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Permit Support Document (27) VOID City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ®/7AO li4L�/Yyy ■ Request for Permit Action , o 13125 SW Hall Blvd. • Tigard,Oregon 97223 • 503-718-2439 • www.ti or gov SEP 17 2018 TO: CITY OF TIGARD Cs Building Division BULL): 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor "City Staff Check(V)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ‘5 CANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: S'-F/ 20 /7— d06 // Site Address or Parcel#: MOO U S& t C c e 6 Project Name: Subdivision Name: G 57"k rex ea 7'-� 2.� pet*c,,e:ok. Lot#: EXPLANATION: per if. 1606,'s ;et. &Pt 'kr 3 /'IE /moi/ 7 hr Voce-e /oru 5- c L -�- fl7c.�-, �z-is rt c7 re;k ✓��. Signature: Date: C,7/7771 Print Name: Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date / , is- By /i Route to Records: Date /2. /9 By ,= Refund Processed: Date // /e By ;/P Invoice Processed: Date By Permit Canceled: Date `l /�' By .!/A arcel Tag Added: Date By I:\Building\Forms\RegPemutAction_0 2314. oc ki n I D City of Tigard 4, COMMUNITY DEVELOPMENT DEPARTMENT /7//, _ Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard,Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor 'City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): rCANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: S.-7r- 3 /7- a - n / ` Site Address or Parcel #: /0Z00 o 54f v6 c'w ✓z at-- Project Name: Subdivision Name: 177 7r-ex a 7'—>i r/'1 JAat-c, Lot#: -- EXPLANATION: /%t r. gar)'s I,, pt 5... 1 h t,—/i h S J fie,/si 7 r" hr VCe-( tar ti,'a r. S- i= L v� r e,7 4,f'rce-l. Signature: 9f ;� Date: / Print Name: /7771 Refund Policy I. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date 47 0 (F By /' Route to Records: Date y Z /? By Refund Processed: Date /// /,, /e By ' .:fInvoice Processed: Date • By Permit Canceled: Date / / Aet" By .,/ ' *arcel Tag Added: Date By I:\Building\Forms\RegPermitAction_00.314:&c IIIY TIGARD City of Tigard November 29, 2018 NW Engineers 3409 NW John Olsen P1 Hillsboro, OR 97124 Re: Permit No. SIT2017-00011 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 12000 SW Viewcrest Ct Project Name: Estates at Aspen Ridge Job No.: N/A Refund Method: ® Check#230460 in the amount of$338.92. ❑ Credit card"return"receipt in the amount of$ . Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ . Comment(s): Per Boris Piatski,Engineering Technician,permit for retaining walls for LIDA planters is not required. Refund 100% of plan review fees paid. If you have any questions please contact me at 503.718.2430. Sincerely, 047-1E--- Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov IIIII la C City of Tigard z r A RAccela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: NW Engineers DATE: 11/16/2018 3409 NW John Olsen P1 Hillsboro, OR 97124 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 411309 Case#: SIT2017-00011 Date: 6/19/2017 Address/Parcel: 12000 SW Viewcrest Ct Pay Method: Check Project Name: Estates as Aspen Ridge EXPLANATION: Per Boris Piatski(engineering division)permit for retaining walls for LIDA planters is not required. Refund 100%of plan review fees paid. c i a is ajc - ai' t s a sS',Ci'Vkiil Plan Review Fee 230-0000-43106 $220.30 Cash Over 100-0000-48001 118.62 TOTAL REFUND: $338.92 APPROVALS: SIGN: ; DATE: If under$5,000 Professional Staff �� If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board Case Refund Processed: I Date: 17/21y:/% BAir f I:\Building\Refunds\RefundRequest.doc x 09/01/2010 r I r) t it r 1 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: 52 cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) 62 cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90%of maximum density) 10 cu.yds. Retaining structure? (Check one) ❑ Rock ❑ CMU © Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks,and paving: 26,126 sq,ft. :,,.bra.-.x.•:... 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 0 ' *Parking(including ADA)and Lighting compliance Plan Grading Plan and details *Landstring 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: ;s3 < s"'- `z. iyxi <s'...,a; tea?9t 7 1., Y ti- S,R.., :<,, ief_i, ..," s' —i ce`,. <''t,_.. ,:.. tiw. ." ,* �" ,,,-we- - r'a . ' ,or- R�` ' °1 Ort , $.00 to 5500.00 $51.09 minimum permit fee �' • ' '- $500.01 to$2,000.00 $51.09 fords feet$500.00 and mak. $2.59 fbr each additional S100 or&action Commercial 3 thaeot 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 5540.42 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 54.49 for each additional$1,000.00 or fraction thereof. 