Permit CITY OF TIGARD SITE WORK PERMIT
r DEVELOPMENT SERVICES PERMIT # : SIT2006 - 10002
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED : 7/2712006
PARCEL : 1S135AA-03800
SITE ADDRESS: 08875 SW OAK ST ZONING : R -4.5
SUBDIVISION: ASHBROOK FARM LOT: 012 JURISDICTION : TIG
Project Description: Site work for new 46 unit condominium.
CLASS OF WORK: NEW PAVING ?: RESO. NO:
TYPE OF USE: MF GRADING ?: Y VALUE: 35,000.00
EXCV VOLUME: 3,500 cy LANDSCAPING ?: Y
FILL VOLUME: 1,300 cy SITE PREP ?: Y
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
WESTLAND INDUSTRIES LLC Description Date Amount
12670 SW 68TH AVE, SUITE 400 [BUPPLN] Pln Rv -Valu 3/31/2006 $232.90
TIGARD, OR 97223 [FLS] FLS Pln Rv 3/31/2006 $143.32
[BUILD] Prmt Fee -Valu 7/27/2006. $358.30
[TAX] Valu 8% State Surcha 7/27/2006 $28.66
Phone: 503 - 639 -3104 [ERPRMT] Erosion Control 7/27/2006 $26.00
Contractor [ERPLN] Erosn Pln Rv CWS 7/27/2006 $8.45
[EROSN] Erosn Pln Rv COT 7/27/2006 $8.45
WESTLAND INDUSTRIES Total $806.08
12670 SW 68TH AVE
TIGARD, OR 97223
Contact #: PRI 503 - 245 -9715
FAX 503 - 598 - 9081 REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 - 4444
Reg #: LIC 30235
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:
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.
Site Work , � W Di S1. ,
� ,r- -; ,
Buildiilli2 Permit Appira lo.LI 1 V t Folz orFicE. Uti1`ONI;1'
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Received 3,5�
City of Tigard M AR 00 , Dd1� ,,��, I (� .. /O
Permit No.: �,taoot�O
13125 SW Hall Blvd., Tigard, OR 97223 Js Plan Review 4 (lJ
Phone: 503.639.4171 Fax: 503.598.1960 4 i'< +\
Date/B . '11 Other Permit:
Inspection Line: 503.639.4175 �' r' '' t _ al •I i l Date Ready : y: Car See Page 2 for
Internet: www.ci.tigard.or.us CI� „ 1 Notified/Method Supplemental lntormation
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
`] 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.
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder /7 Other:4/P un it Gl7n1a4l n 11241 Number of bathrooms:
JOB 'SITE INFORMATION AND LOCATION Total number of floors:
Job site address: g 75- -() Pa. L. S New dwelling area: square feet
City /State /ZIP: ---/- a _ yi / b re— q 722- 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: O tL Sy' oc,v if 0n4, I,1 U,yY1 , Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
4 61 i 4 L. S`+ -VQQ3 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: P5-511 h - x l F I Lot no.: 1 - 1. Permit fees' are based on the value of the work performed.
Tax map /parcel no.: 15 3 S / t �� b Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
,, DESCRIPTION OF WORK work indicated on this application.
. 4l, 0,0,ce earoD144,01 Lt./vn5 Valuation: $ �j QO U
Existing building area: square feet
New building area: square EVIROPERTY OWNER I ❑ TENANT Number of stories:
Name: /p,�,,,, LLG Type of construction:
Address: /.2 a 7a Sw G$ r" <° Occupancy groups:
City /State /ZIP: / / Gwt� / ai- osyr '' 72-2 3 G) Existing:
Phone: (� 3) (3 -3/ pit Fax: (3/3 5 7a / New:
9a.APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Z� , Ai y... I le re, I Pia N t ,, i All contractors and subcontractors are required to be
Contact name: 1 ` licensed with the Oregon Construction Contractors Board
1 _under ORS 701 and may be required to be licensed in the
Address: 9 i 2_5 S W BeeLueY t « 44 y .. t OF jurisdiction in which work is being performed. If the
City /State/ZIP: U jr. � o k. q 7O 0 s applicant is exempt from licensing, the following reasons
apply:
Phone: ( O ( I Fax:: (SE, 3 ( t4 - (o 1,1
E -mail: 1 y
CONTRACTOR �� 1 �� , J
Business name: t3 2s f1 t �d V d t L5i V J 5 LL 3-74.P.9. S
BUILDING PERMIT FEES*
Address: ( ,1670 scA_J (o q, `(-(it A- e_ Please refer to fee schedule.
