HomeMy WebLinkAboutRES2025-0038 BUILDING PERMIT APPLICATION RESIDENTIAL Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard Received
By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: a See Page 4 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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 ❑Other:0 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑■ 1-and 2-family dwelling ElCommercial/industrial Valuation: $50 000
❑Accessory building El Multi-familyNumber of bedrooms: 0
El Master builder El Other:
Number of bathrooms: 0
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address:13350 SW Brittany Dr. New dwelling area: 142 square feet
City/State/ZIP:Tigard, OR, 97223 Garage/carport area: 157 square feet
Suite/bldg./apt.no.:n/a Project name:Barbie Dream Closet Covered porch area: 0 square feet
Cross street/directions to job site: Deck area: 0 square feet
SW 1 35th & Brittany Other structure area: 0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:NO. 1 Lot no.:22 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.
Valuation: $
New square feet added to create walk-in closet in downstairs -
bedroom, master bedroom walk-in closet, and storage for garage. Existing building area: square feet
New building area: square feet
❑■ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Samantha Edwards Type of construction:
Address:13350 SW Brittany Dr. Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:(541 )761-7264 Fax:( ) New:
I] APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:n/a Structural plan review fee(or deposit):
Contact name:Samantha Edwards
FLS plan review fee(if applicable):
Address:13350 SW Brittany Dr.
Total fees due upon application:
City/State/ZIP:Tigard, OR 97223
Amount received:
Phone:(541 )761-7264 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:samanthaedwards05@gmail.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Bounds Construction Services, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:560 A NE F St. #242 Solar Installation Specialty Code checklist.
City/State/DP:Grants Pass, OR 97526 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(541 )761-0651 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:204375 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.
Samantha Edwards 06/27/25 *Fee methodology set by Tri-County Building Industry
Print name: Date: Service Board.
I:\Buildmg\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)