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Permit CITY OF TIGARD SITE WORK PERMIT Permit#: SIT2008-00003 COMMUNITY DEVELOPMENT Date Issued: 04/30/2008 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 • Parcel: 2S101AB01600 ���• Jurisdiction: TIG Site address: 7405 SW BEVELAND RD Project: S.M.,LLC OFFICE CONVERSION Subdivision: Lot: Project Description: Site work for residential conversion to office. 2/19/2015: REPRINT permit to reinstate for final inspections. Contractor: Owner: S2M LLC 7405 SW BEVELAND TIGARD, OR 97223 PHONE: PHONE: 503-636-4580 FAX: FEES Description Date Amount Specifics: [BUPPLN]Pln Rv-Valu 02/07/2008 $183.85 [FLS]FLS Pln Rv 02/07/2008 $113.14 Type of Use: COM [TAX]Valu 12%State Surcharge 04/29/2008 $33.94 Class of Work: UNK [BUILD]Prmt Fee-Valu 04/29/2008 $282.85 [ERPRMT]Erosion Control 04/29/2008 $80.00 Project Valuation: $35,000.00 [ERPLN]Erosn Pln Rv CWS 04/29/2008 $26.00 [EROSN]Erosn Pln Rv COT 04/29/2008 $26.00 [WQUANT]Water Quantity 04/29/2008 $275.00 Site Specifics: Reinspection-Building 02/19/2015 $90.00 Excavation Volume: cu.yd. Reinspection 12%State Surcharge 02/19/2015 $10.80 Fill Volume: cu.yd. Impervious Surface: 2073 sq.ft. Engineered Fill: Yes Soil Report Required: No Paving: Yes Grading: Yes Landscaping: No Site Prep: Yes Stom Drains: Yes Retaining Wall: Fire Underground: Accessible Parking: Fence: Total $1,121.58 Required Items and Reports(Conditions) 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 copy of the rules or direct questions to C by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: a/‘/ /9i11,4 Call 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. C ITY OF TIGARD • SITE WORK PERMIT I. COMMUNITY DEVELOPMENT PERMIT # : SIT2008 -00003 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 4/30/2008 PARCEL : 2S101AB -01600 SITE ADDRESS: 07405 SW BEVELAND RD ZONING : SUBDIVISION: SM, LLC OFFICE LOT: 018 JURISDICTION : TIG PROJECT: S.M., LLC OFFICE CONVERSION Project Description: Site work for residential conversion to office CLASS OF WORK: UNK PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: 35,000.00 EXCV VOLUME: cy LANDSCAPING ?: N FILL VOLUME: cy SITE PREP ?: Y ENG FILL ?: Y STORM DRAINS ?: Y SOILS RPT REQD ?: N IMPERV SURFACE: 2,073 sf Owner: FEES S2M LLC Description Date Amount 7405 SW BEVELAND [BUPPLN] Pln Rv -Valu 2/7/2008 $183.85 TIGARD, OR 97223 [FLS] FLS Pln Rv 2/7/2008 $113.14 [TAX] Valu 12% State Surcha 4/29/2008 $33.94 Phone: 503-636-4580 [BUILD] Prmt Fee -Valu 4/29/2008 $282.85 [ERPRMT] Erosion Control 4/29/2008 $80.00 [ERPLN] Erosn Pln Rv CWS 4/29/2008 $26.00 Contractor [EROSN] Erosn Pln Rv COT 4/29/2008 $26.00 OWNER [WQUANT] Water Quantity 4/29/2008 $275.00 Total $1,020.78 Contact #: REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 - 4444 Reg #: 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 / �` Permittee Signature: �.s Call 503.639.4175 by 7:00 a.m. for an inspection that business 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. Building Permit Application T�C(,l�� =a &-GW/ Site Work RECEIVED FOR - :OFFI USE ONLY / Permit No.: 74 City of Tigard Received D �� G /a'� . q 13 125 SW Hall Blvd., Tigard, OR 97223 FE 1 2008 P l an Review I Phone: 503.639.4171 Fax: 503.598.1960 DateB Other Permit: TI GA R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: / if 1�r; . I ® See Page 2 . Internet: www.ti ard- or.gov Notified/Method: / f/ ( Supplemental ental Information Information BUILDING DIVISION / ,G4 �i, 4,, • A TYPE OF WORK ., REQUIRED DATA: 1- AND 2- FAMILY DWELLING lew construction 111 Demolition Permit 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 C_ ATEGO RY O F CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ,commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: . .74/A5 . $ee)EC)ez4 -icy New dwelling area: square feet City /State /ZIP: "r/6 ,4/72119 / Q/Z 99 2-1L Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: goo 9.-, If Deck area: square feet Other structure area: square feet .REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: /1.4 /M Lot no.: Al Permit fees* are based on the value of the work performed. Tax map /parcel no.: 5 l6l / f .y, 0/0-0 equipment, the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK �1 work indicated on this application. Sl %C C; g4V1AV4 / . ti 7 "'Mt' A.)6 LAO"' Valuation: $ 3.C)(.9"0 `y c.. /ie� r/1 Uyc' $ r Existing building area:2 �(/ j" square feet �`^- K7 ✓' '� ra' New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: �jG � / A)J f( f � Wes; A LJ Type of construction: 6a,00 l -2 e Address: ds j ) 45‘,1€( f Occupancy groups: City /State /ZIP: 7%6 j9.12,6 / C f ' 9- 2 2_`3 Existing: Phone: (S03 ) G ? 6 -- 7 fre Fax: 2,3 ) q-7 ! `, / 2.1 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: ,,64,4 . , J , J e f46 ,i' , f All contractors and subcontractors are required to be Contact name: ����9 J 5 /�r�� / licensed with the Oregon Construction Contractors Board i , � / y, �� under ORS 701 and may be required to be licensed in the Address: -q f S1°t/ /? l ,f4 jurisdiction in which work is being performed. If the City /State /ZIP: 7 � 972V Q� 9-.?-2 23 applicant is exempt from licensing, the following reasons apply: �// Phone: (43) 636 ' ! J Fax: ► � d 3 ) 91 - 112-/ E -mail: / � e c 4/ ` mow 6IGI . CONTRACTOR • . Business name: ©CV/J BUILDING PERMIT.FEES* - Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: . / . *V'V Amount received: Authorized signature: p/ ' This permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name: / S Date /� /49. * Fee methodology set by Tri- County Building Industry 111 Service Board. I:ABuilding \Permits \SIT - PermitApp.doc 12/27/06 440- 4613T(11/02 /COM/WEB) City of Tigard: Site Work Permit Checklist Page 2 - Supplemental Information Commercial, Multi- Family and One- and Two - Family Dwellings: No permit is required if fill is less than 50 yards (5 dump truck loads), or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland, the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: cu. yds. Grading Volume: (Soils report required for >5,000 cu. yds.) cu. yds. Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90% of maximum density) cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildings, sidewalks, and paving: sq. ft. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The following must accompany this application: ❑ Site Plan with Vicinity Map showing ❑ *Parking (including ADA) and ADA compliance Lighting Plan ❑ Grading Plan and details ❑ *Landscaping Plan ❑ Erosion Control Plan and details ❑ Soils Report (if required) ❑ Retaining Structures *Does not apply to One- and Two - family dwellings. • # of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 2 Multi - Family R -1 Occupancy 2 One- & Two - Family Dwelling 2 1: \Building \Permits \SIT- PermitApp.doc 12/27/06 2