HomeMy WebLinkAboutRES2025-0046 ATTACHMENT 1 I3uiIdin "j PetinitAIB) IiC8 ( iOfl,
Residential
( ityReceived
' of ligaid DatcB Permit No
, ill s '. 13125 SW ! tall Blvd., Tigard, ( AZ 97223 Plan Review
Other Permit:
Phone. 503.718.2439 Fax: 503.598. 1960 Datell3y
'
lns `ctmn I ine: 503 639.4175 Date Ready ;y .S ElJurI see Page 4 for
T 11, A R t) Notified/Method Supplemental Information
Internet : �t���ti�.ti gard-or gcw
TYPE OF WORK
REQUIRED DATA : 1 - AND 2-FAMii ,Y DWELI,IN(2.1
Permit tees* arc based on the value of the work performed .
■ New construction [] lx' nmlition dollar) of all
. Indicate the value (rounded to the nearest
is Addition alterattcn replacement ❑ ( )t her equipment.
materials, labor, overhead, and the profit for the
work indicated on this application
CATEGORY OF CONSTRUCTION TION
Valuation: S
al U00
'4 1 - and 2-famil• dwelling El Commercial industrial
Number of bedrooms: I/
• Accessory building [] Multi$amily
Number of bathrooms- 3
• Master builder ■ Other: '
.10B SiTE INFORMATION AND LOCATION
Total number of floors: a.
.' JobNew dwelling area: square feet
site m�ddn,ss. 00H1-15 U G�� I G-
C t V'rGarage/carport arcs: square feet
t. _S tate,"IIP. ‘ ()�� ONP.— � �..�,
Suitebid .Ia t. no. . Project name: M , - Covered porch area: square feet
g P J f • e►� Ce
s
Cross street/directions to job site. Deck area square feet
S LA) / 0 9 '44‘ Afe. .
Other structure area. square feet
I
Subdivision :
RF,QUIRED DATA: COMMERCIAL-USE C'IIECKLIST
I ��t noPermit fees* are based on the value of the work performed.
Indicate the ‘ attic (rounded to the nearest dollar) of all
Tax map.�parcel no.- equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. ,
°°-/wYkSID411--A-'4---7 0 C5 1 )( 5 I P ; L4-tikce j , adtpo) Valuation . S
Existing building area: square feet
New building area: square feat
53 PROPERTY OWNER 0 TENANT Number of stories:
Name : SCEk.,\- Meex A q Type of construction:
Address: 1 Oel q Li c Li rAyNA c, n 40 1 , Occupancy groups:
City/State LIP- ; a e A TY 97)--)-1/ Existing:
Phone ( ? 3 Li) s---1 .-- 1). () 7 I .r\ ( ) News
S. APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedul)
Business name: N XL6\J6L ( oIJT12 AJ( G L L
Structural plan review fee (or deposit):
Contact name: Ici,„/ ` S J 4 <1 u
• FI .S plan review fee (if applicable):
Address: 3 5t".) + 1 ) Cf
Total fees due upon appl icauon:
C ity%State II': 7-7 ( ck e —2 41 L1 I
Amount received:
Phone: ( )3 ) ? -7 93 Fax: : ( ) -
PIIOTOV'OLTAIC SOLAR PANEL SYSTEM FEES*
FAnail• V on U c-Awi In I 1 sivx a i • cc 040`
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System
name; XI' h
Submit two (2) sets of roof plan \\ ith connection details
Business A L �.-
f and tire department access, along ct i t I t the 2010 Oregon
Address: uo A Solar Installation S ecialty Coen diet(.list.
AdU� � �' Specialty
� PermitPermitFeeFee (t(includes plan rc;��tc•�%
City/State/ZIP-/Statrl7lP _ 1 Of� S 180.00
and administrative fees:
,
phone: ( 5o3 ) u 3 / — 9� 7 3 Fax ( ) State sctrc;har �e ( 120 ° o ` feeg t permitS2160
CCB tic:- 3r� Total ' upon tee d��� t�l � .�l l 1ft.►tt ,tin 5201 .60
I ___.--; °. '1 t�i• ;wiltut application expires if a permit is nut obtainedy
Autltonf�od sitatur�. 1
‘‘ ittiiii I 80 days alter it hats been accepted as complete.
Date: • Fee methodology set by '1'ri-Couittti Building Industry
_[ PrnaJI1ce��v� Y""-ir 0� i ‘ti. _ Service Board.