Permit C ITY OF TIGARD SITE WORK PERMIT
�i� DEVELOPMENT SERVICES PERMIT # : SIT2005 -00029
. S DATE ISSUED : 12/19/2005
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL : 2S110DC 00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING : C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION : TIG
Project Description: Site work for replacement of existing office.
CLASS OF WORK: ADD PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: 30,000.00
EXCV VOLUME: 35 cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?: Y
ENG FILL ?: STORM DRAINS ?: y
SOILS RPT REQD ?: IMPERV SURFACE: 800 sf
Owner: FEES
SHURGARD STORAGE Description Date Amount
21669 REDWOOD RD [BUPPLN] Pin Rv -Valu 12/9/2005 $213.40
CASTRO VALLEY, CA 94546 [ERPRMT] Erosion Control 12/19/2005 $160.00
[ERPLN] Erosn Pin Rv CWS 12/19/2005 $52.00
[EROSN] Erosn Pin Rv COT 12/19/2005 $52.00
Phone: 510 - 733 -5600 [BUILD] Prmt Fee -Valu 12/19/2005 S320.08
Contractor: [TAX] Valu 8% State Surcha 12/19/2005 $25.66
ERIC GAMBEE CONSTRUCTION INC
Total $823.14
PO BOX 13354
PORTLAND, OR 97213
Contact #: FAX 503 - 638 -0170
PRI 503 - 638 -0170 REQUIRED ITEMS AND REPORTS
Reg #: LIC 105085
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 busines 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.
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12/02/1005 14:10 FAX 5035981960 CITY OF TIGARD " . . Vi 012 •
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Site Work PPrEVF7 ..,
Building Permit Aonlieatiort . i .• • FoR (.11 1 ICE IJSE ONLY
City of Tigard
13125 SW H ta ,2" 9 - 03 4011 ." ---IC-- Perrnh N°4 l - a_z_.?
all Blvd., Tigard, OR 97223 DEC ' F 0 ( c; 2005A Plan Review ,
Phone: 503.639.4171 Fax: 503.598.1960 , p .,,,, , , ,rivii?‘ DatetB : st / - IriroPr..... Other Penult;
Inspection Line: 503.639.4175
C' TV OF •T1G . _. .--- D. . czh5 es Yd, ,u'me • e rage a tor
Internet: wwt.i.r.ci.tigard.or.uS i ) u S IdfOrMatiOn
4. / . e V
ILDING DIVISIGN ''r iii 10/ 4//k-t C.
4 ,'...:'....ri..,.;.0. 11(,'RE.0010):P.D.04i i- . A 14 iii 4 **WILX, : P c *Iiiii145; .....
Ulqew construction D Demolition Permit fees are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/reylacement 0 Other . equipment, materials, labor, overhead, and the profit for the
!
i' •• ••:fir'•ii ...; I TAATEM iii .beiiiie ;;; :!..,. .,
1.:.•! work indicated on this application.
:l :'• • •••• 11 ::.. 1 ...".::./.*.:....: .,T7trmr.:•:,.......... . .. :.. • . : . .• ■!:•,.,. ...it ..'.". ': if • .1.• •!. • •:., ••;.. •
0 1- and 2 Valuation: $
dwelling
0 Accessory building 0 Multi-family Number of bedrooms:
_
0 Master builder 0 Other: Number of bathrooms:
, ; .;,'?: i i( ;1 : Yiitiitiddit*Ii .1 P':: 1. 1 ... : : : Total number of floors:
4 '. 4.1-, :!. , .■ 1 ; Illiir ! .1• • ••• 11 ...- • • 4 • i • • 4 ••• • • • ••• • I • • . - . - a tr.: • •• ,. '' • : . : • : . • ' ....:',' l'::11
Job site address: 1 5 f Ft k-k.%.,,../ y New dwelling area: square feet
City/State/ZIP: ' . -r a i'l__1. . c.K q ??2.3 Garage/carport area: square feet
— I —
Suite/bldg./apt no.: I Pm 1/14tes4Vr, bagna f•- Covered potr.h area: square feet
Cross set/directions to job site: Deck area: square feet
Other structure area: square feet
•' . ' ': , ..';' . : . ...f#i$E9tim , r.r:
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
.. 3 ii.161.1.VIii1.7;•;:i..:.:-...1 work indicated on this application.
