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Permit r T CITY OF TIGARD SITE WORK • ::;, DEVELOPMENT SERVICES PERMIT # PERMIT • S I T95 —OG42 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10/10/96 PARCEL: 2S112DA -01300 SITE ADDRESS...: 06640 SW REDWOOD LN SUBDIVISION • MLP96 -0002 ZONING: BLOCK • LOT ° TYPE OF WORK: COM PAVING? • Y RESO. NO.: EXCV VOLUME: 4500 cy GRADING? • Y VALUE...$: 180000 FILL VOLUME: 2000 cy LANDSCAPING? ENG FILL? • Y SITE PREP? • Y SOILS RPT READ ?: Y STORM DRAINS ? °..: Y IMPERV SURFACE: 64281 sf Remarks: Grading, construction of rockery retaining wall(s), relocation of porti on of existing storm line at southeast and other minor storm work (see plans). Owner: FEES • PACTRUST type amount by date recpt 15115 SW SEQUOIA PKWY STE 200 EROS $ 100.00 JDA 10/10/96 96- 285017 ERPC $ 32.50 JDA 10/10/96 96- 285017 PORTLAND OR 97224 ERPC $ 32.50 JDA 10/10/96 96- 285017 Phone #: PRMT $ 633.00 JDA 10/10/96 96- 285017 5PCT $ 31.65 JDA 10/10/96 96- 285017 1 Contractor: PLCK $ 411.45 JDA 10/10/96 96- 285017 ANDERSEN CONSTRUCTION SWM $ 1765.96 JDA 10/10/96 96- 285017 6712 N. CUTTER CIRCLE PO BOX 6712 PORTLAND OR 97228 Phone #: 283 -6712 $ 3007.06 TOTAL Reg #.. : 63053 REQUIRED INSPECTIONS This peruit 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 sore St r m Drain Insp than 180 days. San Sewer Insp Sprinkler supply ' Misc. Inspection � Reinforced concr Permittee Signature:x 41 ' / L11�.;, _ t i Engineered grade • '/./14/. Final Inspection Issued By: ∎. , / . Call for inspection — 639 -4175 • ( L.t\ �� 1 ,2 t iJ Commercial Building ermit Application at f Tlgard • (� p ', W. • P eCr- --t Pi r 1 6 .13125 BW Hall Blvd. — - • • T;31223 ..) A� unL / k 71 • �I % /01 /• CG,,(.44 * . ' l ` Jobslte Add . / ji. ._ . _. • . $1J ?5 O oaNit ress:..t' ' I D A.I. �f tnjooD 1./1WE sump!. 7 • ` , h:��; ': r k� ? >j:a w �; ,c;�;�;... .,::,v' a : s :. � � �' � } \•. Y�:.Sti,� {•�vr��.` �'C•vv� SY 0' \�'�hCa :..i<�1� < t` VfIIc Use On ;:, i.?a,. :,.1y ;; }`� h, k Tenant: 2TL u b CLOG So. Suite • • :. �:; : >;;. ' �: .::� �:{,..: k '.,vaa :hkhhh h \� \i it'll: ..,,.5. 4 i.: f1i + ?.� \4?y \}`:jv:vF:- .t`�i \ .;•� } C. .} nyl} : ?:, Y Ptanck/Rec:: +` _.. .. Valuation: D ���/ a - . . . .-:.• . ,,,,,,, ^: le � U , � w. y ,� {i;r:.i:�;; . #,`.`:2:� <'`i::i:..::.... f'f> .. : {. .: .: ... . .... Ilita illiAllif. j:.r Owner: C'rP -i S 7 — : _ ".,': :: �\ Ch � <: { {; .n,\ �.S \ih . y R.... : > ., h r . \ . it ' ; :;? : "ii:i•?: <: {:,:: �:?,`.:...:..... > » >; ;`t` \.e aa >y +•:: .: \?: ;+ M1: wsw` tii: a`.•.'.:.. .sM,:.c::iy ? %:: I:`::y:Y <+:•:•'l :n:.:.Y::;; ':av`i:.:• i.c O �'`•:k: ?::i \ <h \' ?