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Permit (151) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00333 T[ � .f3, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016 Parcel: 2S111CD02600 Jurisdiction: Tigard Site.' ite address: 9690 SW SUMMERFIELD DR Project: Summerfield 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 Demolition Dwelling Units: 0 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 Issued By: XPermittee Signature: 4 5-Z--7 I #70.03.639.4175 by 7:00 a.m.for the ne . :"able 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. ------ , 4 Bukding Permit Application ' ' Commercial HECI'::i1137: " FOR OFFICE USE ONLA - ,,!-.),, ,t ‘ ;„-,,,,,,, City of Tigard Received j../I," Date/By: /4‘- -7 ""fo, Permit Nzg -a/0 .:,4,-, /6....ev513 . 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2016 Plan Reie - ... 11111 1 Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ' • , v........e.) _5 Related Permit: Inspection Line: 503-639-4175 C:i I'''.( it_.;!- ..,‘i..y,;.;1•„....•;D Date Rea i :,: Juris: 0 See Page 2 for _ TIGARD, Internet: www.tigard-or.gov 9.1,nt.,01,•Nc- F-3;y.,--21- , o e.Ar thod:/ 77/* 04 Supplemental Information 47 t_vm w/ ),' i -_ --- -: TYPE OF WORK - - - REQ D DATA:1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. 0 New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ID Addition/alteration/replacement I Other: CA•g-eog-i- equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION - Valuation: $ El 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: 0 Accessory building 0 Multi-family Number of bathrooms: 0 Master builder NJ Other: C 4 zee xi- JOB SITE INFORMATION AND LOCATION Total number of floors: .. Job site address: CI(I,Ct 0 S,,,1/42 S,,;AA vv‘torc;el d Or• New dwelling area: square feet _ City/State/ZIP: 'T'ics,,,i,s,0 C.)e_ 01-7 2.:2-4 Garage/carport area: square feet Suite/bldg./apt.#: Project name: cievc.90,1-1-- a), fil,A:44 , Shop. Covered porch area: square feet Cross street/directions to job site: ot.a-cn f\u t .6c.ci-itlf-ACi ft b e',Vic .455,0 . Deck area: square feet Goif Coy(rse MCA'',01 t-e o,•Atrx C..a_ s-7:3&n.3 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: i Lot#: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the ,, _ DESCRIPTION OF WORK - work indicated on this application. Valuation: $5 Goo , Ins-fat( 1 b'xaq' C A a_Pc0...t- -,a/ io'A qv -xt--c•',N.A.,'LI IN Vii AA 6 C., 1 % . Existing building area: square feet thaiy‘VerkAexcil k)..!-k kOtt19 - New building area: square feet Vi PROPERTY OWNER - 0 TENANT Number of stories: Name: Si.11 Yvv#T4?t'2( CC u,c A ss&e: A.-k,‘er. Type of construction: fre_62 S-i , Ge.p,..4 0 Address: i,()c"co S;,„1 S,s!.,rvt 0......e.g....C.I•e•I 3 Or, Occupancy groups: City/State/ZIP: -Ttoy,_4_,3 Og.e GO VU-4 Existing: _ Phone:(„S-0. ) (.0?_0-0 i."'S i Fax:(R3 ) (p70- 04'7 I New: _ - _. - _ 0 APPLICANT - ig CONTACT PERSON BUILDING PERMIT FEES* - (Please refer to fee schedule) Business name: ' u ivsi,,k4,res..,t0 C.. s,„,„ As c,, ,,,,i.,•0„, Structural plan review fee(or deposit): Contact name: R-c v... s.' ‘k, 6tri.T S:,e-frio-ienJent FLS plan review fee(if applicable): Cf Address: jO&S-0 ,e(c1 Or% ce--L.L...- 14.110rAl "..6?b,s/j.1 Total fees due upon application: City/State/ZIP:---C I se,Ro 0e. at'l 2:2,LI ..... ..3 6 cro 6 saals Phone:(93 ) 6,Ze-0 LIOZ ax::( ) Amount received: -\ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: k,cic--SFGOCi: ez-I'' h at-gik_e.i ,_ E, co ev\ Commercial and residential prescriptive installation of ' CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.,/ Submit two(2)sets of roof plan with connectio •-ditails Business name: i.A)est c bcts t- fat...