Permit CITY OF TIGARD BUILDING PERMIT
114 l: COMMUNITY DEVELOPMENT Permit #: BUP2013 -00143
Date Issued: 06/12/2013
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S110AD90047
Jurisdiction: Tigard
Site address: 14932 SW 109TH AVE
Project: Canterbury Woods Condominiums Subdivision: CANTERBURY WOODS CONDO Lot: 47
Project Description: Deck repairs for units 14932, 14938, 14948 & 14952 SW 109th Avenue. Modification of hand rails to current code.
Contractor: EVERGREEN PACIFIC INC Owner: SWEENEY, RYAN P BAILEY
9117 SW BURNHAM ST 14932 SW 109TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 624 -1337 PHONE:
FAX: 503 -624 -1157
FEES
Specifics:
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 06/12/2013 $509.05
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 06/12/2013 $61.09
Dwelling Units: 0 Plan Review 06/12/2013 $330.88
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $30,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0 •
Garage: 0
Mezzanine: 0
Total $901.02
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 ppli•:ble 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 wo su••ended for more the 180
days. • • • a • • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. e- r es are set forth in OAR
952 •' 1 -0010 through • • R 952 -• • -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or .:.0'3 .2344.
I - ued By: / / / A ' Permittee Signature:
Call 603.639.4175 by 7:00 a.m. for the next available inspection •
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 ApplicationRECEI' I eD
Commercial FOR OFFICE USE ONLY
City of Tigard JUN 1 2 2013 pa; ° (�® '� Permit No.: •u Olt / - t //
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
: 0 DateB Other Permit:
Phone: 503.718.243 Fax: 503.598.16� TIGARD
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: rune. ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION 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 1
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the J
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $30,000
❑ I- and 2- family dwelling ❑ Commercial /industrial
❑ 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: 14932, 14938, 14952, and 14948 SW 109'" Avenue New dwelling area: square feet ---t,ls
City / State/ZIP: Tigard, Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Canterbury Woods Apartmen Covered porch area: square feet
Cross street/directions to job site: • Deck area: square feet
4
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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. `
• �
Drywrought demo, as required to replace bad deck structural, and to include a Valuation: $ { L�
new deck membrane. Existing building area: square feet
Modification of existing handrail, per inspector as required. New building area: • square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
' Name: Dorenn Grigg E Living Trust Type of construction:
Address: 14820 SW 109 Avenue Occupancy groups: .
City /State/ZIP: Tigard Existing:
Phone: ( ) Fax: ( ) New: '
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Evergreen Pacific Inc. (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Gail Oldham
FLS plan review fee (if applicable):
Address: 9117 SW Burnham Street
Total fees due upon application:
City/ State/ZIP: Tigard, Oregon / Lc
Phone: (503) 624 -1337 I Fax: : (503 -) 624 -1157 Amount received: " 90•
• E -mail: gail@evergreenpacificinc.com PHOTOVOLTAIC SOLAR PANEL SYSTE FEES*
CONTRACTOR Commercial and residential prescriptive ins ation of
roof -top mo I ted Photo Voltaic Solar P System.
Business name: Evergreen Pacific Inc Submit two (2) - is of roof plan wi connection details
and fire departmen . ccess, alo with the 2010 Oregon
Address: 9117 SW Burnham Street Solar Installation Spe / ode checklist.
City / State/ZIP: Tigard Permit fee (incl :' • . .Ian review $180.00
and .: finis . 've fees):
Phone: (503) 624 -1337 Fax: (503 -) 624 -1157 State Burch. •:e (12% of perms ee): $21.60
CCB lic.: 41521
- Total fee due upon application. , $201.60'
Authorized signature: Art,64/4f4V-- This permi t application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
• Print name: Gail Oldham Date: 6/12/13 • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 • 440- 4613T(I I /02 /COM/WEB)