Permit •
CI TY OF TIGARD SITE WORK PERMIT
DEVELOPMENT SERVICES
PERMIT #: SIT2006 -00016
tP DATE ISSUED : 10/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL : 2S115AB -00200
SITE ADDRESS: 16100 SW 113TH AVE OFFIC ZONING : R -25
SUBDIVISION: WOODSPRING APARTMENTS LOT: JURISDICTION : TIG
Project Description: Concrete wall and backfill.
CLASS OF WORK: OTR PAVING ?: RESO. NO:
TYPE OF USE: MF GRADING ?: VALUE: 0.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
WOODSPRING LIMITED PARTNERSHIP Description Date Amount
BY LNR AFFORDABLE HOUSING INC [BUPPLN] Pin Rv -Valu 9/7/2006 $419.80
PACIFIC FIRST CENTER BUILDING [TAX] Valu 8% State Surcha 9/7/2006 $51.67
PORTLAND, OR 97204 [ERPRMT] Erosion Control 9/7/2006 $132.00
Phone: [BUILD] Prmt Fee -Valu 9/7/2006 $645.00
Total $1,248.47
Contractor:
TRUGREEN LANDCARE
16075 SW UPPER BOONES FERRY
TIGARD, OR 97224
Contact #: PRI 503 - 597 -2350
REQUIRED ITEMS AND REPORTS
Reinforced concrete
Reg #: LIC 7233
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ?uffij_? Permittee Signature
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
> /o g / /,--
r . � " Site Work �` = = -
i' Building Permit Application FoR'oiT icr usr ONLY
III , City g of Tigard S EP f _ Received" DO;' ; / S Permit No.: 1T goo &� .e � „,
, t �o06 Date /B .
v 13125 SW Hall Blvd., Tigard, OR 9722 _ Plan Date/B Rev ie
0 , . Other Permit:
. Phone: 503.639.4171 Fat,J0 8.-1960
T IG A R D Inspection Line: 503.6334 f 1 q, O r L tii 1 Date Ready/By: y: See Page 2 for
Internet: www.tigard- or:go4 . Trkj r$ 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
El ❑ Other: equipment, materials, labor, overhead, and the profit for the
' CATEGORY' OF CONSTRUCTION work indicated on this application.
❑ 1- 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: / ( / 6Q s /,J , /134, New dwelling area: square feet
� City /State /ZIP: ( �, ( ....?7,40-4/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: mkSP,2, iie7 Covered porch area: • square feet
Cross street /directions to job site: / ?(ip-/-A-p4 / a, Deck area: square feet
Other structure area: square feet .
REQUIRED DATA: COMMERCIAL- USE.CHECKLIST h
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
6ati Z� /i ( 47- (n/ /r� 1' 6/f6‹. L4- Valuation: $ r� �j , CZ
i Existing building area: square feet
New building area: square feet
• ❑ .PROPERTY' OWNER ❑ TENANT Number of stories:
Name: &19 90/35PlLMdfiS An; Type of construction:
. Address: / LO /OD SW, / /34 Occupancy groups:
City /State /ZIP: �/ G/ `4j) OR . q 7? > 4" Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ " CONTACT PERSON NOTICE •
Business name: �� U t�� `JkNjJ All contractors and subcontractors are required to be
Contact name: 2(S N,9,2�/ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / 60,71 /��� (:9 , V IJ. ( 1f P 130 � U/u. .. 5 ' 4, jurisdiction in which work is being performed. If the
City /State /ZIP: i, b,4-1vt , 47?) -,_ S'o 7q3 4 applicant is exempt from licensing, the following reasons
` 7 ! 7 - d' � D 3) /
697 .D'J S /
apply:
Phone: ('�tTS) ( � Fax:
. E -mail: ( 5 1- 4RFii1,1) - ��e , r ,./i
CONTRACTOR
Business name: 9744'1, 45 A. PUb"-; ' BUILDING PERMIT FEES* • •
Address: (Please refer, to fee schedule) ' ' ' -
City /State /ZIP: Structural plan review fee (or deposit):
•
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: L.14 -K c p ?'1 33 Total fees due upon application:
O� Amount received:
Authorized si , r This permit application expires if a permit is not obtained
''.--5'- within 180 days after it has been accepted as complete.
