Permit (13) III CITY OF TIGARD BUILDING PERMIT
• _ COMMUNITY DEVELOPMENT Permit#: BUP2023-00094
Date Issued: 7/25/2023
T I U A A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110AC00400
Jurisdiction: Tigard
Site address: 14731 SW 109TH AVE
Project: Timberline Apartments Subdivision: None Lot: None
Project Description: Replacing (4)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 $464.97
Occupancy Grp: R-2 Occupancy Load: 0 Demolition
12%State Surcharge-Building 07/25/2023 $55.80
Dwelling Units: 0 Plan Review 06/26/2023 $302.23
Stories: 0 Height: 0 ft
Tenant Improvements in Existing 07/25/2023 $123.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $26,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $946.00
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. ATTENTION1,: 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'DAF/952-001-0090. You-rmeg_att ain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.600.332.2344.
r
/
Issued By: / o Permittee Signature: i7 �� C,v ,
Call 503.63 .4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be ept 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 -,,IL....E j
Commercial i I.!III 2 0 2023 FOR OFFICE I SE 0vIA
.� City Of Tigard Received n permit No.:
• 13125 S W Hall Blvd.,Tigard,OR 97223 ' T�+ ❑ Date/By: I' (�oti3' AD QU9 t1M 6000q
E�U tRD Plan Review _
s Phone: 503-718-2439 Fax: 503-598-1960 DIVISION Date/By 7 I )-2.�- j-t- Related Permit:
T I G A R D inspection Line: 503-639.4I75 Date Ready/By: I Jura: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 fe % I Supplemental Information
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
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID1-and 2-family dwelling ElCommercial/industrial Valuation: $
ElAccessory building Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND tocAnOI'1 Total number of floors:
Job site address: `$10-31 S OV OD c e - New dwelling area: square feet
City/State/ZIP: TeC—I,--,Qyf a ® Y 7 '7-7-4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:"T k j.4 :,`t�).Q p^ Covered porch area: square feet
Cross street/directions to job site: \ Deck area: square feet
Other structure area: square feet
;"14 iFin e kQoMMElte l7S tHEektIST
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
DESCRIPTION OF y'O v• work indicated on this application.
#fit.... m ��k ...,»„r5'...k it
DEC le.--. (Lg_PL" C J"v fc N — pi— . (L 5 k_2 Valuation: $ 2(p l 00 t
Existing building area: square feet
New building area: square feet
,' r
P t*E fl' QW1�rER Number of stories:
Name: r I\ *J }1/4510C a A1/4,`I fa c) Type of construction:
Address: 5 33 S M E OC,`J•i5 Rf . I, 6i0 Occupancy groups:
City/State/ZIP: 0,y_C ®b„J.j e. k O Q. 9 4v Existing:
Phone:(c05) CIOSI ,- act 03 Fax:( ) New:
�,APPLICANT (r.GONTACT PERSON BOLDING PERMIT FEES"
p (4 9e refer to fee scheQnt0
Business name: 'F' 1)V 1 j 1 QC U e10 S 1C.2
Structural plan review fee(or deposit):
Contact name:girl.J Sp' 2A S S '
` FLS plan review fee(if applicable):
Address: 9 3 -.5 SA J®.d g,,ji®, S,,2 3 Total fees due upon application:
City/State/ZIP: PO 2\ .t.-Nis. t 0(Z. q Z'Z-0
Phone:(Sc>3) f.i7S - d 6,(LA Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: C i JJ t y,y.1\2� \ (2c.9 e, t- -v( cc_(24 I`€ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: C6-6 3 k2 &A 13,�� +J S i e 3 to Solar Installation Specialty Code checklist.
City/State/ZIP: ?v,(1 `�1.} rL G ZZ0 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5O'j) 4(1 s - ®(D ,,, Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: t�-t-v
1 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:B Q.(&Q 11,0�..-.,4-R.cs Date: Co `'"? 12(31.--5 * Fee methodology set by Tri-County Building Industry
Service Board.
IABuilding\Pennits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)
P
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
'PtI
l l�Al�n Building Permit Review — Commercial - No ,and -.se
,s,
Building Permit #: %Iv/I,flil/3•CYO
Site Address: t,un-7,\ &A) 10C(j'l/k.AvC Suite/Bldg#:
Project Name: iityerli'L Ac vhPl - -ec -- kel2Ceiv',n,(-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ,
Proposal: {e Q`aCQ'1 eyr5tiAl deof3 , saw size •
Existing Business Activity: AlOOPY'holeVA1
Proposed Business Activity: `t
Verify site address/suite # exists and active in permit system.
.River Terrace Neighborhood: 0 Yes 0 No
)21"Zoning. Q-es-9
,0 Permitted Use: ..K Yes ❑ No 0 Spec Space
„21 Confirm no land use required.
AR-Business License:
Exists: 0 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 63./2. l23
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
—
Building Permit Submittal
Original Submittal Date: I'W 1 iik l3
Site Plans: #
Building Plans: #
Building Permit#: lc Enter building permit#above.
Workflow Routing: , ' Planning Led Pernvt Coordinator "(Building
Workflow Sign-off: L7 Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: %-q
By Permit Technician: A.A(\li\(A, P VY 9 Date: (01II/' I1/61/3
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
El PFI Permit#:
❑ Conditions ` ; et"prior to issuance of permit
❑ Easements (en oachments) per engineering conditions of pproval and plat(not typical on SDR/CUP)
❑ Water Quality/l uantity Facility
Assess Water •uality Fee in-lieu: ❑ Yes ❑ o
Assess Water • antity Fee in-lieu: El Yes ❑ No
LIDA Facility o lot: ❑ Yes • No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by :ngineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submi . only) Reviewer Date
Revision 1: ❑ Approved Not Approve.
Revision 2: ❑ Approved ■ Not Approve.
Revision 3: 0 Approved ❑ '.t Approve.
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Rec\'. ed 0 Does not apply
❑ Fees Entered: Wash Co Trans Dev ax: ❑ Yes El N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: 0 Yes • N/A ❑ Deferred
LIDA Fee: ❑ Yes 0 A
❑ OK to Issue/Approved by Permit Coo •'nator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ ot Approved
Revision 2: ❑ Approved ❑ ot Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\FormslBldgPermitRvw_COM_NoLandUse_08162022.docx