1:1Building\Pemtits4S1T-PermitApp.doc 08/02/2016 2 t 1 IIIr Site Work Permit Application Plan Submittal Requirements [I c \is r) Commercial,Multi-Family and One- &Two-Family Dwellings A site work permit is required for all commercial projects including new buildings,additions, accessory buildings larger than 120 square feet,modular structures and multi-family R-1 occupancies. A site work permit is required for excavation,fill,grading,paving,retaining walls, fire hydrants and fire department access on private property for work on individual lots not covered under the subdivision development Note: A separate "plumbing"permit for site utility plumbing work is required for sanitary sewer,storm sewer and potable water systems on private property. Please see the Site Utilities -Plumbing Permit Application for plan submittal requirements. 1. SITE PLAN and vicinity map (fully dimensional,drawn to scale)showing the geographic location labeled with: A. ❑ map&tax lot# ❑ project name 0 site address 0 suite number 0 zoning 0 applicant name 0 applicant phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Building pads (drawn to scale)with project location. 2. BUILDING PLAN submittal requirement: Three (3)complete sets,Civil only. All details listed below shall be incorporated into the plans: A. Site plan showing: 1) Required parking spaces and driveways. 2) A route,accessible to persons with disability,leading from the public way to an accessible building entrance. 3) Accessible parking spaces and adjacent access aisle connecting with the accessible route. 4) Curb ramps along the accessible route,curb,sidewalk and gutter. 5) Finish grade elevations along the accessible route. B. Topographic survey plan showing grade elevations crossing the entire site. C. Overall grading plan. D. Utilities plan showing. 1) Fire hydrant location and pipe size if on private property. 2) If the building is to be protected with an automatic fire sprinkler system,show location of the water service vault and the fire department connection (FDC) within 70 feet of a fire hydrant. 3) Size of underground water service for the sprinkler system. E. Erosion control plan complying with the requirements of the Clean Water Services (CWS)agency showing: 1) Silt fence locations. 2) Bio-filter bags/other approved barrier material surrounding catch basins. i I.Building\Permits\S1T-PermitApp.doc 08/02/2016 3 1 3) Illustrations detailing the correct installation of the silt fencing and catch basin protection. 4) Any other measures to ensure compliance with CWS standards. F. Landscaping plan. 3. ADDITIONAL REQUIREMENTS: A. Soils (geotechnical) report. A soils report is required for new buildings and additions to contain the following: 1) The report shall address the potential of soil liquefaction and instability (OSSC Sec. 1804.2). 2) Fills to be used to support foundation of buildings (OSSC Sec. 3301.1). 3) Foundation and lateral pressures exceeding 1,500 lb./sq. ft. (OSSC Sec. 1805). B. Fire flow and hydrant worksheet C. Plan review deposit based upon project valuation. I:1BuildingTermils\SJT PesntitApp.doc 08/02/2016 4 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT IN T 1 GA R D Buil ing Permit Review — Residential Building Pr , -lit #: .: /-r-,P-o/ 7-000/l Site Ad /3s: 12 ooO `jam Vl.e O 2ESeT Project .Tame: Cg s a} •4-s9.e,.H %t-OiV Lot #: N lA (New dwelling=subdivision name;AdditioWor Alteration=last name of owner) Planning Review Proposal: tae, 1�'X`lr�G 40 PY1S�+Gtlt ttq�lrl 11�b L,JAl`S ASS'Oc ct 1'0114/ �.,��f� s —/ OR.. Lld Verify site address/suite#exists and active in permit system. Igl River Terrace Neighborhood: X No ❑ Yes,See River Terrace Review Addendum Attached S�e Plan Elements: V"s ree(3)copies of site plan rtKxisting structures on site u Site plan must be on 8-1/2"x 11"or 11 x 17"paper (Footprint of new structure(including decks)with finished .