05-May (2) CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2018-00052
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/15/2018
T[tar1,.C3 9
Parcel: 25115AA00100
Jurisdiction: Tigard
Site address: 16128 SW 108TH AVE
Project: Brightwaters at Redhawk Subdivision: WILLOW-BROOK-FARM Lot: 36
Project Description: Targeted siding repairs
Contractor: JR JOHNSON INC Owner: DHP BRIGHTWATERS LLC
PO BOX 17196 32 MEADOW HILL DR
PORTLAND, OR 97217 TIBURON, CA 94920
PHONE: 503-240-3388 PHONE:
FAX: 503-240-3424
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 05/14/2018 $464.97
Occupancy Grp: R-2 Occupancy Load: Demolition
12%State Surcharge-Building 05/14/2018 $55.80
Dwelling Units: 0 Plan Review 03/16/2018 $302.23
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/14/2018 $20.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $25,950
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $843.00
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 of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i� _ - Permittee Signature: 04/ 70/OL l j�0 pi
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 FoR oulici: ISI,O\I.l
1 , . Received 47/, ,‹-ell(/ ett hO (/
City of Tigard RecePennitN
41 13125 SW Hall Blvd.,Tigard,OR 97223 .- €, n,,,, Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 LD / 6 li i'; Date/B : > • 11111 Other Permit:
T I(,AIL I) Inspection Line: 503.639.4175 Date Ready/By: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method:,,Z� /I- Ilrirli4111= Supplemental Information
. . , '11/9/L.- -X—Eo e z '-
TYPEOF 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
I B SITE INFORMATION;AND LOCATION Total number of floors:
Job site address: . !! : 108"'Ave New dwelling area: square feet
City/State/Z1':Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt. o..16128 Project name:Brightwaters at Redhawk Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd. 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.
Targeted siding repairs. Valuation: $$25,950.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Douglas Pringle Type of construction:
Address:32 Meadow Hill Dr. Occupancy groups:
City/State/ZIP:Tiburon,CA 94920 Existing:
Phone:(415)710-8184 Fax:( ) New:
r. APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:J.R.Johnson Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Deborah O'Dell
FLS plan review fee(if applicable):
Address:9425 N Burrage Ave
Total fees due upon application:
City/State/ZIP:Portland,OR 97020
ys� G Amount received:
Phone: 5c13) r� /!� J
o `- 3{J e Fax: :( ) •
E-mail: -'HOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�e&,cct 40 et2) i.r O'yn5E1/1/�C a �.
/-- commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:SAME AS APPLICANT 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:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:102676
Total fee due upon application: $201.60
Authorized signature: Oda0 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DEBORAH O'DELL Date:02/28/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
l:ABuilding\Penmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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