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Permit .. CITY OF TIGARD SITE WORK PERMIT ,, „, , ,. . ° °" II COMMUNITY DEVELOPMENT PERMIT # : SIT2007 -00019 TIGARD DATE ISSUED : 6/7/2007 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL : 2S104BD -07100 SITE ADDRESS: 13784 SW FERN ST ZONING : R -7 SUBDIVISION: PP1995 -017 LOT: 003 JURISDICTION : TIG PROJECT: DDR DEVELOPMENT Project Description: Approximately 100' of retaining wall CLASS OF WORK: OTR PAVING ?: RESO. NO: TYPE OF USE: SF GRADING ?: VALUE: 34,000.00 EXCV VOLUME: cy LANDSCAPING ?: FILL VOLUME: cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: sf Owner: FEES DDR DEVELOP Description Date Amount 14295 SW WOODHUE ST. [BUPPLN] Pln Rv -Valu 6/1/2007 $228.02 TIGARD, OR 97223 [BUILD] Prmt Fee -Valu 6/7/2007 $350.80 [TAX] Valu 8% State Surcha 6/7/2007 $28.06 [ERPRMT] Erosion Control 6/7/2007 $26.00 Phone: 503-260-3017 [ERPLN] Erosn Pln Rv CWS 6/7/2007 $8.45 Contractor: [EROSN] Erosn Pln Rv COT 6/7/2007 $8.45 IKE & SONS Total $649.78 21855 SW BLAINE ST. ALOHA, OR 97006 Contact #: PRI 503 -- 649 -5714 FAX 503.- 649 -7153 REQUIRED ITEMS AND REPORTS Engineered soils Reg #: LIC 145754 Final observation & acceptance Structural observation 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:/Permittee Signature: 1 / 4/ /i'Z„ , jft L ib i.."___ 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. i . Site W €k , , ,, Building Permit Applica> ai 6''"% ` : � G � i oa orris USE ONLY • ti I_z9,'L9 2:-�^- 1 . 1. 9 •j -:'4. Received City of Tigard Dar By . 6 / ©7 it, Permit No. rx�7- /9 ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review III II' ' Phone: 503.639.4171 Fax: 503.598.196�U N 0 1 2001 Date/By (0' 4 • 0 AD Other Permit: TI G A K D Inspection Line: 503.639.4175 Date Ready/By: r _ 5 ®See Page 2 for Internet: www.tigard- or.gov ;- a,i ' Notified/Method: W tpl�- ' I l Supplemental Information . . TYP..E '. :: .J1 tf ,'- • REQUIRED DATA: 1- AND 2-FAMILY DWELLING El 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: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. CO Valuation: $ 12 1- and 2- family dwelling 12 Commercial /industrial / dt�d- • ❑ Accessory building ID Multi Number of bedrooms: . ID Master builder ❑ Other: Number of bathrooms: .., . 'IOW SITE INFORMATION AND LOCATION' . Total number of floors: Job site address: /37x y it -i°I 101 if New dwelling area: square feet . City /State /ZIP: 77 / 972 Z l/ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name f *•�I Jj. PiDifei Covered porch area: square feet . Cross street /directions to job site: ,r , Deck area: square feet Other structure area: square feet REQUIRED.DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 ,'O WO work indicated on this application. C� 3 r ,,`, 1, o , v s i Valuation: $ L ik, Existing building area: square feet J�/ // + 1, New building area: square feet 8( .OWNER ' I ❑ TENANT Number of stories: �^-�'V Name: e p-1 0 , kol,,,(1A., Ty