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Permit Support Document (65) rC f 1 r"® City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 7 _ 9�9AlkorlY N 111 . / Request for Permit Action 11 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@ti�- gard or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor © Ci'qty Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE T' ACTION FOR THE ITEM(S) CHECKED (✓): C 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). Permit#: i31C /7•—b006/ �X Site Address or Parcel#: geS�� 6_,,,IAGII /0.049 Project Name: 7-, ,-0/. '7A 4 -8‘...4.// Zuz.. / S ✓ Subdivision Name: Lot#: EXPLANATION: -r,e,i lv-1 /J C41J/t/ji ,, 4 k2.t A-cty /AA- / ;s Q I � /0::(_•- /t ;1",1 ..4.44 / A„ Az.." Akr,4-�c4, .� a........,../ . ->.0 4 , ±.-. I . ,kVI( '1- ,.r 7 ` c— LAJ 7z., k rC 7-L,,J f0crii,,7, Signature: —_ 7 Date: 3/).7779 Print Name: 7 .k.; ''-7-� Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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. Route to Sys Admin: Date 5/ '7/i 4 By Route to Records: Date 3/2 /e? B Refund Processed: Date J/li/ ,y By Invoice Processed: Date By Permit Canceled: Date 3 Zy '? By arcel Tag Added: Date By I:\Building\Forms\RegPemitAction_120518. oc r , EII It Building Permit Application 3 2? /?' Commercial Cityof Tigard Received ) �j // )) g 3 t Date/B- 31., it 7 r Pen"No.: /S se%�/7--Cit,!6/ V 13125 SW Hall Blvd,Tigard,OR 97223 1l41±i % $ ;1, Plan Revie"�,� �/ Phone. 503.718 2439 Fax: 503.598.1960 Date/By. `TIC S-]. 'i 8. Other Pennit: T1GAftD Inspection bine: 503.639-4175 Date Ready/By: uns- 1P1 See Page 2 for Internet. www.tigard-or.gov 11I.otified/Meiliod: 5- 2:- ib - _ Supplemental Information " rr4A6'4s TYPE OF WORK - s''"`i Permit fees*are based on the value of the work performed. Indicate thi nearest dollar)of all equipment,materials,labor,overhead,and the pro ®New construction ❑Demolition on this application. ❑Addition/alteration/replacement ❑Other: — CATEGORY OF CONSTRUCTION Valuation: $ Number of bedrooms: El1-and 2-family dwelling 'ommercial/industrial ®Accessory building Multi-family Number of bathrooms. ❑Master builder ❑Other: Total number of floors: JOB SITE INFORMATION AND LOCATION New dwelling area: square feet Job site address:9000 SW Durham St Garage/carport area: square feet City/State/ZIP:Tigard,OR.97224 Covered porch area: square feet Suite/bldg./apt.no.: Project name:Javelin Runway Cover Deck area: square feet Cross street/directions to job site: p ti-A,1,0 ® Other structure area: square feel '77&48 I HI( ( SC/, _ R6_T(,d EE'q / SS f� REQUIRED DATA:COMMERCIAL-USE CHECI NU ba 440, Permit fees*are based on the value of the work performed. Indicate thi Subdivision: Lot no,: nearest dollar)of all equipment,materials,labor.overhead,and the pro on this application. Tax map/parcel no.: 2,S 1 j LIAA 00100 Valuation. sat'04 / DESCRIPTION OF WORK : /�3 j© Existing building area: square feet Add a cover to the javelin runway to protect officials form rain and foul balls New building area: 288 square feet from varsity softball.Eagle scout project. - Number of stories: 1 Type of construction: stick ® PROPERTY OWNER ❑ TENANT Name:Tigard-Tualatin School District Occupancy groups: EF EP.EE:S Address:6960 SW Sandburg St. Existing'� New. City/State/71P Tigard,OR 97223 BUILDINGPERMIT FEES* Phone.(503)431-4017 F ax:(503)431-4020 (Please re/erto fee schedule) ® APPLICANT ❑ CONTACT PERSON Structural plan review fee(or deposit)' Business name.Tigard-Tualatin School District FLS plan review fee(if applicable): Contact name: Phil Wentz "total fees due upon application: Yrs ' Address: same as above Amount received: City/State/ZIP PHOTOVOLTAIC SOLAR PANEL SYSTEM FF Phone:( ) Fax; :( ) Commercial and residential prescriptive installation of E-mail: roof-top mounted Photo Voltaic Solar Panel System, Submit two(2)sets of roof plan with connection details CONTRACTOR and tire department access,along with the 2(110 Oregon Business name: Ti( AleA 74++ TiU SC.//0( ()/ST Solar Instal/onion Specralts Code checklist Permit fee(includes plan review Address: 699(C SjJ) 3,4JUO g E' _G and administrative fees): _ City/State/ZIP: 176-4,it4 GH ; 9 7�Z� State surcharge(12%of permit fee): Phone 1‘1)(j3 ) d Fax:0;33):L/3/—402.0 Total fee due upon application: u3 ' %_rf U� CCB lie: This permit application expires if a permit is not obtained /- / 4111 within 180 days after it has been accepted as complete. Authorized signature: lv Jo ,i 1 /,( * Fee methodology set by Tri-County Building IndustService Board. Print name: /Ohl pi,lEy J , Date: ..3.-147-17 REQUIRED D' A:1-ANI1 -FAMILY DWELLING I,'v.13uilding\Pei mits\IlUF-COM PermitApp-doe 02/24/2011 440-4613T(11/02/COM/WEIS) , .r, / City of Tigard 7 N COMMUNITY DEVELOPMENT DEPARTMENT r1cARD Building Permit Review — Commercial - With Land Use Building Permit #: g/472,20 i 7- bots i Site Address: cJ( ,S\AI EU rima,fl4 Suite/Bldg#: Project Name: TWO 'Rig') kV (N of commercial iness occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes Al No "Land Use Case#: MOD-201 -0000 APlans Match Approved Land Use: 'Site Plan U A. andscape Plan ❑ Other: f„ rban Forestry Plan s Z. Elevation Plan ,,Building Height: MaximumHeight t� Actual Height Z g � � _"Conditions Met: 1\11A— A1IA ❑ Prior to Submittal ❑ Prior to Permit Issuance .Business License: Exists: )4 Yes ❑ No,applicant notified to obtain business license ,Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ZNo Applied For: ❑ Yes ❑ No,stop intake Notes: _t_Approved by Planning: 161 ' 3 , / `' Date: 1(4' 1'7 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: 3/0/(0 7 Site Plans: ## Building Plans: # Building Permit#: [ er uiiding permit above. Workflow Routing: arming nglneering ermit Coordinator Workflow Sign-off: Eoff for Planning(include notes from planning review) Route Application Documents: g: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: �,‘__, Date: 3/ A7 I:\Building\Forms\BldgPermitRyw COM WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) E Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: LI Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: 27 Approved by Engineering: fit. Date: �.-��--47 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved :. Y . ter. _ < 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 'Mot /A Tigard Trans SDC: ❑ Yes gib /A ki21( Parks SDC: ElYes ,rN/A to Issue Permit Approved by Permit Coordinator: lifdDate: 0 to/1 "--- I:\Building\Fonns\BldgPermitRvw_COM_W ithlandUse_070915.docx Branden Taggart From: Wesley Winship <Wes.Winship@otak.com> Sent: Thursday, February 21, 2019 9:00 AM To: Branden Taggart Cc: #Building Permit Technicians Subject: Re:Tigard High School Javelin Shelter Permit: BUP2017-00061 No I will not be picking that up. I will contact the district office for them to pickup.Thanks Wes Sent from my iPhone On Feb 20, 2019, at 6:38 PM, Branden Taggart<brandent@tigard-or.gov>wrote: Hi Wes, I also noticed that we have a javelin shelter permit that is ready to issue from 2017 (made ready to issue on May 23, 2018). Evidently this was to be an Eagle Scout project. Do you intend to pick up this permit? If so,the balance due is$88.24. Thanks, <image006.jpg> From: Matthew Lewis<Matt.Lewis@cardno.com> Sent:Tuesday, February 19, 2019 11:14 AM To: 'Wesley Winship' <Wes.Winship@otak.com> Cc: Kelly Youngberg<kellv.voungberg@cardno.com>; Branden Taggart<brandent@tigard-or.gov>; Mary Wiser<mary.wiser@cardno.com> Subject:THS Tennis Court Permits Wes, We've been communicating with Tigard today to resolve submittal of the building permits for the softball enclosure (we'll follow up with you to authorize fee payment for those permits). In our discussions, it was brought up that the contractor never picked up the plumbing permit for the tennis courts—PLM2018-00180.This permit still needs to be paid. Can you please coordinate payment with Tigard Building? I've copied Branden Taggart at the City should you have any questions. Thanks, Matt Lewis PE BRANCH MANAGER SENIOR PRINCIPAL-LAND DEVELOPMENT CARDNO <image00l.jpg> 1 Office+150341g25U0 Direct+15O34182540 Mobile+15O33805087 Address 872O8VVMacadam Ave Suite 2OO. Portland, Oregon 07219 Email matt.lewis@cardno.com VVebvmmw.oardnu.00m CONNECT WITH CARDNO <imageO02.png><imago003.png><imogo004.png>^imago005.png> Fhis email and its attachments may contain confidential and/or privileged information for the sole use of the intended recipient(s).All electronically supplied data must be checked against an applicable hardcopy version which shall be the only document which Cardno warrants accuracy.If you are not the intended recipient,any use,distribution or copying of the information contained in this email and its attachments is strictly prohibited.If you have received this email in error,please email the sender by replying to this message and immediately delete and destroy any copies of this email and any attachmentsThe views or opinions expressed are the author's own and may not reflect the views or opinions of Cardno. DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If vequeated, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Sohadu|e.^ . . Vi .e.:1. )TY 3 4 vEL nv shiao-Eic, + ' RF , CVIVEP e.,....47: , 4, , , ,, 1 , FLAsHIAIGi ; 111 i '---- ' Ik ' '' ' biziP gtx,is I jai. MAR 1 5 2017 1mpr / ,- ,.. ,. Fr Etocie- kghi CITY OFT/GARD BUILDING DITISION , rr„, , - ,,.., " 17 ,,. ,f,,,r.. 4 v.,, 3-i2. Pirell I , , I -',V9-- "kJ p000z.ioif HA N6,E.IL,C. lI Rot_t_ dooir 1 f Ad&To+) AM, iSorroo I Ng 0U61401AT WA€2, 51DE MAIO I E>io&k.t Ai& I. 1 ; f OFFICE COPY t----.. 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