\4, ‘ t,...,:\(1,st,,IT I kJ( and fire department access,along with th 0 Oregon Address: 5212_ So 1 R.," On 1 cAs ti vu-e qW s&14" Solar Installation '.r ialty Code clyte 'st. Permit fee(include i... .. review City/State/ZIP: St ii AA C:) ..e. e17 3 0 LI $180.00 and ad i' 'strativ- -es): Phone:(So'l) S-4,(4 -77 8 c Fax:(SO1 )S'cv Ca•Vy'0 33 State surch. le(12%of permit fee): $21.60 CCB Lic.: 110 1 5.6 01.60 Authorized signature: . __ Total fee due upon application: This permit application expires if a permit is not obtain d l4,it within 180 days after it has been accepted as complete. Print name: ks;-'1/4 I t'v 4 ey Date: 1( i 1 i„ / /(e, * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D Building Permit Review — Commercial - No Land Use Building Permit #: 6e, (a --OO 3 3 3 Site Address: 1 GCI (9 C 0/ .c.—oil rv',r6rc(4, 0 r, Suite/Bldg#: Project Name: (nr p©r t'" 6 gr tyn ni..&-6, aC (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: , (fmMg<"f7-et A cmrpOr I— GI /- YY?fedi r)'f'-i+')Ii44 loop Existing Business Activity: Proposed Business Activity: giVerify site address/suite#exists and active in permit system. 0 River Terrace Neighborhood: ❑ Yes ❑ No Z Zoning: (L—i 4 Permitted Use: ❑ Yes ❑ No El Spec Space in Confirm no land use required. El B,zei.i..ss License: Exists: El Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: • 711611,`-:,.. 1' `- Date: I 1 / Zit 1 1 6, Revisions (after Building Submittal only) Reviewer Date Revision 1: El Approved El Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /,7-`. //co Site Plans: # '3 Building Plans: # .J Building Permit#: -Enter building permit#above. Workflow Routing: Er-Planning Ei'"-Permit Coordinator Erguilding Workflow Sign-off: g- Sign-off for Planning(include notes from planning review) Route Application Documents: .Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 0 P"4 , Date: j1/5// I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.docx • 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: Niar)C Fees Entered: Wash Co Trans Dev Tax: ❑ Yesk:' /A . Tigard Trans SDC: ❑ Yes P /A Parks SDC: ❑ Yes % /A OK to Issue Permit Approved by Permit Coordinator: • - Date: (.2 ?" /(i I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.docx IIq - 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 IVR 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, <oA5wzzze___ 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 11/15/2016 12:48 5033646391 PAGE 01/03 CityCEINEP of Tigard • COMMUNITY DEVELOPMENT DEPART.($ --i: Request for Permit Action Nov 15 2O1 i IL,A k t i 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 *wverittgyikr.lit BUILDING RIS .ON TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov FROM: 121 Owner ❑ Applicant ❑ Contractor D City Staff Check(✓)ane REFUND OR Name: //�y t INVOICE TO: (Business or Individual) /1 ,f.11e yt T k w` Ire L A n e !"'�, 1 0 i y./I Mailing Address: LP a, Boy 51 172 �1 `, +'c�`p I ���"..!!{ City/State/Zip: 5 od i,m l OR q t7 30 if Phone No.: n"(,) 3 34,a - [+moi 3 1 M PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED(1): El CANCEL/VOID PERMIT APPLICATION. ® REFUND PERMIT FEES (attach copy of original receipt and provide explanation below)_ O INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Perrnit#: 246_12"--12/ At/9„,/6, -oo SS 7 Site Address or Parcel#: R,•54-A,14 j Ke,.+L°, '^ 11-1 41/3 rJ i ! t ri+o rt. I)r' Project Name; 10' ( I.' 4 NI i Ole- Subdivision Name: Lot#: EXPLANATION: —II\ j5 i,t A.5 ` 1L 'I` A_ r L-k Li_J /e D 4 e k,ck vaive_5 . nQ-1- 1'11 Yi d D4 4 Per VAI'4- . Signature: t �-� t2,1�.1 (. Date: 1 1 w L5- - l ID Print Name: 1 °z.n_ - 4 FI'`S k —1 I 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 Admits: Date // /5-//p By Route to Records: Date By Refund Processed: Date .v By _41% Invoice Processed: Date By Permit Canceled: Date Ali� 13y E ' Parcel Tag Added; Date By I:\Building\Foixns\ltegPercu;it.Action_0 314.doc e9-wnlc2 7---- ttei bf)g'/,-1/7 ,9-S /4/s 'C c'770,v t-c"*9z' /0&7L iz Zs cti 1//c//4. ,