Permit Alto CITY OF TIGARD SITE WORK
PERMIT
. - ^ % ,,, � �,, i , � „ -
DEVELOPMENT SERVICES DATE ISSUED: 07/2 8-0029 8/98
PARCEL: 2511ODB -00200
SITE ADDRESS...: 15199 SW ROYALTY PKWY
SUBDIVISION • WILLOWBROOK FARM /ARBOR HEIGHTS ZONING: R -25
BLOCK • LOT -008 JURISDICTION: TIG
CLASS OF WORK..: ADD PAVING? • Y RESO. NO. :
TYPE OF USE •ME GRADING? • N VALUE.... $: 57129
EXCV VOLUME: 20 cy LANDSCAPING? • N
FILL VOLUME: 5 cy SITE PREP? • N
ENG FILL? • N STORM DRAINS ?...: N
SOILS RPT REOD ?: N IMPERV SURFACE: 0 sf
Remarks : Re- stripe parking lot and add 28 new spaces
Owner: FEES
SECURITY CAPITAL PACIFIC TRUST type amount by date recpt
125 LINCOLN AVE PRMT $ 307.00 GEO 07/09/98 98- 307236
SANTA FE NM 87501 5PCT $ 15.35 GEO 07/09/98 98- 307236
PLCK $ 199.55 GEO 07/09/98 98- 307236
Phone #: FIRE $ 122.80 GEO 07/09/98 98- 307236
Contract or:
DRAKE & DUNN JOINT VENTURE
437 N COLUMBIA BLVD
PORTLAND OR 97217
Phone #: 978 -0800 $ 644.70 TOTAL
Reg #..: 109192
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 -0080. Your say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
i i - :
Issued y: L♦ !� /,i ce / Permittee Signature:_ I "f� / i
++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + +++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Site Permit Application 9 C Date Date Reed c- 89 .. �� 37
13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date to P.E. "1 If. l
TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST 7 ME. '"
, (503) 639 -4171 x304 Permit #x.fl .- -- 7z.
Related SWR #
Called T77MC / vzipezili
Print or Type #04e f/
!ncomplete or illegible applications will not be accepted
Project Name • Utilities (Complete all that apply)
Job A�ie
Address Address Storm Sewer
/ 9 49
4/ Linear Ft.
Name ' Sanitary Sewer ,, //
!'/ 01 iAC 77/A e /V Linear Ft.
Owner Mailing Address Fresh Water /
d M ,424/. I A/oA Linear Ft.
Ci /State P one Catch Basins
may: _ ; U • "ai - - "S/ l' /lade #
General Name � l lean Outs
Contractor 1246 / '/ / ii 00 E #
Prior to permit MailinAddress /�,, /-� Describe work to be done:
issuance, a
copy of all 137 4< eiz �/ f7 t /#60 � •
NewQ Addition❑ Alteration RepairQ
licenses are / s S � ta r� te /�n /]� 4J7 one Additional Description of Worrk required n � t. g �GU 2 ,- fe- . p /90-0'�E! ._ 115
expired in COT State Cont._ q Board Lic. # �� f
database / °q19/2 - io P���� gg kv
Name / / Project rf G� Qy
N Valuation $ 5 / j �2
Architect Mailing Address Plans Required: See Matrix on back
The following, must accompany this application:
City/State � Phone Site plan with Vicinity Map Parking (including
/}J _ Showing ADA compliance - ADA) & Lighting Plan
Name /0 A lone , / / n . Grading Plan and details Landscaping Plan
Engineer Mg�t1 n Address r� v Erosion Control Plan and Retaining Structures
TJ ��ii /��. ' details including calculations
City/State Zip Phone Site Utility Plan and details Soils Report - •
97z ,� / _��t/�,.... (showing connection to - (if required)
{ e �� approved system)
Excavation Volume I hereby acknowledge that I have read this application, that the
(Soils report required for >5,000 cu. Yards information given is correct, that I am the owner or authorized
cu. yds. agent of the •,. ner, and that plans submitted are in compliance
with O z • on Sta a laws.
