Permit .111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00274
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2019
Parcel: 2S101 DD00401
Jurisdiction: Tigard
Site address: 6955 SW SANDBURG ST
Project: Pape Material Subdivision: SALEM FREEWAY SUBDIVISION Lot: 1
Project Description: A new footing for the installation of a 1/2-ton crane inside an existing storage space.
Contractor: OWNER Owner: PAPE PROPERTIES INC
PAPE MATERIAL ATTN LANCE JORGENSEN
355 GOODPASTURE ILAND RD 355 GOODPASTURE ISLAND RD STE 30
TIGARD, OR 97401 EUGENE, OR 97401
PHONE: 360-607-8178 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 10/09/2019 $70.22
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 10/09/2019 $8.43
Dwelling Units: 0 Plan Review 09/26/2019 $45.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/09/2019 $5.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $129.29
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Bolts in Concrete
2 Special Inspection(see plans)
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 . i- rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r` _ u ittee Signature:..411111111u
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all 503.639.4175 by 7:00 a.m.for the next available inspection 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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received
I�E C E I V E D Date/By: �� �t� Permit No.:4/14,0,490e-064,2,747
'i 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503-718-2439 Fax: 503-598-1960
Date/By: �' Related Permit:
TIGARD Inspection Line: 503-639-4175 SEP 2 6 2019 Date Ready/By: Juris: Li See Page 2 for
Internet: www.tigazd-or.gov aified/Method: 4, Supplemental information
TYPE OI t •
',-4440_2-,-, 'R1E(/i 1•"".DJ7�#,TA 1-AND 2-FAMILY I?Wl!rLL2NG
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
r"Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
, _ CAT GORY of CONSTRUCTION, work indicated on this application.
0 1-and 2-family dwelling $commercial/industrial Valuation: $
IDAccessory building El Multi-family Number of bedrooms:
1=1Master builder ❑Other: Number of bathrooms:
JOB',SITEINFORMATION AND LOCATION Total number of floors:
Job site address: oc155 s.Lii )4N Pj ,
p .
(TNew dwelling area: square feet
City/State/ZIP: (or 0/� 4" 1 2 n Garage/carport area: square feet
Suite/bldg./apt.#: Project name: f mttireY) 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#: Permit fees*are based on the value of the work performed.
C I of .B� O O e) Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: `-t,
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
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(A)S'r fc-ri-.4i6. (l 2 'ry D eti ( , >_A-7(- - Valuation: $ (0 CX)
Existing building area: f(c,O S/ square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: 171ed-te_sl+vC,. Type of construction:
Address: rQ`3 55 ace,a ,_. 's-PO(0,....jt,7 K-N 1 Occupancy groups:
City/State/ZIP: ge1Q �/ �_ (Q ',¶/f ( Existing:
Phone:( ) / Fax:!( )
New:
a.APPLICANT' 0 CONTAGTi PERSON BUILDING PERMIT FEES*
Business name: `�'� ,. (Please refer w fee schedule) 1
NL d �" f U i.vn rT ib Structural plan review fee(or deposit):
Contact name: 1 CC�,-(0- _
/� r� �-^ FLS plan review fee(if applicable):
Address: Co e 5-k.. /moi -��Lb,,,i, �1 _ /U a '
y �,;7 0.,t/ b� 9 Z6 Total fees due upon application: �5' ly
City/State/ZIP: (J� „coo
Phone:(Sb3) 7 Yap_ g 8 1 2.— " Fax::( ) Amount received:
Email i Q„vYL ee oies r q PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
"�\i ,,.CUIV`�12Ac;iOR %„ via;,, roof-top mounted PhotoVoltaic Solar Panel System.
/C Submit two(2)sets of roof plan with connection details
Business name:
�� � ) "�f and fire department access,along with the 2010 Oregon
Address: 3 /�Li J-/.........,, , e' Solar Installation Specialty Code checklist.
City/State/ZIP: _ ! rd� r� Permit fee(includes plan review $180.00
/'f [ ii and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:
}.� Total fee due upon application: $201.60
Authorized signature: .Z.15., CI (y/ -- This permit application expires if a permit is not obtained
��"'r l within 180 days after it has been accepted as complete.
Print name: 1 7-Cj'f,,,( c).....)1/),45, ( Date: I`�(rG * Fee methodology set by Tri-County Building Industry
"�{✓, / f Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)