Permit (28) CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT BUILDING
BUP2016 00118
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016
I t A II 1) g Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 12650 SW MAIN ST
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Removing siding and trim,replacing existing windows,and installing a weather resistant barrier and fiber cement
siding.
Contractor: JR JOHNSON INC Owner: CASA LA VETA ASSOCIATES
PO BOX 17196 HIGHLANDS ASSOCIATES LTD
PORTLAND, OR 97217 IRANI TRUST, ET AL
1303 SW 16TH AVE
PORTLAND, OR 97201
PHONE: 503-240-3388 PHONE:
FAX: 503-240-3424
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/28/2016 $932.76
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 04/28/2016 $111.93
Dwelling Units: 0 Plan Review 04/05/2016 $606.29
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $76,917
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,650.98 ,
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 calling 503.232.1987 or 1.800.332.2344.
r ^
Issued By: - ' ee Signature:
is i�� _
Ca/639.4175 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 1�® FOR OFFICE ( SIF Oyl.v
Received
City W Tigard
CP4
,�� t l/t , Permit No.: cipaO 1�-cb/I8'
Date/By:iv
13125 SW Hall Blvd.,Tigard,OR Q O Plan Revi,n
_ J ;10 t ♦ Other Permit:
Phone: 503.718.2439 Fax: 503.5 8.1960 n� t�Q Ai Date/By: � �i �
Inspection Line: 503.639.4175 Y` .( V4 Date Ready/ . / Juris:r>� ® See Page 2 for
1 IC��ItI) d • \������ y // j 'r`�
Internet: www.tigard-or.gov �( � Notified/Method: I� Np �(p �.'� Supplementallnformation
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❑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
i ,'� a p 01 work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building EIMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
s) - `�1 s ° „{ x Total number of floors:
Job site address:12650 SW Main Stree(Clubhouse) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Main Street Village Covered porch area: square feet
Cross street/directions to job site:Maplewood Drive Deck area: square feet
Other structure area: square feet
s 1 , N F �6°l,dw to r4 f
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102AC00201 Indicate the value(rounded to the nearest dollar)of all
RlI) oN OF WORK t
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Remove siding and trim. Install weather resistant barrier. Install fiber Valuation: $76,916.67
cement siding and trim. Existing building area: square feet
New building area: square feet
IPRtRt $1 �� s Number of stories:
Name:Affinity Property Management Type of construction:
Address:1303 SW 16th Ave Occupancy groups:
City/State/ZIP:Portland,OR 97201 Existing:
Phone:(503)892-0099 Fax:( ) �qN New:
R3t
�a.. `i `��-w.:. iii'+ 11 = _ n " Y, 1 ;k? 12+
Business name:J.R.Johnson Inc.
Structural plan review fee(or deposit):
Contact name:Kaitlyn Lauinger
FLS plan review fee(if applicable):
Address:P.O.Box 17196
Total fees due upon application. • , a,9
City/State/ZIP:Portland,OR,97217
Amount received:
Phone:(503)240-3388 Fax: :(503)240-3424
E-mail:kaitl nl r'ohnsoninc.com . st `
Commercial and residential prescriptive installation of
„ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:J.R.Johnson Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:P.O.Box 17196 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR,97217 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503)240-3388 Fax:(503)240-3424 State surcharge(12%of permit fee): $21.60
CCB lie.:102676
�j �} 'n /� ' f 1/ Total fee due upon application: $201.60
Authorized si , at e: K cb 1 lu► I LW v) n g I r This permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
Print name: ate: 11 1,,q q * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Penn s\BUP-COM PennitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12650 SW MAIN ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2016-00118
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor