Permit (239) CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENTIN
Permit#: BUP2019 00169
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2019
Parcel: 2S110AD90009
Jurisdiction: Tigard
Site address: 14840 SW 109TH AVE
Project: Canterbury Woods Subdivision: CANTERBURY WOODS CONDO Lot: 9
Project Description: Building 2. Remove existing siding on windows at pop-outs; install new siding on rain screen at pop-outs.
Contractor: SEAN GORES CONSTRUCTION INC Owner: CLARY, IRL C AND BERNICE I
PO BOX 1519 14840 SW 109TH
CLACKAMAS, OR 97015 TIGARD, OR 97223
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-2 Occupancy Load: 0 12%State Surcharge-Building 08/07/2019 $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: Permittee Signature:
Q311 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.
4..att1
Building Permit Application
Commercial _ �"`
1 &.., FOR OFFICE USE ONLY
City of Tigard Received i �j, -1Xl\tgy�N��`
g • DateBy: ` Permit No.: V `aJ'J k
III
" 13125 SW Hall Blvd.,Tigard,OR 97223 i i�' �, i 201.4 Plan Review a
111 Phone: 503-718-2439 Fax: 503-598-1960 Date/By: - -- I l Related Permit:
Inspection Line: 503-639-4175 3 �f l
l I�;,�lip P �y ��;,; ,(�.'1�f"t,s..r Date Ready/By: 7uris: �See Page 2 for
Internet: www.tigard-or.gov GI 1 ' iIO ifiedNetltod: 6/7 ../ Supplemental Information
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TYPE OF WORK REQUIRED DATA:„I-AND 2-FAMILY 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
0 Addition/alteration/replacement Other equipment,materials,labor,overhead,and the profit for the
' „ ' CATEGORY OF U work indicated on this application.
1 and 2-familydwellingValuation: $ /API �1 it
❑ 0 Commercial/industrial /
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
`s JOB SITE INFORMATION AND'LO - N '.,.
Total number of floors:
Job site address:I n t�gdL42)Ic1t
� 1 i4%40 R1141..t i � � New dwelling area: square feet
City/State/ZIP:-� qi 77) IL y1} GIM 09111 V Garage/carport area: square feet
Suite/bldg./apt.#: Project name: (so" iy op& 'G��'` Covered porch area: square feet
I Crooss+ss`s�treet/directions to job site: q y rye'/t "" Deck area: square feet
5 (5�4'11 * c1't l'1l I tf 1W L(4- GI Other structure area: square feet
RIiQUIR ti-liATA coS'MERC'
Subdivision: 1 Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#:
equipment,materials,labor,overhead,and the profit for the
.; /DESCRIPTION wOE'1 „4„ ` t work indicated on this application.
tn l�ei f-n z'1 c1 df" n v t/UI Y.e .< Valuation: $
f lW arc ; t Nato 1,fr
Iter CIPITV Ail P4114Cutfor Existing building area: square feet
PafoG
New building area: square feet
0 PROPERTY OWNER 0.TEN'AN'T ;4Number of stories:
Name: K004 yap. Type of construction:
Address: 141'110 ii A Occupancy groups:
City/State/ZIP: 11 i„iNio are, 911-74/
1'774 Existing:
Phone: ) i(" 1 i � Fax _( `l )
0 APPLICANT` � ` 0 CONTACT PERSON ) �, ,,, New: e
.u: ,: ., -. �;. _ �.,a .$Z/71yI; ICiPE 4II Fr'E',q`
Business name: 00 a4 '( (cN INC
� 'A,�n Structural plan review fee(or deposit).
Contact name: 1 "l V6a
1>'t /�� y�'� FLS plan review fee(if applicable):
Address: �/ ,.j I �' I vaiVV`tA,. -
d ' �f ` 7 T Total fees due upon application:
City/State/ZIP: IU i tI l AV K fi I d' °177 -7.,
Phone: (/,„;,1 _ _,„ I ,i1 Fax:: '�,1 � --_s=1.II.
Amount received:
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�(r 1�,� I, , R , Commercial and residential installation of
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~,` .d� r 'u ` = v-k € roof-top mounted PhotoVoltaic Solar Panel System.
Business name: (( t fi CNI xs 1 1lAl e i i,vl ` Mt. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: o1g�/ G1 i va4 %,- iy,/4s`' Solar Installation Specialty Code checklist.
City/State/ZIP: �A, 'y - 11 �-V7 1,1"`� Permit fee(includes plan review $180.00
M Y and administrative feesL
Phone: Fax:
U �a 11 --1 State surcharge(12%of permit fee): $21.60
CCB Lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: V ( '1 ,V n o''slj /� Dater .11111 * Fee methodology set by Tri-County Building Industry
'v vti S V'CS °41 Service Board.
I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)