Permit C ITY TIGARD , � l �l
r * ' SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT # : SIT2000 -00016
DATE ISSUED : 05/16/2000
: Wr 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14255 SW BEEF BEND RD PREY PARCEL : 2S109CB 00300
SUBDIVISION: ZONING : R -7
BLOCK: LOT: JURISDICTION : URB
CLASS OF WORK: OTR • PAVING ?: RESO. NO:
TYPE OF USE: SF GRADING ?: VALUE: $60,745.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Remarks: Seven concrete retaining walls for the Eagles View subdivision. Concrete retaining wall affects lots 58, 59, 60,
and 61. Rock retaining wall affects lots 50 through 57.
Owner: FEES
VENTURE PROPERTIES INC Type By Date Amount Receipt
4230 GALEWOOD ST
LAKE OSWEGO, OR 97025 PLCK BON 04/21/2000 $313.72 0001611
FIRE BON 04/21/2000 $193.06 0001611
PRMT GEO 05/16/2000 $482.65 0002228
Phone: 503 - 624 -0363 5PCT GEO 05/16/2000 $38.61 0002228
Contractor: Total $1,028.04
NORTHWEST EARTHMOVERS INC
PO BOX 1467
TUALATIN, OR 97062
Phone:
Reg #: LIC 00062761
Required Inspections
Retaining Wall /Footing
Final Inspection
OR G1WAL
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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. Y. may obtain copies of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Permittee Signature: / / , /e 1p
Issued By: `,/��y±
Call (503) 639 -4175 b` . is P.M. for an inspection needed the next business day
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CITY OF TIGARD Site Permit Application Plan Check# - 5
13125 SW HALL BLVD. Commercial, Residential Rec'd By
Date Rec'd i - e
TIGARD, OR 97223:: and Multi - Family Date to P.E. — Z 5 -2cte)_
(503) 639 -4171 x304 Date to DST Ermf
Permit # 0 r -art,
Print or Type Related SWR #
- - -- Incomplete or illegible applications will not be accepted Called
Project Name Utilities (Complete all that apply)
Job EA[;t.Ebs VtCH/ p •
Address Address I `l7 -S`5 ' ) Eak Pt • C Y�V, Storm Sewer
-^ +1,5 -- —.T ES Linear Ft.
Name Sanitary Sewer
VGNTtit26 riIopER..i7Lr j�LG. Linear Ft.
Owner Mailing Address Fresh Water
43o aA1.61.JCo0 6 Linear Ft.
City/State Zip Phone Catch Basins
LAtt.E 09...xlmo 97V35 387 711,00 #
General Name Clean Outs
Contractor 1■1 oRTNtyJE5T CARTHMOUE 1 e• • #
Prior to permit Mailing Address Describe work to be done:
issuance, a A,- New[v]rAddition❑ AlterationD Repair
O
copy of all r.• Ben( 1 401 0
licenses are City /State Zip Phone Additional Description of Work: _ .
required if - T1,4At -A 012. 97ola. 1•Z'4 03193 RAZ/V\ expired in COT State Const. Cont. Board Lic. # Exp. D ate / 2 I l A �„ database 000102.161 11!30 0 t VvGl.h.t/�
N, Project J Qp
Valuation $ (00 7'i6.
Architect °a M Plans Required: See Matrix on back page
�,4..
The following, must accompany this application:
a Site plan with Vicinity Map Parking (including
,a= „ Showing ADA compliance ADA) & Lighting Plan
Ni � L L E� — Grading Plan and details —
Engineer M Landscaping Plan
S Erosion Control Plan and Retaining Structures
17 00 details including calculations
Ci Site Utility Plan and details Soils Report
(showing connection to (if required)
, approved system)
Excavation Volur' I hereby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Grading Volume I Signatur of Owner /A nt Date
(Soils report req i 4.- 11-00
Fill Volume I Contact Person Name Phone
(Fill exceeding 12" in depth shall be compacted ' -0 --� ,,(EV` L-074!$G 3S7-71.03 To 90% of Maximum Density) 1
cu. yds.
Retaining structure? (check one) • [ - FOR OFFICE ONLY
❑ CMU Notes: ,
Q"Concrete
DOther F''z4,q f- C3t/O /R
Total new impervious area including all Land e C se / Map/TL#
buildings, sidewalks, and paving Sq. Ft. �jGt ij — 000o / - 7
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CITY OF TIGARD S 413-06'
' COMMERCIAL SITE WORK PERMIT l
is \dsts \forms\site- app.doc 3/17/00
.504,
. ZA-N
CITY - TIGARD BUILDING ,INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 40 /i WOO AM aC PM BLD
Location / 'I. IS S l�Q Suite MEC
Contact Person .7 1 /Yk- Ph 3 -7 312. PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
wrung "a I ELR _
" " Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT WOO-0001(0
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing / rz Comae
Insulation
Drywall Nailing �/4s f -�� -, * � S' u ✓1 [ L. A �i�5.
Firewall
Fire Sprinkler 4V �'
Fire Alarm
Susp'd Ceiling �irlt� c � >We G l So iACC.2= / - ?t
Roof
Misc: )40/s‘,'7 " S. /
Final
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
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
ADaPT Engineering, Inc. 17700 SW Upper Boones Ferry Road, Suite 100
Portland, Oregon 97224
Tel (503) 598 -8445 • Fax (503)598 -8705
Special Inspection
DAILY FIELD REPORT /
PROJECT G ( �� A L. DATE k-- / /`> 0 0
JOB ADDRESSE {i C L I I ta) ` 200. I TN TYPE OF INSPECTION � �af 7
PERMIT N 6I Z- WEATHER f T (
Inspection Notes: (Include location, testing data, substitutions /deviations, materials, and methods of construction,
conformance statement, etc.)
PP-- -A U Tr) fD /0 , J i F. ,25' l) F S ? 7,i) — 77) IP--
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A- A L » - s; 6)Q p)f— ��z — v g — ( R5: .P-3 fA
n(77 S% MA-F / 4 T7) C O ) F ? n D.�-� .
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M • 9 ° �, > � -,- S T l a t . . k rnJ p-AC iU c F
jf i f act i A 5 �- 7 __ _ N I� ?' <m U
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Time Arrived Inspecto ► `&&..A
Certification No �8
Information contained herein pertains to materials tested /inspected only. This information may be reproduced in full only.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date
7 Date Requested AM X. PM BLD
Location / t /2 5-5--
Y 2 f ' �J- f L - T L' Suite MEC
Contact Person 7 ' i'1 Ph 7 93 73/2- PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: nd eetie .,, 1 D
Slab // '�� SIT pi,a0 'a 6 b l 4.
Post & Beam •
Ext Sheath /Shear
Int Sheath /Shear
Framing 40 4 c u, <<.J ..ter . fl/e,e'
Insulation
Drywall Nailing —war C Arse - 1
Firewall
Fire Sprinkler — n�W�" A 7- 7, t � T G'S, ' / 77GO) - 1 ut t... Loo.crCc-
Fire Alarm
Susp'd Ceilin • X17, /6d " 8 " $ v
Roof
Misc: _-•'•(-e � ; ' i2i 7� CST —7 !X'
Misc: 7
r nal
P PART FAIL
Vd10
P IMBING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date -‘ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.