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Permit CITY OF TIGARD SITE WORK PERMT COMMUNITY DEVELOPMENT PERMIT # : SIT2007 -00033 DATE ISSUED : 1/15/2008 TI GARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL : 1S135DD -05200 SITE ADDRESS: 11708 SW WARNER AVE ZONING : C -G SUBDIVISION: HOFFARBER TRACTS NO.2 LOT: 035 JURISDICTION : TIG PROJECT: MIRAGE MINI STORAGE Project Description: Site work for new mini storage CLASS OF WORK: NEW PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: . 3," EXCV VOLUME: 1,500 cy LANDSCAPING ?: 8a� FILL VOLUME: 800 cy SITE PREP ?: ENG FILL ?: STORM DRAINS ?: SOILS RPT REQD ?: IMPERV SURFACE: 19,253 sf Owner: FEES MIRAGE STORAGE LLC Description Date Amount 9055 SW BEAVERTON - HILLSDALE HW [BUPPLN] Pin Rv -Valu 10/9/2007 $1,124.37 PORTLAND, OR 97225 [FLS] FLS Pin Rv 10/9/2007 $691.92 [BUILD] Prmt Fee -Valu 1/10/2008 $1,729.80 [TAX] Valu 8% State Surcharg 1/10/2008 $138.38 Phone: [ERPRMT] Erosion Control 1/10/2008 $80.00 Contractor: [ERPLNJ Erosn Pln Rv CWS 1/10/2008 $26.00 [EROSN] Erosn Pin Rv COT 1/10/2008 $26.00 ERIC GAM BEE CONSTRUCTION INC PO BOX 13354 Total $3,816.47 PORTLAND, OR 97213 Contact #: PRI 503 - 638 -0170 FAX 503- 638 -0170 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Reg #: LIC 105085 Final observation & acceptance This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0 100. You may obtain copies of these rules or direct questions to OUNC by calling 503. . 99 or 1.800.332.2344. • Issue By: I 1. al Permittee Signat e: ? _ it M 1 � J Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Ir --c p_i ( t 705 .t.,(1 ( c E - Po`�oo —���o l Building ermit Application Site Work .,-; " L .W V- ' - A SE L� ' (t " r x i '� "e z : i r City of Tieir ' . � • !Fl , 1 9 /� / Pe rmit No.: 2 Hall i . ; Received Illhi , _ -r! tl (1`� Date/By: e 7 •t 5/ r�N7 J3 13125 SW Hall BIVd;,Tigar l 9 223 sr t Plan Revie - ► , , B ', �, � � s Other Permit: Phone: 503. 639 . 4171• • 503'.Sf8X1960 D ateBy: T I C A•k IJ Ins ection Line: 503.639. 7 Date Read /B Jun El See Page 2 for ∎... Internet: www.tigard - otW 0 U in 1 Notified/Method: 0 Supplemental Information • n �� ' �t tr-A . I: I I TWird- e g REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction u t LD IN (,.$ . y bemol iit N Permit 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. El 1- and 2- family dwelling 1p Commercial /industrial Valuation: $ 1:1 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: I I ib D 5 � 1.l V vit°i -2� City /State /ZIP: New dwelling area: square feet ; �,� 0��22 Garage /carport area: square feet �'S 3 Suite/bldg. /apt. no.: Project name: V� 3ill� Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 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. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. !- - ='- -= _ C Y f a tao =— • 3 N ∎'(�� J C1 ' b 1 Ct- Valuati _ _ *, � Existing building area: square feet New building area: square feet OPERTY OWNER 0 TENANT Number of stories: Name: `.‘r Wc)� $ U . S ...., Type of construction: _ Address: 4 ' G j a. .` . / \,C _\p - Occupancy groups: City/State/ZIP: �V � •k � : • -a- Existing : _ g Phone: •1 Fax: ( ) New: t , APPLICANT ❑ CONTACT PERSON NOTICE Business name: Kje.._ 6 f.J 4 c o t o 1�t� 0ti.) All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Q, � t" under ORS 701 and may be required to be licensed in the Address: P3 `�� 13 jurisdiction in which work is being performed. If the City /State /ZIP: w n koo l Of_ ci X713 applicant is exp from licensing, the following reasons c�� � //�� a I l Phone: ( ) (03g p g ..43 3 Fax: ED3) � - -- C)(1 C3 z' l 60 E -mail: dl T • CONTRACTOR �`� Business name: ■ a , o - - ,, B 4, G 1 BUILDING PERMIT FEES* Address: . (Please refer to fee schedule) Jti Structural plan review fee (or deposit): C ity /State /ZIP:A5/ I 2J 1 �' FLS plan review fee (if applicable): Phone: (5* l0 j$ D Fax ( ) .