Permit C ITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT PERMIT #: SIT2006 -00022
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 7/16/2007
PARCEL : 2S102AA -03000
SITE ADDRESS: 08740 SW SCOFFINS ST ZONING : CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT: 024 JURISDICTION : TIG
PROJECT: HARRIS - MCMONAGLE HEADQUARTERS
Project Description: Site work for new office building. (Retaining wall under separate permit)
•
CLASS OF WORK: NEW PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: 230,000.00
EXCV VOLUME: 450 cy LANDSCAPING ?: Y
FILL VOLUME: 270 cy SITE PREP ?: Y
ENG FILL ?: U STORM DRAINS ?: Y
SOILS RPT REQD ?: Y IMPERV SURFACE: 19,171 sf
Owner: FEES
HARRIS - MCMONAGLE, SCOFFINS PRO Description Date Amount
12555 SW HALL BLVD • [BUPPLN] Pln Rv - Valu 10/13/2006 $813.35
TIGARD, OR 97223 [FLS] FLS Pln Rv 10/13/2006 $500.52
[BUILD] Prmt Fee -Valu 7/12/2007 $1,251.30
Phone: [TAX] Valu 8% State Surcha 7/12/2007 $100.10
[ERPRMT] Erosion Control 7/12/2007 $80.00
Contractor: [ERPLN] Erosn Pln Rv CWS 7/12/2007 $26.00
[EROSN] Erosn Pln Rv COT 7/12/2007 $26.00
MARLAND HENDERSON CONST.
12950 SW PACIFIC HWY #225 Total $2,797.27
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TIGARD, OR 97223
Contact #:
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Reg #: LIC 70266 Special inspection (see plans)
Final observation & acceptance
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: j7")
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.
, r ' I
Site Work s i? - 7/6 1 JOE. > > 5 14" I 817' . oo 6- 006° 9'
f f Bu P App licatio n F Oii OFFICE. USE ONLY
Date/BY /� / O k �i� lv — �D
City of Tigard Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review f
• Phone: 503.639.4171 Fax: 503.598.1960 A . ,, s k-•F I ` Date/By. i , lZ (`� f o, Other Permit:
Inspection Line: 503.639.4175 .4-4 ='� � � Date Ready/By: lu ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: r6 Supplemental Information
TYPE OF WORK ' 1 ATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition i��. 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: dr �� equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION ,on. 1 work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /n (j of �o Ob' Valuation: $
❑ Accessory bolding ❑ Multi- family Ng / Number of bedrooms:
❑ Master builder 0 Other: Ok Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:874' f 4s"e.-C641X/mss f,? ' New dwelling area: square feet
City /State/ZIP: 7754,91% r ,,_, 9 7 . 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: roject name: /y-)We- ef{5C,c Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: 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.
AT-60€) D�� ! �— �2���v ' Valuation: $ Z��QG�
G�y'� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: . 1 ‘, d i.„‘G • Type of construction:
Add ress :1�,3'5"f‘e.), ,-,/ Zr " Occupancy groups:
City /State /ZIP: 774 4'Z61 ,%/Z e 9 ZZ.? Existing:
Phone: (f'5) 6 - --,4 -,,.. de, y Fax: ow ) G ' —/Z 3 Z New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name:/54,14,/5 _ . _,55I.-Z4 J C" • All contractors and subcontractors are required to be
Contact name: licensed d with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /ZSj,— ,te, 1/ • jurisdiction in which work is being performed. If the
City /State/ZIP: TL 0/L. 972,-.-- applicant is exempt from licensing, the following reasons
c� apply:
Phone: S�3 )39—.,,,,W1105-3 J /9 Fax: (f 6:09"—./...40..-
E- mail: / j �y� Cp�
MAl2L.IA ►l� '1);_34 /2,,J CONTRACTOR
• Business name: 47,,,,e,2 BUILDING PERMIT FEES"
Address: / 9cj k>-) Pft e . 1.4 1 4=Y ,9a AC Please refer to fee schedule.
