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Permit (31) IICITY OF TIGARD BUILDING PERMIT ' a < COMMUNITY DEVELOPMENT Permit#: BUP2016-00030 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/11/2016 Parcel: 25111 CD02600 Jurisdiction: Tigard Site address: 9690 SUMMERFIELD DR Project: SUMMERFIELD CIVIC ASSOCIATION Subdivision: SUMMERFIELD NO.7 Lot: L Project Description: Installation of a 750 gallon aboveground fuel storage tank. Contractor: 4C'S ENVIRONMENTAL INC Owner: SUMMERFIELD CIVIC ASSN 1590 SE UGLOW AVE 10650 SW SUMMERFIELD DR DALLAS, OR 97338 TIGARD, OR 97224 PHONE: 503-320-2992 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 02/11/2016 $256.22 Demolition Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 02/11/2016 $30.75 Dwelling Units: 0 Plan Review 01/27/2016 $166.54 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/27/2016 $102.49 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 02/11/2016 $88.00 Value: $12,000 Info Process/Archiving-Lg$2.00(over 02/11/2016 $2.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $646.00 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 a • ..nce 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. A NTION: • :.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0• -0010 through OAR •52-00 •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is•ued By: k `/le / Permittee Signature: ----) 01/41V\ 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. to' Building Permit Application Commercial RECEIVEeceived I OR OI I I( I I .I ()NI 1 City of Tigard Date/By: 49,7 `<p Permit No.:64lgo/6 —/f o 11111 5 a 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 2 7 PlaaRe • �.(C/! Phone: 503.718.2439 Fax: 503.598.1960 216 Da gy:•',�.'.I Z( (, Other Permit: 1 1 t ,x i 1 Inspection Line: 503.639.4175 �1 (� Date R . /ice* 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD otified/Method: c H/4O 4.05/ _, Supplemental Information BUILDING DIVISION evi..._ iGIL- TYPE OF WORK ' REQUIRED DATA:°1-�2-FAMILY DING' ®New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CBTRUCIION work indicated on this application. ❑ 1-and 2-family dwelling '6 Commercial/industrial Valuation: $ Number of bedrooms:AccessorY buildingMulti-family❑ ❑Master builder ®Other:Tank Pad Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9690 SW Summerfield Dr. New dwelling area: square feet City/State/ZIP:Tigard Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Summerfield GC Fuel Tank 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead and the pros[for the 1 DESCRIPTION OF WORK work indicated on this application. etJ Tank pad for a UL-2085 aboveground fuel storage tank.Tank is 750 gallons and Valuation: $ /, aOV 500 diesel and 250 gallon unleaded gasoline.Tank is impact rated.Tank pad is Existing building area: square feet engineered to standard with plans and set backs included with this permit. New building area: square feet 0 PROPERTY.OWNER Q TENANT Number of stories: Name:Summerfield Golf Course Type of construction: Address:9690 SW Summerfield Dr. Occupancy u c s: P P City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503)620-0131 Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT PIKES* Business name:Summerfiel Golf Course. A7aesstYjarnrlasrcrlaleJ Structural plan review fee(or deposit): Contact name:Rick Sullivan FLS plan review fee(if applicable): Address:9690 SW Summerfield Dr. City/State/ZIP:Tigard,OR 97223 Total fees due upon application: ,2,6q_ ©3 Amount received: Phone:(503)620-0131 Fax::( ) E-mail:ricksfgolf@hotmail.com PHOTOVOLTAICSOLARI 'YSTEM�`�• Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:4C's Environmental Inc. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:1590 SE Uglow Ave Solar Installation Specialty Code checklist. City/State/ZIP:Dallas,OR 97338 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)320-2992 Fax:(503)606-3120 /�3� �� /O/ State surcharge(12%of permit fee): $21.60 CCB lie.: 02 //(2 Total fee due upon application: $201.60 •uthorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Dar' ayer Date:01-07-16 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) :74 ■ ill City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T 1 D Building Permit Review — Commercial - With Land Use Building Permit #: ot,, a0p(0_ 00030 Site Address: ` ue�c� 2ç'Suite/Bldg#: Project Name: s-'u,,,,,,v,, ` ? pis --- ,,,,L (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ,, - _70111,4_ ,.Z J(D1./ i/ Fr/ site address/suite# exists and active in permit cyst NYi *ver Terrace Neighborhood: ❑ Yes lai No and Use Case#: if4i, 26J&- aD Plan latch Approved Land Use: Site Plan kandscape Plan they: Trban Forestry Plan levation Plan 0Auilding Height: Maximum Height Actual Height idonditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Business Licen Exists: Yes ❑ No,applicant notified to obtain business license 0 Aublic Facilities Improvement (PFI) Permit: Required: ❑ Yes, applicant was notified No Applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: ^ Date: AS 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: 1/2.7/6 Site Plans: # Building Plans: # 3 Building Permit#: [ rater building permit# above. Workflow Routing: E P1ping engineering Petit Coordinator ❑ Buirding Workflow Sign-off: L�7 S�t off for Planning(include notes from planning review) Route Application Documents: L�YBuilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: - Date: 71771, I:\Building\Fonns\B1dgPermitRvw_COM_W ithLandUse_0709I 5.docx E npo at ring Review / e building pad: zf' ermit#: o I. tions "Met"prior to issuance of building permit asements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) A Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT App oved by Engineering: _ i0 .��. - Date Notes: �� 7 :cam J' 04 IIM �'j� Approved by Engineering: �� yq�- Date: 2-74-1,4 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 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 "71N/A "Tigard Trans SDC: ❑ Yes j:k N/A Parks SDC: ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: /IR/St Date: '17/ 1.e' I:A Building\Forms\BldgPennitRvw_COM_WithlandUse 0709I5.docx