= 5......,. CCB lic.: �Q.5' ffi g s ! Total fees due upon application: Amount received: / g/t Ay Authorized signature: I � This permit application expires if a permit is not obtained '_f'.- /0/...6/07 within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri- County Building Industry , /07rib ht Service Board. I: \Building \Permits \SIT -P rmitApp. 12/27/06 440- 4613T(I B) City of Tigard: Site Work Permit Checklist Page 2 - Supplemental Information Commercial, Multi - Family and One- and Two - Family Dwellings: No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: cu. yds. Grading Volume: (Soils report required for >5,000 cu. yds.) 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 including all buildings, sidewalks, and paving: sq. ft. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The following must accompany this application: ❑ Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and ADA compliance Lighting Plan ❑ Grading Plan and details ❑ *Landscaping Plan - El Erosion Control Plan and details ❑ Soils Report (if required) ❑ Retaining Structures *Does not apply to One- and Two - family dwellings. of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 2 Multi- Family R -1 Occupancy 2 One- & Two - Family Dwelling 2 1: \Building \Permits \SIT- PernitApp.doc 12/27/06 2 3 ` 7 CITY ®F 'TIGARI 2:46 PM ' Fees Associated With . ® / , ' 13125 SW Hall Blvd. Case #: SIT2007 -00033 ) i k:_, n �t " Tigard, OR 97223 503.639.4171 ..2,. ..,... ... r.:... _, ...wr,: s .. 1 ...x .S .. 4,441.t. , 3s..., . ... 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PLCK 1/1/1990 12/31/2020 [BUPPLN] Pin Rv -Valu 245- 0000 - 433000 BLD 10/9/2007 1,124.37 0.00 FIRE 1/1/1990 12/31/2020 [FLS] FLS Pin Rv 245- 0000 - 433020 BLD 10/9/2007 691.92 0.00 PRMT 1/1/1990 12/31/2020 [BUILD] Prmt Fee -Valu 245- 0000 - 432000 DAN 11/1/2007 1,729.80 1,729.80 5PCT 1/1/1990 12/31/2020 [TAX] Valu 8% State Surcharge 100- 0000 - 207020 DAN 11/1/2007 138.38 138.38 EROS 1/1/1990 12/31 /2020 [ERPRMT] Erosion Control 100- 0000 - 207307 DAN 11/1/2007 80.00 80.00 ERPU 1/1/1990 12/31/2020 [ERPLN] Erosn Pin Rv CWS 100- 0000 - 207308 DAN 11/1/2007 26.00 26.00 ERPC 1/1/1990 12/31/2020 [EROSN] Erosn PIn Rv COT 245- 0000 - 433010 DAN 11/1/2007 26.00 26.00 Total Due: $2,000.1L -n - 2 O X o ° m o ` \ T t� X v' Z � V(R o_ (D 0 v a) r 4 _ • - t 121 I I Page 1 of 1 CaseFees..rpt CITY OF TIGARD BUILDING DIVISION PERMIT #: SIT 07 -00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i/•I512008 Phone: (503) 639 -4171 �� * .'� i % Inspec Requests (24 Hrs.): (503) 639 -4175 4±i; INSPECTION WORKSHEET FOR DATE: I1l4f:xi ., TIME: 7 :O2AM PAGE: 19 SITE ADDRESS: 11 ?00 ¢ 1 WARNER AVE CLASS OF WORK: SUBDIVISION: HOFf ARI3ER TRACTS NO. 2 LOT #: 135 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: sit work for new mini storage OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: ERIC GAMBEE CONSTRUCTION INC PHONE #: 603...630.0-1 70 Inspection Request Scheduled For: Date: 1124/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 499 Final ir 078412 -02 503 -680 -9690 N Corrections /Comments /Instructions: 1,410 V // PARTIAL APPROVAL ❑ CANCEL n NO ACCESS II FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ‘ Inspector: L�m:L _._ .