Permit (10) CITY OF TIGARD BUILDING PERMIT
3. COMMUNITY DEVELOPMENTmi
Permit#: BUP2019-00271
Date Issued: 10/02/2019
T I G A R ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S106DA90000
Jurisdiction: Tigard
Site address: 17124 SW APPLEDALE RD
Project: River Terrace East Apartments, Building C Subdivision:RIVER TERRACE EAST MULTIFAMILY Lot: GCE
Project Description: Removing and replacing siding and WRB.
Contractor: I &E CONSTRUCTION INC Owner: RIVER TERRACE EAST CONDO,
9550 SE CLACKAMAS RD THE OWNERS OF ALL UNITS
CLACKAMAS, OR 97015 00000
PHONE: 503-655-7933 PHONE:
FAX:
FEES
ifi s:
Sec c
p
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/01/2019 $1,583.11
Demolition
Occupancy Grp: R-2 Occupancy Load: 0 12%State Surcharge-Building 10/01/2019 $189.97
Dwelling Units: 0 Plan Review 09/23/2019 $1,029.02
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 10/01/2019 $10.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $178,500 Metro Const.Excise Tax 10/01/2019 $214.20
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,026.30
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: /lit
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
CommercialRECEIVED (;FOR OFFICE USE ONLY �(�
City of Tigard RDate/B: c t"(�1 A '� Permit No.: )fir C ! �or.
lig
- " 13125 SW Hall Blvd.,Tigard,OR 97223 9 Plan Review _ _
Phone: 503-718-2439 Fax: 503-598-1960 SEP 1 2019 e Related Permit:
Date/B :
T IGARD Inspection Line: 503-639-4175 Date Ready/By: / Suris: !a See Page 2 for
s Internet: www.tigard-or .gov CITY OF TIGARD Notified/Method! ( /5 ''• Supplemental Information
BUILDING DIVISION ..7,, L , -- -z
TYPE OF WORK REQUIRED DATA: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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
Number of bedrooms:
0 Accessory building ®Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17124 SW Appledale Dfivc CA,. New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 , /c' a e� s:',�' Garage/carport area: square feet
Suite/bldg./apt.#: BLDG C Project name-Vet 11.!t;,„ Co"id OJ Covered porch area: square feet
Cross street/directions to job site: Roy Rogers& Boons Ferry road Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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 OF WORK work indicated on this application.
Removal and replacement of siding and WRB Valuation: $178,500
-1kX(AC. &X & tC- WS \ •� 4 Existing building area: 8,500 square feet
�t' New building area: 8,500 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 3.5
Name:Polygon Northwest Type of construction:
Address: 703 Broadway ST Suite 510 Occupancy groups:
City/State/ZIP:Vancouver WA 98660 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: I&E Construction
Structural plan review fee(or deposit):
Contact name: Matthew Sutherland
FLS plan review fee(if applicable):
Address: 9550 SE Clackamas Road
City/State/ZIP: Clackamas OR 97015 Total fees due upon application:
Phone:(503 ) 388.3634 Fax: :( ) Amount received:
E-mail: Matts@ieCOn.uS PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:I&E Construction 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.
9550 SF Clackamas Road Permit fee(includes plan review
City/state/ZIP: Clackamas OR 97015 and administrative fees): $180.00
Phone:(503) 388.3634 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.:'085061 VgSOl41 r Total fee due upon application: $201.60
Authorized signature: 1 e------- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Matthew utherland Date: 09/19/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PemvtApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
Address RECEIVED
17124 SW APPLEDALE DRIVE
SEP 1 9 2019
TIGARD, OR
CITY OF TIGARD
Material List SUILDING DIVISION
Hardie Lap Siding
Alura Shake
Green Guard WRB
Armor Coat Wood Trim