Print na - . Z.1. Date: O C, * Fee methodology set by Tri- County Building Industry
Service Board.
I :\Building\Permits \SIT- PermitApp.doc /6/06 440 4613T(1 t /02 /COM/WEB)
City of Tigard: Site Work Permit Checklist
Page 2-- Supplemental Information` •
Commercial, Multi - Family and One- and Two - Family Dwellings:
No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will
not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If
fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review
(SLR).
Please complete all items below, unless otherwise noted.
Excavation Volume: ,0 /3 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be - .
compacted to 90% of maximum density) • I /06 cu. yds.
Retaining structure? (Check one) ❑ Rock .
❑CMU •
l"Concrete
❑ Other:
*Total new impervious area including all
buildings, sidewalks, and paving: sq. ft.
Site Utilities Plumbing Work:
Complete the Plumbing Permit Application for site utilities plumbing work. •
Plans Required: See "Site Work Permit Application - Plan Submittal Requirements"
attached. The following must accompany this application:
❑ Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and
ADA compliance Lighting Plan
❑ Grading Plan and details ❑ *Landscaping Plan
❑ Erosion Control Plan and details ❑ Soils Report (if required) -
• Retaining Structures
*Does not apply to One- and Two - family dwellings. 4
- # of Plans
TYPE OF SUBMITTAL Required at
(Includes New,, Additions• or Alterations) - Submittal S .
•
Commercial 2
(_,) Multi- Family R -1 Occupancy 2
One- & Two-Family Dwelling / ��% • .
I:\Building\Permits \SIT- PermitApp.doc 06/26/06 2
MUaa
Facsimile
To: Christina Garrett
Company: LM Consultants, Inc.
Phone: 847 - 573 -1717
Fax: 847 - 573 -9737
From: Albert Shields
Phone: Home 503 - 244 -1693; Work 503 - 718 -2426
Date: Monday, June 27, 2005
Pages including this page:
COMMENTS:
Christina, in response to your undated Faxed request, this confirms that a review of our files shows no
open Building or Housing Code violations on record for the property at 16100 SW 113 Ave., Tigard.
We in the Building Division do not maintain records of Fire Code violations, in- ground oil storage
tanks or spills, or emergency response actions. You may wish to contact Tualatin Valley Fire and
Rescue (TVF &R), Oregon State DEQ, or TVF &R and Tigard Police, respectively, to look farther into
whether there is any record of open violations in those areas.
Please call if you have any questions.
Albert Shields, Housing In . ctor, Buildin. - ides Enforcement Officer. 503 - 639 -4171 X2426.
i I lie07A r I I
City o ..rd, 13125 SW Hall Blvd., Tigard, OR 97223 •
PLEASE DELIVER THIS FAX IMMEDIATELY **
,- 2005(WED) 15:57 LM Consultants, Inc. P. 002/002
4 M
Public Records Request Form
City of Tigard, Oregon
Oregon Public Records Law grants each person the right to inspect the records of a public body (unless
exempt from disclosure). CIV staff will contact you within 72 hours of receiving this reguest.
Date & Time Contact Name: Phone #: gyr. --5T43 _ 171
.
of Request: Cr;si G
FAX #: 8�(� - 5'43 -9
Description of Records Requested (please be as specific as possible):
R c rdc (eirsctl & opsor. but `c r c nd /_ \ /cok03 - erns : opia - ICi re t;Ocl9- Ui 6)015(6/
i�nd r �v.j(4 r��� mks ;lls �r PrnA C [ onSP- a I bn <_
Fo r - i - p.r bp/ ( - tY ► ({ 100 Sw 1 LS-1A., ,
PRICES: Photocopies - $.25 /page Microfiche /film Copies - 8'/x11 - $.25 /page Oversized Copies - $2.50 /page
- 11X14 - $.50 /page Computer /Compact Disks - $5 each
- 11x17 -$1.00 /page AudioNideo Tapes - $6 each
This form may be: • submitted to City Records at 13125 SW Hall Blvd.:
• faxed to City Records at 503- 684 -7297; or
• e- mailed to citvrecords@ci.tioard.or.us.
