Permit CITY OF TIGARD SllE WUNK
COMMUNITY DEVELOPMENT DEPARTMENT PEI mi E
13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT # • S 119 4 -0034
639 -4171 DATE ISSUED: 03/15/95
PARCEL: 15136CA -01600
SITE ADDRESS...: : 1 1655 SW PACIFIC HWY
SUBDIVISION • ZONING: C -G
BLOCK • LOT •
TYPE OF WORK : NEW PAVING? • Y RESO. NO.:
t.XL:v VOLUME. :780 cy GRADING? • Y VALUE... $ : 112500
FILL VOLUME.:667 cy LANDSCAPING? •Y
EN1 F=1LL? •Y SITE PREP? •Y
SOILS RPT READ ?:Y STORM DRAINS ?...:Y
IMPERV SURFACE..: sf
Remarks: AKA Business Services- addition to an existing building ONSITE WATER
QUALITY FACILTY!
Owner: ----- -. FEES -•
AKA BUSINESS SERVICES type amount by date recpt
wU t+liX 19089 PRMT $ 465.50 JF 12/22 /94 -
5PCT $ 23.28 JF 12/22/94 -
PORI'LAND OR 97216 PLCK $ 302.58 JF 12/22/94 -
Phone # : 452 -1094 EROS $ 140.00 JF 1.x/:2/94 -
ERPC $ 45.50 JF 12/22/94 -
Contractor: - - - - - -- -- ERPC $ 45.50 JF 12/22/94 -
u hELbUN ►- C i F 1 L: CONSTRUCTION
180 S PACIFIC HWY
WUUlJk1u N OR 97071
Phone #: 503- 981 -8147 $ 1022.36 TOTAL
Reg #.. : 37543
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Cedes 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 188 days of issuance, or if work is suspended for tore Strm Drain Insp _
than 180 days. Final Inspection
Permittee Si nature:
Issued ley: r'�- _
Call for inspection - 639 -417b
C�ill� 03 (cc
Commercial Building Permit Application 1 44 ' 16
City of Tigard ..
13125 SW Hall Blvd.
Tigard, OR 97223 �^ S
(503) 639 -4171 ay.(' 9 s'c°
Jobsite Address: I / C'z /4.}-y
Tenant: ,4/'`\/ i Suite #
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Owner:
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Address: a
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Phone: z O
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Contractor: a 17
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Address:
Type of const:
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story (1st, 2nd, etc.)
Proposed use:
Architect/Engin
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: `� •
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
5T r 94 -0r3 BIdg. Permit (BUILD) "1'5 3(7o.o
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) ' / ' 07)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 3 Sg U/ 06 53166q
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF-1)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) / 1 7 °01) 0V /00'00 /A .0
Erosion Planck/USA (ERPLAN) 4/5'S6 3C,9Z /' °-°
Erosion Planck/COT (EROSN) 75 ' 30c / '' DZ
TOTALS: /060.36 47Y,Oa F /'36
�I
CITY OF TIGARD
• COMMUNITY DEVELOPMENT DEPARTMENT SITE WORK
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PERMIT
PERMIT # • SIT94 -003
639 -4171 DATE ISSUED: 12/22/94
PARCEL: 1S136CA -01600
SITE ADDRESS • 11655 SW PACIFIC HWY
SUBDIVISION ZONING: C -G
BLOCK LOT •
•
TYPE OF WORK:NEW PAVING? °Y RESO. NO.:
EXCV VOLUME.:780 cy GRADING? •Y VALUE...$: 68500
FILL VOLUME. :667 cy LANDSCAI='ING? •Y
ENG FILL? •Y SITE PREP? •Y
SOILS RPT REQD? : Y STORM DRAINS ?...: Y
IMPERV SURFACE..:00 sf
Remarks: AKA Business Services- addition to an existing building: B2- 31,250 sq
ft, H3- 6910 sq ft ONSITE WATER QUALITY FACILTY!
