Permit C ITY OF TIOARD SITE WORK PERMIT
�1�„ DEVELOPMENT SERVICES PERMIT #: SIT2004 -00015
-,: �� ',•. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 10/1/2004
SITE ADDRESS: 07357 SW BEVELAND RD PARCEL : 2S101AB -01606
SUBDIVISION: HERMOSO PARK ZONING : MUE
BLOCK: LOT: 017 JURISDICTION : TIG
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 62,500.00
EXCV VOLUME: 1,000 cy LANDSCAPING ?:
FILL VOLUME: 300 cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT READ ?: N IMPERV SURFACE: 16,553 sf
Remarks: Site work for new office building
Owner: FEES
TOM CLARKE
12448 SW ORCHARD HILL RD Description Date Amount
LAKE OSWEGO, OR 97035 [BUPPLN] Pln Ck -Valu 4/21/2004 $352.24
[FLS] FLS Pln Rv 4/21/2004 $216.76
[BUILD] Prmt Fee -Valu 10/1/2004 $541.91
Phone: 503 - 293 -1226 [TAX] Valu 8% State Stu 10/1/2004 $43.35
Contractor: [ERPRMT] Erosion Cntl 10/1/2004 $80.00
DIVERSIFIED CONSTRUCTION COMPANY [ERPLN] Ersn Plck - CWT 10/1/2004 $26.00
12448 SW ORCHARD HILL RD [EROSN] Ersn Pick 10/1/2004 $26.00
LAKE OSWEGO, OR 97035 Total $1,286.26
Phone: 503 - 293 -1226
Reg #: LIC 103025
Required Inspections
Ersn Cntrl 681 -4444
Retaining Wall /Footing
Paving Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)
246 -6699. -,
Issued By: 9 ' 4.10)
Permittee Signature: X- --Q
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
.73 57?. sw CEVe1 -4 d JD
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Site Work c D c9DC23 Ooa 1(p
Building Permit Application • FOR OFFICE USE ONLY
City of TIgBI (1 D ate /B : I ,`'/ / gem Permit No... .ri // • / I '
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1:10 1/ Date/B : _ es; Other Permit:
Inspection Line: 503.639.4175 Al i I Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us - Notified/Method: M Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
4 * Permit fees* are based on the value of the work performed.
. ® New construction ❑ Demolition
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.
Valuation. $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi - family
Number of b. a rooms:
❑ Master builder ❑ Other: Number of bathrr: s:
JOB SITE INFORMATION AND LOCATION Total number of floors.
Job site address: 73 5 7 s,,, t �t- At.) R. c� . New dwelling area: square feet
City/State /ZIP: T1 E A.tZ D i,, Garage /carpo -a: square feet
1
Suite/bldg. /apt. no.: Project name: LA-(Z 1/_ Dr., p, Cove _ • porch area: squ• - feet
Cross street/directions to job site: • eck area: square feet
8� V�A V1 t - .- 2-1 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 OF WORK work indicated on this application.
Valuation: $ (Da 5
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tura C.LAR.x..E._ Type of construction:
Address: I.2_44.4 5,,.z 02.4_44A2z, p}IL Occupancy groups:
City/State/ZIP: LA �a. J l t 97 c>3 g.-- Existing:
Phone: (,5D3) 2_ 93 - / ZZc,. Fax: (5) ) Z 9 3, /53 G New:
Et APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1- 1 . > 1YERSr Fle.A f cvS7e�cTtn.J . CD. Di= c 2 All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
TDs-% C _L kR e_. under ORS 701 and may be required to be licensed in the
Address: I 2-44 'a S I••• t7RLritu2 td s' L` 2)› _ jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: L e o .D , Liz 'j-/ o35 apply:
it, Phone: (5'0 ) - 7 11 - Zcr 1 — I Fax: : ( 5 1 / 3 1 ) 29 3 ' / sill.
E -mail: Db✓6 ?St Gfe-D LoNSTr2.>Dfl ) Q. idDi rviltic_ . c.v. .
Il t CONTRACTOR
Business name: "Dive71 ,v,i6D (" T)2JGTIp,,D (lD psr- 0Q BUILDING PERMIT FEES*
�D Address: / Z 9"4', St..D D2 ft 1 L I — 2a. Please refer to fee schedule.
