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Permit
CITY TIGARD SITE WORK i DEVELOPMENT SERVICES PERMIT # : SIT2000 -00031 � I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED : 9/13/00 SITE ADDRESS: 12394 SW SCHOLLS FERRY RD PARCEL : 1S134BC-00900 SUBDIVISION: PP1993 -058 ZONING : C -G BLOCK: LOT: 003 JURISDICTION : TIG CLASS OF WORK: PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: $50,000.00 EXCV VOLUME: 0 cy LANDSCAPING ?: Y FILL VOLUME: 0 cy SITE PREP ?: Y ENG FILL ?: N STORM DRAINS ?: Y SOILS RPT REQD ?: IMPERV SURFACE: 18,354 sf • Remarks: Site work for 5515 s.f Auto repair garage Owner: -- - - - - - - - - FEES DENNIS THOMPSON 12475 SW MAIN Type By Date Amount Receipt TIGARD, OR 97223 PRMT CTR 9/13/00 $431.50 27200000000 5PCT CTR 9/13/00 $34.52 27200000000 PLCK CTR 9/13/00 $280.48 27200000000 Phone: 503 - 781 -0124 • FIRE CTR 9/13/00 $172.60 27200000000 Contractor: EROS CTR 9/13/00 $80.00 27200000000 JOSEPH HUGHES CONSTRUCTION,INC ERPU .CTR 9/13/00 $26.00 27200000000 SW HAMPTON ERPC CTR 9/13/00 $26.00 27200000000 7035 7035 S , HAMPTON PTO WQUN CTR 9/13/00 $1,911.88 27200000000 Total $2,962.98 Phone: 624 -7100 Reg #: LIC 45645 Required Inspections • Erosion Control Insp 846 -8444 Paving Insp Strm Drain lnsp Culvert/Catch Basin Domestic water line inspect. - Landscaping lnsp 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 i - Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 - ; I .0. You may o ain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. 1 • Permittee Sign . . e: J , A I • ss ed By: t, %�� • Call (5 1 • 9 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Site Permit Application Plan Che /✓� 13125 SW HALL BLVD. Commercial, Residential e Recd e • TIGARD, OR 97223: and Multi - Famil /� Date to P.E. -7-19 (503) 639 -4171 x304 Date to DST $/le6100 Pr Permit # d5p4 iii - •9014( Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called A wio MV: v /tn ,1 ' Utilities (Complete all that apply) Job 1' Address Ni re �s, . ` G . -r Storm Sewer 34-1..5 ,,,, j t lJw a e wl -- near Ft. rfkktiz7 / / i �� Sanitary Sewer Lam �yt 3CLinear Ft. Owner y1�jllpg,Addr� Vo S Fresh Water �I ta t� � e /� 'g 1 Linear Ft. 0"g !/7iJ P Catch Basins I�' # General , am j� � , i Clean Outs • Contractor r , I t/1 �V t"b ( dYl # 3 Prior to permit 1 ailin• Address Describe work to be oe: issuance, a Nev Alteration❑ Repair copy of all �(� (d 1/v (� litutn I=1 licenses are 1 //S .te (/ a f, + (� p� I Desc i tion of Wrk: s E required ifs bp_ 1 I '�"'6 1 - t w 6celciti/c POVI S, '1 expired in COT Sta I • ; .Board Lic. # WAT 00 V ; . u � x'11 n�`I tA database "[ �/w� �"� �_"`^' • . _ _ T • (rte , / r Project GO, VIA l K & ( j Valuation $ 'JV Architect I d e s Plans Required: See Matrix on back page The following, must accompany this application: 1 /S IP , 1 / Site plan with Vicinity Map Parking (including � Showing ADA compliance , ADA) & Lighting Plan ' /- Grading Plan and details Landscaping Plan Engineer jA v""s / Erosion Control Plan and k Ret Structures details 1 n inducing calculations City/State � Ave., ip Phone Site Utility Plan and details Soils Report 5,16 fig- "il/ti ,,., p ' �� (showing connection to (if required) (�U "t approved system) Excavation Volume I hereby acknowledge that I have read this application, that the 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. Grading Volume Si ature of Owner /Agent Date (Soils report required for >5,000 cu. Yds,) C AG q1 I1 I CD cu. yds. *Mt/ Fill Volume ntact Person Name Phone (Fill exceeding 12" in depth shall be compacted ' !!, To 90% of Maximum Density) O Sfii�/ "f �1 cu. yds. Retaining structure? (check one) flpbt ❑Rock FOR OFFICE USE ONLY ��� e CMU Notes: ['Concrete ['Other Total new impervious area including all Use Case # Map/TL# buildings, sidewalks and paving _ ($ / % 2 Sq. Ft. #..A S- exAkt0.451, LO&...1) ._Ar■o--t ' : • , I.A. A . v aei. (.444.0 CITY OF TIGARD &o . b AA-j- �p —( .tom ..4A ,• 7- 11-p° t.ULLa- J I3 ( a-4 CJn,a.