Permit CITY OF TIGARD BUILDING PERMIT
1111 ilt COMMUNITY DEVELOPMENT Permit#: BUP2014-00268
TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2014
Parcel: 2S102AB01001
Jurisdiction: Tigard
Site address: 11950 SW LINCOLN AVE 10
Project: Monroe Apartments Subdivision: KIMBERLY ADDITION Lot: 19
Project Description: Tree strike repair to Unit 10
Contractor: RENTAL HOUSING MAINTENANCE SERVICES INC Owner: SERES, JOEL L TRUST
PO BOX 317 1440 SW TAYLOR ST
DONALD, OR 97020 PORTLAND, OR 97205
PHONE: 503-678-2136 PHONE:
FAX: 503-678-2138
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/19/2014 $317.06
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 11/19/2014 $38.05
Dwelling Units: 0 Plan Review 11/19/2014 $206.09
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 11/19/2014 $12.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,400 Info Process/Archiving-Sm$0.50(up to 11/19/2014 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $583.20
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 issuanc-, orN work is suspe•••d for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification 'enter. Those rule- e 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 calling 50 F • 1 A '.33 -'' .
Issued By: . ittee Signature:
C...39.4175 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 completi• of the project
Approved plans are required on the job site at the time of each inspe' ion.
Building Permit Applicati
Commercial �CEIVEI� FOR OFFICE USE ONO(
City of Tigard Received Permit No.. 1w/
II
n r� Received if /7 / "Gf�a'
- 13125 SW Hall Blvd.,Tigard,OR 9 YJlV 1 1 2014 Plan R� i
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: 'elated Permit:
T I GA R D Inspection Line: 503-6394175 CITY OF' FIGARD Date Ready/By. C / l f Lurie: H See Page 2 for
Internet: www.tigard-or.gov N•J d/Method. / // / Supplemental Information
TYPE OF WORK ,aiN c r' QUIRED t!•TA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees* are based on the value of the work performed.
� Indicate the value(rotnded to the nearest dollar)of all
�'/Cddition/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 Valuation: $ f 5 J y� �_
❑CommerciaUindustrial 6
❑Accessory building alga i-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMA ION AND LOCATION Total number of floors:
Job site address: 50 , A JA o�� New dwelling area: square feet
City/State/ZIP: /) • Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Devoe 4/5 eruct enifd Covered porch area square feet
Cross street/directions to job site: fi b"�7. Deck area: square feet
_"(j/� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
a /-ru /I f( . L 1n _ /�`J L(y-r ' T 10/ �/' �/ Valuation: $
Existing building area
square feet
J4$Ra � 3 t5,5e
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) ) Fax:( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer toles scledrrle)
Business name:
_---- Structural plan review fee(or deposit):
Contact name: / - —
FLS plan review fee(if applicable):
Address:
Cal__ Total fees due upon application:
City/State/ZIP: rte^ / �}--
Phone:(`ej(j�, 5 l9-- Zlht-( Fax::( ) Amount received: •�L/
E-mail:- ) \/ Y,�l q 1, Cam
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
t ''l V Commercial and residential prescriptive installation of
'C ONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.)
Business name: g4 / ���� � * Subm' is of roof plan with connecti• etails
"+ '�[ ./"' - and fire department a ;• ,along with - 110 Oregon
Address: 3 i'-7 /IJ✓ Solar Installation Special`,'e c , ist.
City/State/ tt_i to V.,_. r �� Permit fee(includes $180.00
�1� and ad ' trative fe- _Phone:( 3) p'78" 6 Fax:( 'g'- ' �r State surch• :. (12%of permit fee): $21.60
1 ��' d 3
CCB Lic.: i 13 2../.. r9/9�4
Uf r/ Total fee due upon appication: $201.60
Authorized signature / This permit application expires if a permit is not obtained
{ t i within 180 days after it has been accepted as complete.
Print name.
Da e: * Fee methodology set by Tri-County Building Industry
A. If di 'ffic. A — Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 IAccessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
FIGARI) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Bull ding\Permits\BUP_COM_PcrmitApp.doc Rev.04/21/2014
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
11950 SW LINCOLN AVE 10, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00268
Chip Barnett
Violation Summary:
Inspector Contractor