Permit CITY OF TIGARD SITE WORK •
�~ DEVELOPMENT �����Kd���� PERMIT
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— � PERMIT #.......: SIT98-0044
�t�S�Hall����o�099������/�
Blvd., Tigard, `' DATE ISSUED: 11/10/98
PARCEL: 2S109BA-06800
SITE ADDRESS...: 13900 SW LEAH TERR
SUBDIVISION....: HILLSHIRE SUMMIT NO. 2 ZONING: R-7 PD
BLOCK..........: LOT ^054 JURISDICTION: TIG
CLASS OF WORK..:OTR : PAVING?.........: RESO. NO.:
TYPE OF USE....:SF : GRADING?........: Y VALUE... $: 1000
EXCV VOLUME: 0 cy LANDSCAPING?....:
FILL VOLUME: 80 cy SITE PREP?
ENG FILL? ^ N STORM DRAINS?...:
SOILS RPT REQD?: N IMPERV SURFACE: 0 sf
Remarks: 80 cubic yards of fill to level lot.
Owner: FEES
__
BRIAN DUNAHUGH type amount by date recpt
2030 SW BROADLEAF DR PRMT $ 25.00 GEO 11/10/98 98-310703
PORTLAND OR 97219 5PCT $ 1 25 GEO 11/10/98 98-310703
PLCK $ 16.25 GEO 11/10/98 98-310703
Phone #:
Contractor: —
LHL CONSTRUCTION INC
7110 SW FIR LP
TIGARD OR 97223
Phone #: 624-7714 $ 42.50 TOTAL
Reg #..: 000537
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Fill Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other, Grading Insp __
applicable laws. All work will be done in accordance with Final Inspection
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 952-001-0080. Your may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187. _
_
Issued b ~ �0� ^°�~ ---- Permittee Signature �
� w�mpo��� o�c��c���q�
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
•
- -
Sc,-) 7) ADP ter' ''(?
pt � '
By
CITY 0ETIGARD Site Permit Application 1 - 5 Rec d CVO
Recd its ^�/ % r
13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date to P.E. r�_ -
TIGARD, OR 97223 Re denc : Complete SHADED areas Date to DST / 1-/S �
(503) 639 -4171 x304 /0% ,(}' Permit # , r C' coil
(1 (1.41 p Related SR # �-
Of(' �-/ ` �(� ` l W Called Z/ek io /3a /9d'
Iv
;- Print or Type � ) ° ' reisteek Incomplete or illegible applications will not be accepted
ProiectName Utilities (Complete all that apply)
Job •
3 ress _
,
Ad Address„ d := Storm Sewer
�:.,, , _ g - , Linear Ft.
N ame Sanitary Sewer -
t- i Cc i4. k & " ` t Linear Ft.
Owner Mailing Addre Fresh Water
s f3
5k) t e J ,fit .. , Linear Ft. • City /State Zip Phone - Catch Basins
ro ; General Name rj � .4,T. Clean Outs
Contractor /4 [ _ v b '� #
Pri or to pertna Mailin Address :'0='i-,::!:2-',...47--',:::_ _ / = a Describe work to be done:
issuance a g f �L - New Addition Alteration Re air
copy of`atl � " � / E�.. (�L�.,: �^ a"��.� ;� �� - � r" ❑ ❑ ❑ P ❑
license ar City /S = �; Z ip P „ :Additional Description-ofW
req if /i' r S bb '17/
expired in State ® n s t Con Bo L ic # E , x p Dat / `' :� '
database - ? ::',.::1'::7,' [ �r 4, . y ' . ( Q V $ {
Name Project
Valuation . ,.3 $
Architect Mailing Address Plans_Required See Matrix on back T
, 'The fo llowing, must accompany` a p plic
City /State Zip Phone Site plan w ith ;Vicinity Map ; king ( t in l u n d i . n g r
.. : howing ADA ,compliance `- Par ADA)' & g g. Pla n'
Name .Grading Plan and detail Landscap ;',::
Engineer Mailing Address Erosi Co Pan and Retaining St
de .,, ntrol l
`,, ;;iRncluding ° ca l cu lations ';.;,:,
City /State Zip Phone Site.Utility Pla and deta S -R P#
(showing connection to` , - (if: '' .. ° j,
3a - approved ;`sy s tem) .. -.., .
-
Excavation Volume inf I hereby`acknowledge ?that l have read t his a pp lication ; thatthe
(Soils report required for >5,000 cu. Yards °r ormation given is corr ect that I am the owne or au
cu. yds. - agent of the owner and tha t plan subm itted are in com
with,
)re r'.)::: .. '; f ti
Fill Volume .Sign ture `o f er /Ag` ntD
(Soils report required for >5,000 cu. Yds.) °' /�
C Cu . yds. v -' '',..1 ::1/ J` _ .
Will the'fill support a structure _ sC�n e rs o n N '!";.p, hone �p
(Engineer required if answer is yes) YES NO
Retaining structure? (check one) ❑Rock FOR OFFICE USE ONLY
❑ CMU Notes:'
❑Concrete
❑Other
- -- _ — -- --
Total new impervious area including all Land Use Case # Map/TL#
•
buildings, sidewalks, and paving - Sq. Ft.
siteapp.doc 3/98
COMM PLAN SUBMITTAL
REQUIREMENT MATRIX
�'la'rti uv i d > ��� �u�rn�ttaC, n�: :B�3TH.::::����,1��#:
��,C#�I�IP ETED
e I > `I > , ; ::... > ::;::::_;. :::,;:: at�an ?....,>» > :>. ; ;:; < :. <. . ;::.<<.:<. ` < > < > >> ..
a %caf ari Ftir a eetnca bsri� 1 , the a t�na r n t ntatn the
:..: <: .:::.::.::
su ture .:. t pert. >. :.:.:::... ntrll 0: 11 : p ar . , review 1 v�i�ll b� vnd.::::::.: f ...::.:..::..;:: • .:::::..
After. < r e v i ew :e rov l >Plans..Exam r..wifi d a tact thr cant r € request >:
_.. e < .::::s <for: ::: >. a : t re c er > � : »:::: >: > >::<
d �a n. .: fait. :.. :.. : .: : Vin:: rar .: . ± a .: .r.. C ...:......t :. F . :...... , ::.::.:::.:::
las#1n9.::: .... <:;:; alley F & R >::,;::.;
...-...,:i-Ivii.::.........1.:].....::::::::-i:...:.116.!.....i..:."...0.......1.4.......0..........P.,....-M..:':•::::::17:::::::::,:::::::::::ii:::::::•,•:•-••:::1::::•-:;--:-••••••••••,"'.:•••••••• KEY: - .
Submitted . _
S (Private) 1 S Site Work
B (New or Add) 1 B = Bu
F (New o Add o r Alt) 3 F . = Fire Pr otection System
M (New or Add or Ait) 1 _ B
B & M (New or Add) 1 P ii 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 •
13::: >:M: >: &: >:P: >: Alt :.:;::::::::>: :;::; >: > <::: >::: >:::;_
•
>:a ::: <M:;::& >P::: ::::E ( Alt::::.•• : : : ::::: >::: <: »: ::: >:::; »; >: >:: :•'''' 3 <::: >:::::
NOTES:
1 ..
des te::At T.> .: ; a s . nl .: > : >: >.....- :::::: >: » ::«: >::
hadeci „a.r....eas.;::....:.:.. na..::: : ::.:::su brn :::::. :.::..::::: «.:.;:.;:.:.;
I: \dsts \maxtrixl .doc 07/06/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 3/g1-1 /7 AM PM BLD
Location 1 3 7 oU 'C t./ ) TA-4& Suite MEC
Contact Person ( F)-i 4.., Oc. ". . A o Ph PLM
Contractor Ph SWR
BUILD!NGo> . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT d y L/
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
• PASS PART FAIL
PLUIIi11BINGr { 3 a° 4 ..
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICA '_
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service X — f9 .f1..0,04t f e IL .& 4 c /C
Rough In _
UG /Slab $ SL. op -e 69 ft Fill 7O f t! { C9 /1 d7 3' r
Low Voltage
Fire Alarm . 0014 <c G'4 0 ,1 e. i O c9 Sl - 1 .
Final
PASS PART FAIL X IQ VI 7'\ ? (d r -) d L a dp , V L h/ q
(0, ;Li Sk Ptivt 0141. (61,-.4-)... J ier 6 1 91 1 "l6cp
Backfill /Grading 2 �
Sanitary Sewer (1-)/
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
Other X fee Date Inspector Ext
Final -
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION ,p0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 J
P �'S-e. �-.ti. �
77 IS 46 Date Red j sted AM PM
Location 1 6q0 ' / Suite EC
Contact Person NV•C Ph , "Adair PLM
Contractor Ph Jf1 ! 3 `$ SWR
CRUILDID Tenant/Owner 77 Pj ELC
Retaining Wall ELR
Footing ✓
Access: W *L � �. to FPS
Foundation (�
Ftg Drain SGN
Crawl Drain Inspection Not : A � � i d �� ,� ,1 `' I , ��
Slab �,/Q ��7�y� = (/ / 1 t r k , X ^�- - .�,p wecuth/A:7
Ext Sheath/Shear � 1 v'w l/'G �y )te( V 1. '�'� ue (� s� mot ►
Int Sheath/Shear ���
Framing (
Insulation C I
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
PAS - PART FAIL
d PLU' -ING
-ost & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
.• • • - Dampers
Fi
PART FAIL
Service •
Rough In
UGISlab
Low Voltage
Fire Alarm
Final
ASS PART FAIL
Backfill /Grading
Sanitary Sewer � I
Storm Drain p
[ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin '� P
Fire Supply Line [ I Please call for reinspection RE: [ ] Unable to inspect - no access
- -- ADA
Ap • • - /Sidewa /
.• Date ` r / Inspector \ /C.� Ext lAc
`A PART FAIL DO NOT REMOVE this inspection record from the job site.