Permit CITY OF TIGARD BUILDING PERMIT
'111 ' COMMUNITY DEVELOPMENT Permit#: BUP2021-00082
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/27l2021
Parcel: 2S110AD90038
Jurisdiction: Tigard
Site address: 14910 SW 109TH AVE
Project: Canterbury Woods Condos Subdivision: CANTERBURY WOODS CONDO Lot: 38
Project Description: Remove non-structural pantry walls and remodel existing interior kitchen area,
Contractor: COLUMBIA RIVER BUILDERS Owner: WEINGARTEN,ARIEL
9035 N NEW YORK AVE 10425 SW HOOD AVE
PORTLAND, OR 97203 PORTLAND,OR 97219
PHONE: 541-936-5418 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/26/2021 $377.90
Demolition
Occupancy Grp: B Occupancy Load: 10 12%State Surcharge-Building 04/26/2021 $45.35
Dwelling Units: 0 Plan Review 04/07/2021 $245.64
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/26/2021 $151.16
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 04/26/2021 $3.00
Value: $20,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total S823.05
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 days of 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 Notification 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 503.232.1987 or 1.800.332.2344.
Issued By: Holly Va 4iDe wee Permittee Signature: 0 ' 4pp7 x.n
Call 503.1339.4175 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.
Building Permit Application ee,_ 4 • 21
Residential DECEIVE ' FOR OFFICE USE ONLY
Cityof0 Tigard Received y' �j �y7 y�r�
g Date/6y vrIOG�2, eici Permit No p242/-�NL e
13125 SW Hall Blvd.,Tigard OR 97223rril
? < Plan Revie CC
Phone: 503.718.2439 Fax: 503.598.1960 APR (Iz! Dale/By: 'p�p1._ to j Other below
TIGARD Inspection Line. 503.639 4175 Date Ready/By (' J ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD . .,ted/Method:"l� / /' Supplemental Information
TYPE OF WORK REQUIRED DATA.1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit lees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Ell Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $20 000
0 Accessory building ❑Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathr oms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14910 SW 109th Ave New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 38 Project name:Cantebury Wood Condominiums 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: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 11 0AD90038 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.
Remove non-structural pantry walls and remodel existing Valuation: $
interior kitchen area. No structural this permit. Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Ariel Weingarten Type of construction:
Address:
Occupancy groups..
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
[21 APPLICANT ❑' CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Faster Permits
Structural plan review fee(or deposit):
Contact name: Dan Williams
FLS plan review fee(if applicable):
Address: 2000 SW 1st Ave, Suite 420
Total fees due upon application:
City/State/ZIP: Portland, OR 97201
Amount received:
Phone:(503) 819-7754 Fax: :( )
E-mail: Dan@fasterpermits.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Columbia River Builders Inc Submit two(2)sets of roof plan with connection details
and fire department access.along with the 2010 Oregon
Address: 9606 N Edison ST Solar ln.,la lalion specialti Code checklist.
City/slate/ZIP: Portland, OR 97203 Permit Fee(includes plan review $I so oo
and administrative fees):
Phony.(541) 936-5418 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:232930 ;/0 G .42, Total Ice due upon application: $201.60
Authorized signatu - t/Lt/� 1, / r This permit application expires if a permit is not obtained
V within 180 days after it has been accepted as complete.
*Fee methodology set by Fri-County Building Industry
Print name: Dan4/6/21 Williams Date: Service Board.
I.1Building\Permits\BtJP-RI:SPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WFB)