Permit (3) __ r /
CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: BUP2016-00111
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 04/28/2016
TIS Al. 9
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9426 SW MAPLEWOOD DR 67
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 for all units.
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 $902.64
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 04/28/2016 $108.32
Dwelling Units: 0 Plan Review 04/05/2016 $586.72
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $72,917
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,597.68
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.
t
Issued By: 42arerzioec.....
Permittee Signature:
503.639.4175 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 FOR OFF I('1. t SE ONI.1
Received
City of Tigard Permit No.: D�/�...cum
Date/By: <<O r rf�! m
IN a ii 13125 SW Hall Blvd.,Tigard,OR 97223 `�� Plan Revte",
Phone: 503.718.2439 Fax: 503.598.1 0 Date/By: 1` I ! (,b Other Permit:
T I t :�R I> Inspection Line: 503.639.4175 �� O'\`p Date Ready :y: 4 Jwis: I ® See Page 2 for
Internet: www.tigard-or.gov Y� . Notified/Method: i 400414, ,7l Supplemental Information
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❑New construction 46 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement er: equipment,materials,labor,overhead,and the profit for the
q: 1i.'� 4 : 7'7 sng, �� z a,- s t *f i i �� " a
work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial
Valuation. $
❑Accessory building ®Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
1' „ e � q Total number of floors:
. ..�.. � u �..r.4rK ��,.-..�..�mss.
Job site address: .9426 jtli(,c t/�161 0 oo( Dn l/� New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 '"f 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
t r€~ g d t *IVF t ' s"
Subdivision: Lot no.: Permit fees*are based on the value of theswork performed.
Tax map/parcel no.:2S102AC00201 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
* ) oly WOiii . I ," work indicated on this application.
Remove siding and trim.Remove existing windows and replace with new. Valuation: $72,916.67
Install weather resistant barrier. Install fiber cement siding and trim. Existing building area: square feet
New building area: square feet
rl3 �� Number of stories:
Name:Affinity Property Management Type of construction:
Address: 1303 SW 16°'Ave Occupancy groups:
City/State/ZIP:Portland,OR 97201 Existing:
Phone:(503)892-0099 Fax:( ) New:
`''' ', ., !ff . ,_r . .. h 4:019 A SON j . I 4:400/ "'
bl of �.+ / -" . d.. 'Z F
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: 5-e6, -
City/State/ZIP:Portland,OR,97217 7.�
Phone:(503)240-3388 Fax: :(503)240-3424 Amount received
Y @.I J ' �1' R 9I,'I('AI G ..
E-mail•kaitl nl r'ohnsoninc.com u �,¢;,,�;�•
Commercial and residential prescriptive installation of
s �',„.., .,,",° �`µ ... , . . roof-top mounted Photo Voltaic 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 $180.00
and administrative fees):
Phone:(503)240-3388 Fax:(503)240-3424 State surcharge(12%of permit fee): $21.60
CCB lic.:102676
Total fee due upon application: $201.60
Authorized sign re: l [ if Lal 5 r This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name: ii ,/ : frj,ç * Fee methodology set by Tr-County Building IndustryDate Service Board.
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