Permit CITY OF TIGARD BUILDING PERMIT
i • COMMUNITY DEVELOPMENT Permit#: BUP2022-00257
Date Issued: 11/7/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1$134DD00100
Jurisdiction: Tigard
Site address: 10587 SW TIGARD ST 77
Project: Windmill Apartments Subdivision: None Lot: None
Project Description: Removing lap vinyl siding and replacing with lap hardie plank siding for all(20)apartment buildings.
Contractor: T& H HOMEBUILDERS Owner: RICHARDS WINDMILL ESTATE LLC
21611 S CLEARVIEW CT BY RICHARDS, SHARON S MANAGER
PORLAND, OR 97045 900 SW 5TH AVE STE 1700
PORTLAND, OR 97204
PHONE: 503-309-1819 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: ME
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/07/2022 $4,539.95
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/07/2022 $544.79
Dwelling Units: 0 Plan Review 10/13/2022 $2,950.97
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/07/2022 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $700,000 Metro CET 11/07/2022 $840.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $8,877.71
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 require 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- 01-0090. You m y obtain a copy a rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ^/
Issued By: Permittee Signature: � - y14/-i7� 7S
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 Application
Commercial �p r FOR OFFICE USE ONLY
Il
City of Tigard EC 1r .. Received Date By: 6CJ'f 3/1 L 1PgUyylieii,2
y
13125 SW Hall Blvd.,'figard.OR 9727 Plan Review � ---
N . Phone: 503-718-2439 Fax: 503-598- TI 1 3 2022 Date/Bv: J I^ , ,J 12 IP. Related Permit:
T I G A RD Inspection Line: 503-639-4175 Dale Ready/By: Jugs: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF .I It. /AHL Notified/Method: Supplemental Information
;7,! Ii r.!)-dr N APr.' '.:
TYPE OF WORK REQUIRED DATA: I-AiND2-FAMILY DWELLING
Peinit lees*are based on the value of the work perlitrmed.
El New construction ❑ Demolition
Indicate the value(rounded to the nearest dollar)of all
® 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: $
0 Accessory building ®Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10587 SW Tigard St New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: WindMill Apt's 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: Lot#: Permit fees*are based on the value of the work performed.
fax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIP'FION OF WORK work indicated on this application.
Remove lap vinyl siding and replace with lap Hardie plank siding Valuation: $ 700,000
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Text Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) Ncvc
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: T&H Homebuilders,inc
Structural plan review fee(or deposit):
Contact name: Simhoni Cohen AKA Jack
FLS plan review tee(if applicable):
Address: 21611 S Clearview Ct
Total fees due upon application:
City/State/ZIP: Oregon City Oregon 97045
Phone:( ) 503-309-1819 Fax::( ) Amount received:
L-mail: jack@tandhhomebuilders.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: T&H Homebuilders,lnc
and fire department access,along with the 2010 Oregon
Address: 21611 S Clearview Ct Solar Installation Specialty Code checklist.
City/State/ZIP: Oregon City Oregon 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) 503-309-1819 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 204877 /L/Its( --L 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: Simhoni Cohen di, A. Date: 10/13/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUPCOM_PermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB)
CITY OF TIGARD RECEIPT
1E - 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Project Name: Windmill Apartments
Site Address: 10587 SW TIGARD ST
Receipt Number: 442882 - 10/13/2022
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2022-00257 Plan Review 230-0000-43106 $2,950.97
Total: $2,950.97
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 9951314 PUBLICUSERO 10/13/2022 $2,950.97
Payor:
Total Payments: $2,950.97
Balance Due: $0.00
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