Permit CITY OF TIGARD BUILDING PERMIT
1 • COMMUNITY DEVELOPMENT Permit#: BUP2019-00298
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2019
Parcel: 2S101 CA00200
Jurisdiction: Tigard
Site address: 13220 SW WALL ST
Project: Cyclyx Subdivision: None Lot: None
Project Description: Installing an additional densifier to prep feedstock for processing.
Contractor: GROW CONSTRUCTION LLC Owner: AGILYX CORPORATION
7900 SW HUNZIKER ST 13240 SW WALL ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-597-2425 PHONE: 503-217-3160
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 10/31/2019 $317.06
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 10/31/2019 $38.05
Dwelling Units: 0 Plan Review 10/28/2019 $206.09
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/31/2019 $18.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,250
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $579.20
Required: Required Items and Reports(Conditions)
1 Bolts in Concrete
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 days of issuance, of,if work is suspended for more the 180 •
days. ATTENTION: Oregon law requires you to fo •w the rues adopted by the Oregon Utility Notificatio Cent.r Those rules are set forth .in OAR
952-001-0010 through OAR 952-0' '490. You y ob •a copy.ate e rules or direct questions to OUNC by calling 50•P32.19;7 or 1.800.332.2344.
//
Issued By: / Permittee Signature: 0 1 �
Call 503.639.4175 by 7:00 a.m.for the next available inspectio sate. ' ,
This permit card shall be kept in a conspicuous place on the job site until co, pletion of the project.
Approved plans are required on the job site at the time of each nspection.
Building Permit Application RFCAVE
Commercial OCT 2 8 2019 ° • FOR OFFICE USE ONLY
Cityof Tigard FF Received /-� `C�
- g e i 6 (�r'e' Date/BY C t//� C r I Pi'Ver#O7)l "000256F-
1
(/2< r�
13125 SW Hall Blvd.,Tigard,OR 97223 Ui UNG, Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: )Q" 9 Other Permit:
TIGARD Inspection Line: 503.639.4175 ate Ready/By: / orris: El See Page 2 for
Internet: www.tigard-or.gov ".otified/Met„ r i r!`iel Supplemental Information
,I
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 0 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: $
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
(3.41.7 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:F31•49RSW Wall ST New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Cyclyx Covered porch area: square feet
Cross street/directions to job site:Hunziker 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.
Installation of an additional Densifier to prep feedstock for processing Valuation: $15,250
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Cyclyx International INC Type of construction:
Address: 13120 SW WALL ST Occupancy groups:
City/State/ZIP:Tigard Oregon 97223 Existing:
Phone:(503)217-3160 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cyclyx International INC (Please refer rofee schedule)
Structural plan review fee(or deposit):
Contact name:Joe Ledbetter
FLS plan review fee(if applicable):
Address: 13120 SW Wall ST
City/State/ZIP:Tigard Oregon 97223 Total fees due upon application:
Phone:(503)597-6420 Fax: :( ) Amount received:
E-mail:Joe.ledbetter@agilyx.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Grow Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:13170 SW Wall St Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard Oregon 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)278-5332 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: ,i III , 21..........„..„________________�_.- Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Joe Ledbetter Date: 10/28/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)