Permit (201) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00043
Date Issued: 03/26/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 3/26/2 A00100
Jurisdiction: Tigard
Site address: 16124 SW 108TH AVE
Project: Brightwaters at Redhawk Subdivision: WILLOW-BROOK-FARM Lot: 36
Project Description: Targeted siding repairs.
Contractor: JR JOHNSON INC Owner: DHP BRIGHTWATERS LLC
PO BOX 17196 32 MEADOW HILL DR
PORTLAND, OR 97217 TIBURON, CA 94920
PHONE: 503-240-3388 PHONE:
FAX: 503-240-3424
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/14/2018 $377.90
Demolition
Occupancy Grp: R-2 Occupancy Load: 49 12%State Surcharge-Building 03/14/2018 $45.35
Dwelling Units: 0 Plan Review 03/07/2018 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/14/2018 $15.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $19,116
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $683.89
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.
Issued By: Permittee Signature: 'A/ .4.7y,4,./ 7.70"
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
Commercial roll ori iu: CSI:o\Ll'
City of Tigard Received +., ' p
Date/B :�7 tp ��-/
Permit N. i'1�d 4/c/09.
13125 SW Hall Blvd.,Tigard,OR 9722
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ,.r P .n Date/B : �� II Other Permit:
T I c ,,R I) Inspection Line: 503.639.4175 r i-- ,,= c) ,1 Date Ready/By: .3 �f�+l' kris' RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method:^/f r� Supplemental Information
ovaL. ,I.L� �..�a��,�s9
Ef9ii_ ..--a
TYPE OF WORK REQUIRED DATA:1-AND 2-FA14IILY 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.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: W 108t"Ave New dwelling area: square feet
City/State/Z :Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt. 16124) Project name:Brightwaters at Redhawk Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Targeted siding repairs. Valuation: $19,116.00
Existing building area: square feet
New building area: square feet
:e PROPERTY OWNER 0 TENANT Number of stories:
Name:Douglas Pringle Type of construction:
Address:32 Meadow Hill Dr. Occupancy groups:
City/State/ZIP:Tiburon,CA 94920 Existing:
Phone:(415)710-8184 Fax:( )
New:
C. APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:J.R.Johnson Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Deborah O'Dell
Address:9425 N Burrage Ave FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97020 Total fees due upon application:
Phone:,(�d`j) r Q --3 3,i-j- Fax::( ) Amount received:
E-mail: - r�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
dee `�� 4, " TOR 4/4 6 + Commercial and residential prescriptive installation of
Crn
ONTRACTOR roof-top mounted Photo Voltaic 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: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:102676
t Total fee due upon application: $201.60
Authorized signature: D_019-0
yi i f ^ O l D2E() This permit application expires if a permit is not obtained
( Jl✓Y�0 within 180 days after it has been accepted as complete.
Print name:DEBORAH O'DELL Date:02/28/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PerrnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
! CITY OF TIGARD
HISTORY
~� FEE AND PAYMENT HII: Hall Blvd.,Tigard OR 97223 Y
13125 SW
TIGARD 503.639.4171
BUP2018-00043 - 16124 SW 108TH AVE, TIGARD, OR 97224
Brightwaters at Redhawk
Fee Description Revenue
Account Number Fee Amount Payment
Invoiced Paid Date Paid Method Receipt#
12%State Surcharge-Building 100-0000-24001 Due
$45.35 $45.35
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $45.35
11x17) $15.00 $15.00
$15.00
Permit Fee-Additions,Alterations, 230-000043104
Demolition $377.90 $377.90
Plan Review $377.90
230-0000-43106 $245.64 $245.64
$245.64 3/7/2018 Credit Card 415980 $0.00
Totals for Fees $683.89 $683.89
$245.64
$438.25
Receipt# Payment Method
Check# Payor: Receipt Date
415980 Credit Card Receipt Amount
Jack C Palmer 03/07/2018
$245.64
Total Payments: $245.64
Balance Due: $438.25
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16124 SW 108TH AVE, TIGARD, OR, 97224 May 22, 2018 at 10:26:24 AM
Record Type: Record ID:
Commercial - Building BUP2018-00043
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor