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Inspections (5) 11/15/2016 12:48 5033646391 PAGE 01/03 RICEIVEP City of Tigard • COMMUNITY DEVELOPMENT DEPART Request for PermitActionIN NOV 15 2D1h . q l i t.;:,R i) 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 •wciarriprOVIttD TO: CITY OF TIGARD BUILDING DIVISION Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPersnits@tigard-or.gov FROM: 0 Owner ❑ Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual Mailing Address: f 64 Boy 5/ '7,2 City/State/Zip: 5 A I e,rn 1 0 R r q 730 if Phone No.: 50 .2 3 - 5 , . [ 3 1 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED(1): 0 CANCEL/VOID PERMIT APPLICATION. ® REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: L/ PC#9,e)/6 —cos-5 7 Site Address or Parcel#: RI'g 4-,,,,k ' KC4.T c - 1 q 4 4'3 S 0K to rd-o n Op Project Name: T O: i loq Y 3" -r-f64 Ad, ore. Subdivision Name: Lot#: EXPLANATION: 0..V >t,c.k Valva.. . no 4-- i'yt ni zi d4. a per. vnt'4 . Signature: � Date: I 1 - 5 - I ld Print Name: 1 rL�,.. , F 'g ke 1 Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of; • My fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests, 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. 1.0It OJ..FICL l'SE O\J..V Route to Sys Admin: Date // /5-//D By Pit Route to Records: Date By Refund Processed: Date Ni By S. Invoice Processed; Date __By Permit Canceled: Date eti 41 BY ,'•''r Parcel Tag Added: Date By I;\Building\Forms\RegPerauit.Actior 0' 14.doc e.97VAie r- tie/k. 22.i.9/7 , /4 ,''C ei7civ 49' e"'72.—/ v2./t/t-7S 0 A //AV//4a . .1 • 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: iltDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes it /A Tigard Trans SDC: ❑ Yes •' /A Parks SDC: ❑ Yes i /A OK to Issue Permit Approved by Permit Coordinator: A Date: (.2A-7;4.. I:\Building\Forms\BldgPemutRvw COM NoIandUse 070915.docx CITY OF TIGARD It * , 13125 SW Hall Blvd.,Tigard OR 97223 12/12/2016 503.639.4171 TIGARD8:56:43AM Activity Listing Case #: PLM2016-00557 Project Name: Ristau Site Address: 14943 SW KENTON DR A..�ryf A � ?l.. ._.'.�.. ,,.^.�.n2,4Y,r......'��._.'9<t�r'..Y.o.'i,t,.��f!.,.,, :..�Z.�_ E.:.--:-.,€ ,.-...._-_r.:�w�."a,s �<r.:;,,e.•.',. .€hNt�Mcra,+.:�_9-i;8i^,a7,. ..,:ry-i€.`c ' +<<r..0 "q , c ��' , '� .&"% �s . y �!p` � � �"� .,s. '"cf •.. � x® ?^f;. :;471- ,�s� ��ar.S�,a+>,.c�^vxq,.o;•��;:s,'::`..t .�: .E :. a.m•-:.�, .f,.€'��'�,d. +S..y� ,u e�•�V � mak• r �A 395 Misc. inspection 11/16/2016 FAIL Don Sylvester Y Date: 11/16/2016 1.Provide test results for back flow device. 2. Device installed to shallow,protect from freezing. CaseActivityS hortForm.rpt Page 1 of 1 Ill = q TIGARD City of Tigard December 12, 2016 Green Thumb Landscaping Attn: Renee Fishell PO Box 5172 Salem, OR 97304 Re: Permit No.: PLM2016-00557 Site Address: 14943 SW Kenton Dr. Project Name: Ristau—ID 164437 Dear Applicant: The City of Tigard has received your request to cancel the above referenced permit. The status of this permit indicates that inspections have already been completed prior to your request for cancellation and refund, therefore the Building Official has determined that the permit fees will be retained to cover inspection costs. A copy of the inspection results is attached. Please make corrections as noted and call the NR system at 503-639-4175 to schedule a 399 Plumbing Final to close out this permit. If you have any questions you may contact me at 503-718-2430. Sincerely, 4C5WIrkj—j—e" Dianna Howse Building Division Services Supervisor 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov CITY OF TIGARD BUILDING PERMIT 71COMMUNITY DEVELOPMENT Permit#: BUP2016-00333 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/12/2016 T 1+ R.[3 9 Parcel: 2 S 111 C D02600 Jurisdiction: Tigard Site address: 9690 SW SUMMERFIELD DR Project: Summer-field Civic Association Subdivision: SUMMERFIELD NO.7 Lot: L Project Description: Install 18'x 24'carport with 10'x 9'extension behind golf course maintenance building. Contractor: WEST COAST METAL BUILDINGS Owner: SUMMERFIELD CIVIC ASSN 5232 SALEM DALLAS HIGHWAY NW 10650 SW SUMMERFIELD DR SALEM, OR 97304 TIGARD, OR 97224 PHONE: 503-566-7788 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ACS Type of Const: VB DC Provision Review,COM TI-Ping 12/12/2016 $90.00 Occupancy Grp: S-1 Occupancy Load: 2 Permit Fee-Additions,Alterations, 12/12/2016 $149.75 Dwelling Units: 0 Demolition 12%State Surcharge-Building 12/12/2016 $17.97 Stories: 1 Height: 0 ft Plan Review 12/12/2016 $97.34 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 12/12/2016 $12.50 Value: $5,000 11x17) Floor Areas: Total Area: 522 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $367.56 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 daysof issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica• n Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 or 1.800.332.2344. Issued By: 1-r—t-,_ 4?c Permittee Signature: S -a•03.639.4175 by 7:00 a.m.forthe ne liable inspection ate. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. „------- , Bukding Permit Application • Commercial 17---;1, tr., i ---*$ •il --- FOR OFFICE[SE()NIA City of Tigard _ Received . Date/By: /...,0/51/4” . Permit N a/47;2074,-e05:33 111 '11 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2016 Plan Roile ' ". : 2 Phone: 503-718-2439 Fax: 503-598-1960 Date/13y: . LI) V......, Related Permit: T I GA RD Inspection Line: 503-639-4175 My ( f-:- it'.;vv )nAilsrthod Date Rea : Juni0 see Page 2 for • e. • thb Oh Supplemental information Internet www.tigard-or.gov 9tptiw,,,cs q ' ' A • ...... , .4 /. TYPE OF WORK - 161157 /- ItEQ .1 D DATA 1 AND 2-FAMILY DWELLING 0 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 10 Addition/alteration/replacement al Other: CA R_ Ott- equipment,materials,labor,overhead,and the profit for the - - - - CATEGORY OF CONSTRUCTION work indicated on this application. - Valuation: s El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: Number of bathrooms: 0 Master builder M Other: C 4 g_pct Fo- JOB SITE INFORMATION AND LOCATION - Total number of floors: — , Job site address: CI(DC1 0 s vs) , cr,ei d Dr. New dwelling area: square feet _ City/State/ZIP: --T-kcsckm) 0 Z_ 017 V2,4 Garage/carport area: square feet 1 Suite/bldg./apt.#: Project name: cAcpall-÷ iv\ fr‘Aziri , Shop• Covered porch area: square feet Cross street/directions to job site: ct ti5iii pt u ,:$.4?mak',EL b el Via 456/0 • Deck area: square feet , Gdif Course iv\c.;(11-te,avle.11 ,.0 :rk3 Other structure area: square feet — REQURED DATA:CO111MERCIALAJSE CHECKLIST ,. _. Subdivision: I Lot#: Permit fees*are based on the value of the work performed. TIndicate the value(rounded to the nearest dollar)of all ax map/parcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK - -', , - work indicated on this application. 