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Permit � � � ' ' G1 1 � �� SITE WORK PERMIT CITY OF TIGA ,4,►I► r4, DEVELOPMENT SERVICES PERMIT # : SIT1999 -00032 '" I ^13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED :. 8/3/99 SITE'`ADDRESS: 15340 SW ROYALTY PKWY PARCEL : 2S110CD -00102 W SUBDIVISION: KING CITY NO. 2 ZONING : BLOCK: LOT: 002 JURISDICTION : KIN CLASS OF WORK: REP PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $25,000.00 EXCV VOLUME: cy LANDSCAPING ?: Y FILL VOLUME: cy SITE PREP ?: Y ENG FILL ?: STORM DRAINS ?: Y SOILS RPT REQD ?: IMPERV SURFACE: sf Remarks: Replace sidewalks - ADA upgrades. Owner: FEES JOE MCCANN 15405 SW 116TH AVE Type By Date Amount Receipt KING CITY, OR 97224 PLCK GEO 7/2/99 $110.83 • 99- 316408 MISC GEO 7/2/99 $68.20 99- 316408 PRMT DEB 8/3/99 $170.50 99- 317361 Phone: 5PCT DEB 8/3/99 $11.94 99- 317361 Contractor: EROS DEB 8/3/99 $80.00 99-317361 BNK CONSTRUCTION INC ERPU DEB 8/3/99 . $26.00 99- 317361 10730 SE HWY 212 ERPC DEB 8/3/99. $26.00 99- 317361 PO BOX 66 Total $493.47 CLACKAMAS, OR 97015 Phone: 557 -0866 Reg #: LIC 1075 Required Inspections • Erosion Control Insp 844 -8444 Grading Paving Insp Landscaping Insp Final Inspection 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- 0080.0 may obtain copies • ese rules or direct questions to OUNC by • calling (503) 246 -1987. • // / Permittee Signat • - . . , Issue. By: ; .4./ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day • IW (0—Vi CITY OF TIGARD Site Permit Application Recd By N`J Date Recd G - G 13125 SW HALL BLVD. Commercial and Multi - Family: Complete ENTIRE form Date to P.E. ' TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST '7 3.41 - (503) 639 -4171 x304 Permit# V/r / fQp co 3. Related SWR # 1 Called GTEdE V--//n/L— 74 ;fty Print or Type ' Incomplete or illegible applications will not be accepted Project Name �,.� Utilities (Complete all that apply) Job I' *T ,1304)11#-- ✓U4' Address Address �,,� r� 7� Storm Sewer l A5 1O Jv v f ��i/ f i�� d'1 Linear Ft. Nam 6A piAI Sanitary Sewer Owner Maiji = ` Fresh Water Linear Ft. ` 5 t �� ��� Linear Ft. (416 GI tA 14122.4- Zip hone Catch Basins # General Name , Clean Outs Contractor i r) # Prior to permit Mailing Address Describe work to be done: issuance, a New A Q Q p Q copy of all ❑ ddition Alteration Repair licenses are City /State Zip Phone Additional Description of Work: required if , � ``"" expired in COT State Const. Cont. Board Lic. # Exp. Date �� database Pi/WAVES- ES- Name % Project CE644,gg j' age G/ J i GAD • Valuation $ 7-5, 0 ,Ascisitect M ilin Address Plans Required: See Matrix on back G�l�lr(/9Dde—•41/f The following, must accompany this application: City /State Zip Phone Site plan with Vicinity Map Parking (including CDR47,47•11D ee- / �L4 Showing ADA compliance ADA) & Lighting Plan • a;ngG /1, /0 Grading Plan and details Landscaping Plan Engineer M • in Address ,r > Erosion Control Plan and Retaining Structures 3?, i 674,14 details including calculations City/ tate Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) PO f 4124 I 2224107 approved d 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 owner, and that plans submitted are in compliance with Oregon State laws. Fill Volume Signature of Owner /Agent Date (Soils report required for >5,000 cu. Yds.) �Q (V7------2-----. /�/+ A KJ cu. yds. .