Permit CITY OF TIGARD SITE WORN.
` y .,, DEVELOPMENT SERVICES PERMIT
PERMIT # • S I T98 -0012
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/07/98
PARCEL: 251O2CB -01805
SITE ADDRESS...: 10400 SW PARK ST
SUBDIVISION • ZONING: R -3.5
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..: NEW PAVING? • N RESO. NO.:
TYPE OF USE •COM GRADING? • N VALUE...$: 42790
EXCV VOLUME: 1150 cy LANDSCAPING? • Y
FILL VOLUME: 200 cy SITE PREP? • Y
ENG FILL? • N STORM DRAINS ?...: Y
SOILS RPT READ ?: N IMPERV SURFACE: 21103 sf
Remarks : Site and grading permit for construction of a 6,535 sq. ft. building
for a children's day school
Owner: FEES
JUMBO FERNANDO type amount by date recpt
17549 OAK MEADOWS LN PLCK $ 163.48 JD 04/14/98 98- 304950
LAKE OSWEGO OR 97034 FIRE $ 100.60 JD 04/14/98 98- 304951
PRMT $ 251.50 GEO 08/07/98 98- 308115
Phone #: 5PCT $ 12.58 GEO 08/07/98 98- 308115
EROS $ 80.00 GEO 08/07/98 98- 308115
Contractor: ERPU $ 26.00 GEO 08/07/98 98- 308115
r JOHN KLUNE ERPC $ 26.00 GEO 08/07/98 98- 308115
12370 SW DUCHILLY CT QUL% $ 1671.49 JSD 08/07/98 98- 308097
TIGARD OR 97223 WOUN $ 2308.25 GEO 08/07/98 98- 308115
Phone #: 639 -4359 $ 4639.90 TOTAL
Reg #..: 000028
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other St r m Drain Insp
applicable laws. All work will be done in accordance with Culvert /Catch Ba
approved plans. This permit will expire if work is not started San Sewer Insp
within 1:': days of issuance, or if work is suspended for more Manhole /C l can o ut
than 180 days. ATTENTION: Oregon law requires you to follow rules Domestic water 1
adopted by the Oregon Utility Notification Center. Those rules are Misc. Inspection
set forth in OAR 952 - 001-0010 through OAR 952 -01 -0080. Your may Final Inspection
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
1
i %/ k
/
Issued by- Permittee Signatur - ►`.
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• CITY� OF TIGARD Site Permit Application O (7- c
"1312 SW HALL BLVD. Commer Comp lete EN TIRE form ���� "r,
TIGARD, OR 972 Residence: Comple SHADE are. -
(503) 639 -4171 x304 '1 � 1 �, 1� , _(-#.9 o6 i 2
Print or Type Vh""
Incom or i llegible applications will not be a • ed ��J �' �� 1 S 'S
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175
siteapp.doc9 /97
COMMERCIAL PLAN SUBMITTAL .
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- —
P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o)
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
orB
0
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.;;:,.:::.......
'B>q`
. NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f= Fire P = PLM
u =USA E =ELC
>:Shaded?`;.::.:. >:.; >: <.;: esi >:., w = Wash. County F = FPS
.. areas.. s �.. b':: t�l..g�I::' < >`' ><`<< >< >> > > <��_<
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h: Vnatnc. Doc
tiC? 1 el o
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•
8/8/99 Activities for Case #: SIT98 -00012
3:19:58 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SITC005 Application received 4/14/98 JD RECD BON 4/15/98 •
SITC008 Permit Created 4/15/98 B DONE BON 4/15/98
SITC010 Check for prd. restrict. 4/15/98 B MEMO BON 4/15/98 All conditions of approval apply
before issuing any permits.
SITC011 DST /mail Land Use Condition Lt 4/15/98 B SENT BON 4/15/98
SITC013 Plans Routed to Plans Examiner 4/15/98 B SENT BON 4/15/98
SITC015 Plan Rev. Ltr Sent to Ofc Svcs 4/15/98 4/15/98 RDP PEND RDP 4/15/98
SITCO30 Reviewed plans routed to DSTS 4/15/98 7/15/98 RDP APPR RDP 7/15/98
SITC700 Erosion Control Insp 844 -8444 7/15/98 RDP 7/15/98
SITC740 Strm Drain Insp 7/15/98 9/25/98 LB PASS J'H 10/7/98 1p2a: Underground rain & storm
drains okay (only thing
remaining is to set catch basin.)
SITC744 Culvert/Catch Basin 7/15/98 1017/98 GS PART GES • 10/7 /98 catch basin
SITC750 San Sewer Insp 7/15/98 10/8/98 TLP PASS TLP 10/8/98
SITC754 Manhole /Cleanout - PVT 7/15/98 RDP 7/15/98
SITC757 Domestic water line inspect. 7/15/98 ' 10/7/98 GS PART GES 10/7/98 burial ok test later
SITC770 Misc. Inspection 7/15/98 2/8/99 RC PASS . • ROC 2/9/99 HYDRO AND FLUSH
SITC799 Final Inspection 7/15/98 5/24/99 HAP FAIL AKJ 5/24/99 Provide planning/eng dept
approval
SITCO32 DST Post - Review Completed 7/15/98 JSD PASS JSD 7/24/98 Sent e-mail to Julia and Brian
requesting authorization to
release SIT and BUP permits.
jsd This is in the hold bin
pending authorization. jsd
SITC080 (F) Ready to issue 8/7/98 JSD PASS JSD 8/7/98
SITC092 (F) Issue permit 8/7/98 GEO PASS DST 8/7/98
SITC755 Sprinkler supply lines 10/7/98 GS PART GES 10/7/98 vault and burial ok test later
SITC724 Retaining Wall /Footing 12/21/98 1/15/99 RDP . NOTE RDP 1/15/99 Received Engineering report on
a 258 foot long 4' 10" high
retaining wall. Report indicates
the wall meets or exceeds
design standards. No _
. Inspections are required -
•
. . Page 1 of 2
. I i • Kr•
8/8/99 Activities for Case #: SIT98 -00012 • S
3:19:58 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SITC724 Retaining Wall /Footing 1/7/99 1/6/99 RB FAIL RB 1/7/99 NO PERMIT FOR THE
RETAINING WALL: Receipt of
Carlson Testing report dtd.
12- 31 -98, as per the rear
retaining wall, is pending
• approval until a permit has
been obtained. A note in
Tidemark under SIT98 -0012
• identifys that the builder was
previously advised by Plan
Reviewer Bob Poskin on or
about 10- 03 -98, that a permit
was required. NOTE TO
BUILDER_ Pleaase be
• re- advised to obtain a permit
and re- submit plans to show the
proposed fence to be
constructed on top of the wall.
Engineering shall be required.
SITC724 Retaining Wall /Footing 1/7/99 1/7/99 RB 1/7/99 -
SITC799 Final Inspection 5/27/99 5/27/99 5/27/99 HAP PASS No Hold AKJ 5/27/99
SITC800 Case Finaled • 5/27/99 AKJ DONE No Hold AKJ 5/27/99
•
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Page 2 of 2
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S — Z ' 7 ` 1 AM .t;1 PM X BLD
Location 10 00 P GA - Suite MEC
Contact Person Ph ? PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation g FPS
Ftg Drain
Crawl Drain Inspection Notes: 11 n ,� n SGN Slab P0 - �'�C. pv14 , SIT q b 0 t-;
Post & Beam ✓ ✓ ✓✓
Ext Sheath /Shear
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
sO.
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
S
BackfilUGrading •
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: [ J Unable to inspect - no access
ADA 1
Otheoach /Sidewalk Date � � / Inspector „Tit Ext
PART FAIL . DO NOT REMOVE this inspection record from the job site.
8/8/99 Activities for Case #: MLP97 -00019
3:19:27 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MLPA007 APPlication received JPH 12/18/97 •
MLPA020 Application acceptance date JPH 12/18/97
MLPA030 Assign planner JPH 12/18/97
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Page 1 of 1