1 ....ill-- Valuation: $5 i Goa ,nStai( I b'xatt" C*4z.por,-i- t4/ le_x qv e-Xt-e i-i C r‘ beLvt'AA 6,c, , - . Existing building area: square feet (114‘v1\-esaevte0 b.%i os ill _ New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: Name: SC'eA CN,c, Ass ac ‘‘.-k,'0,eN Type of construction: Fe.ta 5tiv4 no CittPCri` Address: I 0(0 co s j S,j...,,,,,,,,,e ic.Cti;e i e) Or. Occupancy groups: • City/State/ZIP: Toy,„2,3 3&e . 0%7 7.-1-`4 Existing: .., Phone:(91) ((,?JJ-so i 3 i Fax:(yc 3 ) 470- O 7 I New: 0 APPLICANT .:' . ' 54 CONTACT PERSON • BUILDING PERMIT FEES* , (Please refer to fee schedule) Business name: c... ikstr.94(cA-Nd d Cs' &:1 C ce,t's,-..$1"tirls Structural plan review fee(or deposit): Contact name: "R.,..cK_ S'..),\ktuae, 64)-r (c:,;1•$4,,S7.14-rrierie4ent FLS plan review fee(if applicable): Address: jo‘ s-0 Lj .$%.;"40,4) ,e(J Or. ce-ca,_ id/k71 Lobs)/io Total fees due upon application: City/State/ZIP:—I,y.a J) oc or?alLt ...5a3 Phone:(93 ) 4,zo-0 9 oAmount received:z. ax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: . ,Z cic-S F GOLF CZ. h at IAA/k I L f CO e" Commercial and residential prescriptive installation - ..-'. " ••• '- • roof-top mounted PhotoVoltaic Solar Panel System. Business name: Wei- 'I A ' 5 Submit two(2)sets of roof plan with connectio tails and fire department access,along with th 0 Oregon Address: SZI?... 1 rvN Ontas titAH NW Sekt4e, Solar Installation ';‘:al Code c. ist. Permit fee(includereview City/State/ZIP. S414 vv‘ Q4 c11 3 0 4 and ad 1' i strativ- -es): $180.00 Phone:( S'‘ ..SC's ) ,(4 --7-7 8 I Fax:(501 )S-6(6-l'i 0 31 State surch• ; (12%of permit fee): $21.60 CCB Lie.: 1(0(5 b i /,' 01.60 .13C______.,.._ , Total fee due upon application: This permit application expires if a permit is not obtain d Authorized signature: (4 A within 180 days after it has been accepted as complete. •,,, Print name: ‘s-', p, . •,..k I;Lie.A Date: II 1 1 t / /6 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Peannts\BUP_COM_FennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) • � City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT i TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: z /' /, 00 93 3 Site Address: ei Gq l7 C'v Sol vV Lr J..1 4 Q r.. Suite/Bldg#: Project Name: Cnr po. 1- 6 cver rY .2rc- c. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: S- /yT)nt2.7.G-►L° id Ci4 rpO r 1- o f- ►m ci i /7'1-fl r ti+4 S 0 0 P Existing Business Activity: Proposed Business Activity: >� Verify site address/suite# exists and active in permit system. f zr River Terrace Neighborhood: ❑ Yes ❑ No yi Zoning: A--i 4 Permitted Use: El Yes ❑ No ❑ Spec Space AConfirm no land use required. •Q Bt.ei.i..ss License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: • 01'"--: 1141"—•"----- Date: 1 i / Z-`i I 1 6 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved Building Permit Submittal Original Submittal Date: 4215'7/ Site Plans: # -3 Building Plans: # Building Permit#: ©rEnter building permit#above. Workflow Routing. ErPlanning E7'Permit Coordinator ErTfuilding Workflow Sign-off: 2- Sign-off for Planning(include notes from planning review) Route Application Documents: .2Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: ByPermit Technician: _,0190 .S" /c r'lt____. Date: j?/` I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_060116.docx