Permit CITY OF TIGARD BUILDING PERMIT
114 COMMUNITY DEVELOPMENT Permit#: BUP2021-00179
Date Issued. 8/12/2021
T t C:AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD90019
Jurisdiction: Tigard
Site address: 14864 SW 109TH AVE
Project: Canterbury Woods,Unit 19 Subdivision: CANTERBURY WOODS CONDO Lot: 19
Project Description: Floor joist repair.
Contractor: GORES CONSTRUCTION Owner: SMITH, CHRISTIAN I &EMILY M
5831 SE INTERNATIONAL WAY 11635 SW FAIRVIEW LN
MILWAUKIE,OR 97222 TIGARD, OR 97223
PHONE: 503-723-7500 PHONE:
FAX: 503-723-7504
FEES
Specifics:
Description Date Amount
Type of Use: MF Permit Fee-Additions,Alterations, 08/12/2021 $53.27
Class of Work: ALT Type of Const: VB
Demolition
Occupancy Grp: R-3 Occupancy Load: 0 12%State Surcharge-Building 08/12/2021 $6.39
Dwelling Units: 0 Plan Review 08/12/2021 $34.63
Stories: 0 Height: 0 ft Plan Review-Fire Life Safely 08/12/2021 $21.31
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 08/12/2021 $6.00
Value: $100 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch. 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $121.60
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: f{OU,VA,r'V LVe.We. a Permittee Signature: O Ili AppliZa i,ovt
Call 503.639.4175 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 Applicatio&ECEIVED 13-7/15/2
Commercial JUL 15 2021 FOIz I)F1,t I l tir OM
City of Tigard petty: 7/23 y/ /t Permit Nogik e U zi—O0171
13125 SW Hall Blvd.,Tigard,OR 97 1TYOFTIGARD Plan Review Q_ / Related Permit:
I Phone: 503-718-2439 Fax: 503- oateBy: I) /. j
Inspection Line: 503-6394175 .SING DIVISION Date Ready/By: yty�- t 0 See Page 2 for
T I G AR , Internet:e www.tigard-or.gov ed/Method: 1/ Suppkmental Information
TYPE OF WORK REQUI D DATA:l-AND 2-FAMILY DWELLING
New construction Permit foes*are based on the value of the work performed.
0 ❑Demolition Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
El Accessory building ®Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14864 SW 109th Ave. New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#:Bldg 3 Project name:Canterbury Woods -Unit 19 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW 109th Ave.and SW Murdock Street Other structure area: square feet
Local Zoing R-12 REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Canterbury Woods Condominiums I Lot#: Permit fees*arc based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#:2S110AD90019 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Floor Joist Repair Valuation: $100
Existing building area: 1042 square feet
New building area: square feet
IN PROPERTY OWNER 0 TENANT Number of stories:1
Name:Emily Smith Type of construction:Wood Frame
Address:14864 SW 109th Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:Existing
Phone:( ) Fax:( ) New:
l APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer w fee schedule)
Business name:Gores Construction Structural plan review fee(or deposit):
Contact name:Stephen Miller FLS plan review fee(if applicable):
Address:5831 SE International Way Total fees due upon application:
City/State/ZIP:Milwaukie,OR 97222
Amount received:
Phone:( )971.717.18.25 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:stephen@goresinc.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Gores Construction, Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5831 SE International Way Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Milwaukie,OR 97222 and administrative fees):
Phone:( )503.723.7500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:OR 168655 Total fee due upon application: $201.60
f This permit application expires if a permit is not obtained
Authorized signature:`�" tifrs within 180 days after it has been accepted as complete.
/� C ik Date:7/12/21 * Fee methodology set by Tri-County Building Industry
Print name: §'jE,I�/•hE.l✓ / r 1L .0 l Service Board.
I:\Building\Permits1BUP_COM_PemritApp.doc Rev.04/21/2014 440-46I3T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Ph
Commercial & Multi-Family - Additions or Alterations
T I G A R ll 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done, 00
excluding painting and wallpapering: [1] $
MULTIPLIER(25%bather removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 25
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) 'When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_CO1_PcrmitApp.doc Rev.03/05/2019
a.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 C ' Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. 0 map&tax lot# 0 project name 0 site address 0 suite number
Al zoning 0 applicant name 0 phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the`Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans,details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
L\Building\Pees\BUP_COM_PermiLApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.03/05/2019