City /State /ZIP: ,77;42 -2-- 977-25 Fees due upon application
Phone: (g515 6 j? — 5 5 3 7 Fax: ( )
� l Amount received
CCB lie.: 76 9,(,O
•
Date received:
Authorized signature: ,/ j // fir_' This permit application expires if a permit is not obtained
wii
�� ^�� � /0 ' -/3 '� • Fee methodology set by Tri -Count Building Industry
/ Service Board.
i:\Building \Permits \SIT- PerrnitApp.doc 12/03 440- 4613T(II /02/COM/WEB)
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City of Tigard: Site Work Permit Checklist
Page 2 - Supplemental Information
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: ysr) cu. yds.
Grading Volume:
(Soils report required for >5,000 cu. yds.) l0 3r) cu. yds.
Fill Volume: .
(Fill exceeding 12" in depth shall be
compacted to 90% of maximum density) 09- )0 cu. yd's. •
Retaining structure? (Check one) 12r Rock
❑ CMU
❑ Concrete
I ' Other: 4r1„ J
*Total new impervious area including all •
buildings, sidewalks, and paving: /f/2/ 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) = •
❑ 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:\Buildin .SIT- PermitApp.doc 1/13/04 2
1 t
Site Work Permit Application
/ /ir afp� ,•r, ,;�
Plan Submittal Requirements
Commercial, Multi- Family and One- and Two - Family Dwellings
City of Tigard
A site work permit is required for all commercial projects including new buildings, additions,
accessory buildings larger than 120 square feet, modular structures and multi - family R -1
occupancies. A site work permit is required for excavation, fill, grading, paving, retaining walls,
fire hydrants and fire department access on private property for work on individual lots not
covered under the subdivision development.
•
Note: A separate "plumbing" permit for site utility plumbing work is required for sanitary
sewer, storm sewer and potable water systems on private property. Please see the Site
Utilities - Plumbing Permit Application for plan submittal requirements.
1. SITE PLAN and vicinity map (fully dimensional, drawn to scale) showing the geographic
location labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ applicant phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Building pads (drawn to scale) with project location.
2. BUILDING PLAN submittal requirement: Two (2) complete sets, Civil only.
All details listed below shall be incorporated into the plans:
A. Site plan showing:
1) Required parking spaces and driveways.
2) A route, accessible to persons with disability, leading from the public way to an
accessible building entrance.
3) Accessible parking spaces and adjacent access aisle connecting with the
accessible route.
4) Curb ramps along the accessible route, curb, sidewalk and gutter.
5) Finish grade elevations along the accessible route.
B. Topographic survey plan showing grade elevations crossing the entire site.
C. Overall grading plan. -
D. Utilities plan showing:
1) Fire hydrant location and pipe size if on private property. •
2) If the building is to be protected with an automatic fire sprinkler system, show
locatis s f the water service vault and the fire department connection (FDC)
within feet of a fire hydrant.
3) Size of underground water service for the sprinkler system.
E. Erosion control plan complying with the requirements of the Clean Water Services
(CWS) agency showing:
1) Silt fence locations.
i:\Building\Forms\ .SIT- PlanSubReq.doc 12/29/03
2) Bio -filter bags /other approved barrier material surrounding catch basins.
3) Illustrations detailing the correct installation of the silt fencing and catch basin
protection.
4) Any other measures to ensure compliance with CWS standards.
F. Landscaping plan.
3. ADDITIONAL REQUIREMENTS:
A. Soils (geotechnical) report. A soils report is required for new buildings and
° additions to contain the following:
1) The report shall address the potential of soil liquefaction and instability (OSSC
• Sec. 1804.2).
. 2) Fills to be used to support foundation of buildings (OSSC Sec. 3301.1).
3) Foundation and lateral pressures exceeding 1,500 lb. /sq. ft. (OSSC Sec. 1805).
