Permit CITY OF TIGARD SITE WORK
DEVELOPMENT SERVICES PERMIT
�'I PERMIT # • SIT97 -0044
=11. i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02 / 05 / 98
PARCEL: 1S134BC -00600
SITE ADDRESS...: 12390 SW SCHOLLS FERRY RD
SUBDIVISION • MLP93 -0006 ZONING: C -G
BLOCK • LOT -002 JURISDICTION: TIG
CLASS OF WORK. °:NEW PAVING? • Y RESO. NO.:
TYPE OF USE -COM GRADING? • N VALUE...$: 46370
EXCV VOLUME: 2500 cy LANDSCAPING? Y
FILL VOLUME: 0 cy SITE PREP? • Y
ENG FILL? • STORM DRAINS ?...: Y
SOILS RPT READ ?: Y IMPERV SURFACE: 13300 sf
Remarks : Site work permit for construction of a 1,948 square foot car wash
facility.
Owner: FEES
THOMPSON /DAVIDSON LEASE type amount by date recpt
12475 SW MAIN ST PLCK $ 175.18 DRA 12/03/97 97- 301393
TIGARD OR 97223 PRMT $ 269.50 B 02/05/98 98- 303070
SPCT $ 13.48 B 02/05/98 98- 303070
Phone #: EROS $ 80.00 B 02/05/98 98- 303070
ERPU $ 26.00 B 02/05/98 98- 303070
Contractor: ERPC $ 26.00 B 02/05/98 98- 303070
ROBERT GRAY PARTNERS INC WQUN $ 496.27 B 02/05/98 98- 303070
PO BOX 1016 PLCK $ 30.00 B 02/05/98 98- 303070
SHERWOOD OR 97140 Additional fees not shown here
Phone #: 692 -4675 $ 1258.18 TOTAL
Reg #..: 000654
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 Paving Insp
applicable laws. All work will be done in accordance with St r m Drain Insp
approved plans. This permit will expire if work is not started San Sewer Insp
within 180 days of issuance, or if work is suspended for more Domestic water 1
than 180 days. ATTENTION: Oregon law requires you to follow rules Landscaping Insp
adopted by the Oregon Utility Notification Center. Those rules are Misc. Inspect ion
set forth in OAR 952-001-0010 through OAR 952-001-0080. Your may Final Inspection
obtain copies of these rules or direct questions to OUNC by calling
1503)246 -9187.
Issued by: Permittee Signature: . ! /AL M'
IF
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Site Permit Application I
13125 SW HALL BLVD. Commercial: Complete ENTIRE form / '9 „
TIGARD, OR 97223 Residence: Complete SHADED areas jy /r# -GY_4
(503) 639 -4171 x304 •1/11g TU C pf.- - 1
Print or Type 7-1) -1,3/— Incomplete or illegible applications will not be accepted
0 7/0( /4q -500-v,__Lx,,,
, , R i ck Naas• , ` .... ' ,, ' , ' Y ' , , , . ` • Utilities (Complete all that apply)
` Address Address " V ' Storm Sewer
t 2AI 0 4 4; ' tA40 IAA ' .y ' 345 Linear Ft.
y. Name , • . /,.. r Sanitary Sewer
, _ . '.r � r _, ` ;fin r 4 200 Linear Ft.
OwTter , Address. , • ... , . < , ; „.f., Fresh Water
,, , r'I!2. . . .d. 14 , ; MAN . 4D : ; ,''',n ; +C Linear Ft.
„
' ' " f" ; City/State , Zip Phone` • , , •` f Catch Basins
2
i Genera.. l , ' r`,,, ,,, ' , , • � Clean Outs
' Contrac , i ti ' # 5
-Wiling ` r1�t�`a Adds l+ i • ` ; Descnbe work to be doe:
�ytoli + J� j� '' NeWAdditionD AlterationD RepairD
`i 11) Aff
f , + ` x A �/ . ' ''' ss �`f f ` ' " 11' ":"-/
'r ai# 'Ci>'y A Phon ' ` Ad io> al D ription cfWi�ric: f
requwed € egfilreti is C4T , State ;cam Coot. Board U. 01 . Exp. Date , ,.' r:`. - v , A.; ,
Name , Project ' ,+ `', , '' , ' ` , ,
aitto
'VA:f n' ` + a►i,,'3 I
Architect Mailing Address Ptans Required: See it+fatrixon back • ' ..
eetoltovirlrtgg,rmustaccompany his apptf rt :., ' '
City/State Zip Phone Jiteplan with Vicinity Map • 'Pelldng`�int ding'
;Bhclvhmg DAtor 1pgar"t :ADA) & Iiiffirtog Plan
N me .. , redifg;E? a d tietall t . andsca�g tier) .
N I tow, tt4. y a N �.*A9 -i t o ' ``,
Engineer Mailing Address „ Erosio i Conttort Fir enci . ... 'Retaining StruCtutes
P. 6. SOX 1 . �defaite r' , _ indudiiagralcntations
ita
City/State Zip Phone • Ski-Milky a
lky P#an and dat' s' ' - Sails fie ort, yr '
' ishowhig cairns to . '(if required) ' `
1 iAr�?D 4z.
L D • 9 1-4f71 fo2o -209LP approyetisystetl .. ' `,
Excavation Volume I beraby a k s1 edga that i have rcadthir+ appliaatiorx,ihat
(Soils report required for >5,000 cu. Yards i 0/0 i$ i:Grrect, that I ant the Owner etaut oozed
'1 SoO C yds. 'a.gen of tee owner, arxcf s 9relit erur lien,
w4IKITegors State laws.
Fill Volume - Signature-of Owner/Agent ' Date . ,
(Soils report required for >5,000 cu Yds)
— cu yds. < •,•c''� f � � � , : f* 3 4
Will the fill su a structure ' Contact Person Name ' Phone , ,
(Engineer required if answer is yes) YESO NOD k` ' '
01M At t . ' > zo -
Retaining structure? (check one) DRock , FOR OFFICE USE ONLY ,
o CMU Notes:
OConcrete `
DOther .
Total new impervious area including all d U Case # Map!TL#
buildings, sidewalks, and paving )3, aj� Sq Ft. 1- 691,101„
1-,1 &•1 ” '
siteapp.doc9 /97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX ,
,11, ,�.
- r. 1'
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
I
SITE 1 1 -- -- 3 (j,o,u) -- --
1
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) --
E (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)
B or B- M�(Alt), , , .4 ,, s ``+I 4 ` l' 1 ` l -;„,,,-,t l ```T., , -.. ' l , Z, ' o) A ` i ..
:
„Bv & P Aid) , ' n 6 o
y p.,,,taac�.ax : aa.ocw .:.�.,' � �' J P� < Y, %.::! �,' - /;afa�i .�, f ra.Q 'f� �r,'^'' + N �
„
,RaM & P &E (Alt) ` ` ` 3, `, _ r' 1... ',• 1� ' ; iI','''r' r ` - `.2,d1�o) ` ' 2(to) ; ' 2O M)
NOTES: K.EY:
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. Shaded areas desire ALT submittals Oy. , ' ` ` 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 Unatnc Doc
Page No. 1 CASE HISTORY FOR CASE NO.: SIT97 -0044
THOMPSON & DAVIDSON LEASE
12390 SW SCHOLLS FERRY RD
09/22/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- - - - - -- -- - --
SITA770 Misc. Inspection / / / / 09/15/98 soils report rec. 9 -15 -98 gs PASS GS 09/15/98 GES
SITC005 Application received / / / / 12/04/97 RECD DRA 12/04/97 BON
SITC008 Permit Created / / / / 12/04/97 DONE B 12/04/97 BON
SITC010 Check for prcl. restrict. / / / / 12/04/97 Conditions of approval for SDR97 -0010 MEMO B 12/04/97 BON
apply.
SITC011 DST /mail Land Use Condition Lt / / / / 12/04/97 SENT B 12/04/97 BON
SITC013 Plans Routed to Plans Examiner / / / / 12/04/97 SENT B 12/04/97 BON
SITCO30 Reviewed plans routed to DSTS 12/05/97 / / 02/02/08 APPR RDP 02/02/98 RDP
SITCO32 DST Post - Review Completed / / / / 02/04/98 Sent e-mail to will requesting PASS JSD 02/04/98 JSD
authorization to release this permit.
