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Permit 4 4 c _ CITY OF T SITE WORK PERMIT Az-linol r DEVELOPMENT SERVICES PERMIT # : SIT2000 -00025 ' � I I 13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 9/7/00 SITE ADDRESS: 13535 SW 72ND AVE PARCEL : 2S101DC -00300 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING : C -P BLOCK: LOT: JURISDICTION.: TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $56,400.00 EXCV VOLUME: 1,460 cy LANDSCAPING ?: Y FILL VOLUME: 5.600 cy SITE PREP ?: Y ENG FILL ?: Y STORM DRAINS ?: Y SOILS RPT REQD ?: Y IMPERV SURFACE: 79.180 sf Remarks: Site work for new office building. Owner: - FEES PACIFIC NW PROPERTIES 9965 SW ALLEN BLVD Type By Date Amount Receipt SUITE 115 PLCK GEO 6/9/00 $301.63 0002819 BEAVERTON, OR 97005 FIRE GEO 6/9/00 $185.62 0002819 PRMT CTR 9/6/00 $464.05 27200000000 Phone: 5PCT CTR 9/6/00 $37.12 27200000000 Contractor: EROS CTR 9/6/00 $100.00 27200000000 ERPU CTR 9/6/00 $32.50 27200000000 C SCHIEWE + ASSOCIATES ERPC CTR 9/6/00 $32.50 27200000000 1024 NE DAVIS WQUN CTR 9/6/00 $8,697.80 27200000000 PORTLAND, OR 97232 Total $9,851.22 Phone: 234 -6617 Reg #: LIC 00054105 Required Inspections Erosion Control Insp 844 -8444 Final Report Eng'd Grading Excavation Final Inspection Fill Grading Paving Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp Manhole /Cleanout - PVT Sprinkler supply lines Domestic water line inspect. Fire system test 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 -00 You m- o • ain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Permittee Signature: X 411 Issued B : ,/,'4,1A __ _i 01!_44 i Call (503) 639 -4175 by 7:00 P. . for an inspection needed the next business day CITY OF TIGARD Site Permit Application Plan Check # - •^ (-0 C 13125 SW HALL BLVD. Commercial and Multi - Family: Complete ENTIRE form Rec By 41- --e3i TIGARD:OR 97223 Residence: Complete SHADED areas Date to P.E. 6-7.Z0 - t d !!..77 c (503) 639 -4171 x304 Date to DST SY /r�� Permit #S /Ta••• - • • • RS Related SWR # Print or Type Called Incomplete or illegible applications will not be accepted • Project Name Utilities (Complete all that apply) Job 72nd Avenue Office Building Address Address S Gkl �� Storm Sewer / 3 S3 7a - "�� J 1356 Linear Ft. Name Sanitary Sewer Pacific NW Properties 15 Linear Ft. Owner Mailing Address Fresh Water 9965 SW Allen Blvd., Suite 115 29 Linear Ft. City /State Zp I Phone Catch Basins Beaverton, OR 97005 I # 9 General Name C1 C Clean Outs . Contractor C i cam r' e I k .- ._ ' # 2 Prior to Permit Mailing Address Describe work to be done: issuance, a t Neer® Addition❑ Alteration❑ Repair❑ copy of all licenses are City/State Zip Phone Additional Description of Work: required if expired in COT Ex Date database State Const r3ti rd - Lic. # p �` New Commercial Construction Name Project Mildren Design Group _Valuation $ 56,400.00 Architect Mailing Address Plans Required: See Matrix on back 11830 SW Kerr Parkway, Suite 325 The following, must accompan this application City/State Zp Phone Site plan with Vicinity Map Parking (including Lake Oswego, OR 97035 503 - 244 -0552 Showing ADA compliance ADA) & Lighting Plan Name Grading Plan and details Landscaping Plan WRG Design, Inc. Engineer Mailing Address Erosion Control Plan and Retaining Structures 10450 SW Nimbus Avenue, Suite RA details inducing calculations City/State Zp Phone Site Utility Plan and details Soils Report (showing- connection to (if required) Portland, OR 97223 503 -603 -9933 approved system) Excavation Volume I hereby acknowledge that I have read this application that the (Soils report required for >5,000 cu. Yards) information given is correct, that I am the owner or authorized agent of 1460 the owner, and that plans submitted are in compliance with Oregon cu. yds. 1 ftirstfacknowledge that I have read Fill Volume Signature of Owner /Agent Date (Soils report required for >5,000 cu. Yds.) 5600 cu. yds. v►• /..L ti). 0 .a t...A_ '0(] • Will the fill support a structure ontact Person Name ' i Phone (Engineer required if answer is yes) YES NO❑ ir. .ik_L k .L 0 Li-Es. 603- '3 Retaining structure? (check one) ❑Rock FOR OFFICE USE ONLY ❑ CMU Notes: ®Concrete ❑fie Total new impervious area including all Land U Case Mapill# 'buildings, sidewalks, and paving 79180 Sq. Ft. ' ) 0d 0 60eb( I 10/30/98 ifuq.6 v �j�i/ fi e ° ,3 0/ 63 ttJ 472- 4 F 6 - _______-_:±___ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171. BUP zDa�te'Requested 6 AM PM BLD Location (,C SW 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 SIT - 26 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 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 ADA Approach /Sidewalk L p Date J Inspector �/(ilir� Ext 60 PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inppectibn Line: 639 -4175 Business Line: 639 -4171 , BUP .:0/741/ - 0 0 Z f Date Requested 1/- Z'- AM PM BLD Location 3.0 .54 72.E 16 4 Suite MEC Contact Person Ph S/ f- J 5 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain • Inspection Notes: Slab 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 SITE ackfill /Grading Sanita Sewer orm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd at am Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk / Other Date �� 2 Z - 0 Inspector Ext PART FAIL DO NOT REMOVE this inspection record from the job site.