Permit 46' CITY OF TIGARD SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT #: SIT2005 -00017
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED : 10/3/2005
n" , • PARCEL : 25101 BC -02501
SITE ADDRESS: 08100 SW HUNZIKER RD ZONING : I -L
SUBDIVISION: LOT: JURISDICTION : TIG
Project Description: Create paved surface for additional building product storage.
CLASS OF WORK: OTR PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 10,357.00
EXCV VOLUME: 2,100 cy LANDSCAPING ?:
FILL VOLUME: 750 cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: 30,440 sf
Owner:
FEES
HUTTIG BUILDING PRODUCTS Description Date Amount
8100 SW HUNZIKER ROAD [BUILD] Prmt Fee -Valu 10/3/2005 $148.90
TIGARD, OR 97223 [TAX] Valu 8% State Surcha 10/3/2005 $11.91
[ERPRMT] Erosion Control 10/3/2005 $80.00
[ERPLN] Erosn Pln Rv CWS 10/3/2005 $26.00
Phone: 503 - 620 -1411 [EROSN] Erosn Pln Rv COT 10/3/2005 $26.00
Contractor: Total $292.81
MORSE BROS. INC.
32260 OLD HWY 34
TANGENT, OR 97389
Phone: 541 - 928 -6491
REQUIRED ITEMS AND REPORTS
Reg #: LIC 2101
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 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• `, g-/ao c w
Building Permit Application , - ,. :; ' ' �t -,�iti s �� " '
City of Tigard , , Receive
DateBy A g j 5— Permit No. )-"� 1 00 Igo J 7
13125 SW Hall Blvd., Tigard, OR 97223 I' ""
Phone: 503.639.4171 Fax: 503.598.1960 Plan Revi:
j DateB ° J . t I S
Q Other Permit:
I ns e Li ne: 503.639.4175 � . _ r Date Read �' �� 1 Juns. „ ) ® See Attached Checklist for
P :;
Internet: www.ci.tigard.or.us , „ -, . �/ 0� _ r ^ ` Notified/Method Q ✓ f I�
.t IC - _ J Supplemental Information
. ", , �'lil:= +� ... ' i. J Mr a 1--/.....1E.% / A
TYPE OF WORK Or / R " t UIRED DATA: 1- AND 2- FAMILY DWELLING
D New construction ❑ Demolition Perm fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all , • .
® Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
❑ 1- and 2 -family dwelling [Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
`
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8100 SW Hunziker Road New dwelling area: square feet
4
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Huttiq Bldq Facility Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Intersection of Hunziker and Hall Blvd - Go east 1 /2mi Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
2S101BCO2501 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
Create paved surface for additional building
Valuation: $
product storage. Existing building area: square feet
New building area: square feet .
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Hi3ti - ig 1 di
iii 1rling Prrtet
Address: 8100 SW Hunziker Road Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: ( 503) 620 -1411 Fax: (503 )620 -4177 New:
k] APPLICANT _ ❑ CONTACT PERSON • NOTICE
Business name:
Hill i g_Rp i lding Products All contractors and subcontractors are required to be
Contact name: Will Hertford licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Same as above jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax::( )
E -mail:
CONTRACTOR
•
Business name: N/A Not selected Yet 3
�O ---- trO) BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone:( ) F..:( ) , —
Amount received
CCB lic.:
e � Date received:
Authorized signature: This permit application expires if a permit is not obtained
��,/ within 180 days after it has been accepted as complete.
b�
Print name: /( 1 +.— 08 Date: 7 /2gA • Fee methodology set by Tri- County Building Industry
Service Board.
is\ Building \Perrnits\Bt1P- TI- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
• ` •
Building Division
Plan Submittal Requirement Matrix
'''`A Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) • Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal 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)
•
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
\ Building \Pennits\BUP- TI- PennitApp.doc 12/03 440-4613T(11 /02/COM/WEB)