Owner:
•
- •- FEES
AKA BUSINESS SERVICES type amount by date recpt
PO BOX 19089 PRMT $ 340.00 JF 12/22/94 -
5PCT $ 17.00 JF 12/22/94 -
PORTLAND OR 97216 PLCK $ 221.00 JF 12/22/94 -
Phone #: 452 -1094 EROS $ 100.00 JF 12/22/94 -
ERPC $ 32.50 JF 12/22/94 -
Contractor: •---- - - - - -- ERPC $ 32.50 JF 12/22/94 —
OKEGON PACIFIC CONSTRUCTION
180 S PACIFIC HWY
WOODBURN OR 97071
Phone #: 503- 981 -8147 $ 743.00 TOTAL
Reg #... 37543
REQUIRED INSPECTIONS
This perait 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 Fi 11 Inspect ion
approved plans. This permit will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspended for •ore St r m Drain Insp
than 180 days. Final Inspection
Permittee Signature:
r -
Issued By:
Call for inspection - 639 -4175
(1,0itee-4 P- Commercial Building Permit Application / i. / '
City of Tigard - '
1 725 SW Hall Blvd. c� # •' jiilLO' `
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: I I l0 5 S L-1 Pa c i v i c �lw
v 1 to #
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Tenant: S V u
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GUSirPS S KP
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Valuation:
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Owner:
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Address: - o 0
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e Plan ..... 9....:::......... . .
Phone:
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Contractor: u � t s'1'� c ::< »:.::.;:.: :: >:: »:;�::.::: .:.::<:.::.; ..::::� > >`'�< >; nit
Address: l eo S . PACI PI c H c.J ; •
Type const: :n —1.l
LJ6ao3u� ' 11_,,,_ ,q,7071 0 ?1
Occupancy of cla ss: az ///3
Phone: a - 98 i - '814-7
Sprinklered? No
S
Contractors L' nse #
t copy of current Oregon 110 Sq. ft. of project: J, o 'Z 9
Story (1st, 2nd, etc.) 1
Architect/Engineer: gPoa� CoariAO Gta� 1 = ►.�c��i� Co- Proposed use: �'�c/4x�L �+2^�
Address: to f od sw A►�ML.L1 b . Previous use: <--- su as_ 3 3 Tr � e,.�� , c 91223 Note: Plumbing & mechanical plans
' must be submitted at time of
Phone: („;,9 - ` poi build permit plication.
COMMENTS: ��• �D�cu vJ r /� S U�... c 4
,CH P ing - pC ?- Lac_
r „0._,A3 9 5/
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
517 Bldg. Permit (BUILD) 3y 0 ' 04.-
Plumb. Permit (PLUMB) •
Mech. Permit (MECH)
State Tax (TAX) /7,
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) / Do,
Erosion Planck/USA (ERPLAN) 3,2,.5a
Erosion Planck/COT (EROSN) 32,3°
TOTALS: 79% ob
//arm�'dW„�,e ( 1\
Plan Review # � �I�
Date q "� �--9 y CITY OF TIGAR®
O REGON
Soils Special Inspections
This form shall be signed by the Owner, Engineer or Architect of Record and returned to the Building Division prior to
issuance of the permit. Please note that a separate structural special inspection form may be required.
Project Address: (i GSS stj Hujr ?, 4 ,4,,2.n Project Name: ,AKA, (S Svc
Architect of Record (Firm): Phone:
Engineer of Record (Firm): j pcso o CouRPO ezzw X26 Phone: 6,3c -- 6, 60 I
Soils Engineer: a Sc i �S rt,.t� we Firm: Phone:
Lot: Subdivision:
The following special inspections shall be performed according to the State Building Code and City of Tigard's Municipal
Code Chapter 14.06.010 - 14.06.040:
LI Engineered Grading ( >5,000 cubic yards) - U.B.C. 7014
f Regular Grading - U.B.C. 7014
Compaction Reports (per ASTM standards listed in U.B.C. 7002)
Testing Agency: e-.A Q-4So N
•
Phone:
❑ Other
Thee•wner hereby agrees to employ the above soils engineer for the above -noted special inspections.
