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Permit
CITY OF TIGARD SITE WORK PERMIT ''1 COMMUNITY DEVELOPMENT Permit #: SIT2011 -00004 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/08/2011 Parcel: 1 S136DD02300 Jurisdiction: Tigard Site address: 14 f 1:POPthh Project: One Dartmouth Subdivision: ONE DARTMOUTH OFFICE BUILDING Lot: 10 Project Description: Erosion control only. Property is located across street (north) from 6960 SW Clinton St. Contractor: COFFMAN EXCAVATION LLC Owner: SFP DARTMOUTH LLC PO BOX 687 15325 SW BEAVERTON CREEK CT OREGON CITY, OR 97045 BEAVERTON, OR 97006 PHONE: 503 - 648 -8555 PHONE: 503 - 646 -2202 FAX: FEES Description Date Amount Specifics: Erosion Control 02/08/2011 $80.00 Erosion Plan Review CWS 02/08/2011 $26.00 Type of Use: COM Erosion Plan Review COT 02/08/2011 $26.00 Class of Work: OTR Project Valuation: $0.00 Site Specifics: Excavation Volume: cu. yd. Fill Volume: cu. yd. Impervious Surface: sq. ft. Engineered Fill: Soil Report Required: Paving: Grading: Landscaping: Site Prep: Storn Drains: Retaining Wall: Fire Underground: Accessible Parking: Fence: Total $132.00 Required Items and Reports (Conditions) 1 Ersn Cntrl 503 - 681 -4444 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notif • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direc .uestions to • • C b :Ilin. 503.232.1987 or 1.800.332.2344. Issue. By: �! Permittee Signatu Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVED Site Work FEB 8 � } FOR OFFICE USE ONLY B 8 L 011 Received City of Tigard DateB ��OM Permit No.: 4 i 'reap/ / �O , . - • 13125 SW Hall Blvd., Tigard, OR 9722 OF TIGARD Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598 Date/By: TIGARD Inspection Line: 503.639.4175 li LDING DIVISION Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ® Other: Brush Clear equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ID I- and 2- family dwelling ® Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /' ' 7 9 6-(1) 7e /1 d f- New dwelling area: square feet City/State/ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: SFP Dartmouth O (A p,,, " jovered porch area: square feet Cross street/directions to job site: SW 69 and Clinton Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: ( 5( 36 j 2-560 Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Trimming /clearing of Brush (already completed) P PE -i- /,00 Aces. Valuation: $ Erosion Control t kt `c r- (jJe ,_ if (094 o4cco bi A.)72DA) ")-T— Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: SFP Dartmouth LLC Type of construction: Address: 15325 SW Beaverton Creek Court Occupancy groups: City/State/ZIP: Beaverton, OR 9706 Existing: Phone: (503)646 -2202 Fax: (503)626 -8903 New: ® APPLICANT ® CONTACT PERSON NOTICE Business name: Specht Properties Inc. All contractors and subcontractors are required to be Contact name: Darren Wood licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 15325 SW Beaverton Creek Court jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: Beaverton, OR 97006 apply: Phone: (503) 646 -2202 Fax: : (503) 626 -8903 E -mail: dwood @spechtprop.com CONTRACTOR Business name: Coffman Excavation _ _ BUILDING PERMIT FEES* Address: , to (Please refer to fee schedule) Structural plan review fee (or deposit): City/ State/ZIP: C C f ?� S FLS plan review fee (if applicable): Phone: (503) 656-71 i' i Fax: ( ) CCB lic.: 146689 - Total fees due upon application: - Amount received: Authorized signatur This permit application expires if a permit is not obtained - within 180 days after it has been accepted as complete. Print name: Ob..r fe.4A.. I-) CI) d d Date: 2_0- 2 - i) * Fee methodology set by Tri- County Building Industry I: \ ��,. Service Board. uiiin rmits\SIT- PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB) Jun.28. 