Permit C ITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT PERMIT #: SIT2007 - 00020
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED : 6/4/2007
PARCEL : 2S109A0- PRICE02
SITE ADDRESS: 13001 SW BULL MOUNTAIN RD ZONING : R -7
SUBDIVISION: PRICE MLP2000 - 00006 LOT: 002 JURISDICTION : TIG
PROJECT: CITY OF TIGARD WELL
Project Description: Erosion control for discharging water in field.
CLASS OF WORK: UNK PAVING ?: RESO. NO:
TYPE OF USE: COM GRADING ?: VALUE: 10,000.00
EXCV VOLUME: cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?:
SOILS RPT REQD ?: IMPERV SURFACE: sf
Owner: FEES
CITY OF TIGARD Description Date Amount
13125 SW HALL [ERPLN] Erosn Pin Rv CWS 6/4/2007 $26.00
TIGARD, OR 97223 [EROSN] Erosn Pln Rv COT 6/4/2007 $26.00
[BUILD] Prmt Fee -Valu 6/4/2007 $80.00
Phone: Total $132.00
Contractor:
BOAR LONGYEAR
19700 SW TETON AVE
TUALATIN, OR 97062
•
Contact #:
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Reg #: LIC 158226
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 By: AP , / Permittee Signatur % G ��% /���I
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
` Si 'JE \jDO "
FOR 'OFFICE _USE
City of Tigard Received ' Permit No.: 006
1 ,111
` g Date /By: �j /07 46 1T
_ ° 13125 SW Hall Blvd , Tigard, OR 97223 J r r • , Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 '^ 0 . n] Date/B Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 C1 1 F � Date Ready /By: turrs El See Page 2 for
Internet: www.tigard- or.gov v r; ' � Notified/Method: / Supplemental Information
gU��Dt�e I ) ! SR
TYPE OF WORK REQUIRED DATA: 1 -.AND 2- FAMILY DWELLING
❑ New construction ❑ 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
'CATEGORY OF 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:/36V / 3R J; v gd New dwelling area: square feet
City /State /ZIP: Tiy (2,/ - / D it
Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: L sf 5,,'l 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: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
OR) T roe 00 U / SC' 1+Cc7 S 'i .v5 Valuation: $ I Vic-, CO
(.li cd 4 A/ `i fa Existing building area: square feet
L�l New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 00 ---- r -- " LO .Iii r , Type of construction:
Address: 4ct. — Occupancy groups:
City /State /ZI'.., ,_ ,.;.— __:%'•''"�� C Existing:
Phone: ( Fax: ( ) New:
❑ APPLICANT" . ❑ CONTACT PERSON . , ' , ' • NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( Fax:: ( ) �� Qi
� ' t
E -mail: C G T 6,.
CONTRACTOR = 3"4O
Business name: I,.JCi a., LC t9 y BUILDING RMIT FEES* -
(Please refer to fee schedule)
Address: `% 7()V ,5 - N i/ / , Structural plan review fee (or deposit):
City /State /ZIP:- ( `,V Og c, 'a 6
) t5 Fax: ( ) FLS plan review fee (if applicable):
Phone: (War/ ) 0 2
CCB lic.: `,c ////c) Total fees due upon application:
zo Amount received: / 3�.
Authorized signature:
/ / ��
-,� T his permit application expires if a permit is not obtained.
� Al. within 180 days after it has been accepted as complete.
Print name: I /` _ �2z j Date: (O / * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
q Building Division
Accessibility: Barrier Removal Improvement Plan
TIGAR`D
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
• (b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
•
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 02/23/07
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