Fill Volume Sig . • re of Owner /Agent - . Date
(Soils report required for >5,000 cu. Yds.) .11 /g- / 7
rJ cu. yds. I f ��'" /,�
Will the fill support a structure o erson n e / Phe�.
(Engineer required if answer is yes) YESO NO] irm /o►G G P
�� •• RA ,4 i&p )J /PG 1-6
Retaining structure? (check one) ORock FOR OFFICE USE ONLY
Na CMU Notes: r
, Y
OConcrete Mlvt7V � ff ∎�k t' r °'.. -- &? Gui
Total.new impervious area including all Land Use Case # Ma4/TL#
buildings, sidewalks, and paving Sq. Ft. Spy — 93 —O .V 7.-'/ for v
siteapp.doc3 /98 /1/ ; Xacer /s /9 /nez avraU TO J ei ,66-
is ,d 73e u. .
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) ' -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- --
P (New, .add. or Alt) 2 -- 2 -- -- 2(j,o) --
B &M &P ew or Add. 2 1 1 --
E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B &-M & P& E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
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NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
>; ><:::;:::"::: i:::: i.: ii:.:.:.;:.:'{: n.:: i:.:.:.; :.; i:.:.:;:?.;;. i,:: n ::::::: ::::::::r:::::r::n:..� ::.,.:.:::::::.
u =USA E =ELC
::.:::::::.::.::0.:.s: designate?: L';::s rniti: bx�l.:..:..:; i; i:. ii:. i;:.:. i;:. i<'. ii:• i::. is.i::.i:.i:.i:.i:.i:. >:.ii >.:: w = w =
... ......� ...................:. ........................:.; ash. County F FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office. ,
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h:Unatric.Doc
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7/27/99 Activities for Case #: SIT98 -00029
1:57:51 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 • Date 3 To Done By Disp. Level By Updated Notes
SITD005 Application received 7/9/98 GEO RECD BON 7/10/98
SITD008 Permit Created 7/10/98 B DONE • BON 7/10/98
SITD010 Check for prd. restrict. 7/1 B MEMO BON 7/10/98 Minor modification. Check with
Mark R. before issuing permit.
SITD770 Misc. Inspection 7/28/98 RDP 7/28/98
SITD799 Final Inspection 7/28/98 • 1/26/99 TLP PASS TLP 1/28/99
SITD013 Plans Routed to Plans Examiner 7/10/98 BON ROUT JDA 7/28/98
SITD026 Plans approved by CPE 7/28/98 7/28/98 RDP APPR RDP 7/28/98
SITD030 Reviewed plans routed to DSTS 7/28/98 7/28/98 RDP APPR RDP 7/28/98
SITD032 DST Post - Review Completed 7/28/98 DLH DONE DLH 7/28/98
SITD092 (F) Issue permit 7/28/98 DEB • DONE DRA 7/28/98
SITD800 Case Finaled 1/26/99 VLN 1/28/99
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
//�-- 6- A Date Requested /4/1'9 AM PM BLD
Location /S7 % SW ,( oG / r 2 e)ai Suite MEC
Contact Person 231/1.7 / dice___ Ph 97f DfO x. Y PLM
Contr. • �i i . - i , i Ph SWR
LJILDING Tenant/Owner ELC
Re all ELR
Footing Access:
Foundation (,4 -Pd r �// 4,--OZ/kgd2771S) FPS
Ftg Drain f/ SGN
Crawl Drain Inspection Notes: vv p
Slab SIT 9D -ea 99
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire wall PAlW//(// L � Fire Sprinkler ...,!
Fire Alarm
Susp'd Ceiling
Roof /W/141 J
Misc: �� C �
AS PART FAI 57 �) ef'= 1� R,pa d r
BING O / 7
Post & Beam
Under Slab
Top Out
Water Service
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 /0 /n_ S )tLCGS o
• pproach /SidevAlk Date / /?i 6i (( r Ins Ext
Other
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.