vt4evl IL
PHONE: gb3 2 17 7 9 ( B4
RE: I $ S/7::,)-e i 2 OOv 3 .0__,
(Site Address) p (
v s
o11Tol v �s...o (Permit Number)
v �..�'° �
IO
G/
(Projec n.. e or subdivision name and lot nu ) Y1
/3333 S0 C'I' /3t-A,7.
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: _ Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. En me is calculations.
-- / Other(explain): C__ti - -- ti 4-
REMARKS: (- 0 t `-/ eS ~ /an! ._10a UU
we
«n j Lv-4— i �ii2-1 O,P ut1- s ' ' e- 1. i v t,Q roll. 0 VI y
i V.au Az. +rre re tl,,K.ova,t ov' -60 1 . 1<<
/t/® analy7-0 x'20 -67'' V.9-1-ct 4T / . ZW
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑Yes ❑No Fee Description: Amount Due:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13333 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Site Work SIT2017-00032
Inspection Type: Inspector:
499 Final inspection Jeff Grove
Result:
FA I L
Comments:
Planning and final erosion to be signed off prior to building final
Violation Summary:
Inspector Contractor