Loading...
Permit • CITY TIGARD SITE WORK PERMIT PERMIT # : SIT1999 -00052 A�I� DEVELOPMENT Tigard, SERVICES 639 -4171 DATE ISSUED : 10/05/1999 SITE ADDRESS: 07400 SW LANDMARK LN PARCEL : 2S112AB-00400 SUBDIVISION: ZONING : I - BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: ADD PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $86,000.00 EXCV VOLUME: 2,364 cy LANDSCAPING ?: Y FILL VOLUME: 297 cy SITE PREP ?: Y ENG FILL ?: Y STORM DRAINS ?: Y SOILS RPT READ ?: Y IMPERV SURFACE: 66.300 sf Remarks: Site work permit for addition to an existing warehouse Owner: FEES GLENN HAYTER 7400 SW LANDMARK LN Type By Date Amount Receipt TIGARD, OR 97223 PLCK BON 07/20/1999 $254.15 99- 316992 FIRE BON 07/20/1999 $156.40 99- 316992 PRMT BON 10/05/1999 $391.00 99- 318868 Phone: 503 - 642 -5611 5PCT BON 10/05/1999 $27.37 99- 318868 Contractor: EROS BON 10/05/1999 $160.00 99- 318868 ELLIOTT SHEETS CONST INC ERPU BON 10/05/1999 $52.00 99- 318868 PO BOX 12906 ERPC BON 10/05/1999 $52.00 99- 318868 SALEM, OR 97309 WQUN BON 10/05/1999 $7,282.95 99- 318868 Total $8,375.87 Phone: 503 - 362 -1164 Reg #: LIC 1205 Required Inspections Erosion Control Insp 844 -8444 Final Report Eng'd Grading Excavation Final Inspection Fill Grading Paving Insp Strm Drain Insp Culvert/Catch Basin • , ∎� San Sewer Insp • r # 1 `J Manhole /Cleanout - PVT ` t Sprinkler supply lines Domestic water line inspect. Fire system test 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 adop dJ. the Oregon Utility otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR *52-001-00:0. You I.. ob4 n copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Permittee Signature:- � —, � � _A AllmA - -- -- -- - . Issued By: , t • Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day it -- CITY OF 'i ° - Site Permit Application Recte d t By � ' 13125 SW HALL BLVD. Commercial and Multi - Family: Complete ENTIRE form D D OR 97223 Residence: Complete SHADED areas Da DST 4 (503) 639 -4171 x304 Permit # ° 71 1 Ill �Q� Related SWR # Called Print or Type I complete ille pplications will not be accepted . ��� or Project Name � -- a Ut ilities (Complete all that apply) Job - - -•• „t • Ad Address • Storm Sewer • 7 3 12 5 Linear Ft. • Names r - Sanitary Sewer ? 4 : r _ . 3(�D Linear Ft. Owner all ng Addre s Fresh Water '� p 6MG 310 Linear Ft. C /State �� ZI Phone Catch Basins r .= -�' t 4e1; 53/v'/S # 3 I. Gee ral k Name` t1t - ; , .. Clean Outs Contrac Z_ N P ssuance al M ° __ _ Describe work to be done: copy1 all , T :� C5 f \Z� -f} ' , T =` New❑ Addition" Alteration❑ RepairD licenses are ' Ci / Sta te Z P : S0 Additional D of Work ty r,, ered !f::;'.: ' i . - q_ % 1::'::4:1 %2- .11 iii GAt &' '1 - • - -� � expired in co'. State Const C unt B 'IL': i # Ex Dat dat X12 p� f ©a . _ � .._ .. .... _. F.F. � , _ Name Project • /� 'tF E g El Valuation t $ S c o Architect Mailing Address =Plans Re qui red See = Matrix on back �T -/02- -Th fol low in g m us t ac th appl City /State Zip Phone ,: S p lan with Vicinity M ap' Parking;(including � � 47.O ( sus IS O Showing ADA compliance A D A ) &;L Plan Name lS U yr �� Gradin Plan and details Land apm scg'Plan Engineer Mailing dress Erosion Control Plan and R S tructures J b(.Dlg(� c ijj 1c) ,� ` �`'� 2 ;,! details = � . 3 � including calculations , City /State Zip Phone 1 '4"--'.i...7''.:.• Site Utility Plan and details B ol ls Re • i • ..-f'-- N (6,,, . q '7 06 2 D iggs - g iee , s (s howin con nection t (i e J, (//L `� app rov s ys t em) ,x Excavation Volume I hereby. acknowledge hat . .I have r " ea , d this ap th th (Soils report required for >5,000 cu. Yards) information given •is'correct thatl am the owner o a 23 1 cu. yds. �; agent of >the owner and that plans' ubmitted s are in compliance ` with O �t regon,State laws _;, Fill Volume Sig of, Owner! gent ; Date (Soils report required for >5,000 Cu. Yds.) { �v 2-11 cu. yds. ! f Will the fill support a structure ont Per Namhones � (Engineer required if answer is yes) YES[ NOD act son e P ' t." }-E 5e5,7 1 51>Q Retaining structure? (check one) DRock OFFICE USE ONLY D CMU N otes: O Concrete DOther P i Total new impervious area including all y q L � an_ �i U se ,� s --- Map/TL# buildings, sidewalks, and paving (p(,pS . Ft. /(� � `,// is \dsts \forms\site - app.doc 10/30/98 �.ROS�o (P.3) '� �l( ppi O� �7. /' "..- - 31 1 1 --' w �eQu • 41 2az. a i‘ i F`S 1�� yb Z .51 • - • - . , r • COMMERCIAL -PLAN SUBMITTAL REQUIREMENT MATRIX oppgootip01.0::::Forotiotogtoot must ontain the s9nature f the supervsir electrician before plan review w1l be onducted 'al*(0100iiiii§Vept.i.OpitOV4fV:P14tiEROlitiet.iivilEt:604at the apphcant to request additona1 plan sets for dstnbution purposes (Copy ftr Contracter Cty Washington County, Tualatin Valley Fire & Restue) Total # of Submitted • KEY: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or.Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building ........... .. NOTES: . ............................. . I: \dsts Worms\matrxcom.doc 12/17/98 © v D\ . SITE PLAN REVIEW 44‘. fir l` COMMENTS CITY OFTIGARD , V ^ ^ Community Development Shaping A Better I,, Community Date: ai F P el ``J Staff Person Commenting: W Department Phone Number /Extension: x Project Name: 1Tf Site Permit No.: O S 2_ Land Use Case File Notsl.: sDR.— \ - OGs >:: A SITE PERMIT HAVE BEEN.RE[IEWED; BY .. SE PLANS : SUBMITTED FOR OUR DEPARTMENT AND WE HAVETHE FOLLOWING COMMENTS ❑ Plans are approved. All land use conditions related to this department have been satisfactorily met. 172( Plans are generally consistent with the land use approval, but there are still land use conditions that must be met prior to release of the site and /or building permit, or prior to a final building inspection. Specifically, • wa c ►.,zr Sti4Ai ❑ Plans are NOT consistent with the land use approval and must be revised. Specifically, ❑ Revised plans are approved-, — NOTE: IF THE PERMIT APPLICANT HAS ANY QUESTIONS WITH REGARD TO THE COMMENTS ABOVE, THEY MUST CONTACT THE STAFF PERSON SPECIFIED AT THE TOP OF THE PAGE. • is \brianr \masters \siteplan.frm DATE: PLANS CHECK NO.: -• -19 1 1-SSC . PROJECT TITLE: COUNTYWIDE C)ovuu-GL-T(Lcg.t,ofs TRAFFIC IMPACT FEE I N AN (� M AILIN � A DRES WORKSHEET zoo � aulav vv2 Prue . 5 (FOR NON - SINGLE FAMILY USES) CITY/ZIP /PHONE: l�/V1 D12 x '1 7501 E - 5`Zs• - IS nO RATE PER TAX MAP NO.: - 2—S I Z LAND USE CATEGORY TRIP ( fti' IUD RESIDENTIAL $201.00 S' ADD ES$ 'A � `Ir /� • BUSINESS AND COMMERCIAL $51.00 {�qr ru�� OFFICE $184.00 � ' r �Q � , 2 Co C47 t/INDUSTRIAL $193.00 (�+ ,4f1 INSTITUTIONAL $83.00 c/ k 0` PAYMENT METHOD: • CASH /CHECK - CREDIT INSTITUTIONAL ONLY: OFT (PROMISSORY NOTE) LAND S CATEGORY DESCRIPTION OF WEEKDAY C6 tvi DA A V�. TRIP RA TE END AVG. TR IP EFERTO OCCUPANCY USE e A BASIS: - 11A.Q C(fP 1((CLd 0pj. ).`:. 1 -1 0, �� 41. ck_k lU4 \ ` Cw G° XI ` f ,/L! ware,lnnwa 1 CALCULATIONS: 1= 6A5( 5 -}ov qv e Ada wt(ocktoll uwaul ex.,jorcticH-vjc y (A,0 -- cA5Une3), rIF-- T. b. F. x c0) i'I PROJECT TRIP GENERATION: )4)49•S X V 161.6t) — � � ul % FEE: k ;7J ci oD FOR ACCOUNTING PURPOSES • ONLY ADDITIONAL NOTES: ROA AMT c O F - T_ �y,� 63U . TRANSIT AMT.: v(j P PAR D BY• 6/7199 j:\scottk\tif\worksheet 99- OO.doc • CC: WASHINGTON COUNTY TIF NOTEBOOK OCT 05 '99 10:39 FR AMERICAN PRECISION 5036425454 TO 5981960 P.02 /02 C OUNTYWIDE TRAFFIC IMPACT FEE CITY OF TIGARD PAYMENT OPTION FORM OREGON it3VA - 1 1 406 GU) LeuAlfturV - Date Site Address • beyoik Pazhari5 -SSG Project Name Plan Check # I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): ❑ Cash or Check ❑ Credit Voucher El Bancroft or Installment Payments or II/The Ordinance n allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. if the TIE meets this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up to six percent each July 1st. This rate increase is not subject to appeal_ It / J 1I 1 � I, OWNER/APPLICANT OWNER/APPLICAN C: Building Permit File Payment Option Notebook i:'astsltiisub 9196 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 ** TOTAL PAGE.02 ** CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1999— 003 Date Requested s1/6/00 PM BLD Location 7 y/ b - -f 2 717.0a X L1 Suite / Z-050 - COO Z Contact Person Ph ) iS 3 b PLM Contractor Ph 4 1 3:'x` a (999-00732 BUILDING: • " :;-`?:%:. Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access 62/(e. FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ��'��� T� �L (5 ( 94905-2 Post &Beam �� S Ext Sheath /Shear 4 Nq / a Int Sheath /Shear Framing = i 0 raiiing n U P r - nn q- 0 0 3 2--.? , J ( "t 'i Firewall Fire Sprinkler B0 r ,Q ° O a 0 coo q //6c/ s Fire Alarm !Ut° 200o - 000 9 3 Susp'd Ceiling !J a - Roof : Sit 1 I 0005°2_ p Final 5Z ° ( - 690 2-3 •'° .•A PASS PART FAIL PLUMBING _ _ 'Z S'6 Post & Beam Under Slab Top Out - n Water Service 0` 9 C? - o® 5— • Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk � D ate S//0/0 other Inspector TO)In Ext Final PASS PART FAIL - DO NOT REMOVE this inspection record from the job site.