Permit (27) CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit#: BUP2023-00111
Date Issued: 7/25/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC00400
Jurisdiction: Tigard
Site address: 14733 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: U 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. 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. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Z4/4'L� Permittee Signature: e)e r �� rc� a 7l1
Ca .503.639.4175 by 7:00 a.m.for the next available inspection date.
..7./
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 cC FOR OFFICE CSE OAL_l
Received
City of Tigard ye I�ti3. �p permit No.:'C li NIA- yjliA\
II JUN
Date1B
13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 0 2023 Plan Review
_ Phone: 503-718-2439 Fax: 503-598-1960 Date/By: 7— J Related Permit:
T I CARD Inspection Line: 503-639-4175 Date Ready/By: tar c: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: i 0 I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INP<IRMAfIO>`I S 4f LA'.tUi'4 Total number of floors:
Job site address:1`-n 3-2, S i 1 Om New dwelling area: square feet
City/State/ZIP: -'%C—T 4 j e 0 Q._ > 9 3 "l'L.-j Garage/carport area: square feet
Suite/bldg./apt.#: Project name:T% ��i),....,2_ c p- Covered porch area: square feet
Cross street/directions to job site: 1 Deck area: square feet
Other structure area: square feet t
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF }NOR[{ work indicated on this application.
t� n o �y cam. \:, �7
�.CY- 9—CAA-AC Ar'r><�r _ VA ` ri'r T\k J\ _I Valuation: $ 2(0 000
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: E'; -5p.,55 cc >A-I 1?--5 Type of construction:
Address: C 33 Zj A.,£, pU„,S R� 3 AJ . A2c.. t co Occupancy groups:
City/State/ZIP: ilk ®b„A..)f`J \ O 9.3-0 7 Existing:
Phone (co ) ci(� $1 Cy3 Fax ( ) New:
A I' cA�LL11 .. .�,,:: N, f Bt iWIN(:PA :T OES*j� r .... .;(Pi¢dafftfeet4 iiiii 11llf 7 .':
Business name: 'Cr i NJt.j � iq S QO p 6. C1/44 5 C @C.+'2 5
Contact name:2,0"� S C3 S Cy
Structural plan review fee(or deposit):
y�
Address: o .3s--5 0 Sew(,,..1,q 2`0 Q �e_ 3 � FLS plan review fee(if applicable):
City/State/ZIP: QC,2 c, LA. - 0(mil c 2*- Total fees due upon application:
Phone:(St.3) L/!l ej` - ®(�It Fax: :( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PA LSrYSTEMFEES*
: Commercial and residential prescriptive installation of
CONTRACTO1 roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C 1 hi �V.(Na_ i p Q c� ice` Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: C{7:t3 is'3 �w._ cAvo.A pi��fJ S i e 3 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
ry to 2� L Iu g G 2 , II1.Zt� $180.00
Phone: and administrative fees):
(j t)}) (G(n Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 1.2 4. 4 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
M z"��' within 180 days after it has been accepted as complete.
Print name:2 '44:1CG 4 c5 Date: Co `3 + -5 * Fee methodology set by Tri-County Building Industry
i Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 l!02/COM/WEB)
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City of Tigard
IN ■ COMMUNITY DEVRI OPMENT DEPARTMENT
�,n 1:a Building Permit Review — Commercial - No Land Use
Building Permit #: UP1()'1A- OO1
Site Address: Iii133 cSW L(51.14/1 f Suite/ ii 1dg#:
Project Name: lioAkrli& AQal!iiir€ ltS -D-ec ikeictc ,(-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review-
Proposal: i-eVC..9 ey,( 1A9 ded� , %lye Si
L de .
Existing Business Activity. jf G v wr'CN41
Proposed Business Activity: ``
Verify site address/suite# exists and active in permit system.
.River Terrace Neighborhood: E Yes N No
,B"Zoning: g'S-9
Permitted Use: -e Yes E No 0 Spec Space
Confirm no land use required.
AR-Business License:
Exists: 0 Yes 0 No, applicant was provided a business license application
Notes:
Approved by Planning: Date: ( 1 10 1 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved •
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal /1
Original Submittal Date: IO['It I 1/01/S
Site Plans: #
. 'A
Building Plans: #
Building Permit#: 'r Enter building,_p,/ermit# above.
Workflow Routing: Er Planning L�J Permit Coordinator ( Building
Workflow Sign-off: I "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: 4
By Permit Technician: Ak/Y vl w\ V V Date: 141111/1,0 Z 3
I:\Building\Forms\BldgPermitRvw_COM NolandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PF Permit#:
❑ Co ...dons "Met"prior to issuance of permit
❑ East ents (encroachments) per engineering conditions of approval an. plat(not typical on SDR/CUP)
❑ Wat: Quality/Quantity Facility:
• .sess Water Quality Fee in-lieu: ❑ Yes ❑ No
A sess Water Quantity Fee in-lieu: ❑ Yes ❑ No
L DA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT pproved by Engineering: Date
Notes:
Approved b Engineering: Date:
Revisions (afte Building Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approvi d
Revision 2: ■ Approved ❑ Not Approed
Revision 3: ❑ .proved ❑ Not Approved
Permit Coordinator 'eview
❑ Conditions"Met"prior to .suance of permi
❑ Approved,NOT Released: ;/ Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Appli for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co tans Dev T. ❑ Yes ❑ N/A ❑ Deferred
Tigard rans SDC: ■ Yes ❑ N/A ❑ Deferred
Parks DC: ❑ -s 0 N/A ❑ Deferred
LI A Fee: ❑ Yes ❑ N/A
• ❑ OK to Issue/Approved by Permit Coordinator: \, Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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