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Permit CITY OFTIG SITE WORK DEVELOPMENT SERVIC PERMIT -'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT . , ..... o SIT 97 - 0 0_ 5 DATE ISSUED: 08/12/97 PARCEL: is 133RD -02200 SITE ADDRESS...: 12930 SW SCHOLI_S FERRY RD SUBDIVISION....: ZONING: R-•-7 BLOCK. ........ _ I_GT . ... . . ....... JURISDICTION: TIC CLASS OF WORK..: NEW 2 PAV I NG ?......... . N RESO. NO. . TYPE OF USE.... :COM n GRADING ?........ e Y VALUE... 00 66000 EXCV VOLUME= r79 c LANDSCAPING ?.. A Y FILL VOLUME: 0 cy SITE PREP?...... 6 Y ENG FILL. ?...... e 'N STORM DRAINS ?... o Y SOILS RPT REG?D ?: N IMPERV SURFACE: 3600 sf Remarks.; Site and grading perait for nodular classroom Owner: -- -- - - - -__ __________ FEES - .__- .____- WESTGATE BAPTIST CHURCH type amount by date recpt 12930 SW SCHOLLS FERRY RD PLCH $ 219.05 DRf; 07/31197 97-- 2978344 T IGARD OR 97223 SWM $ 245.45 JSD 08/12/97 97-298195 SWM $ 13636 JSD 08/12/97 97- 298195 r1 I u I1C n o - - - 1-'rC WT F 337 00 sJ JU '811.2. /97 5PCT $ 16. 85 JSD 08/12/97 97-298195 Contract or --- --- - -• - -- . - - - - -- -EROS $ 80.00 JSD 08/12/97 97-298195 OWNER - ERPC $ 26.00 JSD 08/ 12/97 97-- 2913195 ERPC 3> 26.00 JSD 08/12/97 97-298195 • Phone o $ 1086.71 TOTAL Reg 4... 00121000 -- - - - - -- REQUIRED INSPECTIONS ----- This perait is issued subject to the regulations contained in the Erosion Control Tigard Municipal Code, State of Ore. Specialty Codes and all other Grading Insp applicable laws. All work will be done in accordance with Paving Insp approved plans. This pereit will expire if work is not started St rm Drain Insp within 180 days of issuance or if work is suspended for core San Sewer Insp than 180 days. ATTENTION: Oregon lava requires you to follow rules Misc. Inspection adopted by the Oregon Utility Notification Center. Those rules are Final Inspect ion _ set forth in OAR 95 001 -0010 through OAR 552 -001 -0090. Your nay obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issued b y o --_- P e r m i t t; e e Signature:__ ! �_ -•- - -. �__ _ �1 _— _-___ i•-•{-• d-- h- t-- F-f-- r-- h•• 4•- I-- i-- d••- I••- F•+° h- h• S-- F- 1-•- F- E- -4•-P- i••-t.. °i••-I--�--M-} - I-° i-•• P••, -- i-- h- F° h- �-- F- I-- t-- l-- I-- F- F- h•- i-- F- r•° h- l-- I-++ i-- F- S-- F• +-O- +-I••-{- -I--I- -I--�'_-i- Cal.l 639 -4175 by 6:00 r. m. for an inspection needed the next business day -1--•- -+-F•{--F±-I-++44 --I--1 -1-4 - I- +++±++-1 ++-1-+ ++•i--F•-I ri--{--h-F-!--h-1-++ ++1 - 1-1--1-- 1--1- -I- +4.4--1 ±+ I--}-i--F-1 -h4++++ +$+±t • • Plan check tt, CITY OF TIGARD Site Permit Application Rec'd By 40..0 .P7. 13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date Rec'd -/ - ' TIGARD, OR 97223 Residence: Complete SHADED areas Date Date to DST f.4igtewr..' (503) 639-4171 x304 Permit 0 61 l• " ' - 0 0 C c (.,7 • - . . 7 11 ''-3 7 --% , , / , - . , L., : . - Print or Type e r - - . ,_ - c Incomplete or illegible applications will not be accepted • ' I' Utilities (Complete all that apply) .:: : Job''-..: . .... ■i■its'I'4i . itriA4i0i s i- .•..- - EA Texu -.[..-. • Address i, Address ••zr„;,:•:.1::;...:,: .,:(‹... - :.:.•.•.-,... : ...)-.....: ••::., . -...... . Storm Sewer I . ::-..,.::: :: -E. .4.15.1y,;§?534...—seUitkii..*-01:t.4iltey.::.- IN tt Linear Ft. ‘'.....:.::.,;p: ,! Narne: ; - ay....g.4 4 .14 , : , i , .. : ;' Di „ 6 4.;:w::::: -.-:,:::.. :.,:::: ... ...,.....:.;,..,.....,.-.,.. : . : ::.. : .. f "iy,t- .k —;:... ..-s. vilAA •:..::.: , - • ‘..-:- — • ..: • - ' - . - : • . .Mailing Addres. . 5s 44::k;:f:; - .:•:::,* • •.;:5;Z:..:, , .., -. :' , ,: : - .: . Sanitary Sewer O T614 h ›,: 64... Fresh Water %AD Linear Ft. ' ..*:.... ' ',A44..' ••,.., '5 •AS ::.;Nis.:1:4:•':. V9D Linear Ft. 6 .. , ..-,....., .,..,:. I •.-- ' ''''• 'W 'V ' .. .!!*[; 11414 1t . :•=tk' . .Ve; • Catch Basins ,...• ,..,.... .‘w, sktot4\>.;..k.,w, , - .x%.:. litoArtot-#A N A- # - ... ..,.."::::......„:::..m. .. • l' rm.: • • , • . : . •:•....4.•`;`,.•:',..,::. ,•*;.,';‘,`:::', W.. :. ..v ;;K:iiK:...:::'•\•■:::::. '`,. 5 ' .'" N ....7. - 7," 77. • 4.5%.,:;;•ksk:...• :: k s \\.•:••••••":, \NN,K .••,\"■.,..;,,,•• ••••:•: :‘• Gellerit, 's .• *15144 ttONV't2W Clean Outs Contractor. . ,!'ist a i ! in9 Addre l ts '. • : n 4;.:k.'.4 - :" - $..A' • ,0• , : • .:;:',; .. ;.:': . •:• .?...• Oescnbe work to be done: --.:' (Pnof ti•lf' ‘ Repair Alte Addition A Nev/pSi ': ration': ..A. ssk Otill‘-`AN***:..z.A-4''.:s,::,.: i.,:_: ..,:x•k,, ,.. . ' . - ' - , • - ' .- • s • --. -. -. . aloscs ':C.ity/State.... .<', \ , riEw,,..4 hone ..,., AdditfortatOescription:Wpft.W.'n.ii' • • ,-,. •• .- .. : .".:‘'.--s. \6:.•,,,: ss ::\......, - -...": : ....,,,.;,.,..: •:, .::: .-... .* Of ,. ..... - q,kc.'44.1c:sy,:*.. • • • 'ib;•": ' SW '{i::* ,,:,.. , ..•„,— ....:4 - .77,77,As s * i..Tz .,....... : .; N ;:. N.*:::....%' '*Ak*:s*, , :......titio. ..i*.::: , '...7::k .,7,4&.Q.,.1."#?•.%.4.::::is,,:a...4.,...g4...0.,,i c 1 \\ pia oyttuatoriv .;,StafeConatCorip,acterctiatt*Mxj*Patik:;:',.t... Oi •%.',-..*S7P-W, :.-<:.:-.k\s1-4610ir,OPV.*:.'S ,..,;. :--.%.:, , s,...:.,,,,. '... \'‘• •-'`... ' \ '''. ' s '' '''"` — "- s ' ' ' ' '''. ''': . ':"'- anaii0;=.kt: ::: *::'"::;#.0. :,:::;. ,„ ..., , .-.0 "• N: .. .••''.:V...elli.1::.:.:.:„.•*.V.;.'-:::::A.:::.• . g f :Wkss, '''''': '...' ':::::s::•...:-V . • •. • , •:: - . • : f: ::‘,:•;:s::::::;::::. •:-.:•.,:•:••••.: :,.., :....:. •••:: • . ,• - • . • -: ,. Name pOjeCtA lanky - 10..1..p4;!1.4 . irt . , Viiissitf**N.:V4 '.;iV.W z,1 1.4'. • ! • :--'..;i'.-;:'*? .: sa : ."C'.:- ,,'......'"4Z Architect Mailing Address :Mat., S.ubiqualct4):1061..bontal.09.0$.aCtotthergt-f..P4'-: - ‘tatiiiiieciitiiiiiiniIiiiiiiirilfriaitaiiiVe..f.? : ' City/State Zip ' Phone iff Silepaywith.yitidity...Map* / Parking (including StiainittAbAraiiiiprieriCes? ADA) & Lithting Plan Name ::?:,:::, .Gracing 7 Landscaping Plan i Engineer Mailing Address ':'• tF •:i osian.COrdrot.PliukSd.'i r .:i: : :K.',:fb**iiki ti•cflir,.P.-- 'AA :44fasiii-4*Ms.1.24,:::::::::::.:::;::::,$:4114:;:.:(pisiidaii-oildii*04e;, City/State Zip Phone :14 ' SilePtililyF?lan:andtetapsc :- ?Sposfieport:;.::-...:.k. !;.: - 19 .0*.ttie: 0 0:cctioVedg. : .'0::: iii::::0 :••:::: • ii .. ..:-.. ' :•. • Excavatioq.:.yoyme4,::::::sc..fg,...:"ANK:i',;; , ..-.4• - ?-::.::::: . : , . , ..•..- . .. I hereby adcriowledge that I have read this application, that the (*ass 4ii594..**1iiifdi.A.903,.-„4:Y4*:;M:•:;: .:kfAik$04---<:,:!:.:.: information given is correct, that I am the owner or authorized • ---.:' ".• ••. ••••••.'..• :•••• ..•:...• :IT : ...... : ;:...:..- : " :2 1:::::• :•:'. -• •:•••••. : -..1s.:- : "..... •:;....:••••-........- agent of the owner . and that plans submitted are in compliance wrth Oregon State laws. . ' • '' "Date : (So :::.i.:::.:..":',':::::' •• Fill V okul::: ... . _•-•: for .--:•,. - - -':- ...- :- ':•••'•:.-•:• ..•:-:'...:,,,:-:-.. s ..-: - : - . : ..:::?. - C.' : . : ':.: 2 . :•- •. •:: : : .. -; :.: . ' -4 . 1. d . : 1111 . 1 : ` ,;. - ,-: 4 7.fs,?:?.. en ... , .!?.: .: ::::::::: : :: :: k :- ; : iii . .•0 • ..4 . - - f . .....,a::y . .„.. :: :.... :: ils repOrt . >5:0QQ.cti:id:i: ;:s::,. : :: : ::: :.. ..1iii,=,.... i ::: . .y : :4 :. ::::t.:•:.:.."..5.:.:Y1: Wilk the fill support a structuse4:::: : :: ::::: -: on -. ct erson Name • Phone ...... - (Ertgineer if answer is ye • fg&t. . :•••: ,--::...f :... ..:...:.::. ..:.::'-':::::::::::. :::: .::. • : - -.:K It Tti ein 'tf 1 )1 i • e . )1 ‘ , :oRpciceo .- !,:s.?!::::::. FOR OFFICE USE ONLY . : f:•" -::-.---::::::•::;:,.:-:...:-.::„.::. - - - ...k . :- . ..>:.., :: ,:h„,:.. if. :..::: i..s .: :: :... iii ECI:.CpItt::::::q1:: :,... Notes: ' - •::-: ::;....'-::,.::::....%::"."::: : . . , :, .,- : :- : •*i::::..::. :-.--: .:-..: :J.:. Isa: :T.:. s..:: . .:: - . -. 5: . •00th '.-•:. • • :' • tal new impervious area including all Land Use Case # - , 1 P rnit :uildings. sidewalks, and paving 1,--11: Sq. Ft. ,,.:', , .)i I 6 1 > - 2)66d _ we) 1:siteapp.doc (DST) 5/97 1 Acct. COT WACO Amount Amt. Pd. Bal. Permit # Descritpion Due . ' SIT Permit (BUILD) (UBUILD) J " ' �� ✓ 7 ) 7 , 0 � Plumb. Permit (PLUMB) (UPLUMB) (TAX) I . �/ State Tax /6?) ( ) (UTAX) • BLDG: - • PLUMB: ; Plan heck - . , 2 • / . .. . --:6 _ __ SIT: _ (BUPPLN) (UBUPLN) AI ci.o5 L a'/ /' o - - - - • Plu'mb: (PLUMB) (UPLUMB) CDC Review (BUILD) . (CDCBLD) (UCDC) CDC Review • (PLN) • - (CDCPLN) - N/A • - - _ - • - _ .•_ • Reimbur. District ( • ) ( ) - - •. Sewer Inspection (SWINSP) (USWINS) Water Quality • (WQUAL) - (UWQUAL) 245 -44P- 5`' / 4‹ Water Quantity (WQUANT) (UWQANT) 13 (p Jf,°v/ I ( 3� Erosion Control - Prmt (ERPRMT) (UERPMT) P 1/ Erosion Planck/USA (ERPLN) ' (U.ERPLN) V Erosion !/ • Planck/COT (EROSN) (UEROSN) 'u V TOTALS: 0 q 0, 07/ �7. o �, , • y l , .A:, I:siteapp.doc (DST) /97 1 /'� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 7-0 3 (0 2 - CO 5 Date Requested 9'c) - q0 p AM PM BLD Location 30 su) I Sc l o )1LU 0 l� Suite MEC Contact Person / V ' . i, v / Ph 52-4 - ?j 5 j C0 PLM Contractor / i f, c �/ «ci,s 1/Wit 141M(, SWR BUILDING Tenant/Owner C306 -. 7 1 L- - 2 ) — 2 2_ ELC Retaining Wall / ELR Footing Access: Foundation e'�Vtl Ong -41 u,�C& O �� ( FPS Ftg Drain SGN Crawl Drain Inspection Notes: cute , 1_ Jl � st q 7 _ 002-5 Slab 1 `� , I `'' ""� 1 Ext Sheath /Shear LAO v� MO L ' D Int Sheath /Shear Framing Insulation / 4 00 ((fit I V V / D Drywall Nailing Firewall Fire Sprinkler Fire Alarm G' - Susp'd Ceiling Q/7i- r9�..(� c =., _# 4/1/6-t... Roof r .d ,, -c(. PASS PART FAIL PLUM ING 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 II /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 l Inspector Ext - PART FAIL DO NOT REMOVE this inspection record from the job site.