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Permit
CITY TIGARD SITE WORK PERMIT a r DEVELOPMENT SERVICES PERMIT # : SIT1999 -00023 Ai( 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 7/23/99 SITE ADDRESS: 12123 SW 69TH AVE PARCEL : 2S101AA -TTOOA SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING : MUE BLOCK: LOT: OOA JURISDICTION : TIG CLASS OF WORK: UNK PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $344,577.00 EXCV VOLUME: cy LANDSCAPING ?: Y FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: Y SOILS RPT REQD ?: IMPERV SURFACE: 60.984 sf Remarks: Site work and utilities. - Grading and fill completed under permit 99 -00017 Owner: FEES TIGARD CORPORATE CENTER LP 15400 SW MILLIKAN WAY Type By Date Amount Receipt BEAVERTON, OR 97006 PLCK GEO 6/4/99 $679.58 99- 315773 MISC GEO 6/4/99 $418.20 99- 315773 5PCT BON 7/23/99 $52.22 99- 317080 Phone: EROS BON 7/23/99 $112.00 99- 317080 Contractor: ERPU BON 7/23/99 $36.40 99- 317080 BAUGH CONSTRUCTION OREGON INC ERPC BON 7/23/99 $36.40 99- 317080 PO BOX 14135 PRMT BON 7/23/99 $1,044.44 99- 317080 SEATTLE, WA 98114 -0135 SQWM BON 7/23/99 $6,699.00 99- 317080 Total $9,078.24 Phone: 641 -2500 Reg #: LIC 000628 Required Inspections Erosion Control Insp 844 -8444 Retaining Wall /Footing Paving Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp Manhole /Cleanout - PVT Sprinkler supply lines Domestic water line inspect. Final Inspection ORIGINAL 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. / e•—• Permittee Signature: /1/0&,t(f) / / / /' .V /_-i'l k -- / 0 -QQ/ts Issued By: 4. 1--_- CaII (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day PtAa c H 76% � .' OF TIGARD Site P Application �- 13125 SW HALL BLVD. Commercial: Complete ENTIRE form e . TIGARD, OR 97223 Residence: Complete SHADED are p sir , /rig (503) 639 -4171 x304 fr al u)1 A / c_. . q' 7 . ,� � - Print or Type � i, �� go Incomplete or illegible applications will notibe accep d 5124 7 050/ • gineDigligE .::.: . : : :; : : :. ::.........:; :" �. .. Utilities (Complete all that apply) <'<:: : >:a l e ii : :> < <::' �: `.: : ;- w:> : :; : Ir 7 : .;:.;; : : : :i : .;: . Storm Sewer ' :: ~ :, ;:iii;: ::':`::i: v:::::::: :' } ?: .: ::i'fri::iii:i::::iii ::: i ::::::::..::.,..;:.: VU Linear Ft. �' > » : > > <:::. • a R LP Sanitary Sewer N;< :: » > ?::<` >:' >: TIGARD CORPORAL' - CEyTE '� Linear Ft. :> mall : .. siF. T. 7. �::i + .: : :i::r`:.'� - " s i: ;2:i: %:iifi; 00 Linear Ft. : onoti :.:<.::.;:::::::::: 1 .:.. ::: Fresh Water ::;::.... .: :..:.:. ..:.:.::::::....... ..:.. :: .:..::..................,:..... .;:.:.: ;l :,:.:.. ; ::.::. r :.::.... . : Catch Basins << '�: < < ; �O y(v- ?U` <: >> # :. :: . :•= �::?![: < : �k :i =!:�_:� a sii2 <: °> :: % : t : i i ; : < i i .: <::.:.±:4.= -.:: Clean Outs • Pe:.;:.. ; , pfd.: >;:.;:<.:.;: ;:<.::;;::;;:.... ;:.; Describe work to be done e t N ew Addition Alteration R e a O O P ;:: >:: »:::: >: :.. :; ::.;:. :::,..:.::::.:.:.;: .:.:::::. ::: » » » >:..... >> >: : iii>::i:: : .;: . ;;: . ; . 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C44.V .................. ote ........................ • i<:i:::::::i::::::::: - •••••••••••••• i:::::3: %: i::i::::::•.:,.' ;.::.: � .:;:.; .;. : i% ;: �: i ':::::: ::F::: ? ?:::i:: >::::: . • ":::::>::: �: Sis� :::ii::i:::i :.; �:.::::: :::::;::i:::: .: .......:................. :...........................:............... ............................... i:::<:i:<:ii::;i:::: is :i::i:::i::ii:.:<:: >:«:i::ii::: :: ::i >i::i:::<;: >i::::::��:::: ' Total ota new impervious including area II buildings, sidewalks, paving side a sand a n b c e „ s9qc bow ,ce../ ak. -- Legibei? siteapp.doc9 /97 l /A I COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX c `ta.n ± ievi Es de eniient u . sitbm�#taf.:.ti .; Q:.. • :•: ... P ...............:......... �................ .............................. T�.. fans: > AND:::atei >::::> ..:::.. >::`:::'< :::: ' bt : . .. .:: :%' .: b .' ' :.:. c ,.. i :........ . ;... .• ; .. a w•:.� ; . ` ..: :::.:::i::i::::::•..: ficad� �� .: �a�± ���:::: �vr:. a. R .:�lacca�l:::$ub�n�t�a�:.,.;th :::. ::..: : » . ::» : <.:. ::: .;:.:: .;:.::.;:<;.::.: ..:.... ..:........:..::..::.........:. A... .... ... .............::::: :::.. .. ...:............... !e � .:. l�ca# ���: eauat.. �s��:# amf :........:::::::::::.: :: ::s oa ur <a.:i l e: ::su Ongs!:n ::: ect�nc.la :: .. ::..: .:: :.::•:: :.;: <::::.:•.:::: :::::: : :.9 .:.::.:.::::......:::....::::.:.. �::.: �: t?e.::::::::::::::..::...............:.......:.. n::. b... ���r�e ..:.�€n::�a�rsv�r:w�M�: >be >:.o ..... ::. .::::: :::::::...;:• .....:..::.:.:::: 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 -- -- 2(j,o) — B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- — 2 -- -- 20,0) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o) ......................... ................. .. ....... .::.;;::. >:.:;;;<:..::::: ;... :: ; . :.:... . . ...... .. . . . . . . . . . .:.. :.. :::... . . ::::.. ::::::::::.: : ........ ..... ...:.;.:...:.;:;::.:::::;. eft . . . ..... . ............................. . ;.;:.::,.:;.:;.::::::..................::..:::.::.:;.;..........:.....:...............................::: :::...........::..:........:::: el..... _..::.<:.;:.;:.; :....:... I�:;: &:: : : . '_�:: �:. . ,..y �:.••;`.': •; ���.�':• •:' �::::::: #';::;: ":', >.;'.�: } �'r•k'!:::: :(:'<:::::*�:;:y ••'tf::. ?:;r.::: ?i� ::;:j': • � <;i:;i:;::' +: 'i'y::i': ?:< ?•: :::::::::::•: ?S ::::::•:• > ?2 ;y j;; {:::::ii is : ?:' . .: `i5i:' :: 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 .:: »>Shacteda'eas.:desi.� nate::A «TS ..... ....:..:....:.,................ = = :,:.::.,..,.::..,.::..:.:.,,.:..:.: ::::::::::::::::::::::::. 9..::. :::.......:..�.'�'.:..:�€bntta( she(.; Y<<:>::>::<::: : >:: >:::::: >:: »:: >:: >:: >:: » » >:; 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 :lmatrix.Doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ BUP 1:; Date Requested / 0 7,-� AM l'----. BLD Location ID--17-3 6 cj Suite i MEC Contact Person R . Ph S - s as PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT l i9 _060223 Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation '1 Drywall Nailing Firewall / o- Fire Sprinkler •� - � / F e q.— ) i 1 ) ire Alarm Susp'd Ceiling Roof /l1 t0 /i' 4 , t ( 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 P S PART FAIL IE ac fill /Grading Sa ' ary Sewer Sto [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Basin ::ly Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date / <7Inspector Z Ext Other til 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 /a 1-D Date Requested (( (/ ( AM PM BLD Location Sei (a Suite MEC Contact Person l $ I . t,� - 6 iDh S1 7 S 35s" PLM Contractor Ph SWR BUILDING Tenant/Owner ¶fta n ELC Retaining Wall L ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes ,,k� Post & Beam SIT /5Y'?-6 Ext Sheath /Shear (q C i i 45170 a 7 — 6 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall 561 /q1(}/ i � /0e / 7 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 PAS PART FAIL " r4 BaCkfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd 'n t r i p ! [ ] Please call for reinspection RE: [ ] Unable to inspect - no access A t►, Approach /Sidewalk Other Date l/// 7f7 Inspector Ext • (e`? 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 < < AM PM BLD Location L 2- ( 3 ktit. Suite _ MEC Contact Person Ph £ (? SAS PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain / SGN Crawl Drain Inspection Notes: e( V / c c q Slab SIT 1 9 C 1 9 0 00 3 Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ' Susp'd Ceiling ��� Roof Misc: Final PASS T FAIL -,asr LUMBIN ' ∎110 � /L � �� t!