Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00071
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/08/2010
Parcel: 2S 110AD90015
.Jurisdiction: Tigard
Site address: 14852 SW 109TH AVE
Subdivision: CANTERBURY WOODS CONDOMINIUM Lot: 15
Project: Canterbury Woods Condos
Project Description: Repair siding
Owner: FEES
JAMES, DONNA JEAN Description Date Amount
14852 SW 109TH AVE Permit Fee - Additions, Alterations, 04/08/2010 $104.12
TIGARD, OR 97224 Demolition
PHONE: 12% State Surcharge - Building 04/08/2010 $12.49
Contractor:
APEX ROOFING AND CONSTRUCTION INC
4500 NW 11TH CIRCLE
CAMAS, WA 98607
PHONE: 503 - 516 -2450
FAX:
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $116.61
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. ATT : Oreg• law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through OAR • • 2 -00 '100. • may obtain a copy of the rules or direct questions to OUNC by calling 503.24. 99 or 1.8. .332.2344.
/
Issued B y: k
,/ ,/ ittee Signature: i
�� Call 503.639.4175 by 7:00 a.m. for an inspection that busi ess day. /
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
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City of Tigard Date/B e a p /e) Permit No.: u 1 �/Q C ,7/
lig q 13125 SW HaII Blvd., Tigard, OR 97223 Plan Review
11 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
,I 1 c R 1> Inspection Line: 503.639.4175 Date ReadyBy: Juris: ® See Page 2 for
1 ,' ' _i1 Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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.
dwelling Valuation: $
❑ 1- and 2-family g ❑ Commercial/industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION . Total number of floors:
Job site address: 1 52 SW koq-r11 ave. New dwelling area: square feet
City /State /ZIP: T i JJ t go*c i 1 F Garage /carport area: square feet
Suite/bldg. /apt. no.: Project C43,1044(41 (A,C0 J C ul C . Covered porch area: square feet
Cross street/directions to job site: J Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
•. DESCRIPTION OF WORK work indicated on this application.
, 1
ReV10 �/ IUI� �5 4 CI1 e 1 ec,( 'Guilt/ 1- 2
Valuation: $ � o o
06 Yl e etl C.- Existing building area: square feet
t] New building area: square feet
' ❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT . . ❑ CONTACT PERSON . NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: e BUILDING PERMIT FEES*
Address: SW NW Leh ClfGl :(Please refer to fee schedule.
Structural plan review fee (or deposit):
City /State /"ZIP: (' „ kAkA (6,0 .
Phone: (S03) Sf -2 N co �' ( ) FLS plan review fee (if applicable):
Fax:
CCB lic.: ( S9 6(8 /,, Total fees due upon application: / `
Amount received: f l j . cY
Authorized signature: 9..4
r I This permit application expires if a permit is not obtained
1- within 180 days after it has been accepted as complete.
Print name: �n Dow Date: �l/ jv * Fee methodology set by Tri -County Building Industry
U Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
•e
I Building Division
Accessibility: Barrier Removal Improvement Plan
TIGAltD1
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
•
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
I:\ Building\ Permits \BUP -COM PermitApp.doc 06 /25/08