� COMMERCIAL SITE WORK PERMITptu .. O (� is \dsts \forms\site- app.doc 3/17/00 p � � ,� �p �d , { 9 ° z� �y CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested � 7 AM PM BLD Location / Z 3 9 `t f 561/0# Pv✓'` � Suite _ MEC Contact Person Ph gG G ( ' S }Z PLM • Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Z I/ Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final APAINgarefir ' PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out •, Water Service Sanitary Sewer SPA i 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 ckfill /Grading Sanitary Sewer orm [ ] 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 �7 Approach /Sidewalk • er Date / Inspector Ext p PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OFTIGARD BUILDING INSPECTION.DIVISION MST ' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 , BUP Date Requested 7, z z AM PM BLD Location /2: ? 9(( . W $ ca( n Suite MEC Contact Person gc-/ Ph 2e, 2 45 y PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT ?i " -Goa 3/ Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing / I a t )P j) Firewall / ✓� Fire Sprinkler Fire Alarm Susp'd Ceiling /� / j R u, P6;1) 9 3 V,4 4 77 I evp� I V Final k / � +.. / Z�� / /l/ /� /�7 Q: " 6 ./-NS s top ye PASS PART FAIL 'FLUM st & Beam Under Slab Top Out Water Service Sanitary Sewer _ ua! - ma PASS PART FAI MECHANICAL Post & Beam Rough In Gas Line - Smoke Dampers Final PASS PART 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: [ ] Una to inspect - no access ADA Approach /Sidewalk Date -Via /l Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r CITY OF TIGARD BUILDING INSPECTION DIVISION MST . 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BOP Date Requested 9/2,110 AM PM BLD Location / L h/ 51.0 Suite MEC Contact Person Ph g06-/S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation / FPS Ftg Drain Crawl Drain Inspection Note -. SGN Slab SIT Z 1 v - Do o• ) Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler C� Fire Alarm L Susp'd Ceiling ,• AL� Roof �/ Misc: /" 441111", �f Final P PART FAIL PLUM Post & Beam Under Slab S /'1 Z_ Top Out Water Service / // �I/ Sanitary Sewer Rain Drains Fin / PART FAIL / A NICAL 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 � Other oach /Sidewalk Date _S I / � j ' , Inspector /'v Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY CF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 /2‘- / b AM PM BLD Location C qc( S W itoag Suite MEC Contact Person S C.Gt,_ti a 4 A7 Ph ;,� - Z477 AO Contractor i&pb Ph leg— 2. 3 V SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab Post & Beam IT 2( 1) - ©OO ; ,( Ext Sheath /Shear Int Sheath /Shear Framing i11■ / Insulation Drywall Nailing ,�- 1 1111K. � ` - �/_ - _ / Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final P AS S ART FAIL . UM 'ost & Beam Under Slab v Top Water Out Service / Sanitary Sewer • R . •rain P : PART FAIL ECHANICAL 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 Approach /Sidewalk Other Date 1 Inspector / C! Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 7 CITY' OF TIGARD BUILDING INSPECTION DIVISION . 24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested `/— 2 AM PM BLD Location to ?�7 at y , SSG✓ .S'Gffp� /,f /y Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC !� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Post & Beam Zete'7- coo 3/ Ext Sheath /Shear Int Sheath /Shear Framing Insulation - Drywall Nailing Fire wall �_�m L)_61i � /,- Fire Sprinkler `� / � � /�-�' �� � � .