��tr/" Post & Beam - Under Slab Top Out Water Service Sanita =- er - :nD inal AS PART FAIL ANICAL Post & Beam Rough In \ Gas Line Smoke Dampers Final PASS PART FAIL I ELECTRICAL \Service 'ough In 1G /Slab \w Voltage e Alarm al \SS PART FAIL i I /Grading \ry Sewer )rain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ?ly Line Sidewalk ' n Date 1 Inspector �! Ext \RT FAIL DO NOT - EMOVE this inspecti re rd from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested // /e � � AM PM BLD Location ( 7 c,T . • • uite MEC Contact Person J Ph 51 , , 5 PLM Contractor Ph SWR BUILDING nant/Owner ELC Retaining Wall ELR Footing Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection Notes: • c Slab SIT /9 / f zw d Z3 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 �, a Under Slab Top Out Water Service Sanitary Sewer j . r 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 Other ate ' Inspector / % Ext • `3 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 p U � BUP Date Requested / 'Z� ` 9 AM PM BLD Location 1 2' 0, 3 Lo r " Suite MEC Contact Person IScMr � � Ph lit/ 3 C/ / Z / PLM Contractor !j Ph SWR UIL Tenant/Owner ELC es-to Retaining Wall ELR o� undation Access: FPS Ftg Drain Crawl Drain Inspection Notes: I vl/ _ [ _ SGN G Slab SIT (q`'( -I -000 23 Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Snc770/t.( 50 l / Susp'd Ceiling Roof t!i I 6S / S /acs Misc: RAS PART FAIL MBING 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 [ ] Please call for reinspection RE: / [ ]Unable to inspect - no access Fire Supply Line f ADA dis Approach /Sidewalk Other Date Inspect r Ext Final PASS PART FAIL DO NOT REMOVE this inspection the job site. CITY OF TIGARD BUILDING. INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested . J /40 AM PM BLD Location / 2- 1 23 (0 Suite MEC Contact Person Pt t) % d Ph Leff _S-/S(, PLM • Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT /.9 -Sp23 Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler w Fire Alarm IfirA4 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 , � /L_ MECHANICAL �/ ��� / �7 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 �TTE� Backfill /Grading Sanitary Sewer Sraun.pra$ [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd a ch Ba [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA O p h roach /Sidewalk Date 42 1 //(5 b Inspector Ext 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 Date Requested /, 13f /1 AM PM BLD 1 Location / 3 ,(C) T' y2 Suite _ MEC Ilrf Contact Person ...5eDif R C tS /eataltd.44-- - 6 : 0 2 h 57 S3 S PLM V Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation - FPS Ftg;Drain air Drain ins • e .r. p r/ SSI t° — k-5'f- SGT r �afi" .„,„10-..+ Ql� SIT 1Q q c l -� t & Beam I l Ext Sheath /Shear �* •! �� . A�'.... � 1� (� d Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler S T a 7& ST Fire Alarm C Susp'd Ceiling Roof f icri ASS PART FAIL PLUMBING Post & Beam Under Slab / (J S J/ Top Out Water Service 1. 6 Sanitary Sewer Rain Drains Final r =' 'zF• 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 rading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catc up [ ] Please call for reinspection RE: [ ] Unable to inspect - no access - /l Approach /Sidewalk Date Inspector V Ext Other Fi -� ' FAIL DO NOT REMOVE his inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST /A 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ��I J 3/T9 AM PM ° j BLD V Location ) ( 1)` AO<_ Suite �,/ MEC Contact Person & eat/VS 4 / etax- h CCPh 57 c f t 3S3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: t / � /� / / SGN Slab ,v S rJ flJ� SIT / -(2) - (F. Post & Beam Ext Sheath /Shear l __ _ _ •,,.,..7 7 • Int Sheath /Shear ! _ Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm k.-70 S 7 Susp'd Ceiling I l Cj/ • 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 Fina d ip PART FAIL YT - /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire • [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Approach /Sidewalk ' Other D 319 Inspector v Ext 6 � F- PASS 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 /© AM 1/ PM BLD Location 1 Z Suite MEC Contact Person Ph /5 ,C, 3,STS PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT / 9 00023 Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire Sp 41 �/ /8 - az G,,, /'� I Fire Sprinkler j� , _/ CJ l Fire Alarm c- q D .- , - Susp'd Ceiling Roof ?CG 7C-..c 770 4 .1 q F� 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 ITE Grading er C „,, [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Fire Supply Line [ ] Please call for renspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date v / Other Y nsector Ext Fi •� .`s1,ZZ T FAIL DO NOT REMOVE this inspection record from the job site.