Signature of Owner
Print Name AMA A) Phone No. 3 / ` S-1— / 4 9 SL
Firm /111A 4f/ i1 f 3 �2 Jc-. Date ` ? / / 2 -
soaesidoo
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
` APPLICATION AND PERMIT TO
CONSTRUCT APPROACH ROAD PERMIT NUMBER
;717
a °"spoa`" r ' HIGHWAY DIVISION 2 A. A 3 5 2 6 8
HIGHWAY NAME MILEPOINT ENGINEERS STATION
Pacific Hwy. West (ORE 99W) 8.264 34 +75
HIGHWAY NUMBER COUNTY SIDE OF HIGHWAY APPROACH TO SERVE
NORTH 0 EAST
1W Washington O SOUTH ❑ WEST Retail Business
BETWEEN OR NEAR LANDMARKS HIGHWAY REFERENCE MAP AND ATTACHED DRAWING NUMBERS
SW.72nd Ave. AND SW Pfaffle St. 3B -22 -3
APPLICANT NAME AND ADDRESS BOND REQUIRED AMOUNT OF BOND
REFERENCE
DIVES ❑ NO OAR 734-50-025(6) $ 2,000
Arran Enterprises, Inc. INSURANCE REQUIRED REFERENCE Ia ADMINISTRATIVE FEE
OAR 734
C} YES ❑ NO - 50 - 025(3 ) 0 TEMPORARY DEPOSIT
P.O. BOX 19089 AMOUNT CHECK NUMBER
Portland, OR 97280 -0089 $ 50.00
DISTRICT MAINT . AN E - PERVISOR OR REPRESENT TIVE l DATE COMPLETE
V - _ APPLICAT.!ON RECEIVFD
X �'.. — ary c `eel � O.- 12-`14 -
REGION ENG EER OR REPRESENTATIVE DATE
X
UTILITY PERMIT SUPERVISOR APPROVAL DATE
TELEPHONE NUMBER: (503) 452 -1094 X
APPLICANT APPLICATION,DATE
�, I SPECIFIED COMPLETION DATE:
05/31/95
x.410.1 F �F�P�is S 3y �P //—/5Z-- REFERENCE: OAR 734 - 50-050(4)
The applicant declares that he /she is the owner or lessee of the real property adjoining the above described highway and has the lawful authority to apply for this permit. When this
application is approved by the Department of Transportation, the applicant is subject to the terms and provisions contained herein and attached hereto: and the terms of Oregon
Administrative Rule, Chapter 734, Division 50, which is by this reference made a part of this permit. Copies of the Rule may be obtained from the District Maintenance Supervisor's office.
Issuing of permits under these regulations Is not a finding of compliance with the statewide planning goals or the acknowledged comprehensive plan for the area. Permits are issued subject
to the approval of city, county or other governmental agencies having either joint supervision over the section of highway or authority to regulate land use by means of zoning and /or building
regulations. It shall be the applicant's responsibility to obtain any such approval including, where applicable, local government determination of compliance with the statewide planning
goals. (OAR 73450-055)
SPECIAL PROVISIONS
1 — If the proposed application requires traffic control devices and /or special road construction, the applicant shall provide a copy of this application to the
affected local government. The original application must be signed by the local government official.
LOC GO RNMENT FICIAL ' ATU TITLEA • DAT� Wf
2 — Within ,, �i before beginning work and after completing the permit work, the applicant or his con ctor shall notify the District Representative at
telephone tuber 229 5002 .
3- This i's'fan existing approach, all work being performed on buildings away from R/W
Curb and sidewalk is in place.
