Permit (212) CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2016-00337
Y 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016
T[4 ;1 P-L? 9 Parcel: 2S110DD14000
Jurisdiction: Tigard
Site address: 10650 SW SUMMERFIELD DR
Project: Summerfield Civic Center Subdivision: SUMMERFIELD Lot: B
Project Description: Post and beam repair.
Contractor: CASCADE NW CONSTRUCTION Owner: SUMMERFIELD CIVIC
801 E MAIN ST ASSOCIATION
MOLALLA, OR 97038 10650 SW SUMMERFIELD DR
TIGARD, OR 97224
PHONE: 503-919-2201 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Plan Review 12/07/2016 $402.51
Occupancy Grp: A-3 Occupancy Load: Permit Fee-Additions,Alterations, 12/22/2016 $619.25
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/22/2016 $74.31
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/22/2016 $247.70
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 12/22/2016 $22.50
Value: $40,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,366.27
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--16 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.
Issued By F Permittee Signature:
e.:--- �� ---
Call 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
04 ))` FOR OFFICE USE ONLY
eo
Received r
City of Tigard tPe'l Date/By: / it(�
Permit No.e`„,?016 ,, 1 �
• 13125 SW Hall Blvd.,Tigard,OR Plan Review 11
,N *4 V2 Other Permit: I
Phone: 503.718.2439 Fax: 503.5 � rt 4'��(j Date/By: �l l
Inspection Line: 503.639.4175 C G Date Ready/By: } f Jurir ® See Page 2 for
T t——R D Internet: www.tigard-or.gov ���0 NotiSed/Method:��ii
8 /it Supplemental Information
`' Permit fees*are based on the value of the work performed.
❑New construction J demolition
Indicate the value(rounded to the nearest dollar)of all i
►Z� Addttion/alteratiof El Other: equipment,materials,labor,overhead,and the profit for the
t t 1J ,� f, work indicated on this application. -I
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
r❑Accessory building ❑Multi-tatnily
Number of bedrooms: I
0 Master builder El Other: Number of bathrooms:
t `1 I , „00 If.o0ATn0I , r;',., Total number of floors.
Job site address:10650 SW Summerfield Dr New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet -,..,,.;
Suite/bldg./apt.no.: Project name:Summerfield.A+4et Ci t!s C (e...,,ricir Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Ll 4 ,I
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. 1
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the I
�,, W � �'� � � � � !� ,i.".:( 4.
4Z��i a� � r � r �6 d 4 work indicated on this application.
Valuation:
Post and Beam Repair 15'4V/i2"1 PbT ��� -__�
b ( Existing building area: square feet
t
New building area: square feet
—a
'6 r ® "°"_I ) i iia ;�' ' Number of stories:
Name:Can Lindsay Type of construction:
i
Address:10650 SW Summerfield Dr Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
•
Phone:(503)620-1200 Fax:( )
New:
- '� �yS s, _:. h e�x� S ,tet r 4
� ��� . fit' �� b° a e a -- 40- 9
t WittOSS name:Cascade NW •4**, -- ...,r."--'"'"----44' .6:, , i, - ais'W,; ;`rx 11t,' .
NW Construction ,M. ,. ''.e— ., i^ ,..., ,'
BusineStructural plan review fee(or deposit):
Contact name:Andy McBride
FLS plan review fee(if applicable):
Address:801 E.Main St 1
Total fees due upon application:
City/State/ZIP:Molalla,OR 97038
Amount received:
Phone:(503)919-2201 Fax::( )
E-mail:andreab@cascadenwconstruction.com a, v ,,Y
` �� � . 4 ik t i'�q,K,0a Commercial and residential prescriptive installation of
4. ` x ; J� .A i s, _,,., ,,,,,,,,.77-7-,,,,,,,,, ,,,,,,� .•,. .(:,,.%04,„,,,,,,,,', roof-top mounted Photovoltaic Solar Panel System.
Business name:Same as Applicant 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: .00 Permit fee(includes plan review $180 1
and administrative fees): 1
Phone:( ) r Fax:( )__ State surcharge(12%of permit fee): $21.60
CCB lic.: `, -7 / /0 2 0 /k -1 Total fee due upon application: $201.601
L
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Andy McBride Date:12/7/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COMJWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10650 SW SUMMERFIELD DR, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Building BUP2016-00337
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor