Permit (82) n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00010
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2016
Parcel: 1 S134DD00102
Jurisdiction: Tigard
Site address: 10505 SW TIGARD ST
Project: Coast Sweeping Services Subdivision: 114TH PLACE Lot: 2
Project Description: New 400 sq.ft.carport.
Contractor: COAST SWEEPING SERVICES INC Owner: SCHAEFER, DONALD M
PO BOX 23697 SCHAEFER, MILYNN P
TIGARD, OR 97281-3697 PO BOX 23697
TIGARD, OR 97281
PHONE: 503-227-4515 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 02/03/2016 $377.90
Demolition
Occupancy Grp: S-1 Occupancy Load: 1 12%State Surcharge-Building 02/03/2016 $45.35
Dwelling Units: 0 Plan Review 01/14/2016 $245.64
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/03/2016 $88.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/03/2016 $4.00
Value: $20,000 11x17)
Info Process/Archiving-Sm$0.50(up to 02/03/2016 $5.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 400
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $765.89
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 Codes and all other applicable law. 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 the 180
days. ATTENTIO Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 through O 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp ti da
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.
13uiling Permit Application
Commercial vwev
Recei FOR OFFICE USE ON LY
City of Tigard WG
Date/B a 7 {tp Permit No.:
13125 SW Hall Blvd.,Tigard,OR 1 2016 Plan Review � ���
= Phone: 503.718.2439 Fax: 503.598.1960 J AN DateB : Other Permit.
Inspection Line: 503.639.4175 r P�0 Date Ready Juris: 0 See Page 2 for
Internet: www.tigard-or.gov � OV-11l,J`�+, ,®tA Notified/Method: Supplemental Information
G9
TYPE OF E D DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition rtRefmit 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms: N/A
❑Master builder ❑Other: Number of bathrooms: N/A
JOB SITE INFORMATION AND LOCATION Total number of floors: N/A
Job site address: 10505 SW Tigard St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:-Steel Gvershed-t pZ r 4hL UPIAJCovered porch area: square feet
Cross street/directions to job site: SW Tiedeman and SW Tigard St t e�5 Deck area: square feet
Greenburg Rd to Tiedeman Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 151340000102 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $$20,000.00
Existing building area: 0 square feet
New building area: 400 square feet
PROPERTY OWNER ®.TENANT Number of stories: 1
Name:Coast Sweeping Services,Inc. Type of construction: steel(concrete
Address:PO Box 23697 Occupancy groups:
City/State/ZIP:Tigard,OR 97281 Existing:
Phone:(503)227-4515 Fax:(503)639-9405 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Coast Sweeping Services,Inc. Please ref-toeesehedule
Structural plan review fee(or deposit):
Contact name:Jeff Lybarger/Craig Ley
FLS plan review fee(if applicable):
Address:PO Box 23697
City/State/ZIP:Tigard,OR 97281 Total fees due upon application: q5-W f
Amount received:
Phone:(503)536-1579, Fax: :(503)639-9405
E-mail:jeffl@coastpavementservices.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Coast Sweeping Services,Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 23697 Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97281 `'S��7 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)227-4515 Fax:(503)639-9405 State surcharge(12%of permit fee): $21.60
CCB lic.:66044 9 I
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
1, _ * Fee methodology set by Tri-County Building Industry
Print name:J� f f Date: t
Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #: �� _ fv
Site Address: 10506 SW Tl a acrd S+' Suite/Bldg#:
Project Name: (S+eeA Q,f ey Sr1P
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review I
Proposal: f1e W 20 x 20 Colrpo r-� a+ (ea,( proper± ,
Existing Business Activity:
Proposed Business Activity: JSAMR
N(
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes X No
Zoning: `-1"
Permitted Use: ElYes ElNo ElSpec Space
V,Confirmno land use required.
Business License
Exists: VYes ❑ No, applicant notified to obtain business license
Notes: noe .� or '�e�uc-�j�q in lArxlscc�Qin or Po�rLi J
Approved by Planning: YL 11L&Iac.�) Date: 1 7 6
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:
Site Plans: # _
Building Plans: L
Building Permit#: �,_ntrbuilding permit ermit# above.
Workflow Routing: —f_ igna n ng Coordinator u> ding
Workflow Sign-off: ET S -off for Planning(include notes from planning review)
Route Application Documents: - .9: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ate:
1:\Bui lding\Fonns\BldgPennit Rvw_COM_No LandU se_070915.docx
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes '*'N/A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes /�nN/A
OK to Issue Permit
Approved by Permit Coordinator: XN'Dat r
I:ABuildingTonus\BldgPennitRvw_COM_NoLandUse 070915.docx