City/ State/ZIP: i_pid. clSu e"•7 I,, C2 9703 -
Fees due upon application
5.9 Phone: (SD3) 1493 — / 2,1_ p Fax: (Sg3) . 213 - / 53 (...
Amount received
CCB lic.: p l 030 2.,,..--
Date received:
Authorized signatureT �� J(� (/ This permit application expires if a permit is not obtained
�J �► •••✓��"��� "`^^^ within 180 days after it has been accepted as complete.
Print name71>AP_.t S. 1)A- j�patq.`b Date: 912_ 1 / Q 9- * Fee methodology set by Tri-County Building Industry
Service Board.
is \ Building \Permits \SIT- PennitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
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: Doc? cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) 2-000 cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be
compacted to 90% of maximum density) ` cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
▪ Concrete
❑ Other:
*Total new impervious area including all
buildings, sidewalks, and paving: /t, 55, 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 ❑ *Parking (including ADA) and
ADA compliance Lighting 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.
• # of Plans •
TYPE OF SUBMITTAL Required at
•
(Includes New, Additions or Alterations) Submittal
Commercial 2
Multi- Family R -1 Occupancy 2
One- & Two - Family Dwelling 2
i:\Building\Forms \SIT- Checklist.doc 12/29/03 •
1111 71111FiF TIGARD
BUILDING DIVISION PERMIT #: SIT2004 -00015
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2004 .
Phone: (503) 639 -4171 , rsb Ai � Inspection Requests (24 Hrs.): (503) 639 4175 4, "'�L!
INSPECTION WORKSHEET FOR DATE: 9115/1005 TIME: 7:03AM PAGE: 103
SITE ADDRESS: 07357 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: CLARKE OFFICE BUILDING
DESCRIPTION: Site work for new office building
OWNER: CLARKE, TOM PHONE #: 503 -293 -1226
CONTRACTOR: DIVERSIFIED CONSTRUCTION COMPANY PHONE #: 503-293 -1226
Inspection Request Scheduled For: Date: 9/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 015644 -01 603 -793 -2621 N
Corrections /Comments/ Instructions:
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- 2 e _r . 1 IQ St I <E . cu
n "SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date: q (1 #: (503) 718 -
I r CIT OF TIGARD
BUILDING DIVISION PERMIT #: SIT2004 000'i5
13 125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0 /1 /20 Phone: (503) 639 4171 1 1 i �� , ,;� 'ICI Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: :1 1Plvl PAGE: 71
SITE ADDRESS: 07357 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: CLARKE OFFICE BUILDING
DESCRIPTION: Site work for new office building
IIIINIMIMIOIIOIMII
OWNER: CLARKE, TOM PHONE #: 503 - 293 -1226
CONTRACTOR: DIVERSIFIED CONSTRUCTION COMPANY PHONE #: 503-293-1226
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 019563.01 503-793-2621 N
Corrections /Comments/ Instructions:
1
L
P� ASS El PARTIAL APPROVAL CANCEL ❑ NO ACCESS
(--- - :,..D;_, n FAIL ' 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t D Phone #: (503) 718 -
do
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall be available to the Building Division inspectors
throughout all phases of construction. 106.4.2 OSSC
American with Disabilities Act (ADA): It shall be the responsibility of the Architect,
Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA
requirements for the structure. The City of Tigard reviews the plans and inspects the structure
only for compliance with Chapter 11 of the OSSC which may not include all of the
requirements of the ADA.
Premises Identification: Approved numbers or addresses shall be provided for all new
buildings in such a position as to be plainly visible and legible from the street or road
fronting the property.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of
Tigard in tracking and p I cessing the documents.
Respe?
/: rian B j • c .
Senior lans Examiner
September 1, 2004
CITY OF TIGARD
OREGON
Tom Clark
Diversified Construction Company of Oregon
12448 SW Orchard Hill Road
Lake Oswego, OR 97035
RE: GILROY OFFICE BUILDING
Site Permit: SIT2004 -00015 Construction Type: VN
Tenant Name: Speculative Occupancy Type: B
Address: 7357 SW Beveland Lot Number: 17
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999
edition. The submitted plans are approved subject to the following.
RETAINING WALLS
• Special inspection is required for the BOULDER WALLS. The special inspection
agency of record shall furnish inspection reports to the Engineer of Record, WEST
COAST GEOTECH the General Contractor, DIVERSIFEID CONSTRUCTION. and
the City of Tigard, Building Division, attention Hap Watkins. All discrepancies
shall be brought to the immediate attention of the general contractor for correction.