- p t rawn to scale(standard architect or engineer scale) floor elevations Orth arrow Utility locations&easements(required for new and additions) Ani',, ite address,project or subdivision name and lot number 4 idewalk/driveway approach f 'Applicant information(name and phone number) si Location of wells/septic systems ["Lot dimensions and building setback dimensions sAFxisting trees to be retained with drip line,and tree Ir;',quare footage of buildings to be demolished protection measures N ViLot area,building coverage area,percentage of coverage and iC.treet tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) h-'Street names 0/AProperty corner elevations (2 foot contour lines if more than 1,000 sf of impervious area created or replaced? ❑YesXlNo 4 foot differential) If yes,is a storm water quality facility shown? ❑Yes ❑No ti VS Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Ii Public Facilities Improvement (PFI) Permit: " TTZp V ,o C0 G Required: ❑ Yes,applicant was notified ❑ No �o Appied For: 5/Yes ❑ No,stop intake M Land Use Case#: ,92I) ' -C)C)Q J act►Zoning: Required Setbacks: Front Rear Side Street Side Garage 1'- Landscape Requirement: 0/0 0'1 Lot Coverage Maximum: 0/0 .y' Building Height: Maximum Height Actual Height ti b Visual Clearance 0 '11 Sensitive Lands: ❑ Yes ❑ No Type 1 4 Urban Forestry Plan JO , onditions "Met"$rior to issuance of building permit ? II �w__L .otes: c,2� Ydl O� . . n• 1� n i/%1IN 'i11 �c� Ire r• Poor 4-0 1Ssvan�.e {w;114%11 -e t' % - ndl co -Et: S rtof sn�e. itib p Approved ByPlanning:� � � � �� PP .�/ /, Date: l I 17 Revisions (after Building Submittal only) Reviewer Date 4 Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw RES 061417.docx I Building Permit Submittal Original Submittal Date: &7/97/2 Site Plans: # Building Plans: # ..; Building Permit#: 2"-Giter building permit#above. ,� Workflow Routing: 13--Planning Engineering ermit Coordinator .-L: t3uilding Workflow Sign-off: 2--Sign-off for Planning(include notes from planning review) Route Application Documents: (engineering: (1) copy of permit application, (1) site plan, (1) buildin plan and c_)Oginal plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: , , , : 11 ,x` 1148 La- C.A., 42.._ .�/ I _ / �4.,ir By Permit Technician: , All OCA--)4 - 4--2--.-/_ Date: . (c Engineering Review ❑ Slope at building pad: ®Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No �j NOT Approved by Engineering: 11�/ 1/ Date: r ..- Notes: Lei j t ,i ' . _,r,,, �� !1 . Approved by Engineering: /J 7) Date: .- -- 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: ♦. J — - - .. ..i i - 1/. I 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 Cg—N/A / Tigard Trans SDC: ❑ Yes U7 N/A Parks SDC: ❑ Yes cg' N/A LIDA ❑ Yes [ ' N/A OK to Issue Permit vI1, Approved by Permit Coordinator: 711t ate: (01 I:\Building\Fonns\BldgPennitRvw_RES_061417.docx NW Engineers, LLC 3409 NW John Olsen Place ,�, Hillsboro, OR 97124 Phone(503)601-4401 Fax(503)601-4402 1111 • Engineering &Planning Website www.nw-eng.com LETTER OF TRANSMITTAL Date: June 16, 2017 To: City of Tigard - Al Dickman Firm: Planning/Engineering Job Name: Aspen Ridge Subdivision Job#: N0351 Agency Number: SUB2015-10 We are sending you: ® Attached ❑ Under Separate Cover Copies Description 1 Building permit application for site work .„1/1. Structural design of LIDA planter Walls Geotechnical report 3 Plan sets 1 Check for review fees in the amount of$338.92 These are being transmitted as indicated below: ® As Requested ❑ For Your Use ® For Approval p Other Included as requested for LIDA wall construction approval. Signature: Matt Clemens Title: Project Manager cc: File Engineering • Planning Managers: Matthew Newman &Steve White P.E. Albert Shields From: Albert Shields Sent: Thursday,June 22, 2017 1:27 PM To: 'mattc@nw-eng.com' Cc: Al Dickman Subject: RE: SIT2017-00011, retaining walls Matt, please disregard my previous email. My understanding and Al's was wrong: the retaining walls do need to be permitted under SIT2017-00011 so that they can be reviewed and inspected by our Building Division, so the application for SIT2017-00011 has been released for Plan Review. Albert Shields. From:Albert Shields Sent:Wednesday,June 21, 2017 5:29 PM To: 'mattc@nw-eng.com' <mattc@nw-eng.com> Cc: Al Dickman <AL@tigard-or.gov> Subject: SIT2017-00011, retaining walls Matt, I understand from my colleagues in Engineering that the design and construction of the LIDAs and the related retaining walls are part of the public facilities work that is addressed under PF12016-00147. That PFI has not yet been issued but the calculations and design of those walls and LIDAs are currently under review. Accordingly,this application for SIT2017-00011 duplicates what is more properly addressed under PFI2016-00147 and we must disapprove this application. Please let me know if you have any questions. Albert Shields 1