& �l ' 1 Will the fill support a structure Contact Person Name Phone (Engineer required if answer is yes) YESO NOD M 19 Retaining structure? (check one) QRock 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. • .. 01 u 1ln .(63 t i:\dsts \forms\site- app.doc 10/30/98 , ' f �'� f_ =-) - ; 2D 1 1 1r ri COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX ?'1 n ew depaaden upon subntta clr BT plans Al aLETEU a lication > Far a :: ::::.:.....:::: ..:...:.:.::., ' ::;.: . _.: ;...:::::.:.,.,:. .;..:,,.;..,.,;<:.:.<:...;':.:: ;::;.::.....::<...<..° < •:i <:: >» < > < > ::.: pp:.::.>:::;.::;;:::. :.::.::.::.::;;: >:.::::. »:<.:;� eleptrt+caI s�tl�rrtitta� the a ... it��tit�n r I�ntarn # h�ii::> i >:::::: >:: >:: >::::::.;::.::.:. p to h.... r�ttsrn a e before pla . r view will be c nducted ::>; ::::::;;.:. <.::revtew appro l,. Plans Examiner wall cx ntact t a ....i nt to re uest:: >:: >:;:: ..............:....... KEY: u ttted m€ S ( Private) 1 :::::::::::::::.; S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = 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 . :: ......::: .. :�. :� V. �� .: .�.,.. 1, 1333.:: ��::. :v:::. •.� �::.�::��v::: ��:.:::: ��:::.�.�:: �. 'i::* ' :::} :::::� ■[� :j ' ::: .:�y isi::::::::::: i :i <:i:!:iiiiiiiii::::::::i:: iiiiiiiii:;::yii::' ::i::i::i::ii:::i:i::i: ': vii' is4:::C �• iiiiii: v: v} i}:!•: 4ii:.i }i }i }i:4 }i:�i: ?:i::ii:' {. iii :�:i:�iiiiii:i�iiii:i�ii:::ii:: � : .:::::::::::::::: :.:::::::::::::: �- .::::: iii:�i: ::: �iiii:� ^:::: •; }iii•: •i*::�'4:: .;: ..... ..: w• .: i�vii "vi�. �: : i >: ':: % �: ::• :ii:4i:t: { ? { ?iiii:iti:i:; { {::::; :;: if ii } }i}•....:.� �..:: •v.- �- � ^-�:. ':: <:? '::i.:': ::: iii:::::': i:::•::::i::i::::i::i::i: i <ti:::i::i::::i::i::i' .; y;: ?ii:i:i::i: ...�,.�.�,.�. � .... :......:...'.:.':.:.....::ii��. ��i'• .. :'i:. �. 'X:: "'i:'�...� .:'........ ,'{ i:: ii:::•'.:: i::::: :::::::i::!:::i:j'::::::ii: �`i:::::::i::::.i>?:Yi iiii:t::'} •' i4i: :i: i:: / { .::::ii:::::i::i::: :::i ?iii::i:: ^:i: iiiiiiiiii NOTES: ii'` <; ;<:::;::::;::'::;:::;::':::::<: i:::;:::;;::::::;:>' �:;::: i:;: ��<:>::::; �> �:;::::<.>.:<::: ��::>::::>::::>::::>::<::::::>::>::::>::::>::>::::> ?> �:»>::>:>::»:::::::>:>:<:::::>::::>::>::;:::; i< i:: i:: i:: i:: i>:;; >;i::i::i::i::i::i >::i::i:<::�: I: \dsts \forms\matrxcom.doc 12/17/98 • 02/17/2000 Activities for Case #: SIT1999 -00032 • 2:50:22 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes SITC005 Application received 06/25/1999 BON RECD No Hold GEO 07/02/1999 SITC008 Permit Created 07/02/1999 GEO DONE No Hold GEO 07/02/1999 SITC013 Plans Routed to Plans Examiner 07/02/1999 GEO