B. Fire flow and hydrant worksheet.
C. Plan review deposit based upon project valuation.
•
•
•
i:\Building\Forms\SIT- PlanSubReq.doc 12/29/03
i
CITY OF TIGARD
-
BUILDING DIVISION _ � ti
PERMIT #: SI12006•00022
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2007
Phone: (503) 639 -4171 u�f1l�° f
Inspection Requests (24 Hrs.): (503) 639 -4175 °:.. r -
INSPECTION WORKSHEET FOR DATE: 9/25/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 08740 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE:
PROJECT NAME: HARRIS - MCMONAGLE HEADQUARTERS
DESCRIPTION: Site work for new office building. (Retaining wall under separate permit)
OWNER: HARRIS•MCMONAGLE, SCOFFINS PROP.LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9 /25/2007 Pour ' e:
CIA Code # Inspection Description Confirm # Contact # M sage -'
215 Footing drain 056286 -01 503- 639 -5537 Y
Corrections /CPmments /Instructions
dlo. ‘" k (5._C_ C_P . —
J
13.,f6 U ,
j i ----- 3AsS ❑ PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: < Date: CI ( 2) / Phone #: (503) 718- 2 4 2----'-(1
CITY OF TIGARD MR
--
J
BUILDING DIVISION ' PERMIT #: 91-2006-00022 13125 SW Hall Blvd., Tigard, OR 0223 DATE ISSUED: 7/16/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'! "- / LI
INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 08740 SW SCOFFING ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 021 TYPE OF USE:
PROJECT NAME: HARRIS- MCMONAGLE HEADQUARTERS
DESCRIPTION: Site work for new office building. (Retaining wall under separate permit)
OWNER: HARRIS - MCMONAGLE, SCOFFING PROP.LLC, PHONE #:
CONTRACTOR: PHONE #: /
Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: �.r
y
Code # Inspection Description Confirm # Contact # Mes- - • -
4E Misc. inspection 058450.01 503-639-5537
0" ? %.,er •
Corrections /Comme s /Ins ucties:
14/114 -f 41-15(- C.e_ vV ' r— "44—e
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El PASS I:� ' I AL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Vb Inspector: Date: / 0 / 'hone #: (503) 718-
CITY OF TIGARD :.. ���
BUILDING DIVISION ~ ' PERMIT #: SIT2 06 -00022
1 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 7(1612(107
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 ''' I..
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: i07
SITE ADDRESS: 013740 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE: '
PROJECT NAME: HARRIS^MCMONAGLF HEADQUARTERS
DESCRIPTION: Site work for new office building. (Retaining wall under separate permit)
OWNER: HARRIS - MCMONAGLE, `COFFINS PROP.LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me- -•-
495 Misc. inspection 058672 -01 503639 -5537 •,�
C rrec 'onsiComments /Instructions: �1►"_ _
1 I 11 JW e .,4-,..1/43 1/4,., ,_ , c' rte,. \(?zi .
1
6 -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
V,. ,\ �L Date: \t) 1 $ Phone #: (503) 718- Z�
CITY OF TIGARD f - -: 14 .
BUILDING DIVISION / PERMIT #: SIT2006-00022
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1612007
Phone: (503) 639 -4171 � W�y j e Inspection Requests (24 Hrs.): (503) 639 -4175 s'I iL //
INSPECTION WORKSHEET FOR DATE: 3/14/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 08740 SW SCOFFINS ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 024 TYPE OF USE:
PROJECT NAME: HARRIS- MCIMMONAGLE HEADQUARTERS
DESCRIPTION: Sits`v lc frsl�etr_rzfL buildir
tining wall under separate permit, BUP200&00493)}
OWNER: FUS MtMON AG[E =ITINS PROP.LLC, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
459 Final inspection 066721 -01 503-639.3453 N
Correc ions/ mme is /Instructions:
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4,/
t cf PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VI) ' �_.-' Date: % Lk / ei-- Phone #: (503) 718 2 2
CITY OF TIGARD - Mr
BUILDING DIVISION PERMIT #: St 1 6 -6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 jl...
/09 •v
INSPECTION WORKSHEET FOR DATE: TIME:
SITE ADDRESS: / 41 5-6-0 4Q--7>1 S CLASS OF WORK:
SUBDIVISION: / LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /In truc ions:
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II PAS r PA - TIA PR :'VAL CANC L NO > CC SS
❑ II CAL FOR ■ PECTION it ADDITI AL F ASS S
Inspector: \'‘ Date: 1 ( Phone #: (503) 718- 2)1
a