Permit (58) CITY OF TIGARD SITE WORK PERMIT
7,4
' COMMUNITY DEVELOPMENT Permit#: SIT2018-00003
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2019
f Parcel: 2S111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Site work for(9)new 2,100 sq.ft.modular classroom buildings, (5)new 371 sq.ft.modular restroom buildings,and
(1)relocated 2,100 sq.ft. modular classroom building.
Contractor: TRIPLETT WELLMAN INC Owner: UNION HIGH SCHOOL DISTRICT
PO BOX 160 NO. 3 JT
WOODBURN, OR 97071 00000
PHONE: 503-982-4188 PHONE:
FAX: 503-982-0390
FEES
Description Date Amount
Specifics: Permit Fee-Site Work 06/20/2019 $1,918.45
Plan Review 03/19/2018 $1,246.99
Type of Use: COM 12%State Surcharge-Building 06/20/2019 $230.21
Class of Work: NEW Info Process/Archiving-Lg$2.00(over 06/20/2019 $14.00
11x17)
Project Valuation: $347,000.00 Info Process/Archiving-Sm$0.50(up to 06/20/2019 $150.00
11x17)
Erosion Control w/Development 06/20/2019 $386.40
Site Specifics:
Excavation Volume: 600 cu.yd.
Fill Volume: cu.yd.
Impervious Surface: 25000 sq.ft.
Engineered Fill: No Soil Report Required: Yes
Paving: Yes Grading: Yes
Landscaping: No Site Prep: Yes
Storn Drains: Retaining Wall: No
Fire Underground: Yes Accessible Parking: No
Fence: Yes
Total $3,946.05
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 50,3_,Z17 1987 or :e: ,4.
...00••Issued By: Permittee Signature: I
I /
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 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: (NET OFF HAUL) 600 cu.yds.
Grading Volume: (CUT/FILL ONSITE)
(Soils report required for>5,000 cu.yds.) 600 cu.yds.
Fill Volume: (IMPORTED FILL DIRT)
(Fill exceeding 12"in depth shall be compacted to
90%of maximum density) 0 cu.yds.
Retaining structure? (Check one) ❑ Rock
• ❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
25,000
sidewalks, and slaving: 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
❑x Grading Plan and details ❑ *Landscaping Plan
0 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 i ee
(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$1,000.00 or
fraction thereof.
I:\Building\Permits\SIT-PermitApp.doc 08/02/2016 2
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
r 1 c lz n Building Permit Review — Commercial - With Land Use
Building Permit #: ,STJ', i$ -000(3)
Site Address: ( I (050 Stiv Cl '7 ) out.. Suite/Bldg#:
Project Name: "TM t' / W\ S (1/\dc 0 VArT S OR- W OrK.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -'(-W( i h) (Vl i cASC000 1 i n StRA 13 N-e4,4/ ra0C II CI I Gln-d3
0rue_ pejo(c4-litck ten octk,;(o)r- U1e'iSSroor'"1 ..
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes A No
Z Land Use Case#: Q 0 2.0 I1--C o ooz.
Ili Plans Match Approved Land Use:
IZi Site Plan ❑ Landscape Plan 0 Other:
❑ Urban Forestry Plan 0 Elevation Plan
TBuilding Height: Maximum Height 3 0 Actual Height
pConditions Met: ❑ Prior to Submittal .. Prior to Permit Issuance
R--Business License:
Exists: D—Yes Er-No,applicant notified to obtain business license
V] Public Facilities Improvement(PFI) Permit: „Pr" z01.6 - 0 003
Required: ❑ Yes,applicant was notified ❑ No Applied For: , Yes ❑ No,stop intake
Notes: 0°"1Z4 rid-All j 000 CI:A.00 'j hk- (Y)e_ - rib r 1 1SSUGrnc.E,
Approved by Planning: fil(9.--‘,...:, V'— Date: 3/ 13 / 18
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 3/ivi r
Site Plans: # 3
Building Plans: # `�
Building Permit#: nn�t.�ee--r••�building permit#above.
Workflow Routing: 15''Planningeering El—Pet Coordinator tl1lding
Workflow Sign-off: 11.--6(-- ff for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - Date: 3/i4/jd'
ii
I:\Building\Fonns\BldgPemiitRvw COM_WithLandUse_060116.docx
it -
Engineering Review 2 70
lope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (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 'n-No
LIDA Facility on lot: ❑ Yes ,&o
❑ NOT Approved by Engineering: Date
Notes: t{),41 T Tb 1 'E— UA-Jr:'--- st.) wd7c,4 f 9
N131�t) Pf 1 k p_a-D-C- i 1f,2 - !SSoff.
6(72- ..1( e--)
Approved by Engineering: A 41 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
/OApproved,NOT Released: Cove.7„"A -
„ Date: 3/ i s
Notes:
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 � A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes eit~`N/A
.kOOKssue Po__Permrmit
Approved by Permit Coordinator: iFrji j �_�` Date: ( ZY I q
c s .
-e- Fell- OA° A ptaAnnig-vj ,
I:\Building\Fonns\B1dgPenritRvw COM_WithLandUse 070915.docx
Albert Shields
From: Albert Shields
Sent: Wednesday, March 21, 2018 6:25 PM
To: Angela Caffrey; 'Shawn Christensen'
Cc: Monica Bilodeau
Subject: SIT2018-00003, BUP2018-00077
Attachments: Conditions - 03-21-2018.pdf;Albert Shields.vcf
In reviewing your application for the above permits we find that none of the requisite conditions of approval have been
met, particularly those highlighted in yellow on the attached list for the SIT and in orange for the BUP. Accordingly, I am
classifying both applications as"Approved (for plan review) but Not Released". Plan Review will proceed but the permits
will not be issued until the highlighted conditions have been met.
Albert Shields
City of Tigard
Permit Coordinator
,mom=
13125 SW Hall Blvd.
Tigard, Oregon 97217
w.vw.ti g ard'-o r.gov