Permit ./ a, CITY OF TIGARD SITE WORK
DEVELOPMENT SERVICES PERMIT
PERMIT # SIT97 -0030
u. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10 / 03 / 97
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15615 SW 74TH AVE
SUBDIVISION : FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK LOT •004 JURISDICTION: TIG
CLASS OF WORK..:NEW PAVING? • N RESO. NO.:
TYPE OF USE :COM . GRADING? Y VALUE...$: 90386
EXCV VOLUME: 4500 cy LANDSCAPING ?..`..: N
FILL VOLUME: 2100 cy SITE PREP? Y
ENG FILL? Y STORM DRAINS ?...: Y
SOILS RPT READ ?: Y IMPERV SURFACE: 86711 sf
Remarks : GRADING /PAVING /PARKING /AND PRIVATE UTILITY. - Note - Foundation
investigation report indicates that at the date of the report that Fanno Creek was
approximately 5 feet deep. The report also indicates that during wet months the
creek can rise upward to 15 feet. Based on elevations submitted with the site plan,
the potential of flooding to some of the buildings may occur.
Owner: FEES
JIM CASTILE type amount by date recpt
8100 SW DURHAM ROAD PRMT $ 406.0121 JSD 10/03/97 97- 299773
TIGARD OR 97224 PLCK $ 263.90 JSD 08/11/97 97- 298160
5PCT $ 20.30 JSD 10/03/97 97- 299773
Phone #: EROS $ . 100.00 JSD 10/03/97 97 -299773
ERPU $ 32.00 JSD 10/03/97 97 -299773
Contractor: ERPC $ 32.00 JSD 10/03/97 97- 299773
ECCO /S & L LANDSCAPE PRMT $ 406.00 JSD 10/03/97 97- 299773
8100 SW DURHAM ROAD EROS $ 100.00 JSD 10/03/97 97- 299773
TIGARD OR 97224 WG!UN $ 9525.07 JSD 10/03/97 97- 299773
Phone #: 639 -1395 $ 10885.27 TOTAL
Reg #..: 000639
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection
approved plans. This permit will expire if work is not started Grading Ins p
within ls.s days of issuance, or if work is suspended for more St r m Drain Ins p
than 180 days. ATTENTION: Oregon law requires you to follow rules Culvert /Catch Be
adopted by the Oregon Utility Notification Center. Those rules are San Sewer Insp
set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0080. Your may • D o m e s t ic water 1
obtain copies of these rules or direct questions to OUNC by calling Fire syst test
(503) 246 -9187. Misc.. Inspection
Engineered gradi
Final Inspection
Wt
Issued by: Permittee Signature
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY O f- TIGARD Site Permit Application Plan check a 3 9
C
pplication Rec'd By
13125 SW HALL BLVI:;. Private Graaing, Paving, Site Accessibility Date rZ ec'd Cii I)
TIGARD, OR 97223 Retaining Structures, Utilities and Related Work Date to P.E.
( 503 ) 639 -4171 x304 Date to DST 64 12441 40-
Permit # 5, �'7 36
Called
Print or Type
Incomplete or illegible applications will not be accepted
Project Name Utilities (Complete all that apply)
Job 7"/ I`Ivt=. INDuSTR1AC. P44
Address Address Storm Sewer 2.5Z o
I 16615 SL.. 7y Ave" Linear Ft.
Name
Sanitary Sewer 7 80
t� C. As/ %u _
Linear Ft.
Owner Mailing Address Fresh Water log 0
8 lOc SW •IDuct}Avv‘ - RD. Linear Ft.
City /State Zip Phone Catch Basins
T.bARO,O2 T2 ZZ� co34 -1395 S
Name (fee 6 �! Clean Outs #
t�� # Li
Mailing Address Describe work to be doe:
General New AdditionD AlterationD Repair°
Contractor City/State Zip Phone Additional Description of Work:
Attach State Const. Cont. Board Lic. # Exp. Date
copy
of current COT Business Tax or Metro # Exp. Date
licenses
Name
Project
Valuation I $ 90 1 3'B(
Architect Mailing Address Plan Submittal: (3) sets containing each of the
following, must accompany this application:
City/State Zip ' Phone Site plan with Vicinity Map Parking (including
X Showing ADA compliance ADA) & Lighting Plan
Name Grading Plan and details Landscaping Plan
Nlco(,l Erv6 X '(
Engineer Mailing Address Erosion Control Plan and Retaining Structures
PO. Box Z378q bS - x° 56 k details including calculations
City/State Zip Phone Site Utility Plan and details Soils Report
- 1 - %6A - It x (showing connection to �( (if required)
D OR q)Zg( (7- 10 - ?a'(o approved system) �\
Excavation Volume 1 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
ySO0 cu y d s agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Fill Volume S' nature of Owner /Agent Date
(Soils report required for >5.000 cu. Yds.) ZI OO �� /V /9/'
cu. yds. .Q` /
'Hill the till support a structure tact Person Name Phone
(Engineer required if answer is yes) YES$ NOD
`/ S
/01 Cas 4`- ��39 -/39
Retaining structure? (check one) 1 Rock
.� D FOR OFFICE USE ONLY
( p ) 0 CMU Notes:
b • ❑Concrete - -
*I/1# 11 __){ (,l - DOther . .
lJ'
I Total new impervious area including all g( 711 Land U e a # ��- Map/TL# t�I
)uildings, sidewalks. and paving Sq. Ft. Gi -5 //e h
\ 4
, 4 9 1 4o f '11 , V Al!tlii-e?.. a L z l siteapp.doc
" do
Permit # Account Description / ' 8 nau , ` Amt. Pd, Bal. eue�.
��3°
A
Plumb. Permit (PLUMB) /i
Mech. Permit (MECH)
ELC /ELR Permit (ELPRMT)
6 30
State Tax (TAX) �j ‘240
Bldg:
Plumb:
Mech:
ELC /ELR:
Plan Check / 9°
Build: (BUPPLN) V �
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS)
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Mass Transit TIF (TIF -MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) yz-S 1
Erosion Control Permit �, (ERPRMT) /(X', /.
Erosion Planck/USA (ERPLAN)!
s: \
�� --
Erosion Planck/COT (EROSN) ,A
Fire Life Safety (FLS) r y�
TOTALS: U __ 4 76 "t 6 ig
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
- BUP
Date Requested (� - -/ c coq I AM PM BLD
Location 15(1)1 ' 7 - 1 Suite n MEC
Contact Person 0 'j1 r Ph 49Y/ 'I3'7 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 -opo c
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
c 4, 1
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: [ J Unable to inspect - no access
Fire Supply Line a /2
ADA Approach/Sidewalk
Other Date nspector Ext
PART FAIL DO NOT REMOVE this inspection record from the job site
0)1 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 e 0
Date Requested: 1 — 2_2 - q D A.M. P.M. MST:
Location: (. ` j G In- J �(.0 74-' '�J p BUP:
Tenant: Suite: Bldg: oU r MEC:
Contractor: 9(./rA,.../ F - e 0 Phone: PLM:
Owner: Phone: ELC: , I / p
•- 1-R: 1 C 1b
SIT: C ? 7-0030
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam ' Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndF1/Slab Rough -In Ceiling Water Line
Slab Framing o. Out Gas Line Rough -In UG Sprinlder
. Foundation Insulation OM.' Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved s Approved , Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
lip .--
O Call for reinspection El Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: , ; . . _ Date: I ' ; s ' ' Pager of
/ 1 .