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Permit
CITY OF TIGARD BUILDING PERMIT '`1 2 COMMUNITY DEVELOPMENT Permit#: BUP2015-00045 Date Issued: 03/10/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 25109ACO2100 Jurisdiction: Tigard Site address: 14850 SW 132ND TER Project: Alberta Rider Subdivision: WOODSIDE Lot: PTS 8-9 Project Description: Construct a shelter for outdoor classes near original log cabin structure. Contractor: SUN RIVER BUILDINGS Owner: TIGARD-TUALATIN SCHOOL DIST 23J 12220 SW JAMES ST ATTN: BUSINESS MANAGER TIGARD, OR 97223 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-608-2739 PHONE: 503-431-4017 FAX: 503-213-6538 Specifics: FEES Description Date Amount Type of Use: Class of Work: Type of Const: DC Provision Review,COM TI-Ping 03/10/2015 $75.00 Occupancy Grp: Occupancy Load: DC Provision Review,COM TI-LRP 03/10/2015 $11.00 Dwelling Units: 0 Permit Fee-COM-New Construction 03/10/2015 $123.72 12%State Surcharge-Building 03/10/2015 $14.85 Stories: 0 Height: 0 ft Plan Review 03/10/2015 $80.42 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 03/10/2015 $10.00 Value: $5,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $314.99 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C••-- - -II other applicable law. All work will be done i. . . - • th approved plans. This permit will expire if work is not started within 180 days of uance, or if •rk is suspended for more the 180 days. • TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notrf- ation Center. T ose rules are set forth in OAR 95 001-0010 through OAR 952 •• r09.. You may obtain a copy of the rules or direct questions to OUNC by call. g 503.232.1987• .410.332.2344. I sued By: Permittee Signature: Call 503.839.4175 by 7:00 a.m.for the next available inspection dat 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. Building Permit Applicatio ECEIVEP 1'1 D go/t -e�� Commercial FOR OFFICE: I SF.O\I.l City of Tigard Received D . © Permit No.. 4_, /, ,, 6-._060 s- 13125 SW Hall Blvd.,Tigard,OR 9722AR 2 2015 Plan Review 111.11/ ■ Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ,, l AD Related Permit: 6,r�l -IBS T 1 G A R[) Inspection Line: 503-639-4175 t,I I V OF'FIG;ARD Date Ready/By: n ,�._ luris 65 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION N,otiifin�`�J�7 Imo/ Supplemental Information V TYPE OF WORK REQUIRE DATA:1-AND 2-FAMILY DWELLING ANew construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rotnded 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 ❑Coaunerciallindustrial Valuation: S ccessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address: Ac i✓SC) ,Sw /32 2/moo �,cA(7. New dwelling area: square feet City/State/ZIP:–77Ca/5/.e,4) ne y2z2r Garage/carport area: square feet Suite/bldgJapt.#: Project name:1gE-T9 eoc2 Covered porch area square feet Cross street/directions to job site: ---me o,e/i9t! (Qf l iJ Deck area: square feet All / ,�)v, DF,,?7 E-S' �- 4' 'd l�� /jLJ/�//(,1 Other structure area: square feet A rc y C o -C f IJ C H .L �j�4.',OX?L_[.'7/ _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lo"t#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK _work indicated on this application. ,7 L7i/ � r . C rI C c Valuation: S ki ./1/o it z SS- S• /4/ %e0�7 y- 7-7,/e" cz_� Existing building area square feet CJC fi G-ti (1)g e/ : j/ C� New building area: square feet PROPERTY OWNER ❑0 TENANT Number of stories: Name: 111 g ev /g e6;c- - ,-c tae; _4 77-d.,-/c442 .Type of construction: — Address: /y95!� SLV /,.?2,t:..Q /�c „ ,,... ., 'CL ,C/Jd i-i Occupancy groups: City/State/ZIP: �/- 19/� cie 4, 1 Existing: Phone:(5J) / 3' 1/0 19 Fax:( ) L/>�kk„,...r%z.„ New: AAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* "7 (Please refer to fee schedule) Business name: ,'uN /2/Ut:kl %Gs /ici6S Structural plan review fee(or deposit): Contact name: 1Aay --_4✓E,e<6/tl FLS plan review fee(if applicable): Address: 2 t;. L7 -i/ 5C �j-- ty LC�4/ ` / 7 7),2 Total fees due upon application: City/State/ZIP: (� 7 _ 3 -2L?3Z/v / Amount received: Phone:(c� ) � Fax::( ) E-mail: J66 PKE�/(E A6 ()O� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* C t` CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: `� Submit two(2)sets of roof plan with connection details � /v 1c' ' !/t7//Ly� and fire department access,along with the 2010 Oregon Address: /22' ( --CA: �'�1��/�f<' 4� Solar Installation Specialty Code checklist. City/State/ZIP: - c-77 /��T� Permit fee(includes plan review $180.00 /! t/ Li– and administrative fees): Phone:( f fl ,,/, C Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: cC / , /9tli/G � � Total fee due upon appEcation: 5201.60 Authorized signature: / - / This permit application expires if a permit is not obtained A/ . Mr l within 180 days after it has been accepted as complete. Print name: ' . 'Q r –Z • iS /3 Date: –2 ._/ * Fee methodology set by Tri County Building Industry Service Board 1:1Building\Permits\BUPy OM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB) r 114 City of Tigard ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A k D Building Permit Review — Commercial - With Land Use Building Permit #: I o�u..�c C 5— 0004-i-- 1'-! t-50 5...r 1 ''S-2—'f Evr: Site Address: - _• . _ G , ; . • - Suite/Bldg#: Project Name: M ber-E cam. Rd er Sch 00 l (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Can$f1-ucf a- She.(-k' o-+Fctck-ed -fD an ey..,S-A n1 I a 5 ec b n . She !4er w' t I be use d -- u +dao- Ga.tt-e s. Dl Verify site address/suite #exists and active in permit system. X Land Use Case#: M M p a 01'4 -0(30 as X Plans Match Approved Land Use: XSite Plan 1,46A Landscape Plan ❑ Other: pl ft/ Urban Forestry Plan 14A 4 Elevation Plan X Building Height: Maximum Height 35 Actual Height 1 54-1)1 Conditions Met: - ❑ Prior to Submittal ❑ Prior to Permit Issuance s es nden-,:�� d Business License: f Exists: ❑ Yes ❑ No,applicant notified to obtain business license NI /ii Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake Notes: Approved by Planning: DA4 a . ,,t,1 Date: 3 a - IS Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: sv2//_ Site Plans: # Building Plans: # Building Permit#: ❑ nter building permit#above. ��. Workflow Routing: !J Planning L I✓-ngineering L�J Permit Coordinator —Er Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: -2i3e3rE 4y &r ,/y Date: �7�/ 2V I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse 020415.docx Engineering Review Actual Slope: 8 �/ ❑ PFI Permit#: ❑ Conditions Met . o 4e. ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: _ _ Date: 3 - 3 • 15" Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved s .a Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: /�OK to Issue Permit Approved by Permit Coordinator: Date: 3/3/S L\Building\Forms\BldgPermitRvW COM_WithLandUse 020415.docx • . Eiyineering Review Actual Slope: 8 ff ❑ PFI Permit#: j4 i • CI Conditions Met . o 4e ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: "j • 3 • IS- Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review Cl Conditions Met-Prior to Issuance of Building Permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ?5f2N20K to Issue Permit /� 3/3/5-Approved by Permit Coordinator: Date: 3 /S 1:\Building\Fortes\BldgPertnitRvw_COM_W ithLandUse_020415.docx