Permit CITY OF TIGARD BUILDING PERMIT
: COMMUNITY DEVELOPMENT Permit#: BUP2019-00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019
Parcel: 2S 110AD90070
Jurisdiction: Tigard
Site address: 14982 SW 109TH AVE
Project: Canterbury Woods Subdivision: CANTERBURY WOODS CONDO Lot: 70
Project Description: Building 9.Remove existing siding on windows at pop-outs;install new siding on rain screen at pop-outs.
Contractor: SEAN GORES CONSTRUCTION INC Owner: MATTOS, STEVEN J
PO BOX 1519 14982 SW 109TH
CLACKAMAS, OR 97015 TIGARD, OR 97224
PHONE: 503-723-7500 PHONE:
FAX: 503-723-7504
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 08/07/2019 $475.99
Demolition
Occupancy Grp: R-3 Occupancy Load: 0 0
12/o State -Surcharge Building08/07/2019 $57.12
Dwelling Units: 0 Plan Review 07/30/2019 $309.39
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/07/2019 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $26,500 •
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $845.50
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: l Z� Rermittee Signature:
all 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 OFFICE USE ONLY
Cityof Tigard Received -( � �\� � �q . �
g „ \ Permit No. —�Jai
C ° 13125 SW Hall Blvd.,Tigard,OR 972 ' Plan Re: 3
Plan ReviewQ
Phone: 503-718-2439 Fax: 503-598- 9 `x Date/By: V ' ' ) I , Related Permit:
I 1 c, It 1 Inspection Line: 503-639-4175 7 tt ((�� Date R ,•y/By: Juris: liy See Page 2 for
Internet: www.tigard-or.gov JUL i 6 LU'19 Noti ' ethod: / , C . Supplemental Information
TYPE OF W . fir" n t .t UUIRED DAT i 2-FAMILY DWELLING
t�1 t '-/'t1 ;4 31 xx>Lc A
0 New construction Permit fees*are based on the value of the work performed.
the nearest
r)of all
o
❑Addition/alteration/replacement Other: equipment,materials,labor,toverhead,and the profit for the
h' ,, CATEGORY`OPCONSTRUCTION t A) , work indicated on this application.
Valuation*. $ ( v I av; A
❑ 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORM ANIS;LOCATION Total number of floors:
Job site address: �g7,I( n Itiq�t iglu 11.{ ' I�Z New dwelling area: square feet
f a" 4'tçtj
City/State/ZIP: I q 2`u f i (,i• `1 l og411 Q L/, Garage/carport area: square feet
'" ly v
Suite/bldg./apt.#: 1 Project name: 0, ' Lot/ it/X06 446A Covered porch area: square feet
Croosssss�treet/directions to job site: A Deck area: square feet
ct f 1�''1 t0 -j c �`1!t(iryd-p1 -. Gi Other structure area: square feet
1)iiitivk bO1 RCIrIIL-IJSE 1 G LI T:
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
3 DESCRIPTION * ty 1 W k , 4 work indicated on this application.
�a t e t—i(t/ �( i �C l ON r lrt�,w ry�I s trr �� Valuation: $
f 3 499- dyrG , I NCtA I I, r - r i GID*ry '1 1 11 Yt v lJ11V`� Existing building area: square feet
14 Pd r d i'1 G New building area: square feet
❑ PROPERTY OWNER ,
:.: 3,,- . a . , ,,.' ,,,r r m' ,❑iz - =Y: »r, Number of stories:
Name: CM ieI YV I"tW6-0V4 yott. Type of construction:
Address: fL..
1 i d ay l v ,A� Occupancy groups:
1 —
City/State/ZIP: -0 q5,6,40. Of, 9 77.-_ Existing:
Phone: ) /` 1kV 4 10 .-7.,
Fax ( `r ) New:
,t 3 o ;-
<❑ Al'PLIC�' = �t�,:� �� � COI ��".�I' �oN qr 'D 1N tE1II'fi,FEES*
Business name: ��0�1 f ��/�CONOrkj/C1- ( l iv
lid
C1"�`� I -f(/ atat t J` t l Structural plan review fee(or deposit):
Contact name:
®/� FLS plan review fee(if applicable):
Address: I MI'- I,7 V t vii g a '� 1 y�1j
City/State/ZIP: AA GtiAtr�VKi� t i 7` Z Total fees due upon application:
Phone: 1 F Amount received:
E-mail: , �� � �� w � �� ° � :�`.�
Y,r1CTUR Commercial and residential prescriptive installation of
, ,•,,t? _ ..`". roof-top mounted Photo Voltaic Solar Panel System.
Business name: l 1T CAMOtAttlit rt IN fl`� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 0c7,( c- f
r�f (4 ,, yy;�.� Solar Installation Specialty Code checklist.
City/State/ZIP: M itI� 1�'rfZ.2_,
Permit fee(includes plan review $180.00
and administrative feesL
Phone:
C/j)( ;)1?i h `-1 0 yD V Fax:VjOs -- "---) 4if State surcharge(12%of permit fee): $21.60
CCB Lie.: 1 0 / 6-G- Total fee due upon application: $201.60
Authorized signature:,,O,"#///2/../ 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
6 �'V�jI y aly�' Date:1 /.. /
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)