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9487 SW 70TH AVENUE CD 00 i U) 0 p CD z c �o 9487 SW 70t" Avenue / CITY O F T�G A R� _ SITE WORK PERMIT DEVEL©PMENT #ERV�CES PERMIT # : 7/5iO2 2 O'J016 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 7/5102 PARCEL : 1 S 125DA-07001 SITE ADDRESS: 09487 SW 70TH AVE SUBDIVISION: KINGS VIEW ZONING : TIG BLOCK: LOT: 056 JURISDIG i IOty, TIG CLASS OF WORK: OTR PAVING ?: PESO. NO: TYPE OF USE: SF GRADING ?: VALUE: $13,235.00 EXCV VOLUME: cy LANDSCAPING?. FILL VOLUME: cy S.TE PREP ?: ENG FILL?: STORM DRAINS?: SOILS RPT REQD?: IMPERV SURFACE: oaf Remarks: Retaining wall. Owner• FEES FULLER, LEA RUTH Type By Date Amount Receipt 94ri7 SW 70TH PRMT CTR 7/5/02 $177.70 27200200000 TIGARD, OR 972.231 NLCK GTR 7/ 5102 $115.51 27200200000 5PCT CTR 7/5/02 $14.22 27200200000 Phone: Total $307.43 Contractor: ---- OWNER Phone: Reg #: Required Inspections Retaining Wall/Footin,l Misc. Inspection Misc. Inspection Final Inspection This permit Is issued subject to the regulations contained In the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within '180 days of Issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through CAR 952 001-00e0. You may obtain copies of theGe rules or direct questions to OUNC by calling (503)246-1987. Permittee Signatyie: r Z Issued*y: _.__-- – — Call (503)6394115 by 7:00 P.M. for an inspection needed the next business day Building Permit Application WE City of Tigard Uatereceived? ��- Permitno.City o(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: xpire date: 0 Phone: (503) 639-4171 Date issued: B Receipt no.: Fax: (503)598-1960 Case file no.: Pl.yment type: Land use approval: - 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Dernolitic U Addition/alleration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: MMM=NO W9 I Job address: rZY LAI` '2K r 1 0 Ly L:,C;rl ' r , Bldg.no.: Suite no.: Lot: Block: Subdivision: - Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: 1 Name_ I-PA ding address: igyVe Sk., '- - l, 0 1 Z family dweUWg: ` City:' g StaF ZIPS, 2;1y,b-7' Valuation of work................ 1$ 05.fxi l'honc .: ?0 Fax: E-mail: No.of hedrooms/baths............................. Owner's representative: Total number of floors................................. _ t' Fax: E-mail: Phone _ New dwelling area(sq. 1't.) ........................ . Garage/carport area(sq.ft.)•........................ i -- Name: _ _�� �5� /° �,� Covered porch area(sq. ft.) ........................ --- _-- Mailing address- Deck area(sq.ft.) ....................................... _----_-- City: State: ZIP: Other structure area(sq.ft.)......................... -- Phone: �� Fax: E-mail: Commere4UiadwtrlaUmulti•family: r. Valuationo'h�tQrk.•............................•......... $ Existing bldg.arc'(% ft.) .................. ... Business name: t.i ( t t .. - - New bldg.area(sq,ft.) t.......... _ Address: Number of stories City: State: �ZIP: """nail: - Type of conswction.................................... Phone: _ l'ax.: — E- —_ CCB no. Occupancy group(s): Existing: �# _ New: -- City/metro tic. - — -- — - Notice:All contractors anu subcontractors are required to he > 11,171111111 its 0 11161licensed with the Oregon Constn'c6on Contractors Board under Name: provisions of ORS 701 aid may he reaulred to he licensed in the Address: jurisdiction where work is h"performed. If the applicant is Cit : State: ZIp: exempt from licensing,the folio reason applies: Contact person: _ Plan no.: ----- Phone: Tax: — E-mail: — ---- ----- — Name: _ Contact person: Fees due upon application .................. .... $ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee scnedule. hereby certify I have read and examined this application and the Not all jurisdiction%arcerw crani cant",please call Jarisdlction rnr mine mronnatien, attached checklist.All provisiens of laws and ordinances governing this U Visa U MasterCard work will be complied with,whether specified herein or r,it. Cmdu cid number _ —�_ ,, R Authorized signatu /� ar --Nom-er orra(rdshaololdne3r earis shown onctedil card Print name nmouni Notice:This permit application expires if a permit is not obtained within 180 days after i lasbconaccepiedes co pl te. 440-1611 to )(WOM) f SITE WORK PERMIT CKECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete all items below, unless otherwise noted. _Excavation Volume: _ cu. yds., Grading Volume: Soils report required for>5,000 cu. ds. cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) _ _ cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other ❑ *Total new impervious area incluaing all buildings, sidewalks, and paving: _ soft_ Site Utilities Plumbing Work: - Complete the "TAN" Plumbing Permit Application for site utilities plumbing work. Plans Required: See"Site Work Permit Application - Plan Submittal Requirements" attached. The following must accompany this a plication: Site Plan with Vicinity Map showing *Parking (including ADA) and ADA compliance _ Lighting Plan _ Grading Plan and details _ *t.andsca in Plan Erosion Control Plan and details Soils Report(if required)____ Retaininq e uired)__— RetainingStructures *Does not apply to 1 and 2-family dwellings. - ------- ---_ --------- # of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 4 Multi-Family R-1 Occupancy 4 - I One- & Two-Family Dwelling 4 NOTE: Plan review is dependent upon subroitial of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). l\dsts\forms\sllechecklist.doc 09/24101 R %Tec Engineers, Inc. Civil-Structural-Surveying 3737 S.E. 8°i Avenue Portland,Oregon 97202 (5030 235-8795 Fax(5031233-7889 John MU Middleton,P.E. E-Mail: ztec @ gwest.net Ronald b. Sellards, P.F_. Chris C. Fishborn, P.L.S. Dean A Zarosinski, P.E. Calculations for Retaining Wall At 9487 SW 701h Avenue Tigard, Oregon 97223 Calculations •• - 1 Hv n Shawn Stevenson PE (CA) Reviewed By Dean P. Zarosinski PE , February 22, 2002 CITY OF TIGIARD 6 , : N Approved.......,.. 01 11 I ,s„4' Conditionally Approved................................... .�; , For only the work as described in: A .' PERMIT NO.�LT�LGQ��.�QQS?I(d See Letter to:Follow........... ..... .......................Apch ( ): J Job AdjW 01,_ S!►1L By; z _o L i FREE DRAINING BACK-FILL I NOTES: 8,_6„ 1) 3000 PSI CONCRETE (28 DAY ST4ENGTH) MAX. 2) GRADE 60 REBAR #4 ® 24" o.c. �— #4 ® 12 o.c. #5@ 12" o. 48" 94" PERF. DRAIN PIPF 3" SURROUNDED BY DRAIN ROCI, CONNECTED TO OUTLET I (6) #4 CONTINUOI,S 6" I #4 ® 12. o.c. I..- J to3 2 4' FOOTING FOUNDED RETAINING WALL NATIVEVE SOIL 1I TLE RETAINING WALL �ZTec ENGINEERS, INC. DATE: 2111102 PLOT DATE: 2/11/02 3?37 S.E. 8TH AVE. DWG BY: Sw5 CHK BY: POR' ND, OREGON 97202 DpZ (503j 235-8795 SHEET. DET FILE: TOWERS CLIENT: DUSTIN TOWERS I Ph ,o+ u ' WIN �y VI A� / ►OP O'er Isnf4 h/AI.L PF 'TO C C r 14oVSF'_ �XG3rA /�'X, Mir 9 ooZ w' �'•v, ; A to r' o CITY OF TIG.C.RD 2441our BUILDING Inspection Line-. (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST S -------- Date -----— ------------ Received Date Requested_ I Aft PM._- - BLIP Lavation _-- 7 �� �� —Suite MEC Contact Person �� — - -.. Ph (.__�) 7��c� �yL 5 PLM --- --- --- - _-. Contractor— Ph ( SWR BUILDING Tenant/Owner ELC Footing Foundation EI_C Access Ftg Drain M) ELF! _ Crawl Drain - Slab Inspection Notes: e , SIT ,. Gd - i✓ o Post&Beam -_-- _-_ -�� �""'� Shear Anchors `- Ext Sheath/Shear Int Shsath/Shear Framing - ---- -- - -- ----- -- - - - Insillation Drywall Nailing - ---- - - -- -- -- - - - - Firewall Fire Sprinkler - -------- -- - - - - - --- --- -- - -- Fire Alarm Susp'd Ceiling Roof Other: --- Final PASS PART FAIL PLUMBING Post&Beam Under Slab -- -- Rough-in Water Ser/ice Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: 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 QPARTFAIL Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. P _ [-1 Please call for reinspection RE:—. _ ___ Ej Unable to inspect-no access Fire Supply Line ADA A roach/Sidewalk Inspector __- � - oft�a DO NOT REMOVE this Inspection record from the Job site, PA8$` PART FAIL