Permit L• •,ra
C ITY OF TIGARD SITE WORK PERMIT
11111 COMMUNITY DEVELOPMENT PERMIT #: SIT2008 -00018
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 9/30/2008
PARCEL : 1 S126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD ZONING : C -P
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION : TIG
PROJECT: FRANKLIN COMMONS
Project Description: Modifying parking lot.
CLASS OF WORK: OTR PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 60,000.00
EXCV VOLUME: 0 cy LANDSCAPING ?: Y
FILL VOLUME: 162 cy SITE PREP ?:
ENG FILL ?: Y STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: 1,404 sf
Owner: FEES
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS [BUPPLN] Pin Rv -Valu 8/18/2008 $269.56
520 SW 6TH STE 400 [FLS] FLS Pln Rv 8/18/2008 $165.88
PORTLAND, OR 97204
[BUILD] Prmt Fee -Valu 9/30/2008 $414.70
Phone: [TAX] Valu 12% State Surcha 9/30/2008 $49.76
[ERPRMT] Erosion Control 9/30/2008 $80.00
[ERPLN] Erosn Pin Rv CWS 9/30/2008 $26.00
Contractor [ERA ,JN] Erosn Pin Rv COT 9/30/2008 $26.00
RUTAN CONSTRUCTION Total $1,031.90
21515 NW CHERRY LN
HILLSBORO, OR 97214
Contact #: PRI 503 - 643 -3737
REQUIRED ITEMS AND REPORTS
Reg #: LIC 40085
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.
Issu d By: /// ! _ Permittee Signature( ` -
v / 1
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.
riktogup »C u OIUs `(7O ea -
I. ..r k Permit Application f `l M 1 g00. 04140
Site Work N Receiv FOR OFFICE USE. ONLY
City of Tigard - Date /B d Permit No.: qtrAr eaeay
° f
:y 13125 SW Hall Blvd., Tigard, OR �. . Q P1anReview ��
'• Phone: 503.639.4171 Fax: 503.5•..1'60 ``++� � ' 11 , — Date /B : �M Other Permit:
T I GA R'D Inspection Line: 503.639.4175 Pfd Q® , Date Ready /By: / j ® See Page 2 for
Internet: www.tigard- or.gov ® � ° t` `• `. Notified/Method: O V Supplemental Information mok
, TYPE OF *it' t y Olr � REQUIRED DATA:' 1; AND 2 - FAMILY`DWELLING _
❑ New construction ■" / emo1ition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
tjg Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
°.> ' C work indicated on this
E ,� ,,,. � - - application.
ATEGORY�, OF CONSTRUCTION
_. ...
Valuation: $
❑ I- and 2- family dwelling 1g Commercial /industrial
El 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: 9.110 SW 6I N -f a '-p. New dwelling area: square feet
City /State /ZIP: - Tit / ° � C) d eli) / /a t. no.: 1't is Project name: �L( * f . ` � Garage /carport area: square feet
Suite/bldg./apt. porch 9
g. p � j � ��� Covered orch area: square feet
Cross street/directions to job site: Lot Mai(ci 6-01. / Deck area: square feet
• I 1 ( t-' l 1 Other structure area: square feet
CS ) ' , REQUIRED DATA:: C OMMERCIAL -USE` C HECKLIST A ,
Subdivision: HI Pi Lot no.: lsi Permit fees* are based on the value of the work performed.
Tax map /parcel no.: I. — S P L�� 2 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
4 ' � .DESCRIPTION OE WORK :" p � • .. ,' :'. -. work indicated on this application.
MtV ( '-' • � - -' ,i (---67 1 . E-F-Nti� 1 '1� Valuation: $ (� l LAIC
- / hl �_- ( S e � Existing building area: 1A I square feet
l o l New building area: �' square feet
PROPERTY�,.OWNER,'- � ❑� TENANT Number of stories: 4 kAi p
Name: Fr C t" 101`\ f} as-ti- ∎ 5 1 LIC_ Type of construction: N U 1..4r
Address: [ a216 SW 'C 1JI- -1 Ore— , Occupancy groups:
City /State /ZIP: "F -ri - Q G 7 2- Existing:
Phone: (< 0 177 ---oft 5 Fax: ( ) New:
, 0 APPLICANT ', ,: CONTACT PERSON'" : NO,TICE:. d � .
Business name: ki--- FAN ) -kt11l- l r ( .1--Dy e i l 'f All contractors and subcontractors are required to be
Contact name: j ��L� 1 -� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 9 2 )6 SW li 1 h 42)/..1c- jurisdiction in which work is being performed. If the
City /State /ZIP: 6 � . 1 /P CIA _ 1''� 60 0 applicant is exempt from licensing, the following reasons
�, apply:
Phone: ( "' i � � . ) 3Si , C e l & l 4 i Fax:: ( ) ` 2' �r� 043
(�
E -mail: iM- kr— L11'T(�1- imull- ' (OF\
ti.. 4 „ ,, , , - CONTRACTOR, �..
