Permit CITY OF TIGARD BUILDING PERMIT
_ COMMUNITY DEVELOPMENT BUILDING
BUP2022-00237
T(G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2022
Parcel: 2S115AA01100
Jurisdiction: Tigard
Site address: 16055 SW 108TH AVE
Project: Oak Tree Apartments Subdivision: WILLOW-BROOK-FARM Lot: 27
Project Description: Fire damage restoration in(1)apartment including: replace insulation,drywall, Plumbing and electrical on
separate permits.
Contractor: PNW RESTORATION LLC Owner: OT2 LLC
PO BOX 23543 633 NW 19TH
PORTLAND, OR 6/12/2023 PORTLAND, OR 97209
PHONE: 503-352-5209 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations. 10/20/2022 $1,008.06
Occupancy Grp: R-3 Occupancy Load: 9 Demolition
12%State Surcharge-Building 10/20/2022 $120.97
Dwelling Units: 0 Plan Review 09/28/2022 $655.24
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/20/2022 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $86,203
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,785.77
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 too 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 obtai coy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 7e
Z, , "] i 0 L./ Permittee Signature:
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 OFFICE USE ONLY
- City of Tigard RECEIV i i ed: 7 Permit No.: ( a G cX �
/'t 13125 SW Hall Blvd.,Tigard,OR 97223 Date B 37
Phone: 503-718-2439 Fax: 503-598-1960 Plan Review
SEP 2 S 202. Date/By: 10013's2,2.. Related Permit:
TIGARD Inspection Line: 503-639-4175 ere Ready/By: twv;
' Internet: www.tigard-or.gov See PageSupplemental2 for
CITY OF TIGA'' otifiedlMethod: Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
N;Addition/alteratiorJreplacementIndicate the value(rounded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indi o. : «:
❑ 1-and 2-family dwelling Val 8
uation. 1 2 0 3 4Z-
❑Commercial/industrial
__
❑Accessory building 1)3yvlulti-family Number of bedrooms:
❑Master builder I
❑Other: Number of bathrooms: `
JOB SITE INFORMATION AND LOCATION Total number of floors: t
Job site address: i b Oc c J Vi irk
t pej Q New dwelling area: tic square feet
City/State/ZIP: "'t' ` ���� (� �) {�'Z.7.4 Garage/carport area: square feet
Suite/bldg./apt.#: r�6 I Project name: Q a6... T,w„, is, r Covered porch area: square feet
Cross street/directions to job site: p t����...� 9
�+ � tt �1 Deck area: square feet
S
W PO-`, cN•• C... kA-wA Other structure area: square feet
Subdivision: je � REQUIRED DATA:COMMERCIAL-USE CHECKLIST
�1 L i4 t,•.L t s� I Lot#: II Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2 % i t S A _ 0,-T �cs /t Indicate the value(rounded to the nearest dollar)of all
Pc
equipment,materials,labor,overhead,and the profit for the
1 DESCRIPTION OF WORK work indicated on this application.
3.,v�si - \\ .,lv W S.h.`w�\C a.^ t C.7 '6"---y uJc,A` J Valuation: $
CA. —V%. i 1-45 c' y "P\'t��"q\�e.�t� d Existing building area: square feet
``. - : L-e�` ` \ t, New building area: square feet
,Er PROPERTY OWNER I 0 TENANT Number of stories:
Name: Co t;t►.NL 1
� fiC.a��.�
' 1 '� 5. Type of construction:
Address: 6'." `
S N t \ C ‘yir‘ A 4
1 Occupancy groups:
City/State/ZIP:To,._%c`,,,,, ) O ag. 1.1Z c,e�
c," '.'Z. 1 Existing:
Phone:(C
�' 6 �s 0!l Fax:( )
New:
❑ APPLICANT lirrONTACT PERSON BUILDING PERMIT FEES*
Business name: ;{v W ��`�'�l► (Please refer a,fee schedule)
Contact name: S c_G '\ n t4..\ Structural plan review fee(or deposit):
Address: e CI 2,,A 5�.., ti�tk v� FLS plan review fee(if applicable):
1 V AL,
City/State/ZIP: !�` b k'...�\cs.-+.� ) Cl:. cy `` Ct1
Total fees due upon application:
Phone:(S�j1 3�$- `0 I Fax: :( ) \ Amount received:
E-mail: S f�kri. L . e.itet.tuvka PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
` CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S rS.�. ,L. o...S CA. ` 7e 4_4a o Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Phone:(Sa3) S' Z. �'2C,et I Fax:( )
and administrative fees): $I80.00
CCB Lic.:
Z t 5 5 i t°�j�r3 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: ` Date: CIiL '� I z-Z * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)