Permit , _
1 ,
CITY OF TIGARD SITE WORK
g a d, k , DEVELOPMENT SERVICES PERMIT
�11ti PERMIT # ° SIT98 -0006
.„� --_ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/30/98
V i PARCEL: 2S1O1BC -00101
SITE ADDRESS...: 08/5 SW HUNZIKER ST #C
SUBDIVISION....: ZONING: I —L
BLOCK........... LOT.... ......... : JURISDICTION: TIG
•
CLASS OF WORK..: ADD : PAVING? ... Y RESO. NO.:
TYPE OF USE -COM . GRADING? Y VALUE...$: 15000
EXCV VOLUME: 100 cy LANDSCAPING ?....:
FILL VOLUME: 200 cy SITE PREP? • Y
ENG FILL? • N STORM DRAINS ?...: Y
SOILS RPT READ ?: Y IMPERV SURFACE: 7700 sf
Remarks : Site and grading permit for 7,864 sq. ft. addition for use as a
materials cover.
Owner: FEES
KNEZ BUILDING MATERIALS CO type amount by date recpt
8185 SW HUNZIKER ST FIRE $ 20.20 DRA 02/17/98 98- 303308
TIGARD OR 97223 PRMT $ 110.50 B 03/30/98 98- 304485
PLCK $ 71.83 B 03/30/98 98- 304485
Phone #: SPCT $ 5.53 B 03/30/98 98- 304485
EROS $ 80.00 B 03/30/98 98- 304485
Contractor: ERPU $ 26.00 B 03/30/98 98- 304485
CENTREX CONSTRUCTION INC ERPC $ . 26.00 B 03/30/98 98- 304485
8250 SW HUNZIKER RD QUL% $ 612.50 B 03/30/98 98- 304485
TIGARD OR 97223 Additional fees not shown here
Phone #: 684 -0443 $ 1822°39 TOTAL
Reg #..: 000563
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection
approved plans. This permit will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspended for more St r m Drain Insp
than 180 days. ATTENTION: Oregon law requires you to follow rules Culvert /Catch Ba
adopted by the Oregon Utility Notification Center. Those rules are San Sewer Insp .
set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. Your may Man h o l e iC l e an o gut
obtain copies of these rules or direct questions to OUNC by calling Misc. Inspection
(503)246 -9187. Engineered gradi
Final Inspection '
Issued b � i
y: °� Permittee Signature. ,,�;�� � joi
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++ + + + +. + + + + + + + + + + + + + + + + + + + + + + + + ++
•
Planch - - -* •• —3
CITY O►• TIGARD Site Permit Application Recd By ! ►a
13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date Recd _ _ —EE
TIGARD, OR 97223 Residence: Complete SHADED areas Date to P.E.
(503) 639 -4171 x304 Date to DST ��7GT;�'!!
Permit # , IffillilifiTt I
Called - Alit:
- Print or Type
Incomplete or illegible applications will not be accepted
Project (isferee ` •Utilities (Complete all that apply)
Job lkn f37 liu 1 t'k'l -\ : A? i t ioi t
Address Address ,
♦ \♦`` \� ` \ �` 4\ \ti `\ `` ♦♦` \ \`�` \ ♦ .� \a ♦ \ . ♦.�: - \\ Storm Sewer
81 i01 Nall 40M \_ : \\ I ,:. 8 0
x� �` Linear Ft.
:M kt �` l e „ Sanitary Sewer
Owner'• Mai Addres \ � .W :� \\♦ 0 Linear Ft.
o� ,� +►� ;�y, \ \\ � , . \ \ z z Fr esh Water
\S\ "\ \� \\ ` \ }. \. \? . • ••.\��: 3' \\:\\ Linear Ft.
\ �\ \ . ` \;),,,s,;,,%* � a " \\ • ` �` * Catch Basins
�/��•` r �+\ ��a � � � \ ��•:. • ` \� ��0 �, � . ;j [ * � .. Clean Outs
Contractor Matlktg Rddr •"4�:` \•," \` . } _ . # 0
E is ` j\. ♦`� \ • ♦ �` \ ���.`` ` ` `? , Describe work to be done:
tasusaac� \ ' ` v e ` \ . Newt] Additi Alteratro
\ ♦\ ,,; ` >` \`@ .,.. v x - \ ♦$tr' -:. f c ? _y am : .c /,
\+. ♦; ; . ♦ •\ \♦ ,' r • ••••,:•• \ K.+. t a -. \ ;- r } :,^ - oic � }w, � y�X�� "S �� }*`���n : A 'tiic �y..f ' • ♦ 4: � E7 ; : -� +. -.� .� `F ., • :: :.. o c : :.;. 2 " E `': `l` ;',':i'i. �' . •il:. �\�C`': :. yl; "...555X••
\ J .e M t_WC Y W+'- - ,} - Yh : : ( �: }+ `�'1i. 1. I 4.