Business name: -\- (1') � Io L) _ t �..�, BU G ILDIN PERMIT FEW,' 't
Address:
� I �'-�.� '� - ' (Please refer to fee schedule) :_ - ' "
�j 4 -' Structural plan review fee (or deposit): �7.�p
City /State /ZIP: '-jam, (Z p Cr c-1124 s /6,5 FLS plan review fee (if applicable): Fr
Phone: (`?Y co4.5 -- s-i ?j Fax: (gf3)
CCB lie.: Q agZ Total fees due upon application: g.-( 3 5 f
j� /f Amount received:
Authorized signature: ���/
v _° This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: d .fZ4pAr Qq/f Date: 9.'y. 0 8 - * Fee methodology set by Tri- County Building Industry
08 Service Board.
l: \Building \Permits \SIT - PermitApp.doc 12/27/06 440- 4613T(11 /02 /COMIWEB)
City of Tigard: Site Work Permit Checklist
Page 2 - Supplemental Information , x
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 supportingaa 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 cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) (62 cu. yds.
Fill Volume:
(Fill exceeding 12" in depth shall be r�
compacted to 90% of maximum density)' cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
® Other: Kemsrbt
*Total new impervious area including all
buildings, sidewalks, and paving: L-0 , 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.
# of Plans
TYPE : OF ;SUBMITTAL; Required at
(Ineludes, New "Additions: or;Alteratons) "'Submittal
Commercial 2
•
Multi- Family R -1 Occupancy 2
One- & Two - Family Dwelling 2
•
I: \Building\Permits \SIT- PermitApp.doc 12/27/06 2
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BUILDING ��U��K��U��0� ~* PERMIT DIVISION ' : SIT3008-00018
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/502008
Phone: (5U3)839'4171 Y
|nopm�ion,Requests (24Hm.):(5O3)830'4175 ~���~
INSPECTION WORKSHEET FOR DATE: TIME: PAGE
� 12y� ��OO� � 7�UUAKX PAGE: 15
SITE ADDRESS: 09370EW8REEWBURSRD CLASS OF WORK:
SUBDIVISION: pp1991'018 LOT #: ow TYPE OF USE:
PROJECT NAME: � FRA4|<UW COMMONS
DESCRIPTION: � Mmd\6ing parking lot.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: RUTAN CONSTRUCTION PHONE #: 503.643.5737
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 078782-01 603-706-9613 N /:c0p/'
Corrections/Comments/Instructions:
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(2 , | PARTIAL APPROVAL 0 CANCEL | I NO ACCESS
| | FAIL ' Fa CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: � Osde� � /~~ / / / ^' Phone#� /5O3\718' �- / y No. / / � ` '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SIT2008.00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9130f20o8
Phone: (503) 639 -4171 /ai4N V lI
Inspection Requests (24 Hrs.): (503) 639 -4175 , _ __..
INSPECTION WORKSHEET FOR DATE: 11/5/2008 IME: 7:01AM PAGE: 17
SITE ADDRESS: 09370 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: pP1991 01'8 LOT #: 001 TYPE OF USE:
PROJECT NAME: FRANKLIN COMMONS
DESCRIPTION: Modifying parking lot,
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: RUTAN CONSTRUCTION PHONE #: 503-643-3737
Inspection Request Scheduled For: Date: 11 /5J2000 Pour Time: dip
Code # Inspection Description Confirm # Contact # Mes• .ge
210 Foundation walls 077673 -01 503. 706 -9513 •/'/ b
Corrections /Comrrt nts/ Instructions: ............
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n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
_ FAIL CALL FOR INSPECTION, ❑ ADDITIONAL FEES ASSESSED
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Ins ec tor: Date: Phone #: (503) 718
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CITY OF TIGARD
inkl
1 BUILDING DIVISION PERMIT #: SIT200 -0001 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30i2009
Phone: (503) 639 -4171 wmp
Inspection Requests (24 Hrs.): (503) 639 -4175 �_'!�
INSPECTION WORKSHEET FOR DATE 11/4/2008 TIME: 7:0 SAM PAGE: 24
SITE ADDRESS: 09370 SW CREENOURG PD CLASS OF WORK:
SUBDIVISION: RR1g0 010 LOT #: t70. TYPE OF USE
PROJECT NAME: FRANKLIN COMMAS
DESCRIPTION: od'sfyin arEaa t°
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: RUTAN CONSTRUCTION PHONE #: 503 643 3737
Inspection Request Scheduled For: Date 11/4/2000 Pour Time: 3:0
Code # Inspection Description Confirm # Contact # Message
210 Foundation wally 077599 -01 503 - 7063513 a
Corrections /Comments /Instructions:
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` - 1 % 11 PARTIAL APPROVAL ID CANCEL El NO ACCESS
n FAIL I, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: I mo : — Date: It LI 7(79' Phone #: (503) 718- a 'N