pe of construction: Address: 14Z-A5 Occupancy groups: City /State /ZIP: d Oft ?Z 1 Existing: Phone: 6 3 ) I6 , 7 Fax: ( ) New: ❑ APPLICANT ❑ 'CONTACT PEA SON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: 3.0-1c 0 Phone:( ) I Fax::( ) aac€,.dD- E -mail: • (c r 1 0� Ci NTRACTOR ` , � Business name: N. ' BUILDING PERMIT FEES* • Address : �J''�o schedule) �� �� lol u f 1 G.. V q �] ��� Structural plan review fee (or deposit): 1�`. City /State /ZIP: . Phone: ( .. / 1 Fax: ('� � / ' - ? `c ? FLS plan review fee (if applicable): v 1 M V J CCB lic.: ' y S 7 51.1 G / n p' D P S Total fees due upon application: 1 ' g Amount received: )2 Authorized signatur 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �� / _ Date: ._/-6 * Fee methodology set by Tri- County Building Industry �0f� Service Board. I:\Building\Permits \SIT - PermitApp.doc 06/26/06 440 -4613T(11 /02 /COM/WEB) N z t ' 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: 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) cu..yds. • Retaining structure? (Check one) ❑ • Rock • • ❑ CMU ❑ 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" att The following must accompany this application: • IN Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and ADA compliance Lighting-Plan- t. • • ❑ /Grading Plan and details , *Landscaping- Plan ' ' - 0' Erosion Control Plan and details [r / Soils Report (if required) ❑ Retaining Structures *Does not apply to One- and Two - family dwellings. # of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 2 Multi- Family R -1 Occupancy 2 One- & Two - Family Dwelling 2 ` • I:\Building\Permits \SIT - PermitApp.doc 06/26/06 2 • - DDR DEVEOPMENT LLC R ichard Zoucha, in Partner - � Managing DDA Development, 7 - 14295 S.W. Woodhue St. LLC Tigard, Oregon - ' 97224 RECEIVED . Phone: 503-260-3017 Fax: 503 -590 -6842 AUG 1 t , 2007 E -Mail: zooha2 @verizon.net CITY OF TIGARD Fax Tr nsmittal Form BUILDING DIVISION . To From 'Vtit:))1 >- 7- sR lj Name: Richard Zoucha 3 (1-- Organization Name /Dept: DDR Development, LLC Qom CC: Phone: 503- 260 -3017 � ' �/ F one number Fax: 503 - 590 -6842 E -Mail: zooha2 @verizon.net C eAs (... di c Urgent � tp ¢ 0 O 4 ✓ , Da te sent 0A4 4:7)2-41 (y (� 'r Time sent 6/ _ For Review Number of pages including cover page: A Please Comment Please Reply Message: ( (i Q api cif anspectioll 44 cayuo-ki cA `'e o I J Gt // O;0rjt b,,O.,n t 70 orftv, f\ Z x-caue,atuN" QN )0oli, k � l � ' .7 _t Ma`s : V., , 11 �-1,k C �, �,c. � et \\L„ i�n � Q � �► S CINC c 2o U& L twcvt t 4 �e pP0�c � c. rS s Q �v o se.vx Mn e t . y � I 1'V\ S 2C. L U-1/4. i€1301 t d ov '1Mu\ i 4 C Of s S)k1.14 2.4 t • a ,... CITY OF TIGA"RD -SITE PLAN REVIEW , BUILDING PERMIT NO.: n •7- ODOI Y ll PLANNING DIVISION: .. ' • i- Required Setbes: al Approvel, ❑ Not Approved Side: Street Side: Front. GS , Garage: Rear: 1 . Visual Clearance: Di pved ❑ Not Approved Maximum Building Height. .1:_' " feet CWS Service Provider Letter Required: ❑ Yes ET-No 0 Received Bti: Date: 44107 /,.f/.I i , 332-�� ��y/ , ENGINEERIN DEPARTMENT: /ill 7��/ Actual Slope:a2% Approved I: .. - pproved HOIISE ►►. % / S Plan: �/� pproved L �� 1 4 .roved � l / � ti a 1 LOT 27 By: r / //� D at e: °�. " `'� 1.0 . / / a ° / Not �. � y�e�+[ -6Y� 1 . , ., - - - ,, b'Po /1 --- � 1 : 5 p / 0 ,I , '' / ,,5 •Q / . 