City /State /ZIP: -r-i q O q 1 2- Z3 Fees due upon application
hone: 7 ) (, - 31 Fax: &)3 ) 5 ' (e i
CCB lic.: Amount received 3 1 04 �-
3' Date received: \
Authorized signature: Ar7t. Thi permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
. Print name: /(J �fs,4 (((/6 I Date: 3�� o6 * Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \Permits\S1T- PennitApp.doc 12/03 440- 4613T(II /02/COM/WEB)
r y Ib
City of Tigard: Site Work Permit Checklist
Page 2 = Supplemental Information' 1
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: - 3 5 o cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) c 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"
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)
IT 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'Forms\S1T- PermitApp.doc 1/I3/04 2
CITY OF TIGARD /
BUILDING DIVISION PERMIT #: SIT2006-10002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7:09AM PAGE: 43
SITE ADDRESS: 08075 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STREET CONDOMINIUMS
DESCRIPTION: Site work for new 46 unit condominium.
OWNER: WESTLAND INDUSTRIES LLC, PHONE #: 503. 639-3104
CONTRACTOR: 1NESTLAND INDUSTRIES PHONE #: 503 - 245-9715
Inspection Request Scheduled For: Date: 2/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 043578 -01 503229-4351 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /p7 Phone #: (503) 718- � G %' �
L
CITY (JGARD • - .
BUILDING DIVISION PERMIT #: SIT200 •10002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2005
Phone: (503) 639 -4171
A te ' •
Inspection Request; (24 Hrs.): (503) 639 -4175 L .
INSPECTION WORKSHEET FOR DATE: i 2/6/2006 TIME: 7:01AM PAGE: /9
SITE ADDRESS: 08875 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STREET CONDOMINIUMS
DESCRIPTION: Site work for new 46 unit condominium.
OWNER: WESTLAND INDUSTRIES LLC, PHONE #: 503 - 639-3104
CONTRACTOR: WESTLAND INDUSTRIES PHONE #: 503-245-9715
Inspection Request Scheduled For: Date: •I2f6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
495 • n 040658 -01 503-413-9490 N
Corrections/Comments/Instructions:
•
IMEIMEIMIMP.Ct a•eilb
____
4... .0. _.
so .:22, .,___ al ___-
urrn7 ■-4
P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
►, r
Inspector: �r f Date: 45166 Phone #: (503) 718 -
CITY�TIGARD
BUILDING DIVISION PERMIT #: SIT2006 -10002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7127/2006
Phone: (503) ;39- 4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 `' � ..
INSPECTION WORKSHEET FOR DATE: 12/512006 TIME: 7 :00AM PAGE: 27
SITE ADDRESS: 00875 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STREET CONDOMINIUMS
DESCRIPTION: Site work for new 46 unit condominium.
OWNER: WESTLAND INDUSTRIES LLC, PHONE #: 503-639-3104
CONTRACTOR: WESTLAND INDUSTRIES PHONE #: 503.245 - 9715
Inspection Request Scheduled For: Date: 12/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
420 Sprinkler E.supply lines 040657 -01 503 - 413.9490 N (1:10f)
Corrections/Comments/Instructions:
.zoo .t... L.....77ir_s_ 0.
OP rW
l■ _Y 1g 'er-- OVil
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ON L FEES ASSESSED
Inspector: Date: l 00 Phone #: (503) 718 -2fa-3
CITY ,.O ,TIGARD ,. • s/T
BUILDING DIVISION PERMIT #:aoo4 — /000 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 u� 41 III
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: g g 6 Q., c2 _� ` CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: /1 — Z Z — o G Pour Time:
Code # Inspection Description Confirm # Contact # Message
yZo 01/02o 22_9-- L / 3 51 91
Corrections /Comments /Instructions:
----) -
i'� i �j /
V/ r ■ - ''eir /
...0 i V RAI U T - - -
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: / ®J� Date: l v, Phone #: (503) 718-
CITY. ,O:TIGAR® . s IT
BUILDING DIVISION PERMIT #:ae06 - / 0 00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 „' �
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: S'75 -X+ti CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
•
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: / ) 1-6 ( Pour Time:
Code # Inspection Description Confirm # Contact # Message
La/ b� olib 03”gq -6, i 4 /l3- 9q l a
Corrections /Comments /Instructions:
it -
(EG s = L
441/ '1 .1,i0 •iiir ; A
I � _ 6- X114 —
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FIR INSPECTION ❑ ADDITIONAL FEES ASSESSED
a r Inspector: I Date: 1 7 D 1 Phone #: (503) 718-
CITY _OF TIGARG ,
BUILDING DIVISION PERMIT #: SIT2006 -10002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9 /11/2006 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 08875 SW OAK ST CLASS OF WORK:
SUBDIVISION: OAK STREET CONDOMINIUMS LOT #: TYPE OF USE:
PROJECT NAME: OAK STREET CONDOMINIUMS
DESCRIPTION: Site work for new 46 unit condominium.
OWNER: WESTLAND INDUSTRIES LLC, PHONE #: 503 - 639 -3104
CONTRACTOR: WESTLAND INDUSTRIES PHONE #: 503-245-9715
Inspection Request Scheduled For: Date: 9/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
405 Excavation 036229-01 503 - 229-4351 N
Corrections /Comments/ Instructions:
11
C
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIO AL EES ASSESSED
Inspector: ,' Phone #: (503) /G?
p ��� D ate: ` i Pho a (50 ) 718- 3