Permit C ITY OF TIGARD SITE WORK PERMIT
' ° COMMUNITY DEVELOPMENT PERMIT #: SIT2006 - 00007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 2/28/2007
PARCEL : 1S126DC-05000
SITE ADDRESS: 09385 SW LOCUST ST ZONING : C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 003 JURISDICTION : TIG
PROJECT: FREEMAN OFFICE BUILDING
Project Description: Site work for new office building.
CLASS OF WORK: NEW PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: 9,303.00
EXCV VOLUME: 277 cy LANDSCAPING ?: Y
FILL VOLUME: cy SITE PREP ?: Y
ENG FILL ?: U STORM DRAINS ?: Y
SOILS RPT REQD ?: N IMPERV SURFACE: 4,800 sf
Owner: FEES
COOPER MOUNTAIN VINEYARD LLC Description Date Amount
9480 SW GRABHORN RD [BUPPLN] Pln Rv -Valu 6/12/2006 $90.55
BEAVERTON, OR 97007 [FLS] FLS Pln Rv 6/12/2006 $55.72
[ERPLN] Erosn Pln Rv CWS 2/28/2007 $26.00
[EROSN] Erosn Pln Rv COT 2/28/2007 $26.00
Phone: 503 - 649 - 0027 [ERPRMT] Erosion Control 2/28/2007 $80.00
Contractor: [BUILD] Prmt Fee -Valu 2/28/2007 $139.30
[TAX] Valu 8% State Surcha 2/28/2007 $11.14
Total $428.71
Contact #:
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 - 4444
Reg #:
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 or 1.800.332.2344.
At
Issued By: :���___LL6., Permittee Signature: �� %J •-T �
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
r. Site Work / 316 644) iOC.118'l D . c5 -- vo .
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Building Permit Ap a E\J7 .' ` r�
FoR oFFlct;ISI•, ONLY . .
• City of Tigard '� sera , r 0 AMMO O Permit No. / r A
aa0 0000
13125 SW Hall Blvd, Tigard, OR 97223 Plan Re 1
i � ; , - :: '\ I Other Permit:
RD! !
Phone: 503.639.4171 Fax: 503.598.1960 J_ 2 2006 � x Ir . Daz/B ' ./
Inspection Line: 503.639.4175 �, " I i ' ® Daze SeePage2 for
Internet: www.ci.tigard.or.us CITY o 3 OJr1Y�t/ 1(i j � ry y } Noatifi ✓7� : � r Mj Soppl,��enta1Information
CITY l � / ,
b 1 - 4 • F WORK , ` t —A, REQU1 CM A: 1- AND 2- FAMILY DWELLING
l[ New construction ❑ Demolition Permit fees' are . • ed on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ra Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2 -family dwelling ,® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: F355 so Joe vs - s rie &FT New dwelling area: square feet
• City /State /ZIP: '7 ( g]) o R , 9'7223 Garage /carport area: square feet
#
Suite/bldg. /apt. no.: Z Project name: �v eeivlaK U1 LJf 4.3 Covered porch area: square feet
Cross street/directions to job site: Sr_ ! Loci) S T C!s?d / i .,% C.,7 y Deck area: square feet
Other structure area: square feet
• REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
61 re lC ne6 ci it la.) K) p'f / /, ,,,,,, a : Valuation: $ ?302 , 92
• Existing building area: square feet
New building area: • 03 square feet
10 '
kr PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Coop Moo114 -eztvL l! L L G Type of construction: S
Address: L( 80 .S w G rc. I korvl Rock4 Occupancy groups: ` ) o
City /State /ZIP: f�e0.,�Fof�.
t/e ok_ of 7oo07 Existing: � �/
Phone: ( 503) 6y9 -aoZ! Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ieuvQ.. a di atiJ ASSaCt a /4. i' /A/C All contractors and subcontractors are required to be
Contact name: �R2G licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 4 6 C.J Plea 137 vi, jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: gam I/Pa" /OK OR- 9 700_ apply:
Phone: ( .3) 6q -6 Z Fax: : ($03 64V-973/
E -mail:
CONTRACTOR
Business name: _N Oete-entiia BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Phone: ( ) Fax: Fees due upon application -
( )
CCB lic.: Amount received
Date received:
Authorized signature: �� . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: T K b,c►v,. N tw Date: G / 2_ 0 6 • Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \ Permits \SIT- PennitApp.doc 12/03 440- 4613T( I I /02/COM/WEB)
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: 277 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) a cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall bd
Oi
compacted to 90% of maximum density) (Race S °" l y u. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU 410 ❑ Concrete
❑ Other:
*Total new impervious area including all
buildings, 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. Tlie\ must accompany this application:
jZi Site Plan with Vicinity Map showing R *Parking (including ADA) and
ADA compliance Lighting Plan
M Grading Plan and details ❑ *Landsca. ing Pla 5'e a -c‘ pi r )
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: Buildin PemitApp.doc 1/13/04 2
CERTIFICATE OF COMPLIANCE
RE: Freeman Office ENG2004 -00091
This is to certify to the City of Tigard, Oregon, that the following items have been
installed in compliance with the City's improvement standards and specifications; and
that the following items are complete and are in conformance with the approved plans,
special specifications and conditions, as approved by the City, relative to the above
project, to wit:
• (Project Engineer's
Initials)
1. Site Grading (incl. embankment /fill Construction and
• surface drainage) � r
2. Sanitary Sewer System G 04.
3. Storm Sewer System
4. General Utilities System:
Domestic Water f ^ r ic.