* * * FOR RECORDS STAFF USE ONLY*** * *
Contact notes:
Number of Time Spent: Files
Files Removed: Removed By: _
Number and Type of Copies: Flle Return Date:
Re -filed by:
(rev. 4 /05)
Mors Office Salem Office Bend
Carlson Testing, Inc. 8430 SW Bunn. 4060 HudmnS,NE Bend OR Ri if Rd
Tigard, OR 97223 Solent OR 97301 Rend OR 97702
Phone: (503) 684 -3460 Phone: (503) 589 -1252 Phone: (541)330-9155
For: (503) 684 -0954 F. 1503) 589 -1309 F 15411 330-9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
March 27, 2007
T0603302
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Rick Bolen
FILE COPY .
Re: Woodspring Apartments
16100 SW 113 Street- Tigard, OR
Permit# SIT2006 -00016
Dear Mr. Bolen:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Reinforced Concrete (Retaining Wall)
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office.
If there are -ny further questions regarding this matter, please do not hesitate to contact this office.
Respectfu y submitted,
CARLSO TESTING,
Ja ';. Hietpas
F'.- • operations Manager
JF / s
c: Coast Pavement Services- Chad Lavallee
Parati Company- Keveku Graham
Truegreen Landcare- Chris Harfield
- - •
CITY TIGARD
, Aii
BUILDING DIVISION PERMIT #: SIT2006-00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006
Phone: (503) 639-4171 GI I A\
...011 1 /
Inspection Requests (24 Hrs.): (503) 639-4175 411
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7;04AM PAGE: 59
SITE ADDRESS: 16100 SW 113TH AVE OFFIC CLASS OF WORK:
SUBDIVISION: WOODSPRING APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WOODSPRING APT.
DESCRIPTION: Concrete wall and bacIdill,
OWNER: WOODSPRING LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: TRUGREEN LANDCARE PHONE #: 503-597-2350
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time: 9;00
Code # Inspection Description Confirm # Contact # Message
205 Footing 503-793-0075 N
- rtiv- oikep425 0
Corrections/Comments/Instructions:
1 , .
..„...-------‘,
_ • , iii •
,--
I I PARTIAL APPROVAL LI CANCEL I I NO ACCESS
fl FAIL C ' L FO" INSPECTION fl ADDIT I NAL , , E ASSESSED
111/ vi
Inspector: do _y, Date: it a ,d Phone #: (503) 718- _
CITY TIGARD
BUILDING DIVISION PERMIT #: , "r200 -0001
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006
Phone: (503) 639 -4171 o � H jdl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: 16100 SW 113TH AVE OFFIC CLASS OF WORK:
SUBDIVISION: WOODSPRING APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WOODSPRING APT.
DESCRIPTION: Concrete wall and bacl4ill.
OWNER: WOODSPRING LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: TRUGREEN LANDCARE PHONE #: 503 - 597 -2350
Inspection Request Scheduled For: Date: 1'1/17/2006 Pour Tim:: 9 :00
Code # Inspection Description Confirm # Contact # Messa•
205 Footing 039924 -01 503- 793 -0075 N
Corrections /Comments /Instructions:
j
FIllr~ .n:4 t �. , A
ow.. m . -
i I ` ' , i i i'
a' ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
El FAIL , ❑ CALL FOR I PECTION I I ADDITIONA FEE T ASSESSED
Inspector: 4 I Date: t ,/ I _ #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION 3 PERMIT #: SIT2006•00016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2006
Phone: (503) 639 -4171 u 4���' ��ll
Inspection Requests (24 Hrs.): (503) 639 -4175 . °' mamma
INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7 :03Alv1 PAGE: 29
SITE ADDRESS: 16100 SW 113TH AVE OFFIC CLASS OF WORK:
SUBDIVISION: WOODSPRING APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WOODSPRING APT.
DESCRIPTION: Concrete wall and back ill,
OWNER: WOODSPRING LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: TRUGREEN LANDCARE PHONE #: 503
Inspection Request Scheduled For: Date: 11/1/2006 Pour Time: 8:00
Code # Inspection Description Confirm # Contact # Message
206 Footing 039137 -01 504793.0075 N
'5 fAkto CE'
Corrections /Comments /Instructions: 'Flu
AA _b I &I I0o -5 74 - 1. a- FA
Mr - . -r
k, . 1 1
A ( To- ' i a .
lI
0 1
PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL CA FOR INSPECTION I I ADDITIO L F S ASSESSED
Inspector: IAr' Date: i Phone #: (503) 718 -g