�:22•`.w\ �•:•: '`: ?:: . ; �':•'.::fi�:; <::` �: r> . ; •:\:; : <':.: ;�:�:;•::Yr:;;: \;:;Yi�` ?: <; Address: 15 SO 5c0 ` 'S'E iiii etA Ple s'I Sufi/E. 30 `�. :..: ,..{::::;:.;::.:•:: :: :. :•::.: :: +,• .::: ?; ? < ?::::: ^Aptovei aequlhed . >sr : : <: >::::: »>::»<>`. »: >::<;<:: <;<:;:<::::<::: > >: ti{ ;\ y :ti I> otzriktds) D � 'nn i k •: ti/�' i {] i..a{. :.. •; \�: iY >: i�"�� - . . ... ...... . _ _ •EEO Y $ Yh\ h�; yr. • >: {z;±;a` fi'1�.+` Rim:: a: ::.;:: <r ?,;'::' % :'t.n:: r: ? ;?ate.` h` C k, X< tC ���4�::at; c:`,^ �y .'• yyy..:;:.: ?d ,;:.: { { � :;::?,•;;: ?LY:;:;: ?? <:?' '+{y'f` ;C.•`.: :.+ n 4~ v;{ �:• i+` �:::`y; rY ,` :;::;::;:;�,;; ? >��'ta�::.Y �: {. >:EY: �:}::::i:R; ::: �;ti F.. +:4: R.I. `` ,..k:.. <: {i r;; ?: :3:2� r • S + < . ; . ;tia y ; •.; ;lytt;' \ <:: \ :., .;;:Y; Phone: Z` -ln 300 '`�iae ., �:::.v n�:,?:< v,:;>;.,.,.... .:...�.<.;...:�<: >' >::.+ <::ir hX�:.' �:} \ S. a :.vY:J ii : i` v -0: a -. . \:A: v: ; 'v:: is ' . •Y:;: ;YY: :dY; ;;;: :: :: • :.: : ;: : � {ii': rr: {4Y: ?:?iitii+•v: rti.J: } vY��: [ ? \vY{ \y : C;.:{{:i sy.�`:.vh{;•y.v.{ v:•Y'ri_ 1���5 rJ Coil ST: .... Contractor: . { �: Address: ,,.'1 I . P. corc4 611E44 4 .tIh f -0/ - ‘v (i-/ ( 61 z Type of const: • 'xi) b1 -T r) 02_ 7'772 / Phone: Z63- 6 ? ( 2 tI / Occupancy class: 1 1.3 .$ 2 �� Sprinklered? es No Contractors License # g 5N? c 1 (attach copy of current Oregon license) Sq. ft. of project: ,Z. ) 644 - ru4. Contact name & phone: 4E6'4 /y 77AI Story (1st nd, -tc.) 2- sraAY Proposed use: P1WicAr, Ctrd/C Architect/Engineer: 7 -ci /zrIC ,S4/ TD t ArSSec - Previous use: — Address: 64YO StJ $Ap(!oFT (71.60►<(i ?) Note: Plumbing & mechanical plans Pt)k--77 n / Or_ . 1 - bo,7? must be submitted at time of building permit application. Phone: 7,Z -9 A'2 d JOB DESCRIPTION: 4gm2 flJ( C. A j. S 4C,)!6. WI� :r J ILD ROC. Y.f, A/Ails/6 Oil-LS 1 1 NS7kt. potzr„,J5 or 5 5`I sTEn /1141(41- Agt OR -oCrod ahfrn-ot, i I.h V-44 C okIFIAcr wiTh 'kocK G/AZI -5 . (4/46, 0 6 U = il5or✓ c7.) no.= Zooc) 7) Na6., rA sf4 t o /_1S4. . -- le /49 W re.L i A*- (�.�r y.; _ il Applicant Signature & hone number 1 C- \ 5 ( Received by: QA Date Received: 1 Permit # Account Description ? Amount Amt. Pd. Sal. !hue Bldg. Permit (BUILD) C0 / I Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) �� � b L1C Plumb: I i Mech: jar s fr / Plan Check q I I , Lic (PLANCK) I � � " , arb� lltr Bldg: 11. 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 -I) Institutional TIF (TIF -1S) Office TIF (TIF -0) Water Quality (WQUAL) 3 matt.VIC *' = Water Quantity (WQUANT) 1711 Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) 100. 