• , „ • .., _ .....,_ , _ Valuation:
I-t ST( v• 1.C. ,, t I % 14.-u,-5 % p 6...,-,-- $ .3'0 71
.t...sy A. /-4,re .—) e:A=--F-AC-e-___ p.. R....r,....p Existing building area: square feet
New building area: square feet
,,: Atiriti(911 ' ....:.::;_1,:;..,51.iiiptAip::j.i.;;;;:11.44,1.r: Number of stories:
Name 5 k 7--C=1 s--rag.a.4_,E_. Type of construction:
Address: 7, (c)(0 V-reb v.-WAD V'P Occupancy groups:
City/State/MP: CIAS-rIzio .4 o,t..1...* - 1' c_Ja- 94-.5 Existing:
Phone: (SID ) 1-33 — 5 Fax: it) - I-33- 5Gb New:
ii:l'il IS!! .1 iigope:;:,:': 1 '.iP. ...1 .. : . ....• :.... :.:,:,.. •!.: . • - ..F... . -. - ••:. .;.• ..1 .-:•• •• '....... • • ••.: i • r• . .. •••
-;;:••::r.o.., • z i .:, „:fffo , p, ..... : .11,4 Ir.: :::.: 'e: r• 0:1WI'llTINIrrn .• --114-::. 4.4 •:. ::: : • • .. : ...::. ! 1 ,': '."' :'.'" :IV ' • I :' ', I. ':':!•': v • 1 • .,: NOnCE '',. :i .•.'"•• .....::: ••••••':!, ''''' ' ' '
.1... ' • :711 .: .ili.:;■....: ;:. : , .• . .. .• .. . ..• .: .. .:. 'Ilf. r....:!1 :..1.' :.. :.. . . • 1.
Business name: c . - p b s - M e P P . r . - - U - t r All c o n t r a c t o r s a n d s ubcontractors are required to be
Contact C.
licensed with the Oregon Construction Contractors Board
e.. -- e name: vsVir-- 1...e._
under ORS 701 and may be required to be licensed in the
Address: etza ?C' 4.fcc•`-i- jurisdiction in which work is being performed. If the
City/State/ZIP: e 174
applicant is exempt from licensing, the following reasons
C-=.1 •" Z-40 aPPlY: _
Phone: ( SO) 4,8 , - sAa 1-- I Fax: : -s) -25c,,____ 2
E-mail: i.s... kv.-E e...... .1 r e.....frAL., IN -5 - c
z9.:;.c:11 I. i r.-......i,L .,......q...:4--:::. :....; , :-.....o..,,,.:.9 : :.
I: t.. e.:,.-,..;....-1 _, ,... ...„?........, 7., 4: ' It: . • : • . ••• i :. ; g ill:A I. Ire
Business name: fAz (C— Cogwv-k see._ C.151 1-1 6-- .''' 1 .Fitr; !1 I. . • •
. - • ......, .I.: .,:, .. , n , • , .: ..,,... :!:: :, ...• : • ':',.' •':- • •:.:•.0'.
Address: n V 6 ' ( 3 5-4 Please rtfer Spice schedule.
CitylStatriZIP: (4) ei i lz, ( 3
- Fees due upon application /3 y 0
Phone: C5 - 0 (3B — c (lc, I Fax: (513) C32 - it. % R•0
Amount received
CCB lic.: ( 0 Sc) F5 <7) .2 k i Al •\if.ik Date received: -
_
Authorized signature: ( This permit application expires Ira permit is not obtained
. within 180 days after it has been accepted as complete.
I Print name: V'-' %---re...-- I Date: ( zlci fp S --- I • F ee ee methodology set by Tri-County Building Industry
Service Board.
EkBuildlne.PerrnitASIT-PcrothApp doe 12/03 440-4613T(11/02/COMAVE13)
CITY -OF TIGARD •
BUILDING DIVISION PERMIT #: t� �J`'ria�,
'(�;
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1211fa C0
Phone: (503) 639 -4171 �A '���a i bimp u� hl�i ' l�' I � .
Inspection Requests (24 Hrs.): (503) 639 -4175 - -3 +1-
INSPECTION WORKSHEET FOR DATE: t112005 TIME: 7;J AM PAGE: 4I
SITE ADDRESS: 15700 SW PACIFIC P'f5°WY CLASS OF WORK:
SUBDIVISION: W €LOWBROM FARM LOT #: 016' TYPE OF USE:
PROJECT 'NAME: SHtJROARC STORAGE
DESCRIPTION:, Site work ft r repla;:b rnen€ of existing office.
OWNER: a; $UfiGARD STORAGE, PHONE #: 510 3 , L,Q 30
CONTRACTOR: ERIC GAMBEE CON.S CO INC PHONE #: F50 -83 -X Y/
Inspection Request Scheduled For: Date: 6/1f2005 Pour Time:
Code :# Inspection, Description Confirm # Contact # Message
4f:S9 Final in^ rection 03091a -02 503.5030•% N
Corrections/Comments/Instructions: n...
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-- eY\1\. Inspector: '
nspector: 'Date:.✓ 6
`.r Phone #: (503) 718 -
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