Permit (9) INCITY OF TIGARD BUILDING PERMIT
a. '- COMMUNITY DEVELOPMENT Permit#: BUP2023-00115
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/25/2023
T F.C A II D 9 Parcel: 2S110AD08802
Jurisdiction: Tigard
Site address: 14707 SW 109TH AVE
Project: Timberline Apartments Subdivision: None Lot: None
Project Description: Replacing(2)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 $271.43
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 07/25/2023 $32.57
Dwelling Units: 0 Plan Review 06/26/2023 $176.43
Stories: 0 Height: 0 ft Tenant Improvements in Existing 07/25/2023 $123.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $13,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $603.43
Required Items and Reports(Conditions)
Required:
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 503.232.1987151)94
or1..88000.3332.2344.
Issued By: Permittee Signature: g '
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 L'NE ONLI
ty g .: A 2 1 2023 Date/B v 11,11'w1i' . Rh Ql1C�tioti3-GO U5
CI Of 1'1 and ��'� Received permit No..
y:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' a Phone: 503-718-2439 Fax: 503-598-1960�11
OF TIGARD Date/By 7 ' "' -,...3.-ifi Related Permit
Inspection Line: 503-6394175 ..-:'NG DIVISiON Date Ready/By: saris: El See Page 2 for
IIGARD p Notified/Method:7 �' ?�,1, Supplemental Information
Internet: www.tigazd-or.gov {�
Vat a.1,4 r,.
TYPE OF WORK REQUIRED DATA:I-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 El Other: equipment,materials,labor,overhead,and the profit for the
, CATEGORY OF CONSTRUCTIQN work indicated on this application.
ID1-and 2-family dwelling ❑Commercial/industrial Valuation: $
ElAccessory building *Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOTI SITE INFORMATION AM)LQCA1'16ft1. Total number of floors:
Job site address:tun Vt1 , 1 0 Tom )> . New dwelling area: square feet
City/State/ZIP: 'C'bC-.- - 0 IL ,, 17 a.24 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:I viol,.bex.,i ,12._ f1c P.M" Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
i,,Ar.. *;.:01R'[EACI "t1$ 0ECI{EI`ST
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
�� :itl t ' ,�'`" � work indicated on this application.
C K- �0-et-c AA >e_� 1� OZ. 1.�1 CI`, �� Valuation: $ I �, t C �,i .
I Existing building area: square feet
New building area: square feet
A.,, t Number of stories:
... , i�RUkEI�t;x�t U.�E>ii �, ,. " r "
Name: kfit, '1. 11s,S5 cc t 'k f ' Type of construction:
Address: J 33 s cikoc,�+S R) 3 A,) . tk, + ctoo Occupancy groups:
City/State/ZIP: L K£ O„„u e. C.-1z> Q Q 9 3-c.)7, Existing:
Phone (cos) CI(ji 8.4 03 Fax:( ) New:
X 40404f . ` lY � e RSbN' E BF7tLDIN'G PEOPer E E,' '
Business name: '� j s,? tk � } �rr P a( 5 kt_rZ rj '�ras re(or deposit):
"_,
Structural plan review fee(or deposit):
Contact name: S f�&-' - c C,
G FLS plan review fee(if applicable):
Address: T -5 0 e c Q ;i�J��0 • ��- 3 O
Total fees due upon application:
City/State/ZIP: PQ2, i. r�13 01� "t 12-t�
t Amount received:
Phone:(St.) ,) kl7 5- - d 6 Lag Fax: :( ) ,
E-mail: I'Ii0'I(VOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: c i zd 1j µ At. e Qp Q e,t cc.,2.4,1 i L Q` Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Co.-6 K 3 KW_ fi' JD, S!€ 3 Solar Installation Specialty Code checklist.
City/State/ZIP: d ‘ `k� 9 ) L 2 , 11-L1,� Permit fee(includes plan revie
pv�- $180.00
and administrative fees):
Phone:(�D-5) tin S - .010C,.Sf Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: i tJ C 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: , * Fee methodology set by Tri-County Building Industry
y��__�- �5 Date: Z�,�_ Service Board.
l:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
8
City of Tigard
C o COMMUNITY DEVELOPMENT DEPARTMENT
1111111
Tlcnun Building Permit Review — Commercial - No Land Use
Building Permit #: U 1,ji -OOHS
Site Address: i 9707 S`") 169 A--v . Suite/Bldg#:
Project Name: 14erl(ng, 06tV4YrOvItS -Poetic- iPee(¢cervien,(-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ,
Proposal: ceQ1aC.e.a2yC( 1ny C(QCk3 , Sure Slue S .
Existing Business Activity: LW'f vteA41
Proposed Business Activity: `l
Verify site address/suite# exists and active in permit system.
.3River Terrace Neighborhood: 0 Yes 0 No
,la"Zoning: p. S-9
Permitted Use: -d Yes ❑ No ❑ Spec Space
JZi Confirm no land use required.
Business License:
Exists: 0 Yes El No,applicant was provided a business license application
Notes:
Approved by Planning: (\ Date: 6 /2-i /' --3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
G- ,v
Building Permit Submittal
Original Submittal Date: (0 flit\'0l'3
Site Plans: #
Building Plans: #
Building Permit#: 'Y Enter building permit#above.
Workflow Routing: 12/Planning 21 Permit Coordinator Q./Building
Workflow Sign-off: Y Sign-off for Planning(include notes from planning review)
Route Application Documents: Or Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 'A- it
By Permit Technician: 4V6AVA h vww Date: (titii7ti23 .
I:\Building\Forms\BldgPern itRvw_COM_NolandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
El Conditions "Met"prior t. issuance of permit
❑ Easements (encroachmen s)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity F cility:
Assess Water Quality -e in-lieu: ❑ Yes ❑ No
Assess Water Quantity '-e in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engin- •ring: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal on Reviewer Date
Revision 1: ❑ Approved ❑ N.t Approved
Revision 2: ❑ Approved ❑ No 'pproved
Revision 3: ❑ Approved 0 Not ".proved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for / ❑ Recei -d 0 Does not apply
❑ Fees Entered: Wash Co Trans DevJTax: 0 Yes 0 N/A ❑ Deferred
Tigard Trans SDC:J 0 Yes • N/A ❑ Deferred
Parks SDC: El Yes ■ /A El Deferred
LIDA Fee: ❑ Yes 0 N
❑ OK to Issue/Approved by Pe tt Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:1Building\Forms\B1dgPermitRvw_COM_NoLandUse_08162022.docx