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Permit • s, . CITY OF TIGARD SITE WORK /4�, :�� r i,� DEVELOPMENT SERVICES PERMIT !•1 "LL I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # S I T97 -002,. DATE ISSUED: 07/17/97 PARCEL: 1S133DB -07500 SITE ADDRESS...: 13495 SW SUMMERWOOD DR SUBDIVISION • SCHOLLS FERRY ROAD TOWNHOMES ZONING: R -25 BLOCK • LOT •001 JURISDICTION: TIG CLASS OF WORK..: NEW PAVING? • N RESO. NO.: TYPE OF USE •COM • GRADING? • N VALUE...$: 0 EXCV VOLUME: 0 cy LANDSCAPING? N FILL VOLUME: 0 cy SITE PREP? • N ENG FILL? ° N STORM DRAINS ?...: N SOILS RPT REG1D ?: N IMPERV SURFACE: 0 sf Remarks: Site for modular temp use Owner: FEES REGENT ASSISTED LIVING type amount by date recpt 121 SW MORRISON STE 1000 PRMT $ 25.00 JDA 07/10/97 97- 29697E PORTLAND OR 97204 PLCK $ 16.25 JDA 07/10/97 97- 296976 SPCT $ 1.25 JDA 07/10/97 97- 296976 Phone #: Contractor: BOWEN DEVELOPMENT CO 111 SW 5TH AVE STE 2260 PORTLAND OR 97204 Phone #: 627 -9928 TONY $ 42.50 TOTAL Reg #..: 000748 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. 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. Your may obtain copies of these rules or direct questions to OUNC by calling (503)248 -9187. ..11prAirAMP71 401007 ir Issued by: Permittee Signature IA�_J� A +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan check 0 - CITY.OF TIGARD Site Permit Application Rec'd By 9 A . 7 .! a ....- 13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date Rec'dY '' 7 TIGARD, OR 97223 Residence: Complete SHADED areas Date Date (503) 639-4171 x304 1 A -7 Permit # 73 q 0 4 1\1 1 -I / Called priii 79 ?- / u/ ? - Print or Type 1 h v4 Incomplete or illegible applications will not be accepted ..,:•. . Utilities (Complete all that apply) j :::::.'*:-• '' - :-! r 9 4 !..-. - ... ,......i::10.gH0,44;;;E Ut • \ e::' : '::::x :- i ii i i* . : . .,V,,.,',. - . ::: :::::;:,-;::'.- i ' : :;;:i:...,; :;:: .:.:z:-: Addreiw:;; :z.. Storm Sewer : A4.444A4e9g#67.4,Attegittigio . SartO Linear Ft. Sy Sewem . :1- ..§:::,.. s ... \'I' \-.:mw.. .,..-.:.'-&... .....-.,, eod /642/, Linear Ft. -:.`.:.,. . .,;\ ': k, . ,.... ,' . • •. '.; \ ;.. - . ; . 4 ., :• :.:M••:: ,N: ..,..49.. .t \s..)›oAtt ' Fresh ter Linear Ft e'S- - /10e . f.:V. . isip N'K-Z \\ LeitY/S.4‘Tv-s.V. .:,:::,::::, Catch Basins ;:. n,:, .. ,, `4, - :', N:sc,,,,` ...„.;•\..., , :x.,.„ .. : . ,;.,.. , ..,,,: . s.„,,,, , -. ,,, # ..- ,...".0 '4,:ik.i:;A%;:••-•••••4.-: .e....6K. -44. • *•••• -, . ::•4. . :s-: ,.. WYt Clean Outs 'k•NN*W I+ aii . s 07 '''•n .:. fre:?> 4 ,',. . . ..;; , 4nr:ftwt?% . (4:: . : _ * CclilTaatW . iN s a it4 4.MOreti*"...41:xV.:. , .:V. , IMV::Ki%:4R:'00t;. Describe work to be done: .. (Pr* toet *.::%. •• '':,.40V.0';rg Newp Addition° Alteration° Repair° ! -. :. , .......,..s.:,i,..!.'',.i''''‘`S4P:itNg: §f"49T.f*P," ',..L' 5f0PSFO.!.0tAtl.4": i•:' t77.7:7N :e ''.ifek>,1SbI- '' .7-4''''' s ..- . '''-'''''''''.::- r :01*.Ift*I , ,. : 0%! ;:: Statec.C.OnetICOOtaitaticttim , E..tpt. 9 ', • 4 i. ■.:ks ,. :n;'.1. , ) ....:.:::.;:,,.. ....v :1 E ::::Av.: , .,:-e.:- , "4 . v..::':-:.....:K.;,::::: :swo mio ns ,:„...., :vw3i 4 • ::: ,,,,,......::::,*...,:p ...:s... ;-.:.u. , ....m:N.,.,.. ?N i.. i .... .:ioriso: ,. aifOrnal51% M kExp .,.! g . - q igq,c1110:400e t Ws** c9:5#64#* .0 Av:::'-:...:asA:.?:it::MP:i'.V::::S: . :111 ; ,„..z..:- • Name :TNIINV.A...5'':.t .''' :ile. Architect Mailing Address e.n4Stilifit!tb!..13):-##$3*.0.thrf***.i#Oftlf#0160.4,:F.: - . • -!:- faiiii;iniiiiii iCeeaiiiiiiiiiiiti'a City/State Zp Phone ,4 j,,Si planwithyltinity:MapE1: Parking (including Showilt ADA tornollatiCe ADA) & Lighting Plan Name :: ;.: Grading Planancticletailsilik Landscaping Plan I ag S6::!:e': Engineer Mailing Address Erosionr.oiltrolPienAntp* 3 ..::::::: :::.RentStntcireS City/State Zip Phone , i:;:iiiii-::: , SNeliti#yPiarslinct'detaisi :;::: WI A :Ktec.**W ' .:. ,.... • ];:%% A •-:::;:l.W • ExCavatiOrkyigtErrie•:.::,,::: - : , ::4::: i 4:::::::4::,:i:.:: - .:::::;::;:r4:::::, • :-::::::::;:.:::::::;;::::::.::-::,.:*•::::::;::::::: • I hereby acknowledge that I have read this application, that the • •_•:::::,,,..::<, , -.:-. . -,•-•• %,:•:,::....---••-••,::•:::- • ...:::::::: (SolsE.:eport :nequirect:for.:Qtatig:yaki*:: :::::::::::::::::::::*:::::-:::;:::;.::::::::,. information given is co ,-- I am the owner or authorized .. 6 .--, :: ,,, • , •:- - -:: - .: ,,, ::::::::::•: - .: ,, i ,. . - • , ..-:::::• - .- -,,. .::-:: ,,,,- ;: ,, :f::::i"::::::::: ,,,, ::.:*:-: - :::::::::::::::M:::::':::::: - - :::::::•::::•K agent of the owner, i llia su itted are in compliance • •,- - ; *: , : .- *:'::':ii - :::: 1, .::::': • ::::::::i: : -:::::! : : • : : ::::: - : - :.::':•:::, - :':::.:::::::::::: : :::::::::::;::::•::: : :-:,::::::: : :::•-:::::-:- Eii::::::: with 0 – • P: a. I -..Jf I A .Filt:Y du e ::0::C .: .:.:::: .e: ::.::::..::::::: : ::::::::::::::::::: .:- :.. : :::::k: :-:. . - , - • • Z2 • i 0 7 (Sods s iti .4cii0e ea' : foi - r>5:Cloti':Ciii:Yiii)gili:::::::i::::::: i:;:ii::: ,A . AR _ tv: ...:..-•:.::.... .::::i.:: . '::::.::::::::::::::i.::: •••:-.- • ..:i:: -- •:::. - . •::;::'.!::::k . :i: . :: - :!:: : .::::::: - ''i:.:::0:i : ;ilik: ikii. ti rrI 4,4if thelilLSOcpon a structure::::::::!::::::::::i.::::::::::::::::: ::,::..::.:.,: :::::::::::::::::::::::::::::::::*:::::R:-:.;? 7-4, - erso 'a - Phone r(Engipeig:T:eqpired it' answer is yes) ;:::.YES(2)::: i -.Retalq.00:04PctuW ta*Tk :.OR k FOR OFFICE USE ONLY ;••••••'!'::::::-.:'?:::::::::•::::::::::::::-:'::.:::::::."-'''': :: n: Cm().::::::.0:::i::::::::::::::.:::::: Note -- : - ::::.:::: - ': - .:::::::::::::::::::::::::::::::: - •:: . .".:::.:•:•::::::::::::E:::::::::::::::::::::::::::::::::::: : ::::::.:: , :::::::::::::*:::::::::::::::::: . ::::::::::::: - —__ .. ,..-- ----:::::•::::::::::::::: Ak,.5" Exoixt!te:.‘,::::::::::.::. if - . - .:•:::n::: - :.g . ::::::::::::1!i::1:,::- -, ::::::E:;::::•••:ni:::::i:;:::::::::.::::!::!; , :i;:.:::::::::.::::g.ei'.. : _mi':::::! , ] : : :i: : :::::::::::. ::.C3Ottif ..• .'. - ''. .• .'?..:::::::-::' Total new impervious area including all ,Land Use Case # 1 Map/TLA buildings, sidewalks, and paving Sq. Ft. Lsiteapp.doc (DST) 5197 I • Acct. COT WACO Amount Amt. Pd. Bal. Permit # Descritpion Due SIT. Permit (BUILD) (UBUILD) 2-f dZS Q� - Plumb. Permit (PLUMB) (UPLUMB) State Tax (TAX) (UTAX) ) ) - � ' • �-� BLDG: PLUMB: Plan Check 2 i SIT; (BUPPLN) (UBUPLN) /b f gyp• 25 Plumb: (PLUMB) (UPLUMB) CDC Review - (BUILD) (CDCBLD) (UCDC) CDC Review • (PLN) (CDCPLN) N/A - - - Reimbur. District ( ) ( - ) • - -- - - - - • . - Sewer Inspection (SWINSP) (USWINS) .. . -_ . • Water Quality - : - ' - Ity (WQUAL) (UWQUAL) - - - -... - - : - . -- . - Water Quantity (WQUANT) (UWQANT) Erosion Control Print (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) Erosion Planck/COT (EROSN) (UEROSN) • TOTALS: I:siteapp.doc (DST) 5/97 '1 , . .. - o ....... °''' . .,40.0) .............. ,.....k TO:4"-s- ................. - , ...... ..... ..„ ... •---- .... it • . .. . ....... 10 0;6 ... .. .. _ ...,1%:,-, , .. ; .... t „. - ..-,,.•• , t.S -- - ...„, ... . ....... V I11/ . ......•••• ...... •-ss'" AV . ' . VI CINITY MAP 41•,-ie a -- --- 0.--- , VD _-- Ok's --- V__._- 1-- --------\-9-7--..-- .---- , g Q . . . (4. -k- x .3 tn \c\n HAWKS BEARD. RD. . D . S6(• // - 1 : . \.. • ... __ //, .---3_,- / iq ( --------_____ 3 . WETLAND SUMMER LAKE -----7---- PARK . lu LAK DR! w BRITTANY gt- 1 *7 _ • El 1---- . _.... . . . . . . . • - . • . ,.. . _ .• - - -. ._.._ _ . . - • _ ._ . . . . . 'Jul - 07 - 97 05 :56P Bowen Development /Summerw P.02 (L) V Z 5 a f /fL �er app c o ,, a . , I/ 4 I -€ /J o / , /4,,J - AA0-€ ✓pct^,17 r"a/) C(.72% . ! L4L n1 / � a 6 4. / d 670,-,ft; fr / 4 !u hen, 71'1 aTv� y f.e l�J O/ ( p/ ' , / L r f a T/ or, ?n u/ > b e !^P « / ✓ 0 -0/ 7 7 //o/1 7 OFFICE / � L4..-01/T4 1 14 0 '' Dire 4.1 wu0e !o 22•' e., L,t�c.( f Aoe �i- SIGN 135 T11. 477=7 im. curb PARKI N G AREA