Permit CITY OF TIGARD BUILDING PERMIT
111 '' COMMUNITY DEVELOPM Permit #: BUP2011 -00205
Date Issued: 09/27/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439
Parcel: 2S102AA03301
Jurisdiction: Tigard
Site address: 12345 SW HALL BLVD 1
Project: Tigard Terrace Apartments Subdivision: Lot:
Project Description: Repairing deck foundation for building 3.
Contractor: BRICK BY BRICK CHIMNEY CARE & MASONRY INC Owner: REMEDIOS, DAVID & MARIA &
10460 SE 362ND AVE TAYLOR, HANS & JULIE &
BORING, OR 97009 DITTO, BRAD /SUSAN & ESMAILI, ASG
VENTURA, CA 93003
PHONE 503 - 734 -8744 PHONE.
FAX
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 09/27/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 09/27/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 09/27/2011 $164 96
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 09/27/2011 $19.80
Value: $5,650 Plan Review 09/20/2011 $107.22
Plan Review - Fire Life Safety 09/20/2011 $65 98
Info Process /Archiving - Sm Sheet (up to 09/27/2011 $18.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct 0
Basement 0
Carport: 0
Covered Porch: 0
Deck' 0
Garage: 0
Mezzanine 0
Total $449.46
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 requires you to follow the rules adopted by the Oregon Utility Notification Cent Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090 You may obtain a cop • the ru - - or direct questions to OUNC by calling 503 23 87 or 1 00 332 2344
Issued By: /� Permittee Signature: -‹j
Call •175 by 7:00 a.m. for the next available inspectiod e.
This permit card shall •e 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 FR OFF
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City of Tigard '''" A ,„ ,, •, ,
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1 Permit
1 I I 13125 SW Hall Blvd , Tigard,OR 972 ,,g.', : ,i , '' Plan Review IlifirIMPERill ,/
' Pi • Phone 503 718 2439 Fax 503.598.06- 9 d B 110 Date/B U,
' Nri. Other Permit ft ,, .,,,, -0.)0 e
I G AR D Date Ready
Inspection Line. 503.639.4175 Date -,....
i, , Juris Fifl See Page 2 for
T
Internet. www.tigard-orgov Notified/Method - 77.6, -, Supplemental Information
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'itirliZtion Permit fees* are based on the value of the work performed.
Indicate the value (romded to the nearest dollar) of all
ILI 'Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
1,: -4, . P'' L':;. !S' work indicated on this application.
• ' 4; .CATEGORY- 01 ,1-4, :it--
,,,. , , .,. 'L ;,.4A t,A,-; ,‘ • '-'. , , , ,-; ;
Valuation: $
Et r- and 2-family dwelling 0 Co ercial/industrial
Number of bedrooms:
1:1 Accessory building Multi-family
0 Master builder 0 Other: Number of bathrooms:
- '• ;: f 2. :: : ',.. 4 `, 7 ;',-.5,::,Ct 5:ti5j,c),TPL,W;EFORIVIA: :T10,1,1 ..'_ .-:-: , --: - :.:. Total number of floors:
Job site address: 1 2_3 ci 6 so 4A t t z ( 3 New dwelling area: square feet
City/State/ZIP: - Ty 1 Neir1 ) e 9 - a 2,3 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Covered porch area - square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1.'REQUIRED HATA: COMMERCIAL-USE CHECKLIST
. _ , — -_,,. .-, •...:., , .
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.•
equipment, materials, labor, overhead, and the profit for the
",„•,, : . - :,,,„--,_, -_,- -;, --r, , --',1- -DESCRIPTIO( -OFeWOJR1(t--=- %. ,,.=.1r,, „..,-, , ,,,..,. ,,- „,, • ,.: work indicated on this application.
r A At a a Ng teLiMM. Valuation - $ -5)(.0ei-Z)
, , SI ii- r-Y
Z.,431112-aiLS 67-4 1 .' -7 ; 7-- Existing building area square feet
OA-) New building area: square feet
„ .
PROPERTY OWNER t• l' • . = . 0 TENANT _ - • V , Number of stones:
i
Name: / 07. 4 /6 14A-r(er /‘- We r J Medi- C'‘. Type of construction:
Address: Occupancy groups
City/State/ZIP: Existing:
Phone: ( ) .-------_. Fax: ( )/' New:
1tr 'A 7 :..-:%:" "...: :,: - :: ;. ' . ..':. , , , = 1 .'.:' . '113111 . ,CONTACT:,PERSON . ' ' BUILDING PERMIT-FEES*
. ' (Please refer to fee Schedule)
Business name: siuy2,S cv' thek-k- 7 in4,2)
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Structural plan review fee (or deposit):
Contact name: ili i 0 f 6444-W4ci J
FLS plan review fee (if applicable):
Address.
Total fees due upon application 1/4 1 /
11144 I c
City/State/ZIP:
Phone: 60 ) 22-- 3 g e 0 Fax: : ( ) Amount received:
E-mail:c15q 4 1 5J. 932., PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
._
ercialandr t of
CONTRACT , , OR • - .' ., - - _ - — -
„ r p mounted
Business name- 67---1,tt D 1 Sgi ek- ok Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: ( c & 0 5 a_ /3 6 ii.v- 01-4-e Solar Installation Specialty Code checklist.
City/State/ZIP: PC; f'‘ 7 op 1 $180.00
Phone: (E)IP_>) 2 yil .6 (I
N..
Fax: ( ) Permit fee (includes plan review
and administrative fees):
State surcharge (12% of permit fee): $21.60
CCB lie.:
Total fee due upon apphcation. $201.60
Authorized signature: C.'s.> This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name SreAtt.rit Mc Date 9.- 2.0.- q * Fee methodology set by Tn-County Building Industry
Service Board
I \13uilding\Perinits\BUP-COM PerrnitApp doe 02/24/2011 440-4613T(11/02/COM/WEB)
. 4
Building Division
Development Code Provision Review
TICA_R>j" Commercial Projects - No Associated Land Use Case
Building Permit No: &p 1-00 305/84 0020 itit4pivit-d09,3 ❑ Expedited Review
Plan Submittal Date: 9lapin 6 °►
To the Applicant:
• If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
• If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact at 503 -718- or @tigard - or.gov)
❑ Zoning Permitted Use Yes ❑ No ❑
❑ Land Use Required: Yes ❑ No ❑ (explain below)
Notes:
❑ Approved ❑ Not Approved Date:
Permit Coordinator Review (contact Albert hields at 503- 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN