Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00272
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2019
Parcel: 2S102DB00301
Jurisdiction: Tigard
Site address: 13070 SW ASH AVE 10
Project: Alderbrook Apartments Subdivision: BURNHAM TRACT Lot: 8
Project Description: Deck replacement for units 10 and 11,
Contractor: T& H HOMEBUILDERS Owner: CARNEY, GEORGE V&GWENDOLYN J
21611 S CLEARVIEW CT 14185 SW 144TH AVE
PORLAND, OR 97045 TIGARD, OR 97224
PHONE: 503-309-1819 PHONE: 503-223-3171
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/01/2019 $149.75
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 10/01/2019 $17.97
Dwelling Units: Plan Review 09/23/2019 $97.34
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 10/01/2019 $5.00
Bedrooms: Bathrooms: 11x17)
Value: $5,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $270.06
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 Notifica' ter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules or direct questions to OUNC by ' g 503.232. 87 or 1.800.4:2.2344.
Issued By: Permittee Signature:
APS'
1503.639.4175 by 7:00 a.m.for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until comp -tion of the pr.,ect.
Approved plans are required on the job site at the time of each insp- tion.
Building Permit Application
~~ Commercial RECEIVEDFOR OFFICE USE ONLY
City of Tigard Received Penni[\o
li I25 SW Hall Blvd..Tigard.OR 97?23 Uate-By: �, /�
Plan Rccic,
Phone 503-718-2439 Fax: 503-598-19SyEp 2 3 2019 Date,B\ -.=y).... i 9 i Related Permit: j- j%'_e•t,t)I g.
rIGARD Inspection Line: 503-639-4175 Date Reay B} / / i Jufs Ef See Page 2 for
LhG
• ,a Internet www.tigard-or. Ow ,,S(tified,Atetho SupplementalInformation
g CITY OF TIGARD
`'� BI JlLDING DIVISION �""
TYPE OF WORK REQUIRED t ATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
it Addition/alteration/replacement ❑Other: equipment.materials.labor-overhead.and the profit for the
wwork indicated on this application.
CATEGORY OF CONSTRUCTION
❑ I-and 2-family dwelling Valuation: S
❑Commercial/industrial
❑Accessory building Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms.
JOB SITE INFORMATION AND LOCATION Total number of floors:
LI
Job site address: 1301 0 $pJ ASI-* wENue New dwelling area: square feet
City/State/ZIP: bAp �R 7Aa 3 Garage/carport area: square feet
Suite/bldg./apt.#: 10/114 Project name: bE faJyp��•- , Cowered porch area: square feet
I
Cross street/directions to job site: A/ATdhr ,4/7"141Tlif Deck area: square feet 1
. >F.Pla fi%r SIYUL2 JZa4a1 r ✓P ACsAswi.! Other structure area: square feet
11 � GicEEIC P IC REQUIRED DATA:COMMERCIAL-USE CHECKLIST 1
Subdivision: 13V R•J14Pro '7 _L.r- Lot#: q Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: ZS)0 ZDO 0301
(3equipment,materials.labor overhead-and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S 50@ o-YA
. ALT-1 JQ-Z , Vat? M F Existing building area: square feet
New building area: square feet
AZPROPERTY OWNER 0 TENANT Number of stories:
`i Name: CAILvE 91 C7E,C1/Z0e.. V QuveopoLia f Type of construction:
zt I Address: IL) I 2,$-sw iyy/It AtuE Occupancy groups: 1
City/State/ZIP: TIDAR,n 0g 91 ZZy Existing:
Phone:(1,$03) 223 3i7I Fax_( ) New:
1 ieleAPPLICANTCONTACT PERSON BUILDING PERMIT FEES*
�
i Business name: (Please refer to fee schedule)
ra Structural plan review fee(or deposit):
`v Contact name: p
Rar3DLT 6 Vu4At.Ianl ELS plan review fee(if applicable):
Address: 13 070 SW t i&4' Air
— Total fees due upon application:
q- City/State/ZIP: YJ G MD 0 R C)'-7 3 i
v Amount received:
Phone:(93) via 07 11 Fax::( )
E-mail: pi
SOLAR PANEL SYSTEM FEES*
oidtr raOK. Ari-Cgiro-3 • coin
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: -j H H�[h ✓I Vp t Submit two(2)sets of roof plan with connection details
and fire department access.along wwith the_010 Oregon
Address: zy1 1 J Ss `y�,AA JZ V J $VJ Solar Installution Specialty Code checklist.
P��rtao.td0 OR A y� Permit fee(includes plan review
City/State/ZIP: !� _1"7 O $180.00
1 and administrative fees):
Phone:(5o3) 30 Ci II CI I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 2 1� (� J Total fee due upon application: $201.6
\uthc sized Signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
\ T * Fee methodology set by l ri-County Building Industrc
Print name: P7.
p T- � Date: �jalb q __
Service Board
C\Building\Permits\BUP_COM_PermitApp.doc Rev 04/21/2014 440-4613T(Ii/02/COM/WEB)