Permit CITY OF TIGARD BUILDING PERMIT
14 C , COMMUNITY DEVELOPMENT Permit #: BUP2012 -00260
T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/08/2013
Parcel: 2S 110AD90008
Jurisdiction: Tigard
Site address: 14820 SW 109TH AVE
Project: Canterbury Woods Cndominiums Subdivision: CANTERBURY WOODS CONDO Lot: 8
Project Description: Building 1 - Structural repair of post & beams in crawl space for unit addresses: 14820, 14822, 14824, 14826,
14828, 14830, 14832 & 14834 SW 109th Ave.
Contractor: EVERGREEN PACIFIC INC Owner: GRIGG, DOREEN E LIVING TRUST
9117 SW BURNHAM ST 14820 SW 109 AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 624 -1337 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: REP Type of Const: Vg Permit Fee - Additions, Alterations, 01/08/2013 $347.48
Demolition
Occupancy Grp: R -2 Occupancy Load: 12% State Surcharge - Building 01/08/2013 $41.70
Dwelling Units: 0 Plan Review 12/17/2012 $225.86
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 01/08/2013 $17.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $18,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $632.04
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. ATTENTI• k • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-:0 0 through OA' • -001-0; •0. You may obtain a copy of the rules or direct questions to OUNC by callin. 503.232.1987 or 1.800.3 .2344.
Issue. By:
y: � Permittee Signature: '
•
Call 503.639.4175 by 7:00 a.m. for the next available insp n date.
This permit card shall be kept In a conspicuous place on the job site un • • mpletlon of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application RECEIVED
Commercial FOR OFFICE USE ONLY
City of Tigard DEC 1 7 2012 DateBy Permit No.: •
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revte Z sox �. I i .111N
Phone: 503.718.2439 Fax: 503.598.1968 oF TIGARD Date/B : i 7L I 2.6, �Z Other Permit:
T1 GARD Inspection Line: j 03 4175 Btl1LDt1�G MINN Date Read By: `� l I - 1 t" ® See Page 2 for
Internet: www.tigard-or.gov Notified/Me d: c , �[ 1 Supplemental Information
` a • . GJ1
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
K Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. /J , VD , a)
❑ I- and 2- family dwelling El Commercial/industrial Valuation: $ (7 CJ
El Accessory building M Multi- family Number of bedrooms:
1:1 Master builder El Other: ItRoo 50 0
��� Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 .13 c # 1 4 s W 10 q } l, Ave i -f ) New dwelling area: square feet
City /State /ZIP: Ti60. 01- q 7 a. `i /4+3gb Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Cs,r - z wRy 6V 00 pc Co N po s Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S W Ro IA a r y Phew y Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: 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.
S -‘ /ZcpAt,2s To pofT 4 REAwr
Valuation: $
t C2,r W t_ 5��,4C E Existing building area: square feet
New building area: square feet
CEI. PROPERTY OWNER ❑ TENANT Number of stories:
Name: CA-rl iEjzgua y Wentz) r / M . 6 $ - EOaw N6 $- AS - Type of construction:
Address: .110 3" 5 £ f fh five Occupancy groups:
City /State /ZIP: ?cart-Am°, 0 R 9 7, y Existing:
Phone: ( 5'o3) 233 -o 3o 6 Fax: (5o3 ) 2 33 - 888 y New:
14 APPLICANT IS. CONTACT PERSON BUILDING PERMIT FEES*
(Please refer la _fee schedule)
Business name: E ve 42EE?t FA �! ft G /NC . Structural plan review fee (or deposit):
Contact name: G At 0 t v NAft-t
FLS plan review fee (if applicable):
Address: 9 /l 7 5 W r344rertsin w. Sr
Total fees due upon application:
City /State /ZIP: T 4 A 24), 02 97 023
Amount received: �� S , 9
o
Phone: (To3 ) 61 d-- /337 Fax: : ( So3) 6,214.— / /s7
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: 5 6 evevgfeenFaai-'tc in c.. court
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounte• PhotoVoltaic Solar Panel System.
Business name: EVER G. 2ECN PA C I F i c - /nl c / Submit Iwo (2) se' of roof plan with corm:- ion details
and fire department a• cess, along with • - 2010 Oregon
Address: 9 / / - 5 t•.l /3 c m,.ty,r M S . Solar installation Spec • ty Code c - list.
City /State /ZIP: Ti 6 A - , O R 9 Permit fee (include Ian —view $180.00
and administ e fees):
Phone: ( 503 ) 6 ay- / 3 3 . • ) 6 3 y - //5 7 State surcharge (12% • pe it fee): $21.60
CCB Iic.:
1/y s ° Total fee a • - upon applic.. ion: $201.60
Authorized signature: This permit application expires if . sermit is not obtained
/ j//, ?7 within 180 days after it has been accepted as complete.
Print name: Date: 2 * Fee methodology set by Tri -County Building Industry
Gate_ o t_ o
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -46132 /WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14820 SW 109TH AVE, TIGARD, OR, 97224
Commercial - Building
205 Footing
04/12/2013 12:00
BUP2012-00260
PASS
NOTE expand existing footing pads and install new footings as per approved plans.
Violation Summary:
Inspector Contractor