COTd ~ ` \ .♦ St . .,, ti ft c. \• 4 , i :., \`'% c x , 1 . , ". ::J r \ t : ;x
:+ A .. ♦ � Q� {}.�v t�'S� �p std
Name s
1 Architect Mailing Address : .„ `
i'� -�'��' ^ >' � - a+.':c:: .t z.^A:}A , '+roc' ii: - }•yo •# \ �� 3 �` c y/ t
Iaqust aeeAfrei tt>Ts aPPiicsta >;. � tr .:
City/State Zip Phone $: P Parking (tnduding
Name SlioMiing""AD A:tir>m etce ADA) & Lighting Plan
"= > >: da 881 :4 Landscaping Plan
David Evans & Associates ` z ,h x q
Engineer Mailing Address
2828 SW Corbett Ave - R;:
s)el:ai s . . ''i u�g oaiibeeis. :
I City /State 2r Phone
p } i> XPlanari itet* r As ,
Portland, OR 97201 223 -6663 �:t� 3 -� . j$
I ' Excava# ors Votun ,+ .: A` imi ` : i ,
f �$ y \,mot \ \\ h 4,�♦ ig \ i ° ,. I hereby acknowledge that I have read this application, that the
♦ akji:\ &;: � w ,. .: information given is correct, that 1 am the owner or authorized
agent of the owner, and that plans submitted are in compliance
Eti1 Vo#s:me with Oregon State laws.
N.
EE �* t+E;{tOEL EeQuK@d for +j � - .._ , � � � •- er!f �,... � .;
t . . ! _� .�.c.�dS.�. :•,; + } �•` -. :;., ;.: -. };::: •:.}:.a� �•�hL ° -�.; h.'oSF � ' � ; 9fi'. ::
a s@vctta� h �� a .: .... ; C . . : .: /� Person Nam
(Engineer r eeq ed If ansyvet. s yes ; :: YE
...........
Phone
::if.: Russ Langbehn 684 -0443
Retaining rchecto00 � >: ;< <v: ; - FOR O
A « � ,, ., `?� +,� << },.` y Q � �x � � } OFFICE USE ONLY
: :.• + : +- } M Notes:
}
• VitNSaiQ::%: }:;:;::
- otal new impervious area including all I Land Use Case # iMapIT�
B uildings, sidewalks, and paving 7700 Sq. Ft. �j'OR qi -O ((_ Ml NUA- ,,
f:siteapp.doc (DST) 5 97 1 D ' K _� ��l S / � �1 Q 2— ( — 101
1 z 6 ry✓ � p
Acct. COT WACO Amount Amt. Pd. Bal.
Permit # Descritpion Due
SIT. Permit (BUILD) (UBUILD)
Plumb. Permit (PLUMB) (UPLUMB)
State Tax (TAX) (UTAX)
BLDG:
PLUMB:
Plan Check
SIT: (BUPPLN) (UBUPLN)
Plumb: (PLUMB) (UPLUMB)
CDC Review
(BUILD) (CDCBLD) (UCDC)
CDC Review
(PLN) (CDCPLN) N/A
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Control
Prmt (ERPRMT) (UERPMT)
Erosion
Planck/USA (ERPLN) (UERPLN)
Erosion
Planck/COT (EROSN) (UEROSN)
TOTALS:
1:siteapp.doc (DST) 5i97 1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 . fir ,
,~ __. Date Requested A f - 6
q Bup L > i3
Location / j '' i� S � II�a.il�, r * " � = �� -- MEC
Contact Person , - " . ® 1 1-0 392-
BINNwimtff
Contr..t - = �-� ma SWR
--�li
'� ` Ten n t/Owner ° /j ; ELC
~" g Wall - A ELR
Footing Access: s-� ,,
Foundation FPS
Ftg Drain � �` ro 7'/ SG
Crawl Drain Inspection Notes: � fg-twk
Slab
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear / , -
Framing / . _
Insulation Zr-
Drywall Nailing
Fire . -• _
` ire Sprinkler / - ,
Susp'd Ceiling dl
Roof
Mi-
-, . k ?. _ RT FAIL
1
Under Slab
.
q s er
R • ' • ,• �,. 1
Final '��
, t PART FAIL d 6 ' , -/m ' - �,;
ANICAL / _
Post & Beam •
i
Rough In
Gas Line P 9 f( : I
Smoke Dampers 1,
Final i
PASS PART FAIL ( /
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
-
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
[ ] Please call for reinspection RE: ' [ ] Unable to inspect - no access
Fire Supply Line �`
Approach /Sidewalk Date 2, 72. Inspector \ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.