This is on my desk pending word from
Will. jsd
SITC080 (F) Ready to issue / / / / 02/04/98 Need contractor identified. PASS JSD 02/04/98 JSD
> SITC092 (F) Issue permit / / / / 02/05/98 PASS B 02/05/98 DST
• 'SITC700 Erosion Control Insp 844 -8444 12/05/97 / / / / 12/05/97 RDP
-- SITC730 Paving Insp 12/05/97 / / 09/11/98 PASS GS 09/14/98 J *H
SITC740 Strm Drain Insp 12/05/97 / / 07/07/98 See drawing 1.4 for additional PASS MS 07/08/98 J *H
requirements not noted on plans
Requirements are from Geo -Tech report
SITC740 Strm Drain Insp / / / / 08/12/98 so. 1/2 of building to pond [ rain PART GS 08/12/98 GES
drains I
SITC750 San Sewer Insp 12/05/97 / / 06/26/98 PASS MS 06/29/98 J *H
SITC757 Domestic water line inspect. 12/05/97 / / 07/01/98 PASS TLP 09/04/98 J *H
SITC760 Landscaping Insp 12/05/97 / / / / Bonded per planning. NOTE 09/17/98 J *H
SITC799 Final Inspection 12/05/97 / / 08/17/98 retention pond not finished FAIL MS 08/18/98 MRS
SITC799 Final Inspection / / / / 09/11/98 1. Complete wall around monopole. FAIL GS 09/14/98 J *H
2. Remove dirt stockpile on adjacent
lot.
3 Soils report and final summary.
PLANNING DEPT APPROVAL FOR LANDSCAPING.
SITC799 Final Inspection / / / / 09/16/98 Remove dirt from adjacent lot (bonded). FAIL GS 09/17/98 J *H
Fence required at monopole (US West to
replace).
Curb at adjacent lot (bonded)
See BUP97 -0539 final inspection 091698.
SITC799 Final Inspection / / / / 09/17/98 PASS GS 09/17/98 J *H
SITC800 Case Finaled / / / / 09/17/98 PASS GS 09/17/98 J *H
Page No. 2 CASE HISTORY FOR CASE NO.: SIT97 -0044
THOMPSON & DAVIDSON LEASE
12390 SW SCHOLLS FERRY RD
09/22/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
/ 5//0 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C/7-05,57
Date Requested C r' ] j — s AM PM BLD
Location _ J= • . , 5 / I1,' i .� V Suite MEC
Contact Person iti l Ph PLM
Contractor Ph SWR
ILDING Tenant/Owner t%z vvvvv Cu l VLJU.lk., ELC
Re ' ' all ELR
Footing G� wit ������
Foundation Access: , l.(i1i�le. fldeaAELAK, FPS
Ftg Drain
Crawl Drain Inspection Notes: .0 / P SGN
P S IT q' " c 044
�� `
Post &Beam 'KIP /� ;J /f ,
Ext Sheath/Shear � �N C-'h ',f� )
Int Sheath /Shear U 1 n � �� � /Q /y �✓ T 71
Framing ' JO W "l. w l � gUl. X I At ' eii l W V l U. � wr t Insulation p�� un & -(.b ` c lI -1 �( Drywall Nailing
Fire Sprinkler Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof f ' /4 ./i-L-t-%-1.4, 7.-A-49).
PASS PART FAIL r / A"- "
PLUMBING C UJ � "/ ��,� „,-1-t--Le,-).%4r- /2_0_6_ �9�
Post & Beam "
Under Slab , ( v S 14).,(-4. ,, ,
Top Out
Water Service (Z ��I -i .r/i ir- e, Jlsr-y t+.P,2.�� .6- 7 (--4¢ 0
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL /7t, -.4 Z
MECHANICAL / i i , •
Post & Beam
-- i __ Aa _.____gJ. ,A — -
Rough In ' / i
Gas Line 44.11111 x _ -
Smoke Dampers •
�2 /�c1 • / '
Final i ' •
PASS PART FAIL / If j
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
S PART FAIL
IT
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 Q Approach /Sidewalk Date ! " � 4- 9� Inspector }
- _ r Ext
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 -05c_5? i,1 i 5 - 05 Date Requested � - � 7 - � PM BLD
141, 7 Location 2-3 q a W S �L •� � •. Suite MEC
Contact Person � � /� i • f 1 Ph [ 7 3 � -CJ p 0 3 PLM
Contractor 1i'.J�t, &� L r"; " 4 Ph 6;72 - t ko 75 SWR
UILDING Tenant/Owner R C( F(C C \AiAS1 -}- ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
� , J,
P ost �-
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof IZ�
ART 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
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PART FAIL
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 � / 7_ 9
Date Inspector Ext
Final
S PART FAIL DO NOT REMOVE this inspection record from the job site.