Permit CITY OF TIGARD BUILDING PERMIT
IN
I COMMUNITY DEVELOPMENT Permit#: BUP2014-00178
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2014
Parcel: 2S110DC90311
Jurisdiction: Tigard
Site address: 15525 SW 114TH CT 31
Project: GRAY Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 31
Project Description: Radon mitigation installation.
Contractor: SOIL SOLUTIONS Owner: GRAY FAMILY TRUST
3540 SE 28TH AVE 15525 SW 114TH CT#31
PORTLAND, OR 97202 TIGARD,OR 97224
PHONE: 503-234-2118 PHONE:
FAX: 503-331-7133
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/06/2014 $93.95
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/06/2014 $11.27
Dwelling Units: 0 Plan Review 07/31/2014 $61.07
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/06/2014 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,645
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $169.29
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by ing 03.232.1987 or 1.800.332 344.
Issued By: . / Permittee Signature: c l)
. •W .839.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be 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 RECE IV FOR OFFICE USE ONLY
"-
City of Tigard Received Permit No.:
IIII A 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I'1 / rim /v♦ `/1
s Phone: 503.718.2439 Fax: 503.598.1960 JUL 312014 Man Re i �Lie.G,j Other Permit:
I t( ,v It l r Inspection Line: 503.639.4175 Date Ready/By: 17/6/!v Juris El See Page 2 for
Internet: www.tigard-or.gov otified/Method: Supplemental Information
.ITY OF TIGA' CZ/ -
TYPE OF WORK,1 111, r/. /1!VISION REQUIRED DATA:I-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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ial Indus Valuation: $
❑Accessory building A Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16sa 5 st,..) 11Lk"---- C+ .# 3 I New dwelling area: square feet
City/State/ZIP: \ , 0 C ' a,a y Garage/carport area: square feet
Suite/bldg./apt.no.: ',, Project name: (r, Covered porch area: square feet
Cross street/directions to job site: coM P.1/4s/A.. lei. 1.. . Deck area square feet
/�-� Q Other structure area: square feet
� �S I AMP REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: �J" Lot no.: ��� ' rmit fees* are based on the value of the work performed.
6, .,�lr mate the value(rounded to the nearest dollar)of all
Tax map/parcel no /, � ‘ik i r - equipment,materials,labor,overhead,and the profit for the
�T( ` -CC,hl DESCRIPTION OF WORK fq-L work indicated on this application./ �(
JMg4C.RX� 54�,6 5 k. (b S 1�fv 1 �-v-.� Valuation: $ 1 lD ` 5■ Existing building area: square feet v 4:2111 \f-N- p .Q c N . w 0—QS t
X04 c..Xpt'y-+- New building area: square feet
a PROPERTY OWNER I ❑ TENANT Number of stories:
Name: u \11-ak t"' ,r,( M L .� ,, l Type of construction:QQ �fi I
Address: 1,�j 8 S "\\\tte'n, i v,� G y05 Occupancy groups: V
City/State/ZIP: . 2 ct -e- Existing:
Phone: 3) -4_ - 9. T Fax:( ) New:
gi APPLICANT I ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: S Oti �0\��o�s (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: � D t- `\
_
J' FLS plan review fee(if applicable):
Address: '3 54,(4 S� --a-Zit= w(4.-v—'s
�o Total fees due upon application: IC/ 1'
City/State/ZIP: Oe- 9 a- ap ).
Phone:503) a 3L{ - (l $` Fax: (503 33 -1 (3 3 Amount received:
E-mail: DV`o_rta n 060;1 sow �S Q�\A�N l Q ,C�,, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: C ���� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
Phone:( ) Fax:( )
and administrative fees):
��3 c [(r State surcharge(12%of permit fee): $21.60
l
CCB lic.: "{"1 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.
Print name: s‘i,1/4il.ro,,- Date: 3 [_ ( 1 * Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15525 SW 114TH CT 31, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00178
Jeff Grove
Violation Summary:
Inspector Contractor