Permit C ITY - � SITE WORK
-�� �- -�� PERMIT
DEVELOPMENT ��=~� u~m~�°" "�"^~"� o ~�~~ox="*�~~~� PERMIT # • SIT97-0012
_ �Wfr � �.. /31258kk Hall Blvd. Tigard, OR97223 (503)639-4171 DATE ISSUED: 05/21/97
PARCEL: 15135DC-02000
SITE ADDRESS...: 11875 SW 91ST AVE
SUBDIVISION • ZONING: R-7
BLOCK..........: LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT : PAVING? ^ N RESO. NO.:
TYPE OF USE....:MF : GRADING?........: N VALUE...$: 122300
EXCV VOLUME: 0 cy LANDSCAPING? ~ N
FILL VOLUME: 0 cy SITE PREP? : N
ENG FILL? ^ N STORM DRAINS?...: N
SOILS RPT REQD?: N IMPERV SURFACE: 400 sf
Remarks: Repair and maintenance to an existing apartment complex. ADA work
includes: site path, parking; and two accessible units
Owner: — FEES
COMMUNITY PARTNERS FOR type amount by date recpt
AFFORDABLE HOUSING PLCK $ 0.00 JD 04/24/97 97-293693
PO BOX 23206 PRMT $ 490.50 B 05/21/97 97-294866
TIGARD OR 97281 PLCK $ 318.83
Phone #: 5PCT $ 24.53 B 05/21/97 97-294866
EROS $ 64.00 B 05/21/97 97-294866
Contractor: ERPC $ 20.80 B 05/21/97 97-294866
RT & ASSOCIATES INC ERPC $ 20.80 B 05/21/97 97-294866
11858 SE SOLOMON CT
HAPPY VALLEY OR 97266 �
Phone #: 777-8096 $ 939.46 TOTAL
Reg #..: 010181
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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.
_
G Permittee Signature: ' ' __ _
-__--
e_L___
Issued By: ��. �������k��^�/��- - �
"^x ---
Call for inspection — 639-4175
Plan check # / 0 ��
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CITY Or TIGARD Site Permit Application ReCd By !i'
13125 SW HALL BLVD. Private Grading, Paving, Site Accessibility Date Recd o L/ -
TIGARD, OR 97223 Retaining Structures, Utilities and Related Work Date to P E.
(503) 639 -4171 x304 Date to DST 6162 ler7
Permit # `'fr 97 - Lip( Z-
Called asr397 S (3 A'- -
Print or Type C.-
Incomplete or illegible applications will not be accepted
i I-
Pro ct e am�ee k 1 Utilities (Complete all that apply)
Job VIII? a 1 aZ Afer -A elk _
Address Address Storm Sewer
11R1S SW c i i S4- Av. '"'r - , Linear Ft.
Name #� i v ,1 Sanitary Sewer
Conn MOYli 5r - C 4 ct.- a HDt3sio . Linear Ft.
Owner Mailing Addre s Fresh Water _
ft) BOX 2320(. Linear Ft.
City/State Zip Phone Catch Basins
`��� `— C; air€ i (`��. a�'al 9( -a l 24. 1#
!44• erya Fite. Narn`d Clean Outs
General R. ASSQC..j2- S / t nc, #
Contractor Mailing Address Describe work to be done:
(Pnor to New❑ AdditionD AlterationD T Repai
Issuance
IA O r SE Q of oraQ' CA%
applicant must City/State J Zip Phone Additional Description of Work:
- provide all tPer 4 pt? 919.66 n l' 809(0 Y
all contractors ' d� 1 V l?^h e..A/12nn.co..._ T� 2"^ i S�
license Sta Const. �ont. Board Lic. # Exp. Date ) 1 � f > i A \� � `
iol�'ls� ��2c��9�
informanon in COT Business Tax or Metro # Exp Date S 9- A
ft; par-14,01 ii- 2 celrv � -- •
' COT aataease) X00 3 (0 i l \I q a - ► ,
N me Project $ `22 3Cib.
A bii r ae cy •&. k- ILS.mS , Valuation . -
Architect Mailing Address Plan Submittal: (3) sets containing each of the
S20 Sir.;! \ 121/41aa[ r St.)c� following, must accompany this application:
I ityiS ' ta 11 G L� i p , t Phone Site plan with Vicinity Map Parking (including
F Y�'tcYYlc1 � O. liv)4-- 2�Z' 2s4-(0. Showing ADA compliance I I ADA) & Lighting Plan
Name I Grading Plan and details l I I Landscaping Plan
Engineer 1 Mailing Address Erosion Control Plan and Retaining Structures
• details including calculations
City/State Zip Phone I Ste Utility Plan and details I Soils Report
I (showing connection to I (if required) '
aceroved system)
Excavation Volume I I herecy ackncwledge.that I have read this acplication. that the
(Soils report required for >5.000 cu. Yards Information given is correct. that I •am the owner or authorized
Cu. yds. agent of the cwner, and that plans submit ed are in compliance
with Oregon State laws.
Fill Volume Sigpatule of 0 er /Ag-n I Date
(Soils report required for >5.000 cu. Yds.) �y
Cu. yds. i 1L . O. 1 4'171v.
`i^II! the 511 support a structure Contact Pers•n Name - I Phone
(Engineer required if answer is yes) YESD NO0 /Jr e� v�ei
RUL ( VIQ cA. *- c:.s, ! •
c� 22.Z.2S 462,
Retaining structure? (check one) [Rock I FOR OFFICE USE ONLY
CMLI Notes:
` .
• "Other
I Total new impervious area incluoing all I I �L l �an�� d U e Case # ���/^ Map/TL#
I buildincs. sidewalks. and paving , tkXD Sq Ft 1 F\.j1� p� �yi —JZ & \/50k .J51 5�—
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Permit 4 Account Description Amount Amt. Pd. Bal. Due
�D Ia , moo
SZ"7 c Build. Permit (BUILD) `1qo `
- �/ `f go
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC /ELR Permit (ELPRMT)
State Tax (TAX) 2„r 5'3 , ti 24_53
Bldg:
Plumb:
Mech:
ELC /ELR:
Plan Check
Build: (BUPPLN) 83
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)
Erosion Control Permit (ERPRMT) (4 ° / (A °°
°
Erosion Planck/USA (ERPLAN) 2D
Erosion Planck/COT (EROSN) 2b �� 74)
Fire Life Safety (FLS)
TOTALS: 9 39 Yt T 0,691
. •
CITY OF TIGARD BUILDING INSPECTION DIVISION ..
' 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: '° � -1 f
BUP: C
. - P.M. MST: a
Location: i / rt a ,- , 1 cJ �J f , I l — C• ) - ' l
Tenant: 'V 6 ; -^� . F .,../ `� 1 > .. � (_ ( i Sui te: Bldg: MEC:
Contractor: .f ��- ± C '/L Phone: 7 / - 'L V
PLM:
Owner: r l '' r ' Phone: ELC:
.s �-4-4.'-'1,- � � t . a9 P .� � ' `�,�� YaYI �� { � v} r ♦ j' r y T r e ` \ t �/ 'mss /r
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P. , 'f {, � y . ( �`�� ' + �, e ,y ' }" _ -.«�t � , ,� ' .L , f t �, "" ,SA, • 1 7
a\ • ;; " .7 P 1 ' ° d " .:i q. �d .1►�Y :? ..a.�.R`.:: .: '_ Fe' ,! -:. e R'{ Zt� f t. Z l qi %. X• _'_'//1 am.? 1,1 :. SIT: � 1 — (''`C r G^.
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer 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 Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
�� " {,� "/+ FINAL FINAL FINAL FINAL FINAL
' ' N v-. r. f-rAr. n-. . .. • ■ _ . . \\
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❑ Call for reinspection O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: � .'-F-,� ' Date: - 1 I ' 9 P Page of
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