¢� 1 �fo�2 Fire Alarm �- Susp'd Ceiling 6 s T / A/r/ Roof Misc: • Final r/ •/ 7,& y e PASS PART FAIL PLUMBING 72) tCX /S 7 /Yllg �,(./ / 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 PART FAIL [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hail Blvd Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 1 / — 2 - 00 Inspector (� /I 7 Ext Other - AV 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 Business Line: 639 -4171 BUP Date Requested /0 — z AM PM BLD Location /Z3 C j ti .5 4 ✓ 5C 4'/l cyre, Suite MEC Contact Person • / Ph gb 6 - 45 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT 000 3 / Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing / 1 4 �v) ~U , 1, Insulation C /JT 1 d /� h (Drywall Nailing v w Firewall Fire Sprinkler ) {�, ;^ 1 /� +� p- 1 �'" f� Fire Alarm std /� n `i /d �/0 i , q. a / // ,L Al k oIs e Susp'd Ceiling �v Roof Misc: Final `i S11 d1(, 't/0 Petit C.0 !✓L r��� 'V PASS PART FAIL PLUMBING / 5 Dl i/J h)=-. T A W 13 C-D 3 6 �i Post & Beam Under Slab ,Q /� � / Top Out a)4 ��i�1 • 3- �Nlam,/° ^ mod (/)k) 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 (rLTg, Backfill /Grading tor • • f [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd , Fire Supp y Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Inspector Other ae �/ Ins ec tor ✓/ , Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639.4175 Business Line: 639.4171 0 der Zvi) GU Z70 Date Requested / Z ' AM PM BLD Location / 2 3 9 7 S w 5C/0/ (.5 Pei Ai Suite MEC Contact Person Ph QG ' - /S SV PLM Contractor Ph SWR LDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: SI Slab � ^ ocU 3 Post & Beam Ext Sheath/Shear 5Dit_ QW v U d d Q g Int Sheath /Shear Framing 1 b#) Insulation Drywall Nailing k c * J, j i .) O- c (, Firewall Fire Sprinkler ✓)',�(� �f!i/ /�/Ei D Fire Alarm Susp'd Ceiling 4 L �-- Roof 4 13iii 4,D /4/6- AjD g, 7� ! SStaal �� - T;AA'L f rino ASS (�Aj� FAIL ta (.L he Apisodep utlit4 mpezdatC i3 Plants ✓ /il/G AircITZt edk.. I PLUMBING , q.. r0 A) u J4 SIB /4 //6 Post & Beam ��[VJ 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 Approach /Sidewalk / / 11 Ill) t Ext Inspector x Other D a t e p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION M . , - 24=HourTnspection Line: 639 -4175 Business Line: 630-4171' • 2.000 ^ 00 a CID Date Requ sted AM PM BLD Location t 2 A4 �� 01 `S Cpl "' Suite MEC Contact Person t � M. Ph b b6 - 1 p PLM Contractor ((�� Ph SWR BUILD , - Tenant/Owner SCE 0 ( S � 5C.1" ELC Retaining Wall 9 ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: SI ,. 0063/ Slab Post & Beam Ext Sheath /Shear n i ,240• - O0• Int Sheath /Shear Framing I I l 1 I 'tC1Y S, w-a Insulation • � A S Drywall Nailing ',► k Firewall _,,,�,� /f' I t 1[ I I I I I I I I I I I Fire Sprinkler a'� ► ' • - = • _ _ • , Fire Alarm -' /•✓ ; , : s : t • • •. -s • I/IOWAIN / Susp'd Ceiling l j Roof I �/ , i=g c=• ! is �� ( J ( Final !/ —PASS—PART—PA-IL- / • PLUMBING n/ OA W1 Post & Beam _ I Under Slab .r 14 X •�.C.C,CArC\ G,n CX Top Out , // Water Service 4 Lan 1,6, e _ _ e ' _ u3/ QL--er,f .c Sanitary Sewer ' Rain Drains � / _ Final PASS PART FAIL " 1/15 - A A �u -4 %6 A 6 " C V w / � V " MECHANICAL Pf 6 tMi Q'c L • N .r A *CG‘CV Post & Beam � ` Rough In • c) "1/k krO .J • Gas Line Q- ( f I Smoke Dampers 2 1.1d -e c e,Ar9 1.�. \./J- Lr '1J t £ ` LO+ Final f�' PASS PART FAIL .- .Q_ t e WiLid 6 . __4 - 0 LV _ ELECTRICAL 46 Service C.. ks... l • Rough In UG /Slab 3 A Av-� 1 �-S `'VL d i �1 )2 Low Voltage � n �, 5 -1� � Fire Alarm � ^ �/ � Final 5 � - / .-C- ,... PASS PART FAIL `7 T SITE . C/` Backfill /Grading Sanitary Sewer Storm Drain [ I 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: [ J Unable to inspect - no access ADA Approach /Sidewalk Other Date 1 Z/Gc Inspector �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.