The special inspector shall submit a final signed report stating whether the work
requiring special inspection was, to the best of the inspector's knowledge, in
conformance with the approved plans and specifications and the applicable
workmanship provisions of the code. 1701.3 OSSC
EROSION
• Erosion control measures shall be in place prior to excavation or grading.
ACCESSIBILITY
• Accessible walkways and routes shall not exceed a running slope of 1 unit vertical in
20 units horizontal (5% slope). Cross slopes shall not exceed 1 unit vertical in 50
units horizontal (2% slope).
• Accessible parking spaces and access aisles shall be located on a surface with a slope
not to exceed 1 unit vertical in 50 units horizontal in all directions. 1104.4.3 OSSC
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
- '
Fire Marshal's Division Offices
® North - 14480 SW Jenkins Rd., Beaverton, OR 97005, (503) 356 -4700
Tualatin Valley South - 7401 SW Wash Ct., Tualatin, OR 97062, (503) 612 -7010
Fire & Rescue
Fire Flow and Hydrant Worksheet
This worksheet is required to be submitted to and approved by the Authority Having Jurisdiction (AHJ) before
any permits for new building construction, building expansion or fire hydrants will be issued by any building
department within the TVF &R District. See the instructions for assistance completing this form or call one of
the above numbers.
Preparer Information
Preparer Name: 'Tom Clarke
Phone:1503- 793 -2621 1 Fax:1503- 293 -1536
Architect/ Engineer of Record: IStueve & Royce
Phone:1503- 287 -6404 I Fax:1503- 213 -5909
General Building Information
Project Name: (''Clarke Office Building'
Project Address: 17357 SW Beveland
City: 'Tigard I County:IWashington 1 Zip:I
Construction Type(s): IType V- .Non rated: .'%
Total Bldg Area: I 7,708Isgft
Total Fire Area: I 7,708Isgft
Bldg Fire Flow: I 2370IGaIIons Per Minute
Describe Fire Area: (if more than one fire area, include an 8 1/2 x 11 or 11 x 17 drawing indicating the various fire areas)
Type of Occupancy or Use of Building: (light hazard
A. Single Occupancy Hazard (If using Item A, DO NOT use Item B)
Al Building Fire Flow I 2370IGPM
A2 Occupancy Factor 1 11
A3 Required Fire Flow I 2370IGPM
'Use Either Item A Above or Item B Below, But Not Both
B. Multiple Occupancy Hazard (If using Item B, DO NOT use Item A)
B1 Determine percent of each occupancy hazard in the fire area.
Occupancy Hazard Class Fire Area I Total Fire Area Percent of Fire Area
Light Hazard 0 SF / i 7,708 SF x 100 = 0 %
Ordinary Hazard Grp 1 0 SF / 7,708 SF x 100 = 0 %
Ordinary Hazard Grp 2 0 SF / I 7,708 SF x 100 = 0 %
Extra Hazard Grp 1 0 SF 1 I 7,708 SF x 100 = 0 %
Extra Hazard Grp 2 0 SF_ / 1 7,708 SF x 100 _ 0 %
Total Must equal 100% 0 % I
B2 Calculate Fire Flow
Occupancy Hazard Class Factor Fire Area Fire Flow Bldg Fire Flow
Light Hazard 1.0 x 0 % x 2370 GPM = 0 GPM
Ordinary Hazard Grp 1 1.2 x 0 % x 2370 GPM = . 0 GPM
Ordinary Hazard Grp 2 1.3 x 0 % x 2370 GPM = 0 GPM
Extra Hazard Grp 1 1.4 x 0 % x 2370 GPM = 0 GPM
Extra Hazard Grp 2 _ 1.5 x _ 0 % x 2370 GPM = 0 GPM
B3 Required Fire Flow ( 0 GPM
C. Calculate the Minimum Number of Fire Hydrants Required
Required Fire Flow 2370 GPM / 1500 = I 2 (No. of Hydrants Required (Min. of 2)
D. Reduction of Fire Flow - Reductions are based on the following:
D1 - Reduced by 25% for A Full Fire Alarm (multiply by .75)
D2 - Reduced by 50% for Automatic Sprinklers (multiply by .50)
D3 - Reduced by 75% for Central Station Supervised Automatic Sprinklers (multiply by .25)
E. Required Fire Flow in Non - sprinklered or Sprinklered Buildings
El. Fire Flow 2370 GPM X I 1 1 = 1 2370 GPM (Max. 3000 - Min. 1500 gpm) I