6 5 / 7 PARCEL I /• .-- ( I / PAR 11T10N PLAT / / �l/ NO 1945 -017 ' i ' / f s LEGEND • f • = IRON ROD • = SET IRON ROD /// 3 -A--- 24 12% / �� 0 = IRON PIPE /' %A" ' �_.— .' /' A - CONTROL POINT y ,1 /. / e/ �_ 0 = CLEAN OUT / / , / /' ' ^ � L.�.., ASPHALT / / � -- 1 ^ . .1 1 , p e TRANSFORMER /� / / /. c 5� .. WALL i i2 " -t j ` / / t ,..-- 0 = STORM MANHOLE r � . � ': _ // ,b1' o °' STORM LINE. / / z" / /' p Q m SANITARY MANHOLE / r�' " i /' / • — I SANITARY LINE // /// / ,11 ", / 1 - : - 7 [ ;', 1 = CONTROL VALVE � it ' / / %4 ' "t'' ' j , __.� 5� ' ® = WATER METER % / / a . ,24 32 "• % , t W "7 a/ / / / �' PARCEL 3 i p / = wAlER VALVE / �� / 5` // ' % PARTITION PLAT � 7a P ' i O / /. /; / ,' / 7 / / NO. 1995 -017, 15e• 4 / = GRAVEL /% /' ''� /////:/j--.' // /j�-- / / //// j z //./// = CONCRETE I . `J% APLE / / / /' / 10" /// 12" / / ' ti ` / / / /�` 1 .; = DECIDUOUS / / -.,,8 // / / /"'^� /, ° ,,m /� // / / •,, /7 — , -- = FENCE / ; 2a " / ; / �Riv ' 0 //� — — _ WATER LINE ':I. / / / /h / /i 7 �a /i / - -.cc - = PGE LINE / ` ;1;4 • = FIRE HYDRANT a' 2a" - GAS - = GAS LINE / 4% / � % a s'� ® = MAIL BOX �� l / ii /j , ,(a:... . / y %/ r ++ NOTE TABLE . 1 , t / 1 3 10 * / NOTE DESCRIPTION RIM ELEV I.E ELEV. FLOW al / STORM MANHOLE 325.44 W. = 317.14 OUT �� „ Q SANITARY MANHOLE 321.96 W. = 310.76 IN w '" Q3 SANITARY M ANHOLE 31 6 . 71 E. = 310.01 OUT MI / ( O STORM MANH 315.68 E. = 309.83 OUT ro ^ i 0" 9 12" C.C.P. W. = 341.21 • " , 2 2" a 0 " , `. . � I E. = NOT LOCATED p to r ' �� 0 15" C.M.P. E. = 324.50 fa O I . / _ �aT�d W. = 316.68 0 10" C.M.P. E. = 315.42 / 2 n M �/ ' W. = 314.96 / ` r ® 18" CCP. TO l;) S = 31067 �I" � v � '` ._. / C ATCH BASIN 316.19 • ^ ,,,; fi / /i ) t ..... JIr , , 5fi I g CATCH SANITA BASIN 26.60 • / /7 ' - a' e F 4 1 111 MAN Af PROXIMATE LOCATION : . 7/ . ( r.,, ,,,, . de=((///' • • • , ,,,. ,(...4.-"r , 2 I . A,, l a, ' i r 1 2� i r. ° / 7 } /i` �� d i .3n.. „ ^ n ,,.Ai,.. / / / / %hb l III / / ' I t ( � q r d. ry .�.r r . ' `// / ,° / / l / // ( �. -_ - t L WO r - ^ „///, / m7 I ,/ / / f / 1 ' , / / #z.1✓17 1 N►NGr NV,64 -�- 11,- �i�110� pll� : ' ( Ir: / ''' 1' joNte- j l j 1 0 1 2007 77/./ /// "Ts, / // ..',/ '' . /- 7 5 I i l. - -,,,".', ,__ l /// r l l, l //,-,1 / E ? ter, of l / - ' a /f i g I Jf kl c 1,04 -e_. 