Electric Power 6 T 1p 6a
Gas (> i - I
Telephone C� ! J '
Streetlighting
5. Street System:
Subgrade TL/, M, 1-
Base (a rk N
Surfacing ... Base Lift
• Final Lift
• Sidewalks 6T
• Aprons & Ramps r
Curb
6. Monumentation System NA
7. Street Trees 14
8. Pathway System NA
• Certified this day of ,) L3 , 2008 .
(Engineer's Stamp) B G I t r Ke-tvet IVO k
(Project Engineer)
' _. te' Firm: / C � /> f sS , . C- ,
41,1. 103`�� �`, V (» / ?l/ 41SLt
document, `s '= Mew
Revised 8 -18.02 t,
•vy O:0>
G1.I1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SIT2006.00007 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21213/2007
Phone: (503) 639 -4171 • /�m
Inspection Requests (24 Hrs.): (503) 639 -4175 y- F__-
INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 53
SITE ADDRESS: 09385 SW LOCUST ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Site work for new office building.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503-649-0027
CONTRACTOR: SIERRA PACIFIC COMMUNITIES LLC PHONE #: 503-452-7600
Inspection Request Scheduled For: Date: 7/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 052760 -01 503 -318 -8075 N
Corrections /Comments /Instructions:
1,7---/ ( + - c -0-,()
14 54- 4-e_sA--- ale_ 64 '9 -
' -t-e-s 1.- ∎ 22Gt. ` D .
(5ad �I, 0 T:e s Vie_ & `T r
p i O
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ �� (� Date: 7/LC (C") Phone #: (503) 718 - 2'Ye 2_ y
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SIT2006 -00007
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/28/2007
Phone: (503) 639 -4171 / i
1 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/24/2008 TIME 7.00AM PAGE: 31
SITE ADDRESS: 03"t85 SW LOCUST ST CLASS OF WORK:
I. SUBDIVISION: t
LEHMANN ACRE TRACT LOT # : 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Site work for new office building.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503-619-0027
CONTRACTOR: SIERRA PACIFIC COMMUNITIES LLC PHONE #: 503- 452 -7600
Inspection Request Scheduled For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 075842 -01 503 - 810 -2038 N
Corrections/Comments/Instructions:
i ThtSS- - ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 Inspector: Date: g/ r Phone #: (503) 718 - `) 24
CITY OF TIGARD i
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 0/, DATE ISSUED:
Phone: (503) 639 -4171 w "r� ti' Inspection Requests (24 Hrs.): (503) 639 -4175 11.L �
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
?J
SITE ADDRESS: 4 La n.4_0 CLASS OF WORK:
SUBDIVISION: LOT #: #- TYPE OF USE:
PROJECT NAME:
DESCRIPTION: � Z , Q , 4-i!i� of /g' 7dg•
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # ntact # Message
165 rn . (z7e im =t..,.-- `` -6-j--AL 51 -- -
J
a
Corrections /Comma �lnstruitions: � ---.
kii 6.4- zt..J..:___ ? kr (A, 1/4 ,.. ,....,L44,
_ •
_..�
PASS I' ' . ' TIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: // / Phone #: (503) 718-
CITY OF TIGARD i
BUILDING DIVISION PERMIT #: Sl'T2flO ADi t}%
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _m all'
INSPECTION WORKSHEET FOR DATE: 10/312007 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 0938' $W LOCUST ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: Q03 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Site work for new office building.
OWNER: COOPER MOUNTAIN VINLYARD LLC, PHONE #: 603 - 649 0027
CONTRACTOR: SIERRA PAC4FIC COMMUNITIES LLC PHONE #: J3 - 452. - 7600
Inspection Request Scheduled For: Date: 10/3/2007 Pour Time: �+
Code # Inspection Description Confirm # Contact # Me- age
420 Sprinkler supply lines 056844 - 503 Y w
Corrections /Comments /Instructions:
V PASS n PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS
U FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
"t/ ( v Date: 1 a r Pho ne #: (503) 718 - 9
Inspector: ( )
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: SIT2006 -00007
13125 SW Hall Blvd., Tigard, OR 97223 „ DATE ISSUED: 2/21312007
Phone: (503) 639 -4171 ( 4, Inspection Requests (24 Hrs.): (503) 639 -4175 . ':� 87 I
(1 4, (
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 09385 SW LOCUST ST CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Site work for new office building.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503.649.0027
CONTRACTOR: SIERRA PACIFIC COMMUNITIES LLC PHONE #: 503 -452 -1600
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler supply lines 055459 -01 503-810-2038 N
Corrections /Comments /Ins uctions:
M ‘ret- ( "- v . (/),.■4
i r i
/. 3: do
•
PASS n PARTIAL APPROVAL U CANCEL _ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
( `� 6 % one #: (503) 718- f A l j
Inspector: Date: l Phone ( )