SENT No Hold GEO 07/02/1999 SITCO26 Plans approved by CPE 07/13/1999 07/13/1999 07/13/1999 RDP DONE No Hold RDP 07/13/1999 SITC700 Erosion Control Insp 844 -8444 07/13/1999 07/13/1999 No Hold RDP 07/13/1999 SITCO30 Reviewed plans routed to DSTS 07/13/1999 RDP DONE No Hold RDP 07/13/1999 SITC720 Grading 07/13/1999 07/13/1999 No Hold RDP 07/13/1999 SITC730 Paving Insp 07/13/1999 07/13/1999 No Hold RDP 07/13/1999 SITC760 Landscaping Insp 07/13/1999 07/13/1999 No Hold RDP 07/13/1999 SITC799 Final Inspection 07/13/1999 07/13/1999 10/12/1999 GS FAIL No Hold JS • 10/13/1999 See BUP1999- 00277. 10/12/99. SITCO32 DST Post - Review Completed 07/23/1999 DLH DONE No Hold DLH 07/23/1999 SITC080 (F) Ready to issue 07/23/1999 DLH DONE No Hold DLH 07/23/1999 Need contractor identified . • before issuing permit. SITC092 (F) Issue permit 08/03/1999 DEB DONE No Hold DEB 08/03/1999 SITC093 (F) Reprint Permit 08/26/1999 BON DONE No Hold BON 08/26/1999 • SITA799 Final Inspection 10/20/1999 10/20/1999 10/15/1999 GS PASS No Hold JMT 10/20/1999 SITA800 Case Finaled 10/20/1999 JMT DONE No Hold JMT 10/20/1999 SITA800 Case Finaled 02/15/2000 JMT DONE No Hold JMT 02/15/2000 Plan sent to records • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -417 Business Line: 639 -4171 BUP Date Requested /0 / AM / PM BLD Location / 3 Y0 Se-e) aot4 t ?41 r 7 Suite MEC Contact Person G ( Ph PLM Contractor AAe� /�� Ph SWR BUILDING Tenant/Owner iUeg - 6244, ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ' �/ ,mil Sla 111._ j�i - o' SIT /9 ' Post & Beam Cez1 ���� U Ext Sheath /Shear P ei Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING 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 P SS PART FAIL (S? 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 Q 7 �D Approach /Sidewalk Date /D —� f 9 / Inspector _ ^� - Ext Othe .x,11 r _ r b PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Buiness Line: 639 -4171 BUP 1 79'9 -0 Z77 Date Requested 10 Z"--19 � /�• A,M PM BLD Location I Say �/�� C) 1 G / �e uite MEC 9c1-00,3/ Contact Person P S 313 -9 Sr) PLM Contractor Ph SWR JILDIR) Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT j ggq —aX 2 Post & Beam Ext Sheath /Shear Int Sheath /Shear � Framing ® 1 L �" .c, .� - Insulation Drywall Nailing .- 2 , /.A.rr- i . Firewall Fire Sprinkler - _ Fire Alarm Susp'd Ceiling OP �.7�a..' /�,_ .���.- / • -__i Roof I , Misc: Fin ' / ,e' PASS PART FA _.�� 1�/ , ., _.. . -4 • - _� ∎� - t PLUMBING ?, 4 o Post & Beam . Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL - CHAN C Post & Beam Rough In Gas Line Smoke Dampers / PASS - ART FAIL ./ ` ••'''' g O `. i �- W he - ELECTRICAL Service •$I k.' � __'c'J r • • ;•• - Rough In •.-- UG /Slab - WA _�,. Low Voltage Fire Alarm Final °� PASS PART FAIL / �T� Backfill /Grading Sanitary Sewer Storm Drain [ ] Reins ection 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 7 Approach /Sidewalk Date /C /� - - ! Inspector . Ext Other PASS PART DO NOT REMOVE this inspection record from the job site.