HomeMy WebLinkAboutPermit (15) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2023-00121
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/24/2023
Parcel: 2S102AB01001
Jurisdiction: Tigard
Site address: 11950 SW LINCOLN AVE 6
Project: Monroe Square Subdivision: None Lot: None
Project Description: Repair existing chimney foundation.
Contractor: RAMJACK OF SOUTHERN OREGON LLC Owner: MONROE SQUARE APARTMENTS LLC
PO BOX 11701 BY C&R REAL ESTATES SERVICES
EUGENE, OR 97440 9400 SW BARNES RD STE 400
PORTLAND, OR 97225
PHONE: 541-501-8940 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/18/2023 $195.38
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 07/18/2023 $23.45
Dwelling Units: 0 Plan Review 07/18/2023 $127.00
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/18/2023 $4.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $7,868
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $350.33
Required: Required Items and Reports(Conditions)
1 Piles/Caissons
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: Permittee Signature:
all 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.
DocuSign Envelope ID:7EA4C1 EB-B51 B-4D36-B753-7A582832D40A
Building Permit Application _
- Commercial IECEIVED FOR OFFICE USE ONLY
ill _ City of Tigard JUL 2023 Received 7 y3 Per i:44,-P� 00 a
" 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: V ` -
_ Plan Review
Phone: 503-718-2439 Fax: 503-598-18G0.,OFTIGARD Date/By: 7' 3 Related Permit:
TIGARD Inspection Line: 503-639-4175 Date Reddy/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifled/Method:7 l t I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ®Other: Repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11950 SW Lincoln Ave New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: 6 Project name: Chimney Stabilization 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.
Tax map/parcel#: 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.
Voluntary repair to the existing foundation of the chimney Valuation: $ 7867.50
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Joel Seres Type of construction:
Address: 11950 SW Lincoln Ave Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing:
Phone:( 503) 349-5470 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Ram Jack West (Please refer to fee schedule.)
Structural plan review fee(or deposit):
Contact name: Kelsea Rossow
Address: PO Box 11701 FLS plan review fee(if applicable):
City/State/ZIP: Eugene,OR 97440 Total fees due upon application:
Amount received:
Phone:( 541) 510-9079 Fax: :( )
E-mail: pennitsCramjackwest.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Rain Jack West Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PO Box 11701 Solar Installation Specialty Code checklist.
City/State/ZIP: Eugene,OR 97440 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 541) 510-9079 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 146906 upon Total fee due application: $201.60
/—uocuaianea ay: PP
Authorized signature: Kelm, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kelsea Ros w FC31Cao57e4F9.. Date: 6/26[LO23 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)