Permit (6) CITY OF TIGARD BUILDING PERMIT
1,1
COMMUNITY DEVELOPMENT Permit#: BUP2023-00101
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7l25/2023
Parcel: 2S110AC00500
Jurisdiction: Tigard
Site address: 14775 SW 109TH AVE
Project: Timberline Apartments Subdivision: None Lot: None
Project Description: Replacing(3)decks, like for like,in the same building.
Contractor: FINNMARK PROPERTY SERVICES LLC Owner: KA-5 ASSOCIATES LLC
8383 NE SANDY BLVD STE 370 5335 SW MEADOWS RD#190
PORTLAND, OR 97220 LAKE OSWEGO,OR 97035
PHONE: 503-475-0668 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/25/2023 $377.90
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 07/25/2023 $45.35
Dwelling Units: 0 Plan Review 06/26/2023 $245.64
Stories: 0 Height: 0 ft Tenant Improvements in Existing 07/25/2023 $123.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $19,500 Info Process/Archiving-Sm$0.50(up to 07/25/2023 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $803.89
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 throughf OAR
9.522--00001-0090. 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: Permittee Signature:
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1503.639.4175 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 IL SE ONL]III '
City of Tigard Received I I I I1 '/j , n �jma- 00\0 t
AI Plan Rev U I/ll rum
I't Permn No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 ,�U I`+ 2 O 2023 Plan Review
x Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit.
Inspection Line: B 03-63�-4175 p {� Date Read /B / ut kris: I ® See Page 2 for
TIGARD Internet: www.ti ard-or. ov CITY OF Tl:,�r1RL Notified/MethoYt.7//� ! J Supplemental Information
btit.rZ rat
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
3KAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
0 Accessory building ,Multi-family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms:
JOB SITE ORMATION rn1l LEQCA 'IC/N Total number of floors:
Job site address:lJ1i 3 9 , i 01-lk New dwelling area: square feet
City/State/ZIP: „,er 4eQj e 0 2_t, 9 3 .2-2-4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 1"�i J2. i.k 1Z ik Q Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
[E Pt'( '4* s� ` b ' 1 ,- work indicated on this application.
r � +k;8 .+- r+ at t?„'Jk s� ep * :`s;.?'G - ar!„ae* �'�m,li _
i-, c 12--g-ek-Acc m � i - -0-i P f S-"\Urc.-- Valuation: S I 1 I') OJ
Existing building area: square feet
New building area: square feet
elg PROPERTY OWNER ❑ TENANT Number of stories:
Name: LA `5 ;i\td-5cc 1 A,-A?5 Type of construction:
Address: J 33 s tuk.E per' `> R . S - • AcV ,CD Occupancy groups:
City/State/ZIP: LiN Q xie. O OR- , 9 3-0 3 Existing:
Phone:(co ) etD 4 8 A C;+.;_') Fax:( ) New:
'''' #0 C O ' N " B U IN6ERMTH'a E
D '' _ > ss ,, " , ',1.,.' . 4teasfefeeiafeditdt
Business name: 'V. i IQ s.) KARI,- 1 2c P e-(2Z -ki S 4“--(05 Structural plan review fee(or deposit):
Contact name: 1 ) S'i,„ cJ`�,(Z,N,C C,
-5 0 e. S 8 y, F,O_ ® $� -� FLS plan review fee(if applicable):
Address: 9 D
Total fees due upon application:
City/State/ZIP: Po Q c`.A.d..1 , t 0{a c -az 0
Phone:(5t3) t-i7j - 0(t)(4,4& Fax: :( ) Amount received:
E-mail: PH(rTI VOLLtAIC goiAlt,PANIEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C t)d I.M p.s2 C�c 4. S'E o-ti i C e` Submit two(2)sets of roof plan with connection details
^� �� � and fire department access,along with the 2010 Oregon
Address: C32r 3j �e. C l ti r{ ri,�j D ca,,c 5 1t7 Solar Installation Specialty Code checklist.
Ci /State/ZIP: Permit fee(includes plan review
h �,c ttk� Q 0:� , 51-2,70 $180.00
/ and administrative fees):
Phone:("5 0-5) s-f' s- - o li 6 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lie.: i0 S, Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:J3L� --Z
u°) �_-:k-c i> Date: Co3 l�J * Fee methodology set by Tri-County Building Industry
.t QQrj , [.�- l Service Board.
1:\Building\Pennits\BUP_COM_PermitApp.doc Rev.04/21/2014 440.4613T(I I/02/COM/WEB)
8
City of Tigard
114 w COMMUNITY DEVELOPMENT DEPARTMENT
C
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: Zu? o''$ 6O\O1
Site Address: 1 11-1 S SLIt) L OathA 4 f Suite/Bldg#:
Project Name: 14er\ane, Avu.Y+YreMkS - (- IPeef(C_erv'eitif-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: c2 l?\c c.e S etc rt-kq dec-5 , Sarre Sloe •
Existing Business Activity: AfaifiTiVO i
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
ErRiver Terrace Neighborhood: ❑ Yes ,Zi No
kr Zoning: S._9
Permitted Use: -Ii Yes ❑ No ❑ Spec Space
Confirm no land use required.
Aliitr Business License:
Exists: ❑ Yes E No,applicant was provided a business license application
Notes:
Approved by Planning: Date: f ZO/23
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved "
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 'l,
Site Plans: #
Building Plans: #
Building Permit#: Q Enter building permit#above.
Workflow Routing: g'Planning la Permit Coordinator ceBuilding
Workflow Sign-off: C' Sign-off for Planning(include notes from planning review)
Route Application Documents: f Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: k
By Permit Technician: /r'`AVA, by 0,.._ Date: tp IIA 1 WtA •
I:\Building\Forms\B ldgPetmitRvw_COM_NoLandUse_09072022.docx
Engineering Review
Slope at building pad:
❑ FI Permit#:
�� ❑ Conditions "Met"prior to issuance of permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes ❑ No •
Assess Water Quantity Fee in-lieu: 0 Yes ❑ No
LIDA Facility on lot ❑ Yes ❑ No Add Fee: 0 Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: .
------
Approved by Engineering: —/. Date: 773/Z
Revisions (after Building Submittal only)• Reviewer / < Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
❑ Condi:ons "Met"prior to issuance of permit
❑ Approve.,,NOT Released: Date:
❑ ENG Revi ions Required: Date:
Notes:
❑ SDC Exemption 0 Applied for ❑ Received 0 Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/A 0 Deferred
Tigard Trans SDC: 0 Yes 0 N/A ❑ Deferred
Parks SDC: 0 'es 0 N/A ❑ Deferred
DA Fee: P Yes 0 N/A
❑ OK to Issue/Approved by P- ++ it Coordinat• Date:
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved ❑ Not 'pproved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
1:\Building\Forms\BidgPermitRvw_COM_NolandUse_08162022.docx