2006 12;53PM CLEAN WATER SERVICES 503 6814439 110.3441 P. 2 CleanWater Services Our commitment is clear • June 20, 2006 Schott and Associates 11977 S. Tolliver Road Molalla, OR 97038 RE: Service Provider Letter for Dartmouth Phase lI (1S136D006100, 6200, 6300, 6600, 2100, 2200, 2300, 2500), CWS ER File 06 -001599 Clean Water Services has received your Sensitive Area Certification for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project will not significantly impact Sensitive Areas found near the site. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. • If you have any questions, please feel free to call me at 503 - 681 -5106. Sincerely, Damon W. Reische Environmental Plan Review • 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681.3600 • Fax: (503) 681-3603 • www.CleanWalarServices.org A /')O /)nna men •n.eg r'r�-,rry wen /0091 R1602 Aug.23. 2006 2:23PM CLEAN WATER SERVICES 503 6814439 No.4285 P. 1 7: �� 6 5 Clean Water Serv Our commitment is clear. June 20, 2006 Schott and Associates 11977 S. Tolliver Road Molalla, Oregon 97038 RE: Service Provider Letter for Dartmouth Phase II (1S136DD -02900, 03000, 03001, 03100), CWS ER File 06. 002640 Clean Water Services has received your Sensitive Area Certification for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of your project. Staff concurs that the above referenced project will not significantly impact Sensitive Areas found near the site. In light of this result, this document will serve as your Service Provider letter as required by Resolution and Order 04 -9, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at.503 -681 -3613. Sincerely, Julie Wirth Fnvirnnmanfai Plan Reviaw Pazt - It'" brand fax transmittal memo 7671 oa Pct e j � j Tp 30e (CL��'a . Front (I It 1411c :ft— `{ — ca ca CLt) S Dept. : '°" 6 R/ ` L t , Fax k / � (j+ cc? � Fax N PortlandMaps Detail Report Page 1 of 1 P ortlandMaps New Search I Maopinq I Advanced I Gooqle Earth I Help I PortlandOnline 11795 SW 69TH AVE - Explorer I Property I Maps I Protects I Crime I Census I Environmental I TIGARD Transportation Summary I Assessor I Permits /Cases I Block I Schools I Parks I Development I Garbage /Recycling I Noise I Historic Permits I Water Property & Location 111 �'" " r ' �� sw ,� L ZZ= ATLANTA ` U I I ' MIN r . , „, BA OR I , 5 .4 - � ,,,,, ,. „. . ■ IU :ui? fl IILC I TO , �� 11 i 7 iii I lizillicrdilax ' 44 4 0 1( D fl,� RTMOw.__ I � � P. i Iw', tit* MP?' ,,_,,, MINS lai Tyri-_,,, 11" i ;V .1 ")-Nlilf . ii. 1111111111V= I : r1�S �� . 7ai 1 k . . . f . . ._ .., .. . .. , k S'�r t� , Ili , , A Irae l t- 0000.9 co I ,° . rj Z Y 1 3 I0 SW CLINTON ST i I City of Portland, Corporate GIS 2/1/2011 THE GIS APPLICATIONS ACCESSED THROUGH THIS WEB SITE PROVIDE A VISUAL DISPLAY OF DATA FOR YOUR CONVENIENCE. EVERY REASONABLE EFFORT HAS BEEN MADE TO ASSURE THE ACCURACY OF THE MAPS AND ASSOCIATED DATA. THE CITY OF PORTLAND MAKES NO WARRANTY, REPRESENTATION OR GUARANTEE AS TO THE CONTENT, SEQUENCE, ACCURACY, TIMELINESS OR COMPLETENESS OF ANY OF THE DATA PROVIDED HEREIN. THE USER OF THESE APPLICATIONS SHOULD NOT RELY ON THE DATA PROVIDED HEREIN FOR ANY REASON. THE CITY OF PORTLAND EXPLICITLY DISCLAIMS ANY REPRESENTATIONS AND WARRANTIES, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY ERRORS, OMISSIONS, OR INACCURACIES IN THE INFORMATION PROVIDED REGARDLESS OF HOW CAUSED. THE CITY OF PORTLAND SHALL ASSUME NO LIABILITY FOR ANY DECISIONS MADE OR ACTIONS TAKEN OR NOT TAKEN BY THEE USER OF THE APPLICATIONS IN RELIANCE UPON ANY INFORMATION OR DATA FURNISHED HEREUNDER FOR UPDATED INFORMATION ABOUT THE MAP DATA ON PORTLANDMAPS PLEASE REFER TO CUTS METADAT4 FOR QUESTIONS ABOUT ASSESSMENT INFORMATION PLEASE CONTACT THE COUNTY ASSESSORS OFFICE IN YOUR COUNTY. Address I ting2inst I Advanced I Gooale Earth I i I AlmaI Portland Maps © 2011 City of Portland, Oregon http:// www .portlandmaps.com/detail.cfm? action = Property&propertyid= W263712 &state_id... 2/1/2011