100 At 1, Stive CITY OF TIGARD. BUILDING DIVISION ,PERMIT #: SIT2007- 00013 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639- 4171 Ike ig Inspection Requests (24 Hrs.): (503) 639 -4175 . INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 13784 SW FERN ST CLASS OF WORK: SUBDIVISION: PP1995 -017 LOT #: 003 TYPE OF USE: PROJECT NAME: DDR DEVELOPMENT DESCRIPTION: Approximately 100' of retaining wall OWNER: DDR DEVELOP, PHONE #: 503-260.3017 CONTRACTOR: IKE & SONS PHONE #: 503-6 �/ Inspection Request Scheduled For: Date: 9/14/2007 O'Cj P our Time: tt,4 4 j 1 Code # Inspection Description Confirm # Contact # M sage 499 Final inspection 055699 01 503 - 260 ,• 3017 Y D - Correcti ns /C\omments /Instructions: + ,, ;� 1 j . / _ d ` , / -Ai P P ii-r- A-S \ �1 11- �J " c4 6 71A-vvwv.....4_ 4 -__ - WA' g,,,,- t OA/ 1-z,,,-3 ...L -1---1„- C C ": d ( , 1 ,j PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: SIT2007- 00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639- 4171 a�yu1l' aI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7 :00AM PAGE: 73 SITE ADDRESS: 13704 SW FERN ST CLASS OF WORK: SUBDIVISION: PP1995 -017 LOT #: 003 TYPE OF USE: PROJECT NAME: DDR DEVELOPMENT DESCRIPTION: Approximately 100° of retaining wall OWNER: DDR DEVELOP, PHONE #: 503 -260 -3017 CONTRACTOR: IKE & SONS PHONE #: 503 - -640- 5711 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 215 Footing drain 050888 -03 603 - 260.3017 N Corrections /Comments /Instructions: A/07 A./ ' PASS I I PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6 - 24 - o 7 Phone #: (503) 718 - I . `CITY OF TIGARD , BUILDING DIVISION PERMIT #: SIT2007 -00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 /emir 4jm�iiq�i Inspection Requests (24 Hrs.): (503) 639 -4175 ��� INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 75 SITE ADDRESS: 137B4 SW FERN ST CLASS OF WORK: SUBDIVISION: PP1995 LOT #: 003 TYPE OF USE: PROJECT NAME: DDR DEVELOPMENT DESCRIPTION: Approximately 100' of retaining wall . OWNER: DDR DEVELOP, PHONE #: 503 -260 -3017 CONTRACTOR: IKE & SONS PHONE #: 503--M-5714 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 405 Excavation 050888 -01 503 -260 -3017 N Corrections /Comments /Instructions: • PASS I PARTIAL APPROVAL I CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: '" Phone #: (503) 718 - /0 CITY OF TIGARD BUILDING DIVISION PERMIT #: S1T2007 -00019 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/712007 Phone: (503) 639-4171 u�1° I y� �`' - � .' _ Inspection Requests (24 Hrs.): (503) 639 -4175 „ _ i1 � `�' J INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 74 SITE ADDRESS: 13784 SW FERN ST CLASS OF WORK: SUBDIVISION: PP1995 - 017 LOT #: 003 TYPE OF USE: PROJECT NAME: DOR DEVELOPMENT DESCRIPTION: Approximately 100' of retaining wall OWNER: DOR DEVELOP, PHONE #: 503 -260 -3017 CONTRACTOR: IKE & SONS PHONE #: 503 -649 -5714 Inspection Request Scheduled For: Date: 6/26/2007 Pour Time: 9:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 050888 -02 503-260-3017 N Corrections /Comments/ Instructions: 6,. 2 /-)/49/L) ( , 9`a ° /VOTE; A/1) : i (PASS n PARTIAL APPROVAL I l CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Z6. O 7 Phone #: (503) 718 - Inspector: Date: ( ) ,9‘6-