Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2015-00128
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2015
Parcel: 2S110AD90041
Jurisdiction: Tigard
Site address: 14920 SW 109TH AVE
Project: Broadus Subdivision: CANTERBURY WOODS CONDO Lot: 41
Project Description: Remove stairs,repair/install new floor joists to match original construction.
Contractor: WILSON RESTORATION AND DESIGN Owner: FEDERAL NATIONAL MORTGAGE ASSN
565 S 9TH ST 14221 DALLAS PKWY#1000
SAINT HELENS,OR 97051 DALLAS,TX 75254
PHONE: 503-234-0477 PHONE: 503-680-6293
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/11/2015 $180.17
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/11/2015 $21.62
Dwelling Units: 0 Plan Review 05/11/2015 $117.11
Stories: 0 Height: 0 It Info Process/Archiving-Sm$0.50(up to 05/11/2015 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $6,700
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $319.40
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
4'
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable I All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if is sus•-•ded •r more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T •se r :s -re , forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or 1;800. .2 4.
Issued By: �° : •1 ttee Signature: � " 'IA A
all 03.639.4175 by 7:00 a.m.for the next available iriec•�• 'hate.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received
IIII• - City of Tigard qY 4 2015 DateBy: 5 ei /5- ► lei t 7"C l 9$
• 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review Other Permit. /�� '/
Phone: 503.718.2439 Fax: 503. Date/By: 'l [l` '01015''D�a�
Inspection Line: 503.639.4175 Li OF TIGARD Date Ready/By: Juns ® See Page 2 for
TIGARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 6 `� 5.�I Supplemental Information
W
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
p \ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S --7a,
m
❑ I-and 2-family dwelling ❑Comercial/industrial i
El Accessory building ei ulti-family Number of bedrooms:
ID Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I a Ze.) C w i p New dwelling area: square feet
City/State/ZIP: 1.1 AlEAS O L -:: L Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
wGtJ-ei ` 4q..t.rS �F,�G.t r ( ' ,t.-r) V�-W •C)cv r Valuation: S•
n S� . - -�C �
�l ' Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 401 -4.1.)I ti) Ea p:(l>Dt,-cS Type of construction:
Address: i 4.7_0 w 109 Occupancy groups:
City/State/ZIP: -•`1 c.,ug .l) 6(Z 9 1--z,--,--9 Existing:
Phone:(s-03 62 cf.?) (2-7_773 Fax:( ) New:
a APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
lc Business name: ' Meese refer to fee schedule)
1„›l[..50o eST02s4fta 1.) 4 i>c5IC,N
Structural plan review fee(or deposit):
Contact name: e I'fZ l 5 o.3 I L$0 f)
/ FLS plan review fee(if applicable):
Address: Std S S 7 Ill- `S-f
C Total fees due upon application:
City/State/ZIP: ST N EC--n.) S of_ n 7 o. /
Phone:( )7/ 363 164,3 I Fax::( ) Amount received: -- —'
E-mail: , r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
(.�.A- 5 e v.� '$071- 1`e,3-o r-c-• Cie)lvt
CONTRACTOR Commercial and residential prescriptive installation of
roof-tli, mounted PhotoVoltaic Solar Panel System.
Business name: Submit t I sets of roof plan with connection details
5,�4>�'ji� a S a 10�J•e r and fire departm- ess,along with the 201 I a :on
Address: , Solar Installation Specia ' s'e the ' .
Permit fee(includes e - •-w $180.00
and a• strative fees):
B
'
I one:( ) r State s -• : ge(12%of permit fee): 21.60
CCB lie.: Z.0-2_7, $ /s 6,N , Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
v within 180 days after it has been accepted as complete.■
Print name: i� -- �,�/ Date: j * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pt rmits\BUP-COM PermitApp.doc 02/24/2011 440-0613T(l1/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14920 SW 109TH AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00128
George Heimos
Type X 5/8" drywall installed
Chris@wilsonrestorationanddesign.com
Violation Summary:
Inspector Contractor