Permit CITY OF TIGARD BUILDING PERMIT
- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00104
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2012
Parcel: 2S102AB90004
Jurisdiction: Tigard
Site address: 9210 SW CENTER ST 4
Project: Willow Bend Subdivision: WILLOW BEND CONDO, THE Lot: 4
Project Description: Repair of existing decks for lot/unit #4 and lot/unit #5.
Contractor: VINCERO REMODELING & CONSTRUCTION SERVIC Owner: WASSENBERG, JANNETTE & AUGUST
711 N MOLALLA AVE PO BOX 185
MOLALLA, OR 97038 SHERWOOD, OR 97140
PHONE: 503 - 519 -0629 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee - Additions, Alterations, 05/22/2012 $134.54
Class of Work: OTR Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/22/2012 $16.14
Stories: 0 Height: 0 ft Plan Review 05/22/2012 $87.45
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 05/22/2012 $1.00
Value: $4,000 11x17)
Floor Areas: •
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $239.13
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 -0 OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 344.
Issueb By: _ 4i . „ n / Permittee Signature: / 4110. L�-/�
Call 503.639.4175 by 7:00 a.m. for the next available inspection d �
This permit card shall be kept in a conspicuous place on the job site until complet • • . e project
Approved plans are required on the job site at the time of each inspection.
I .
Building Permit Application
Commercial rolz oFFICI:: um.: oNI.V
City of Tigard Received t: 6 A /2 / Permit No.: 10434top.eje 1e
V 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review ��/
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ViiP i "' Other Permit:
T i c. A it a Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
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 II/Other: r boa., , equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory buildinglti- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9 Lit? 51 „) , „ 4„ / r ••' New dwelling area: square feet
City/State /ZIP: - a r d if Garage /carport area: square feet
Suite/bldg. /apt. no.: L' ' ,� Project name: � : /100 g, .4 e l Covered porch area square feet
Cross street/direction job site: 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.
n • Valuation: $ ('3
Z ”" r to / i1 AIL t- /
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Po +- c r L l rAtn ,. y• Prep (�Y / 1p l , t7 zAlm P Type of construction:
Address: 330 N )vi o , l ��q, Occupancy groups:
City/State /ZIP: eoftlei , (d g, ' iv c7 Existing:
Phone: (�3) :3 i:/ $. z .. 3 -7., Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: v' etc t �„ R . A (Pteasere/erw�eeschedut�
t �^ ° �-f I ' r1, G"r t } ��T�i �'` Structural p lan review fee (or deposit):
Contact name: 6., o•t"
1 P FLS plan review fee (if applicable):
Address: wI N , / !7 6)41/4 4,,„,
City/State /ZIP: //J /A O1 Y 7 O3 g Total fees due upon application:
Phone: (,3) • j - 703 7 I Fax :: ( ) Amount received:
�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: }(
/ u __ Kov4Jc.£4JT,e_y, .0 , co .
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: y s 46 c .,., cc., 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.
City/State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 1-7 1 slot 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: i/ / � A Date: S/2, i i Z •Fee methodology set by Tri County Building Industry
s^ Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(l 1/02 /COM/WEB)
1..-- ,- -1
I a.
- Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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, . • $
i.
(g) When possible, additional accessible elements such as storage and •
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
1: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011