Permit BUILDING PERMIT
Ill• CITY OF TIGARD
.
I s COMMUNITY DEVELOPMENT Permit#: BUP2015-00340
114
•::14i,.. Date Issued: 12/08/2015
TWARU 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126DC04700
Jurisdiction: Tigard
Site address: 9575 SW LOCUST ST
Project: Double Tree Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Replace water damaged sheetrock(firewall)to ceiling of carport.
Contractor: NORTHWEST RESTORATION Owner: PIH TIGARD LLC
28170 BOBERG RD SUITE#2 111 CONGRESS AVE#2600
WILSONVILLE, OR 97070 AUSTIN,TX 78701
PHONE: 503-709-5157 PHONE:
FAX: 503-582-1800
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 12/08/2015 $531.09
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 12/08/2015 $63.73
Dwelling Units: 0 Plan Review 12/08/2015 $345.21
Stories: 2 Height: 0 ft Plan Review-Fire Life Safety 12/08/2015 $212.44
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 12/08/2015 $10.50
Value: $32,000 11x17)
Misc Administration Fee 12/08/2015 $5.25
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total ' $1,168.22
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 o 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 'otif'cat'.• Ce ter. 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'ailing 503.:12 87 or 1.800.332.2344.
Issued By: ` Permittee Signature:
Vii, L-rd
03.639.4175 by 7:00 a. . or the next available inspec 'on date.
This permit card shall be kept in a conspicuous place on the job site unti,completion of the project.
Approved plans are required on the job site at the time of ea inspection.
•
Building Permit Applic -"I
CommercialDEC2015 FOR OFFICE USE ONLY
2City of Tigard Received l
Date/B ( A. 1 Permit No.: 4(i ‘90/67-0034,0
li u 13125 SW Hall Blvd.,Tigardigt A�2 i11GA901) Plan Revie• la` ^ r
Phone. 503.718.2439 Fax �jj y9�� q� Date/By: A, It [ �� l Other Permit:
TIG ARD Inspection Line: 503.639. 1 1LD1N6 D1V1S!O� Date Rea. 1 Juns' See Page 2 fnr
Internet: www.tigard-or.gov Notified/Metho.tZiQlSQ Supplemental Information ieritizellisig....)
TYPE OF WORK - REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
' CATEGORY OF CONSTRUCTION' : work indicated on this application.
0 I-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
' .- JOI3 SITEANFORMAT,ION AND, LOCATION , Total number of floors:
Job site address:9575 SW Locust St. New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Double Tree Covered porch area: square feet
Cross street/directions to job site: Locust st&Creenburg Deck area: ' square feet
Other structure area: square feet
REQUIRED DATA:,COMMERCIAL-USE'CHECKLIST
Subdivision: I 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.
replace water damaged sheetrock to ceiling of carport Valuation: $832,000.00
Existing building area: 3235 square feet
New building area: square feet
0 PROPERTY OWNER ' fl .❑'TENANT Number of stories: 2
Name: Type of construction: restoration
Address:. Occupancy groups:
City/State/ZIP: Existing: 3
Phone:( ) Fax:( ) New:
.- . ® APPLICANT ® CONTACT,:PERSON - ., ,_,:Bt1ILDING PERMIT FEES*. `
,, : n
-. _ • • ., �. , - - .. � ��: ' r+" t_`°_,(P/erxre"iefrtofeechedul�' ,. , �°�`„t �`
Business name:
Structural plan review fee(or deposit): „
Contact name:Jamie Fujita .
FLS plan review fee(if applicable):
Address:28170 Boberg Rd Ste#2
Total fees due upon application:
City/State/ZIP:Wilsonville,OR 97070
Amount received:
Phone:(503-)709-5157 Fax: :(503-)582-1800
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:jamie@nwrestoration.com
'"'' ' ' `' '' '1''' CONTRACTOR' :: _ ° 4"I'''''.-;': `' '''!'''r r'” `" `° Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Northwest Restoration Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:28170 Boberg Rd Ste#2 Solar Installation Specialty Code checklist. F'
City/State/ZIP:Wilsonville,OR 97070 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)709-5157 Fax:(503)582-1800 State surcharge(12%of permit fee): $21.60
CCB lie.: 181827 51l 110
Total fee due upon application: $201.60
Authorized signatu��: ..- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Jamie Fujita Date: 12-1-15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)