� • Date: r' f ZY d6 Phone #: (503) 718- ZY CITY OF TIGARD BUILDING DIVISION PERMIT #: S1T2007 -00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/3/2 TIME: 7:01AM PAGE: 415 SITE ADDRESS: 11708 SIN WARNER AVE CLASS OF WORK: SUBDIVISION: HOFf ARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: ,Silo work for new mini storage OWNER: MIRAGE , LLC, PHONE #: CONTRACTOR: ERIC GA.MF3EE CONSTRUCTION INC PHONE #: 503. 638 -0170 Inspection Request Scheduled For: Date: 9/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 495 Misc. inspection 0741946 -01 503..901 -9554 N Corrections /Comments/ Instructions: 4 1, Ad' 4 L� 0 - e-A/ ` 4 ' alomPrAr 1 0 ❑ PASS er- ' * RTIAL AP" 4 ' n CANCEL n NO ACCESS n FAIL ''Q -CAL 6R INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: Date: p� Phone #: (503) 718- CITY OF TIGARD ' - BUILDING DIVISION PERMIT #: SIT2007 -00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1I1 % /200U .. 9' Phone: (503) 639 -4171 A 1! j Inspection Requests (24 Hrs.): (503) 639 - 4175 ° __ INSPECTION WORKSHEET FOR DATE: 611812008 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 117013 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBf R TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site.) work for new inini storage OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: ERIC GAMBEE CONSTRUCTION INC PHONE #: 503 -638 -0170 Inspection Request Scheduled For: Date: 6118/2008 Pour Time: Code # Inspection Description ,/) (Confirm # Contact # Messa.e 1 �A 1 496 Misc. inspection 0 7155 ? x-01 603-519-3108 l� /.c'G Corrections /Comments /Instructions: u e,,,, j ui- - i -- 1) ,r (A_-_ -a Of rd 4 . " %� f 1 , 0 _._ . 1. ►1: PA I ' ' RTIAL APPROVAL n CANCEL n NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �✓ � �� Date: LP / �� Phone #: (503) 718- 7-42-'1/4/ CITY OF ^^ - ~ ��nm o n��u— TIGARD ' BUILDING DIVISION • ' PERMIT #: srr2007-00033 13125 SW Hall Blvd., Tigard, OR 97223 ' � • DATE ISSUED: 1/1512000 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A&g1^.AJL INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:0OAM PAGE: 36 SITE ADDRESS: 117O8SM/ WARNER AVE CLASS OF WORK: SUBDIVISION: M0FFAROEQ LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI SIORAGE DESCRIPTION: Sit work tor new mini storage OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: ERIC GAME3EE CONSTRUCTION INC PHONE #: 503-638.0170 Inspection Request Scheduled For: Date: 8/1612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 405 inspection 071406'01 503'519-3108 K/4 Corrections/Comments/Instructions: r\I (i• • PASS E PARTIAL APPROVAL E CANCEL n NO ACCESS E CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED . / 6/ti Inspector: Oatm� ��� � Phone #: 8�U3> 18 ` ' ,- -,� , CITY OF TIGARD , BUILDING DIVISION PERMIT #: SIT2007- 00033 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1512000 ,,,, Phone: (503) 639 -4171. ,/ ,1��I�I A Inspection Requests (24 Hrs.): (503) 639 -4175 __ INSPECTION WORKSHEET FOR DATE: 6/&2000 TIME: 7:00AM PAGE: 36 SITE ADDRESS: 11700 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFFARBER TRACTS N0.2 LOT #: 036 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site work for new mini storage OWNER: MIRAGE STORAGE LLC, PHONE #: • CONTRACTOR: ERIC GAMI.3EE CONSTRUCTION INC PHONE #: 503-638 -0170 Inspection Request Scheduled For: Date: 6/5/2000 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 4?!-.; Misc. inspection 070924 -01 503.519 -3108 til Corrections /Comments /Instructions: 6 /02 Et,' ■4 S t___.2)1_,/ C��g - S Li C 1 y i / 1-.4 ‘ - r - c-.) r_t (..--c 4c (___ - 1 1 f PASS ; 'AR ` "'O L n CANCEL n NO ACCESS FAIL n C A t F INSPECTION n ADDITIONAL FEES ASSESSED t::::2. Z 1 / 1 / I Inspector: Date: C WM Phone #: (503) 718- . --- CITY OF TIGARD BUILDING DIVISION PERMIT #: ._ -•`ttlf 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I/ 1b12008 Phone: (503) 639-4171 .1 1, L Inspection Requests (24 Hrs.): (503) 639-4175 414: 1! INSPECTION WORKSHEET FOR DATE: UzI/2008 TIME: 7:01AM PAGE: 8 • SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: I TRACTS N0,2 LOT #: 036 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: New mini storage OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: ERIC GAML3EE CONSTRUCTION INC PHONE #: 603-638-0170 Inspection Request Scheduled For: Date: 6M/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa e 296 Misc. inspection 070853-01 503-619-3108 Y Corrections/Comments/Instructions: SIT too Gc_ 0 ./' al- - ( - 8 [ - ‘--o ocl;K., tflio mit u .. - i..10 -1. 1 L. --- • , H PASS 'NA' - ■ RTI ' l" v L 0 CANCEL 1 NO ACCESS [ FAIL III CALI:FOR INSPECTION ' _.••••• ADDITIONAL FEES ASSESSED a ., Inspector: Ad1111111111■,_ Date: 6 1 oc) Phone #: (503) 718- _ N , CITY OF TIGARD BUILDING DIVISION PERMIT #: S1T2007 -00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15/2001 Phone: (503) 639 -4171 °- �� r ,, i Inspection Requests (24 Hrs.): (503) 639 -4175 i 4* INSPECTION WORKSHEET FOR DATE: 6/3/2008 TIME: 7:OOAM PAGE: 15 SITE ADDRESS: 11708 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HOFI:ARBER TRACTS NO.2 LOT #: 035 TYPE OF USE: PROJECT NAME: MIRAGE MINI' STORAGE DESCRIPTION: Site work for new mini storage OWNER: MIRAGE STORAGE LLC. PHONE #: CONTRACTOR: ERIC GAMBEE CONS I INC PHONE #: 503-638-0170 Inspection Request Scheduled For: Date: 6/3 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message x1 20 Spiirik1er supply lines 070726 -01 503 - 518 -3108 N Corrections /Comments /Instructions: o, Z ©d 7 fi-re--S too l`-k FC� �'1�' � No .ZNIc ob v e), C> 4 /. PASS = " =•�_,' ' ' = • ❑ CANCEL fI NO ACCESS n FAIL ( CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: v Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: SIT2007- 00033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/15121300 Phone: (503) 639 - 4171 , °���, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/21/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 11700 SW WARNER AVE CLASS OF WORK: SUBDIVISION: HC)FF=ARBER TRACTS NO.2 LOT #: 036 TYPE OF USE: PROJECT NAME: MIRAGE MINI STORAGE DESCRIPTION: Site wort; for new mini storage OWNER: MIRAGE STORAGE LLC, PHONE #: CONTRACTOR: ERIC GAMI3EE CONSTRUCTION INC PHONE #: 503 -53B -0170 Inspection Request Scheduled For: Date: 5/21/2000 Pour Time: Code # Inspection Description Confirm # Contact # Messa 420 piirikler supply lines 070214 01 603-830-7874 Corrections /Comments /Instructions: A--A j i - A-i'f' IC Z 0Lt1d 1 Z0 AL', tJi L--- 1 L� 1 ` 4 L ... t -- PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: IIrr Phone #: (503) 718 -Z‘ ''. .' ClTy OF TIGARD Q W 5/6/?00S el, TC x Cj 13125 S \ \' Hall I3lvd• I (7: I Z: 5 I ,�N1 i . ' I'i artl, OR 97223 5113.639. 1171 /�� 660 76 � s AWARD: / in Receipt #: 27200800000000001510 A Date: 05/06/2008 . Line hems: Case No Tran Code Description Revenue Account No Amount Paid C U P2005 -00001 [M ISC] M isc Fee 100 -0000 - 451000 300.00 Line Item Total: 5300.00 Payments: c ...r. Method Paler User II) Acct. /Check No. Approval No. How Received Amount Paid Check MIRAGE WORKS LLC ST 1050 In Person 300.00 Payment Total: $300.00 mccow.r'i P i:2,k2 1 011