HomeMy WebLinkAboutRES2025-0040 RTC_LOT023_BUILDAPPFORDECKADDITION Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard ReceivedDate 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: ® Sec Page 2 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: equipment,materials,labor,overhead,and the profit for the
111 CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ j,000
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15579 SW PEACE AVE New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:River Terrace Crossing CoveredDec k area:140 square feet
Cross street/directions to job site: un covered
Deck area:115 square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:River Terrace Crossing Lot no.:23 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S 108�C 15900 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.
Adding covered and uncovered deck Valuation: $
Existing building area: square feet
New building area: square feet
Ifa PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pacific Lifestyle Homes Type of construction:
Address:11815 NE 99th St., Suite 1200 Occupancy groups:
City/State/ZIP:Vancouver, WA 98682 Existing:
Phone:(360)213-0809 Fax:( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Lifestyle Homes (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:11815 NE 99th St., Suite 1200
Total fees due upon application:
city/state/ZIP:Vancouver, WA 98682
Phone:(360)213-0809 Fax: :( )
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@buildplh.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Lifestyle Homes Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:11815 NE 99th St., Suite 1200 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98682 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(360)213-0809 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:173524 Total fee due upon application: $201.60
Authorized signature: X--Q p�adtiLt, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Kellie Franklin Date:7/21/2025 Service Board.
I:\Buildmg\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)