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Permit
CITY OF TIGARD BUILDING PERMIT : . I ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00248 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/25/2016 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14405 SW PACIFIC HWY Project: Ham Radio Outlet Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Change of occupancy. Contractor: OWNER Owner: BULL MOUNTAIN INVESTMENTS LLC ATTN JERRY KOLVE 14389 SW PACIFIC HWY TIGARD, OR 97224 PHONE: PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: VB Permit Fee-Additions,Alterations, 08/25/2016 $53.27 Demolition Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 08/25/2016 $6.39 Dwelling Units: 0 Plan Review 08/25/2016 $34.63 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/25/2016 $0.50 Bedrooms: 0 Bathrooms: 0 11x17) Value: $500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $94.79 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop nfshalules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 ` . Issued By: . ` ' ,,.- P- - Si nature _ r, ,,,efifiV1.17 9.4175 by 7:00 a.m.for the next available ingp ction date. 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. : ' e City of Tigard 111 g COMMUNITY DEVELOPMENT DEPARTMENT C T1GARD Building Permit Review — Commercial - With Land Use Building Permit #: 6/4°,2-00 03:2 57 Site Address: e /z/z/c O 1-17e,./4 1 Suite/Bldg#: Project Name: /Lin Pw.( /c) t L i/2i' (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: X71 ©ecu �' f P+rkt - 'Verify site address/suite# exists and active in permit syste . 01I verTerrace Neighborhood: ❑ Yes IfQ No Land Use Case#: ���� �� � Plans Match Approved Land Use: rk ❑ Site Plan ❑ Landscape Plan El Other: Ok ❑ Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height Actual Height Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance 'usiness Liceenss.. Exists: L!d' Yes ❑ No,applicant notified to obtain business license 0 'ublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified V No Applied For: ❑ Yes ❑ No, stopintake p Notes: Approved by Planning: Date: if; /0 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: ,,// l j Site Plans: # 4/ Building Plans: # Building Permit#: nter building permit# above. �-- �, Workflow Routing: �1 g ❑ Engineering �15ermit Coordinator Y�Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 0'137rilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: _ By Permit Technician: 1.-,'1.-,' _ _rD ate: ab/// 7 I:\Building\Forms\BldgPermitRvw COM WithLandUse 070915.docx ' J Engineering Review El Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit i El Easements (encroachments)per engineering conditi s o a.; rval d plat (not typical on SDR/CUP) El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ► • Assess Water Quantity Fee in-lieu: ❑ Yes PI No LIDA Facility on lot: El Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: El Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review El 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: 111 )23N/A Yes ( Tigard Trans SDC: 111Yes ]N/A Parks SDC: ❑ Yes N/A K to Issue Permit Approved by Permit Coordinator: el Date: S/l/ / / . 1:\Building\Forms\B1dgPermitRvw_COM_W ithlandUse_070915.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14405 SW PACIFIC HWY, TIGARD, OR, 97224 Commercial - Building 299 Final inspection PASS - C of O BUP2016-00248 Jeff Grove Violation Summary: Inspector Contractor