Permit CITY TIGARD SITE WORK PERMIT
; r � DEVELOPMENT SERVICES PERMIT # : SIT2000 -00010
44- '�'I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 04/28/2000
SITE ADDRESS: 12125 SW 69TH AVE PARCEL : 2S101AA -TTOOA
SUBDIVISION: TIGARD CORPORATE CENTER ZONING : MUE
BLOCK: LOT: OOA JURISDICTION : TIG
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: $220,000.00
EXCV VOLUME: 6.500 cy LANDSCAPING ?: Y
FILL VOLUME: 4,843 cy SITE PREP ?: Y
ENG FILL ?: Y STORM DRAINS ?: Y
SOILS RPT REQD ?: Y IMPERV SURFACE: 32,825 sf
Remarks: Site work permit for a parking garage
Owner: FEES
TIGARD CORP CTR LIMITED PARTNE Type By Date Amount Receipt
15400 SW MILLIKAN WAY
BEAVERTON, OR 97006 PLCK BON 03/29/2000 $728.98 0001040
FIRE BON 03/29/2000 $448.60 0001040
PRMT BON 04/28/2000 $1,114.00 0001754
Phone: 503 - 646 -2202 5PCT BON 04/28/2000 $89.12 0001754
Contractor: PRM4 BON 04/28/2000 $1,114.00 0001754
BAUGH CONSTRUCTION OREGON INC QUL% BON 04/28/2000 $2,611.08 0001754
PO BOX 14135 WQUN BON 04/28/2000 $3,605.78 0001754
SEATTLE, WA 981140135 EROS BON 04/28/2000 $80.00 0001754
ERPU BON 04/28/2000 $26.00 0001754
ERPC BON 04/28/2000 $26.00 0001754
Phone: 641 -2500 Total $9,843.56
Reg #: LIC 000628
Required Inspections
Erosion Control Insp 844 -8444
Excavation
Fill
Grading
Culvert/Catch Basin ORIGINAL
Final Report Eng'd Grading
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 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Permittee Signature:
Ow;
Issued By:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
03/15/00 WED 10:47 FAX 503 598 1960 CITY OF TIGARD 1004
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CITY OF TIGARD Site Permit Application Plan Check - - ' 7e-
13125 SW HALL BLVD. Commercial and Multi - Family: Complete ENTIRE form Recd ey ,k-?Q(p.
Date Recd -00
TIGARD, OR 97223 Residence: Complete SHADED areas Date to P.E. - - 2
(503) 639 -4171 x304 Date to DST 14-17_4(11/00W
?/UD
Permit # S T ZC ti—(x1 b
Print or Type Related SyVR #
Incomplete or illegible applications will not be accepted catty -2-7-ZOO
(
Project'Name Utilities (Complete all that apply)
Job Tigard Corporate Center Parking Garage
Address S Ad 41/4 � ,�-J �P� ��.� Storm Sewer 20
F1 t ir�t Ti yard -- ¢}�2 - Linear Ft.
'Nam, .! Sanitary Sewer
Tigard Corp:, Center Partnership Partneship N/A Linear Ft.
Owner g.A
MpIIinddre Fresh Water
, .:1540 "M1 11} kan Way . ' N/A . Linear Ft.
CitylState Zip i Phone Catch Basins
; Beaverton, OR ::. ,.97.006.
,.646 -2202. # 1
General 7 Name a Clean Outs
'Contractor: ;_Baug'h_.Cons:tru # L
Prior lo•permd ':_ Maiting Address Describe work to be done:
issuarabe a New Addition❑ Alteration❑ Repair
copikoilu. 255:5 .SW 153rd Drive ❑
Licenses a4e City/Stat Zip Phone : AddltiO nal e_ 00— �'V�to
re d :Beaerton, OR 97006. . 641-25
b .�lQ�l o
expir in C0 + . St, t ,0cnsti�Gpnt O rd l ib :# "E{ .Dat& .
..
d • 'aas ,628 :.�.��'. ; ,a L ... .', '3/17/ .. ,`��
g u ,
Name t .f 0, °
LRS Architects, Inc . ra a ,,, ,,, , y .. 0 00;,,,0,0
Architect Mailing Address , it �-�� �Iback
1121 SW Salmon, Suite 100 . !"7 " omp ry t (saapp1Icatlpn;
��tl�is; �o)fl�, . .
City/State Zip Phone m "(;' Site plan c r „ x i Parking including
Portland, OR 97205 221 -1121 � w n fop a . al t /) & ghting Plan
Name ,14BM l y"d' e"thi i'e„r . r k' Landscaping iPlan
u �w
VLMK Engineers 6 ? _ Prz G ,
Engineer Mailing Address y o opt C igl Pl &t e ni ng'S(rti ctures
3933 SW Kelly Ave. n ial $ C� t<i . i ,..• a . ; 4'iiin ca)culations
City /State Zip Phone iUfi ,, PIa ` n d e ta i[s F,Soiis°Report --
'Portland, OR 97201 222 -4453 ; � 1 o L p ,Pn to to n 0 +� "(if re a ired) ;
t apprp e 7:ste n)�– , ^a 'W • E� - . .
Excavation Volume • �1 hereby"acck �.wl g e th a t` h a � 1 #1. orautho 9. a tio n that the
form lge,y ot r e ,Is co t t h at `1 eo
,wner nied
6,500 yds agent o te ner ,a ` •tfia I rn edare compliance
Mrith -0fi gon t_a` e. 9 .•
Grading Volume lip
(Soils report required for >5,000 cu. Yds,) 4,843 ,, // 572 t/0 6
cu. yds. `C .' : /1f
Fill Volume Contact Pecs_ cu'i N"` a 'Phone
(Fill exceeding 12° in depth shall be compacted --
To 90% of Maximum Density) N/A
ty
cu. yds. cii4e J �ivs -221
Retaining structure? (check one) ❑Rock FOR OFFICE USE ONLY
❑ CMU Notes: 5spk. a 1C v : QA.. .) � � ,0c, - t' .�
Basement Walls ®Concrete • �,, v . f P e of ,-,. -, - f I1.'a': / . '
['Other
Total new impervious area including all 32 , 825 Land Use Case# I / Map/TL#
buildings, sidewalks, and paving Sq. Ft.' ,D2,1995-�� �fl
1 V 0 »c
i:\dsts\formstsite- app.doc 12/2/99 •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUD
l2 A / '2
Date Requested AM PM BLD _ r _
Location /14 Z 5 � `� " b-i Suite MEC
Contact Person 11) ttAi Ph '170 6070 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT cdDO 000/ 0
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
BBacac /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
O� Date /tJ Inspector ��' Ext
WIMP
(0) PART FAIL DO NOT REMOVE this inspection record from the job site.