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Permit
A CITY OF TIGARD SITE WORK PERMIT r DEVELOPMENT SERVICES PERMIT # : SIT1999 -00026 I I I 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 7/23/99 SITE ADDRESS: 12447 SW 69TH AVE PARCEL : 2S101AA -TTOOC SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING : MUE BLOCK: LOT: OOC JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $344,577.00 EXCV VOLUME: cy LANDSCAPING ?: Y FILL VOLUME: cy SITE PREP ?: Y ENG FILL ?: STORM DRAINS ?: Y ORIGINAL SOILS RPT REQD ?: IMPERV SURFACE: 60,984 sf Remarks: Site work permit - Fill, Grading. Compaction under SIT 99 -00017 Owner: FEES TIGARD CORPORATE CENTER LP 15400 SW MILLIKAN WAY Type By Date Amount Receipt BEAVERTON, OR 97 PLCK BON 6/8/99 $679.58 99- 315773 MISC BON 6/8/99 $418.20 99- 315773 Phone: 646 -2202 PRMT BON 7/23/99 $1,044.44 99- 317081 5PCT BON 7/23/99 $52.22 99- 317081 Contractor: EROS BON 7/23/99 $112.00 99- 317081 BAUGH CONSTRUCTION OREGON INC ERPU BON 7/23/99 $36.40 99- 317081 PO BOX 14135 ERPC BON 7/23/99 $36.40 99- 317081 SEATTLE, WA 98114 -0135 SQWM BON 7/23/99 $6,699.00 99- 317081 Total $9,078.24 Phone: 641 -2500 Reg #: LIC 000628 Required Inspections Erosion Control Insp 844 -8444 Retaining Wall /Footing Strm Drain Insp Culvert/Catch Basin San Sewer Insp Manhole /Cleanout - PVT Sprinkler supply lines Domestic water line inspect. Landscaping 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 -101 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. — Permittee Signature: j, i i , �' ./ � 1 i y/ T, 4 / 4L'4 r Issued By: i' �-- Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day e.�T'( a1= TIGARD Site Permit Application 0 111 , l'J 13125 SW HALL BLVD, Commercial: Co ENTIRE form 10 ��� 4-19r- fk 9 TIGARD, OR 97223 Residence: Complete SHADED areas �1 . (n ` 6 (503) 639 -4171 x304 iS u l Lo �!'a C • U Gjl 1 �1��I — 2 - o Print or Type Incomplete or illegible applications will not be accepted C let al l that ap ply) ::::::» :« ?::: » »:: » > >:: ><::: > : : :P Eta!laC[IB!< ? » > ..... .. . :............. Utilities Om tat , 4M.:.: F ..... ... . :::: :...; .Bess:; <:: ,:: < <. # >: : : < ::.::::....:...: :..:: i:> ::::: >i „”: » ;: Sto Sewer ......... ..... .................... . . .... . ,. - ,.., .. �+ �«,<:.::.:;:.. 1 :9) Linear Ft. .. .;;: >: , : > Sewer . >< >` > >< > > :< : :('Iatt�:: . .......... .. ..:.. : >:: Sanitary Se rIGA2D CORPO RATE CENTER LP; : Linear Ft. >C7wnor:: ::: i; IVt2i1l.. :::. dtes <;:;:<:::.: >:: >: >:::< ,,:: >:::, : >:: >:: >: >» ::; :; ::::; Fresh Water . ,:::::::.� :: Lmear Ft. >:<: ` »: > > :< > ;; :<P ' aria >:: >: >; >= >:: >::; Catch Basins .............. ...::. t > : >arri>:«> > >:: >:<: >>:: »: >: ><::>><:>: i::'::: < > »<<:: >:: >; ><: >: »:<: Clean O uts u e�........... i A < f d : »»»: : ::>::::>:::>«:>:< :: »: ><::::: >:::::: »a ><: ><: >: Descnbe work to be done, a /= / � :.;:.;:�rss "::: ;::>i:<r: >:: i "::: >:;� ::::>: �: �'i> ;:.:::: : >:: : ::: �:: ;:; ;::;: 'i::�:::;:;: : :; . : : : :. :.. :: N di n AI in R r ew Add tEO terat o e aE O P O � t;::<:';dce a ce:: > ::::::::: .... : ;:> :; >: < ;; ::;::• :: : : :::;: ..: : ; ,: , >. ....:..:......:. S t a te:::::::,: . :.;: >:. ; Zt :.: .:, / <: :.: , :..Phone......... ..... AdtlttEOnaLDescn tion,,of W:::::.;::.::.:::.::, ;.;::.: . •:::..,:: :::::?�! ::::::::::: S tate: -..: o t? : ;Bgat'd: : Lt c. .. # : : ::: : : Ex . > : ::: > ::::;i > : > :: 3; �: #�i��� .:, �t. :::::::.:.:::::.:::.::. :::: :>` Name fil k Pro e ': io. . - . :> V a lia atioiis :> : : ><s`:::: > ::.: > .:: >::: »:;;; :::> . � E � ... .. ... .............. .... Mai lin Ad dress Plan sr "u ired > ; S e e: Ma acSc? >s < >< < <> < >« > >< % Architect g ;:.: > >;:. >:.,»:: :;.; : :;. : .;: ;.>:=;:>::»»>;:: ;::::;::;;::::: ii;::;<;::;: ; >i:: »:: ::::i <::;: / / .-j Sw 72 Chi � � �� 'Fhefol ri hits appi. Ei c atlon; C ity /State Zip Phone Sire p la n with V M P ar k in g (inc fl4i NJ 9 7205 Z-� - /12-1 Showing A a oom pItanc e. ADA & Li Plan Name .:Gra d ii ng : Pian arid° d etai ls : : :: : Landsc P:I an;;:;; : V L� r rlgl2Q 2 , 1�n Engineer Mailing Address / E rosi o n Cor and.; ; Retain ing St 3'9 2 CJ et[ L details . includin catcul City /State Zip ;Phone / ` r : : Site Utilit Pl a n idd etaEE s .:. , : S o i ls R : . . . • d ::,... .... . �� � �Z � z - y ( v sfe�} h of r equire E 6o141r `:` ':::> ::;:' : ; <; : ;..... :... >>. ;;:> t h /1 u th I" ha re a d th applECabon that the . . . (So ds r eport required for >5,Ot3Q c Y C >IC Eon g �ct, tha 1 ,a nx ttie o ar a u tharized �a Cit Y a farm t h e ta er aci th i . ISM - : ; d S tate.laws r : a . . a rn camp to t p ns s u rn a ar n ee FEiI Volume:; :: : .;:::.;;:::;: ; ::::;; : :. :: > ::: > : : ;::..::: .:.;:. : -- :::: ...... . > :. .:: > > : : : > ::.; . : ;:: ,:..... i , .. f or e ;:i ovrner/Et ant . : : ... ...... . . . Dates ::.. .;. . : .:.... > Y S fs. re ort:.r..e u ed: for5 EI ©0 ..:.. s ........... ....:. .::.... d : Ett:'. t • n` . ame :: '< ;:< ; .Phone:::: : : >: >: > '' ; the.f suPp a st .: ; ::: > .:;:: ; ;.. ontac erso N ..:.: . : .. ( Enginee r re if answ is y Y NOD - . . .. �: .r . >: ' >: : O IL OF : EE US ::ON LY> : Retains ....... • .: s tructure., .:. ch. .:.:::.... :::::: : > .;:..::. t Notes: ^ ::::... • : �-,�c an : .:... . :::.. thy.:::: • :::: :.:. then :.. • Total new imp ervious area including all Lan U C • se # Map!FL# buildings, sidewalks, a nd paving 69%1(.614 Sq. Ft. —75 (.4 F P L Z7 • 6-g siteapp.doc9 /97 „------, / ' • 4. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrrade Plan Rev ew: ES::.de .. endent upo n ; s tbmt . of. BOTH ::: lans •AND .a.:C b t ra d e ap rcatio,n For an electrical submttta) :<th�e a I[cat on must .contain # e : : ;:.i natu: , re► of the: >su .ervisi.n ::.eIec : ::: :: >:: ;>:::>::: : :: : :.. .. 9 .:.:::. ....:..:.::::.::<:.;:.:::: pe.::::::::::.... g:. .......::.artctan::befo...re::> fan >:�re��e..w:w�il >:.::: .:.:::: :::.::..::.:.:::.:: : : ..: ...::.:.:.:..:.:.:.:..:...:::.::::::. P.;::.,.;:.:<::,;:. :.:.:.:::.�:::.::.:::::;::ba:: can. �iuc�ec(:.:.;:.;..::< ::.::: :::::::.:::.:. . DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- — F (New or Add or Alt.) 3 3 -- -- 3 (j,o, f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) — — B & M (New or Add) 1 1 — -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- — 20,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,0) 2 (j,o) fir ' ::::;;::2��,;;::;�� <:::`:;:` ? G ? ::.or 6 & #t� Alt :<::<. >:.;: ........ ... 1. ... . .. .::.;:.. :B;: &:M & P.. & Alt . .. l ::.;:::. ;;::::.:.;...:. i NOTES: KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and o = Office M = MEC completes, updates and adds actions. f = Fire P = PLM u =USA E =ELC b •Shaded areas: d:esr nate :ALT <s� ": . .. a .. ,......:. >:: >::<.::: :;; >:::>. , .. ............ :. :. :.:::::.9::.;;:.. :,:::.... ubmitta s o nly,:: >:: >�:;::::::::> < >::::: w = Wash. County F -FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. I:\naVix.Doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST ____q___,.... 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G1 qG� BUP Date Requested U,� ('2'i l -` AM 1� PM BLD Location f�- -�' = _ 7 � � ! Suite MEC ^ --.�: � • � Contact Person / - - ; PLM Contractor Ct a a Ph M SWR BUILDING TehantLQyvner ELC Retaining Wall ELR Footing Access: Foundation 11251 C aged TA — st'e Pm* FPS Ftg Drain SGN Crawl Drain Inspection Notes: SIT 11. _ -- Slab e "�v �- L �il / 4 bOitt Y _ -:-... � :_ Post & Beam ^,��,�DO �� � Ext Sheath /Shear Ct ^'I LgS or L)ro ,� o - _ q99- 0. - Int Sheath /Shear Framing ') O Insulation Drywall Nailing Firewall Fire Sprinkler —O 077; CF / .o'fla/ Fire Alarm Susp'd Ceiling 2 C f Roof 3 0' /6 ,` Q/17 s�2.<___ e Misc: Final PASS PART FAIL PLUMBING d' /d i4 /z-/2-3 5 697 Post & Beam Under Slab B/d $- /2z5", . 69 Top rS f3 // c Water Service Go. Sanitary Sewer Rain Drains //� /� pe,=,..T �/ Pi Final e / / ji / / 5 l 5 �c ' 1 PASS PART FAIL MECHANICAL I 5 / — � Ut ,( 1 (' , gL2 p e sCCS, Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL nu/ clj /v C (do z 3, 74 _ C , 'az- / 99- GG v 2-3 ELECTRICAL 4 f ) Service c d4 Z- 3 y/ R / ? q9° oo Z7 Rough In - n UG /Slab 1 r 9 9 ...000 / 7 Low Voltage i Fire Alarm / Final • PASS PART FAIL (SITED Cr Backfill /Grading Sanitary Sewer . [ 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd m Fire Supply Line [ ] Please call for reins • ection RE: [ ] Unable to inspect - no access ADA , Approach /Sidewalk Date ` a Inspector Ext Other - F Gl PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / Q� BUP Date Requested l t S 1 AM " PM BLD Location / 2 141 IOGf ' V Suite C MEC Contact Person Ph 579 _s -4g iE4 Contractor Ph SWR BUILDING Tenant/Ow a ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SG Crawl Drain Inspection Notes: Slab — Post &Beam r 49/ 0Doz Ext Sheath /Shear Int Sheath /Shear Framing Insulation /e6 � 4 Q j � / Drywall Nailing (� Fire wall �y Q S T 6 -. l Fire Sprinkler i3 U/ / o " , 6 ( _ Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Under Slab -57 3 4 KlZ e c ' j yo0 / 5/� de/ 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 VTE Backfill /Grading Sanitary Sewer torm Oral [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd a c asin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �± n Approach/Sidewalk Date /0 5 /7 Inspector V Ext Other & FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 7 / - / . � BUP Date Requested � A PM BLD LD Location /2 g9/7 cGt._) 6 LI Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab I T / 7S/1 _ 000 Z,C Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall f , E , Fire Sprinkler _ - • Fire Alarm // � '7 // ec ��� ja c Susp'd Ceiling f� ( C.( 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 r Service 1 Rough In UG /Slab Low Voltage Fire Alarm Final P PART FAIL TE ckfill /Grading Sani ary Sewer Sto 1 • . [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Fire -- ply Line ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA �7 Approach /Sidewalk Other / D //// 1i ( 9 4) Inspector JJ I Ext Fi ASS PART FAIL DO NOT REMOVE this inspection record from the job.site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 CrC� BUP Date Requested / 0 ` AM x PM BLD Location 1 2J `(7 ( .P' ,, � Suite' MEC Contact Person 3(�X ITT Ph 5/ 9'S3SS PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall 'ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection No :/ ` { -- SGN Slab / 4 I SIT 19q5-- cDZ(o Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling • Roof - � � � Misc: - - 7:: Final _ PASS PART FAIL PLUMBING v,,ii►. . .— 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 Backfill /Grading Sanitary Sewer - [ ] 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 Other Date % Inspector - Ext F.. PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Cr" AM PM X BLD Location 12 ( 41 ( `7 '" ` A4 } Suite MEC Contact Person c -0`14' Ph SI-/ - SSS PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: /� ^� ' n � / ` /)� QG Slab C� t !/ V r SIT i [Z dncyzco Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing � ( r � �� Firewall L e /► /— Fire 7 0 � 7 l Fire Sprinkler fT Fire Alarm 4 i_ c o q (J 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 S TT� Backfill /Grading Sanitary Sewer [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd a c asin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date r%. / 77 Inspector 76)77 Ext Fin I S� PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested el 1 Z A BLD Location / 3- 7 9 Suite MEC Contact Person Ph PLM Contractor Ph SWR ILDIN Tenant/Owner ELC Re g Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT 199.?0d �o Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing . Firewall a r ; / J / `� Fire Sprinkler ( v / a'' // / 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 l PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL ( ading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catc = F Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Approach /Sidewalk Date Inspector Ext Other F' PASS PART FAIL DO NOT REMOV this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 `er _ BUP Date Requested 2 !v AM PM BLD Location / y/ 2 Y e Suite MEC /JO Contact Person Ph PLM /. Contractor Ph SWR • UILDING Tenant/Owner / ELC Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab / 600 Z 6 Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing AC APP. ire Sprinkler �/ /� / / Sus d ei�ing ( e(/�- M / /c` " /4/ Roof Misc: FLaal ASS) ?ART 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 SITE Backfill /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 I Other Date ID Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.