4- See attached sheet for additional general provisions. Also see att ?phed " "Exhibit A"
for more details.
5- If an adjacent parcel re- devlops, ODOT may require a joint access with this driveway.
TYPE 4 APPROACH ROAD - CURBED HIGHWAY NOTE: All material and workmanship shall be in accordance with the cur -
Applicant must provide ODOT with a cross-over rent State of Oregon Standard Specification for Highway Construction.
easement for the area of the approach road.
I Drwy. 1
I -- I I
R/W LIne-\ _- W° Exist. WI= Exist X° Exist. K° Exist.
/ A \ ANGLE OF SKEW APPROACH TYPE CURB TYPE
/ 900 " "
B , � W \
L r Note
` J A B 2 NOTES: W = WIDTH OF DRIVEWAY
Q K = DISTANCE FROM FACE OF CURB TO BACK OF
P WI
■ PRESENT OR FUTURE WALK OR 10 FEET,
WHICHEVER IS LESS
C 'LConc Curb --.0 W, = SEE TABLE A ON REVERSE
. PLAN x= SEE TABLE A ON REVERSE
734.3307E (5-88) SEE BACK OF APPLICATION Produced by STATE PRINTING
• 2AA 3526 8
GENERAL PROVISIONS FOR ROAD APPROACH
APPLICANT Aman F.nterpri cPC HIGHWAY ORE 99W M.P. fi. 2 6
X 1) The work area during any construction or maintenance performed under the permit provisions shall be
protected in accordance with the Manual of Uniform Traffic Control Devices for Streets and Highways,
US Department of Transportation, and the Oregon Department of Transportation Supplements thereto.
Contractor shall maintain all existing Traffic Control Devices during construction, then re- install
permanently per MUTCD standards and District Office specifications. Flaggers must have a card or
certificate indicating their completion of an approved work zone traffic control course.
X 2) Al! construction operations will he performed off limits of the highway travel way.
3) The access control fence must be maintained during construction and restored to its original or better
condition after construction is complete.
'f- 4) No work will be permitted on the roadway during the hours of darkness, nor between 6:00 am to 9:00 am,
or between 3:00 pm and 6:00 pm.
_X 5) On site storm drainage shall be controlled within the applicant's property. No blind connections to existing
state facilities.
X 6) Permittee to verify all utility locations for relocation prior to construction, should any be in conflict with
the proposed construction.
X 7) The spreading of mud or debris upon any State highway is strictly prohibited and violation shall because
for immediate cancellation of the permit. Clean -up shall be at applicant's expense.
8) Applicant will install and maintain landscaped areas as shown o the attached drawings. Planting shall be
limited to low growing shrubs, grass, or flowers that do not attain sufficient height to obstruct clear vision
in any direction. The Commission or Engineer shall have the right to remove said landscaping at any time
such removal may appear to the Commission or Engineer to be in the public interest, without liability for
loss, injury, or damage of any nature whatsoever.
X 9) The permittee shall not use the right -of -way to display advertising signs or merchandise of any kind.
it
A 10) Grade and pave the highway shoulder and approaches with ( I 4 ) of 1 12" - 0, 2" of 3/4" - 0, and
4" of AC placed in two lifts.
11) This is a temporary permit and will automatically expire on ( ).
c) V
_ 12) Permit inspection fees are estimates to be i 2-u (Order to Render Service). A
deposit of this amount with the District office at 2131 SW Scholls Ferry Road, Portland, will be required
prior to the start of construction. Charges will be made on an actual cost basis.
_ x 13) A copy of this permit and all attachments shall be available at the work area.
Applicant's Initials
1 �
2 aA8526 8
• "Exhibit A"
Aman Enterprises, MP 8.264, Hwy 1W
6- This permit is also for the construction pf landscaping,drain conection, as per final
approved plan.
7- Applicant must meet all ADA standards.
x Applicant int.