Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00103
Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: O5/19/2020
TfGAIiT) 9
Parcel: 1 S136DB02601
Jurisdiction: Tigard
Site address: 11606 SW PACIFIC HWY
Project: Green Light District Subdivision: None Lot: None
Project Description: Remove and replace T1-11 siding with James Hardi lap siding.
Contractor: RMH BARTELS CONSTRUCTION INC Owner: CENTURIONALPHACENTURION2 LLC
55 SE MAIN ST PO BOX 1171
PORTLAND, OR 97214 LAKE OSWEGO, OR 97035
PHONE: 503-896-2233 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/19/2020 $408.32
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/19/2020 $49.00
Dwelling Units: 0 Plan Review 04/21/2020 $265.41
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/19/2020 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $21,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $725.23
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 f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / i/A/ Permittee Signature:
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
Commercial RECEIVED ,.. .."('i ,titt:(
Received � it) '
)' ,
City of Tigard APR 1 � 2020 ote)By: ) ' I ' 1'f Nos„l-' -cwi
Iii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review .,r)�
a Phone: 503-718-2439 Fax: 503-598-1960 DeteBy: 3 tozo /' Related Permit:
Inspection Line: 503-639-4175 CITY OF TI %ARD Date Ready/B : / Jona: LB See Page 2 for
T 1t t(AU N(' .. dr-' 2 .40d Supplemental Information
Internet- www.tigard-or.gov BUILDII. Nwifted/Metho (
es 5
a"TYPE OF WOYIYC " i?e 's NI DATA:I..AND2.'FAMILYDWELLING
❑New construction E Demolit.on Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
17 Addition/alteratio replaecmen' E Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF C ONSTRUCVON work indicated on this application.
Valuation: $ a
❑ I-and 2-family dwelling R CommerciaUindustrial
Number of bedrooms:
IDAccessory building ❑Multi-family
❑ Master builder ❑Other. Number of bathrooms:
J t : r« , I Total number of floors:
-;db ails address: 1 i tz, b S�.) (16,,C tiff. 14 w i New dwelling area: square feet
City/State/ZIP: i;Ju rY Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Ud'uk L`./,e /9 e Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
nn
-1 1 Other structure area: square feet
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
work indicated on this application.
gc w Y K,,, Kt pi p-_( t 5/-* !At A5., t J 4 o--tl Valuation: S
¶` t t I ' ' by s F. in, Existing building area:3)' 7 square feet
New building area: 3 3 y p square feet
0 PROPERTY phylcut
Number of stories:
Name: Type of construction: S i- t ,,64
(tj
Address: Occupancy groups: p GLnn.hllk
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICA , ❑ C9NWT, PERSON: .,,.,_a',Z t I. ,n iy � (°'" '
Business name. R,IAAA H- kts I}-b..... 6p..ti LKG
....."1 ` Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) I Fax::( )
4, . t'n FEES
E-mail: r 5 /� / t Commercial and residential prescriptive installation of
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�� �.�� n° � t��- roof-top mounted Photovoltaic Solar Panel System.
Business name: (�V„`it r f f�L , iN L Submit two(2)sets of roof plan with connection details
1 t7 and fire department access,along with the 2010 Oregon
Address: c 5 S e NLA-A, S'f Solar Installation Specialty Code checklist.
City/State/ZIP: 7 a a2 et -7 l LI Permit fee(includes plan review $180.00
D 0. and administrative fees):
Phone:(5r,- ) g 16— a.1,,) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: C Sc �I. S ,S1r27/al/ 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: tI•V 5 S G� I t Date: /i 1 . Fee methodology set by Tri-County Building Industry
f �t e.✓'�� S l/� / Service Board.I:\Building\Pemuts\BUP_COM_PetmitApp.doc Rev.04/21/2014 440-4613T(II/02/COM/WEB) 'f.S`�J
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