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Permit At CITY OF TIGARD SITE WORT. tl , DEVELOPMENT SERVICES PERMIT °j �' PERM IT # : SIT98 -0022 °1J— I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/19/98 Vto 0 PARCEL: 2S1O1DD -00702 SITE ADDRESS...: SW SANDBURG ST SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING: I —P BLOCK • LOT •004 JURISDICTION: TIG CLASS OF WORK..:OTR : PAVING? • N RESO. NO.: TYPE OF USE •COM . GRADING? • N VALUE...$: 17000 EXCV VOLUME: 0 cy LANDSCAPING? N FILL VOLUME: 0 cy SITE PREP? Y ENG FILL? • N STORM DRAINS ?...: N SOILS RPT READ ?: N IMPERV SURFACE: 220 sf Remarks : Site work for an unmanned equipment modular of 220 sq ft. Owner: FEES J & K PROPERTIES type amount by date recpt I 6900 SW SANDBURG PLCK $ 79.63 DEB 06 /23/98 98- 306724 TIGARD OR 97223 FIRE $ 49.00 DEB 06/23/98 98- 306724 PRMT $ 122.50 DLH 08/17/98 98- 308338 Phone #: 5PCT $ 6.13 DLH 08/17/98 98- 308338 EROS $ 80.00 DLH 08/17/98 98- 308338 Contractor: ERPU $ 26.00 DLH 08/17/98 98- 308338 SCHOMMER & SONS INC ERPC $ 26.00 DLH 08/17/98 98- 308338 6421 NE COLWOOD WAY QUL% $ 23.07 DLH 08/17/98 98- 308338 PORTLAND OR 97218 WQUN $ 16.70 DLH 08/17/98 98- 308338 Phone it: 287 -4646 $ 429.03 TOTAL Reg #..: 004937 REQUI RED INSPECTIONS This permit is issued subject to the regulations contained in the Misc. Inspect ion Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection 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 -8080. Your may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issued by:i Permittee Signature: /i/" /L-�` / ON /7P/et / &-77707 +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Site Permit Application Rec'd By 6 -7 7 .C • Date Recd i %--6949 ° Q+i 13125 -SIW HALL BLVD. Commercial: Complete ENTIRE form Date to P.E. Ce — 13 Q4' TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST J'/ y /' 4 , , a` /,'t (563) 639 -4171 x304 f5.9ln'• �1'r'r Permit #�j''Q- • ob�Z- Related SWR # gi 0 � � Called CI _5 — 1'6 PhSwPr i ,+ Print or Type Incomplete or illegible applications will not be accepted Project Name a I �}- �- � Utilities (Complete all that apply) Job 1 V� ` Address Storm Sewer 6'7 090 C - Sa � ,- \ Linear Ft. N - am , Sanitary Sewer 4 rr _ Linear Ft. •..„.. A\ Owner Mailing Address Fresh Water LA) WOO 4 S Ccvi S`'�`,, Linear Ft. City /State Zip Pone Catch Basins r `1 - � ar - • 0r 722.7 - , - , a \ # General .( - Clean Outs nci, Contractor l�oi -'•r MP � c - ` tf\S # Prior to permit Mailing Ad drew - Describe work to be done: Issuance. a C�44Z _ ..� p �.l?0 C7t5 et 1,1.7 �-y- copy of all New❑ Addition❑ Alteration❑ Repair❑ licenses are ((•�t a - Zip � Phh ( /� Additional Description of Work: ,, C f required it \ � � _" t (..C3 /-41 va.m4ist .� et Lkl'iQ n .e'i i S 7_20 , k, expired in COT State CCo / n j� Co rd Lic. # Ex D to p , database On() `t-`7 '9 .27 / p ✓ i NQ..W dC✓t Y1MQS O rd d2 t t_ movivo L o Name / Project . Valuation , _ . 1 .. :4;445‘4 1 , 1.7 Architect Mailing Address Plans Required: See Matrix on back V _ ' : The following, must accompany this .application: City/State Zip Phone Site plan with Vicinity Map : Parking (including Showing ADA compliance' ADA) & Lighting Plan Name Grading Plan and details Landscaping Plan Engineer Mailing Address Erosion Control Plan and Retaining Structures details • - , including calculations City /State Zip ' Phone _ Site Utility Plan and details. Soils Report (showing connection to (if required) - approved system) - . • -. . Excavation Volume I hereby acknowledge that I have read this application, that the (Soils report required for >5,000 cu. Yards .\\''‘‘ 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. - - Fill Volume Signatu of er /A nt _ Da - (Soils report required for >5,000 cu. Yds.) I j �j 1 cu. yds. k ., t /i D 1 Will the fill support a structure Contact erson Name - - Phone - Engineer required if answer is yes) YES❑ NOD To A - . erahes q7 T730 Retaining structure? (check one) ❑Rock FOR OFFICE USE ONLY ❑ CMU Notes: i ❑Concrete � ! ( ' y e ❑Other i Total new impervious area including all Land Use Case # Map/TL# buildings, sidewalks, and paving _G GD Sq. Ft. siteapp.doc3 /98 C :V' 1 'e v - 79. 6 .3 .___ _ - - -- fi ag-4/3 k 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) . . ..............:................. .....:.:::::::.::::::::::...::: ::::::.:.::::...............:.. . : >:: . ..::::..:::.:: >::: ......... .. ::.::.:: >.. t.. .:. ... .... ... 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 b ad ar : : Shd : as:;des� e.::AL 1: !mit ;:o ::::.::::: >:::: :::::::::::: ;:::::v:::::::: >: >::>::::::::: ;:::: < = — ... ............ gua fi::. ::::::::::::::: ::.::::..: :: ....,. ..,..,.;:. ;.::.::.::: :.::.:::...:.:,. >:..:.:;:.::::: w Wash. County F —FPS 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:Vnatric.Doc 1 CITY OF TIGARD BUILDING INSPECTION DIVISION Op/ MST 24-Hour Inspection Line: 639 -4175 Business 63 -417 � 0 - (172 . 1 `(15 1 Date Requested /// - -, AM /J PM BLD �' ' _ Location 4 rcd.0 SamAliwIr YT � Suite MEC Contact Person 6 Ph 20q'Q UU PLM Contractor S S t7�� j Ph J SWR UB I TeletiltiGkeilW 3/7, /999 ELC Retaining Wall 1 ELR Footing Ac a � s: � `,�� �/ /�� Foundation �� �G� �. lam' v aa� n N - 1d �✓'-4� FPS Ftg Drain SGN Crawl Drain Inspection Notes: ,� (fide, ��— QQ Slab �p Post h Beam Ext Sh ' � '� j`./ 1. eath /Shear /, Int Sheath/Shear Framing Insulation 'Ai r %i / _ / / Drywall Nailing Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Fi ART FAIL • °'" = ING Post & Beam --1 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 P PART FAIL ac fill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line A DA .ppeoach /Sidewalk Date /� — nspector rot s Ext Wit► e 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 -10d-'6) (0 /oi& p D ate Requested � � 0 PM BLD Location i / / OM" / Suite ' `/ MEC Contact Person //0 Ph 067- - '7 W5 PLM Contractor d /7,571tL/U t c57L-3 Ph " ¥O ¥ & SWR ` BUILDING Tenant/Owner Ao W.irAK- < ELC Retaining Wall ELR Access: W FPS Ftg Drain Slab Crawl Drain Inspection Notes: ®�ZN�Q STN Post & Beam �' �, I / 7g -QQa-� Ext Sheath /Shear P9(�tIC../ /v& /2 /V Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ASS PART FAIL PL BING 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 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: All II [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date g Inspector 4 _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.