16o, 06 '/ Erosion Planck/USA (ERPLAN) 3a 50•Sb v Erosion Planck/COT (EROSN) la 5v )1.S0 TOTALS: O 1O +HO , T• � 0 3607. == Page No. 1 CASE HISTORY FOR CASE NO.: SIT95 -0042 MACIENZIE /SAITO • 06640 SW REDWOOD LN 05/13/98 'Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By SITA007 Application received / / / / 11/08/95 PASS DS 11/09/95 JD SITA010 Plan check by / / / / 11/09/95 PEND DS 08/01/96 DS SITA020 Check for prcl. restrict. / / / / 11/09/95 APPR DS 09/06/96 JDA SITA021 Plans Approved /Routed to DSTs / / / / 08/01/96 APPR DS 09/06/96 JDA SITA070 (F) Ready to issue / / / / 10/09/96 PASS JDA 10/09/96 JDA SITA080 (F) Issue permit / / / / 10/10/96 PASS JDA 10/10/96 JDA SITA750 San Sewer Insp / / / / 10/18/96 PASS TLP 11/07/96 TLP SITB018 Plan Rev. Ltr Sent to Ofc Svcs 09/30/96 / / 07/15/96 discussed requirements with dave DS 09/30/96 JHF williams new plans coming for rock and drainage only SITB018 Plan Rev. Ltr Sent to Ofc Svcs 09/30/96 / / 09/30/96 reviewed and talked with dw on phone PEND JHF 09/30/96 JHF with purpose to quickly resolve issues as requested by D.S. SITB020 Revised Plans Received 09/04/96 / / 07/30/96 plan with dave williams, passed to JHF DS 09/30/96 JHF prior to vacation With instructions to allow rock and drainage work with out permit. SITB020 Revised Plans Received 09/30/96 / / 09/30/96 JHF 09/30/96 JHF SITB024 Plans Approved /Routed to DSTs 09/04/96 / / 10/01/96 approval is based upon davids S. prior APPR JHF 09/30/96 JHF review and my subsequent look at ADA. what a mess. SITB065 DST Post- Review Completed / / / / 10/04/96 Need approval from Will in Planning to WAIT JDA 10/08/96 JDA release SIT permit At Jill's desk. SITB720 Grading Insp 09/30/96 / / 10/23/96 Per Tom, minimal PASS TLP 01/27/98 J *H SITB740 Strm Drain Insp 09/30/96 / / 10/23/96 PASS TLP 10/31/96 TLP SITB750 San Sewer Insp 09/30/96 / / 10/23/96 PASS TLP 10/31/96 TLP SIT8755 Sprinkler supply lines 09/30/96 / / 12/31/96 PASS TLP 01/15/97 TLP SITB799 Final Inspection / / / / 01/26/98 PASS TLP 01/28/98 J *H SITC800 Case Finaled / / / / 01/28/98 PASS TLP 01/29/98 J *H • • ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log -note Fee Doc Tag Misc Xit List related cases in project group # 7353 —SITE DEVELOPMENT REVIEW :SDR95 -0024: PROJECT:PROVIDENCE CLINIC : STATUS:C :UPD:10 /14/97: :JDA: APPLICANT:MACKENZIE /SAITO PRIM..:SDR95 -0024: SITE ADDRESS:06640 SW REDWOOD LN JUR...:TIG: — PROJECT DESCRIPTION (1) Construction of a 25,650 square foot medical clinic. — PROJECT LOCATION (2) East of Sw Sequoia Parkway and west of Interstate 5. LOT AREA 0:sf PROPOSED USE.:COM: RESOLUTION NO: BUILDING AREA: 25650:Sf PROJ VALUATION:$ 0 ZONING •I -P # OF DWELLING UNITS: 0: —NOTES (3) Formerly cancelled tax lot 2S112DA -00500 •