Permit IN CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00053
7-I(;A i.t fr) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2019
Parcel: 2S110DB90411
Jurisdiction: Tigard
Site address: 15483 SW 114TH CT 41
Project: FOUNTAINS AT SUMMERFIELD Subdivision:TAINS AT SUMMERFIELD CONDO-PH Lot: 41
Project Description: Removing old siding and installing new siding.
Contractor: ONE WAY QUALITY CONSTRUCTION Owner: ARNOLD,ANN S REVOCABLE LIVING T
10451 NE 5TH CIR 15483 SW 114TH CT#41
VANCOUVER,WA 98669 TIGARD, OR 97224
PHONE: 503-535-9979 PHONE: 541-908-0346
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/22/2019 $83.78
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/22/2019 $10.05
Dwelling Units: 0 Plan Review 03/07/2019 $54.46
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/22/2019 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,360
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $149.29
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by 3.232.1987 or 1.800. 32.2344.
Issued By: j5Zermittee Signature:
.......-1 s..../- \ --.i---,...
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. j`-
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial Io►z or► It 1. ► sl; ONI.l j is
City of Tigard �V E Received l7/ .. 4,�7�.-
Date/sy.
III 13125 SW Hall Blvd.,Tigard,OR 97223 I Plan ReviewOther Permit:
= Phone: 503.718.2439 Fax: 503.598.196$A AR 0 4 2019 DateBy: 2�
Inspection Line: 503.639.4175 'Date ReadyBy: Sufis: B See Page 2 for
T f G n R D Su mental Information
Internet: www.tigard-or.gov �IGA�� � N.� ed/Method: )Cr"),� •/ Supplemental
CITY GF •N 4,
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❑New construction ■ • Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
%Addition/alteration/replacement_ ■ • equipment,materials,labor,overhead,and the profit for the
a �, work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building❑Master builder Number of bathrooms:
.„, �� 1 r -,M Total number of floors:
New dwelling area: square feet
+ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: cou N-i-Al NS Fri_ 4 i.,,,,,,, f l- ., Covered porch area: square feet
Cross sireet/directions to job site: . Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no equipment,materials,labor,overhead,and the profit for the
-. q f work indicated on this a.plication.
Zi.W1,gp L pc- «-4 s to Kilor i p S- um.ri i o Valuation: CO.3QC)
Existing building area: square feet _
Mem.) S IiiIN _
New building area: square feet
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ab g , -. Number of stories:2 � ; - t�2.: sa. I . :� +'s ,.�v *v.'
<:$„.. ,F "rWva*r k;-, •
Name:-fie i t.5141 .®t'V OJ Yi owv�Sl.% a*"f VCVA 'Mdiin !17 S►rw Type of construction: --
Address: , 's ®�6 S W t%b"A'*'V$ S LO5 Occupancy groups: —i
City/State/ZIP: -c-i `Z O� ar 727-4 Existing:
. 3a
Fax:( ) .s«c3 New:
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Business name:
Structural plan review fee(or deposit):
Contact name: 7. f ) 4 ?A2,0 CA
FLS plan review fee(if applicable):
Address: I b695 %j 'oil* cr #2- Total fees due upon application:
City/State/ZIP:' &AAl 0 rt /11-1-41-
Phone:ese) 1,11, -110 5 Fax::( ) *
p . �zs r e x +� ��
E-mail:
marl b r°4-14.167.67 NIA1 .C'D IKr = 11° , a � �
; � „f�, . , Commercial and residential prescriptive installation of
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Ov n W.r4. liLi r -r crio�! Submit two(2)sets of roof planwith connection details
Business name: �C
and fire department access,along with the 2010 Oregon
Address: i Oil 5 I NO., 5 tfr C.Cle Solar Installation Specialty Code checklist. ----I
City/State/ZIP: II- (?u C pV V P�(L Permit fee(includes plan review $180 00I
.. p W� J and administrative fees): _
Phone:(Sa3) 61s,..cm 79 I Fax:( ) State surcharge(12%of permit fee): $21_60
CCB lic.: \C.� Total fee due upon application: $201.60 I
Authorized signature: K.) _ fm.'
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: * Fee methodology set by Tri-County Building Industry
7A J L W 1�R.t1GLk Date: y ?0�� Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15483 SW 114TH CT 41 , TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00053
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor