Permit (25) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2023-00113
Date Issued: 7/25/2023
T I G ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110AC00500
Jurisdiction: Tigard
Site address: 14749 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
Dwelling Units: 0 12%State Surcharge-Building 07/25/2023 $55.80
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 throng A 952-001-0090. 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: �'� a •Z�
'. Call 503.E .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 t +A_pd_, FOR OFFICE t.St:ONI 1
City of Tigard Received I' i //ols y� (}'` /� q
II l�,' O 2923
Date/BY: V I VU W Ulf YI Permit No.: 111 I'[� 01A-06 1113
III i • 13125 SW Hall Blvd.,Tigard,OR 97223 u U Plan Review VVSSII r v
= Phone: 503-718-2439 Fax 503-598-1960 Date/By: 7- )�., Related Permit:
T 1 G A R D Inspection Line: 503-639-175 Date Ready/By: m ®ds: I See Page 2 for
Internet: www.tigard-or.gov Notified/Method: !.�/�4 . -3 „ Supplemental Information
C'14 :) QA
TYPE OF WORK REQUIRED DATA:t-ANT)2-FAMILY DWELLING
0 New construction El 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 CONSTRUCTIQN work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
160 Ski-INPPO}R hTI:QN L( A:tic y; Total number of floors:
Job site address:)N.-111..\il SOO \ ®el-iM. New dwelling area: square feet
City/State/ZIP: - t(�4eQ a 0 2...,,, 9 3 7-2-4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:"T t,, `t�jra_ Pc p'(' Covered porch area: square feet
Cross street/directions to job site: 1 Deck area: square feet
Other structure area: square feet
(. 00#4 '�CO14144 #, i, $ ****:t IST
PP4k$56sN:a f de.C,fin i` Kh. e^".iA.+:.
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
y (�.: A p 4 w = work indicated on this application.
I� �•p �xy � lri":
v d) iC K- ��Qt- C .Arj 'N 1 1 l\ �L ck C-ck `I-' Valuation: $ Z(4 t (. , 1,\„)
Existing building area: square feet
New building area: square feet
AS)PROPERTY OWNER ❑ TENANT Number of stories:
Name: k 1k j &55 c,.0 1.ok-I C�c) Type of construction:
Address: 33 s j OG„uj RA). # t eio Occupancy groups:
City/State/ZIP: iicy,___E �,�e s. ®Q 9407S Existing:
Phone:(c05) el( ,, aA Fax:( ) New:
A APPLICANT [CONTACT PERSON BUILDING PERMIT FEES*
(Ptease refry to fee schedut f
Business name: V i 7l+J i„, 14- {'(2-GP 6-1----04 5 f l lam®
Structural plan review tee(or deposit):
Contact name:J L.44) Sf p v ( _. c S
Z FLS plan review fee(if applicable):
Address: c-3� J 0sRIV 6,i ra.)Uj 0 . e 1 ,. 3 c
2:-= `.tea.,,, i 0 q -.LQ Total fees due upon application:
City/State/ZIP: Pp
Phone:(5ta j) tO - 04 oig Fax: :( ) Amount received:
E-mail: PHOTOVOLTAIC 6LAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
rU 1J zek A2� e C.Q. '�vA cc. �t1 i c,e` Submit two(2)sets of roof plan with connection details
Business name: C ,
and fire department access,along with the 2010 Oregon
Address: 9)°7J 3 N� (,byvf,' 9,` .) tj!€ 3 TO Solar Installation Specialty Code checklist.
City/State/ZIP: 0 0 ` `��; 9 2 �Zt� Permit fee(includes plan review $180.00
and administrative fees):
Phone:(wzj) co S - 0lo6 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: (q tda 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: 0_j0 4)�,._2- es Date: Co t 3 I a.11:1) * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Peimits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46I3T(I 1/02/COM/WEB)
9
City of Tigard
ill: .., COMMUNITY DEVELOPMENT DEPARTMENT
c Az n Building Permit Review — Commercial - No Land U s e
,, K
Building Permit #: r&V',41,- - Join
Site Address: fq./L-tq DA/ W 41'- f Suite/Bldg#:
Project Name: Twoerwrie, 06w-t 1-'€4 kS -1)-edt- e o(ace vent
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: {q1ac .112Xtst;19 CQC , same sloe -
Existing Business Activity: A &4'1' ii``&v►1
Proposed Business Activity:
-6Verify site address/suite#exists and active in permit system.
.1EiRiver Terrace Neighborhood: 0 Yes No
J "Zoning: iS.9
,l l Permitted Use: -K Yes 0 No 0 Spec Space
Confirm no land use required.
Business License:
Exists: 0 Yes 0 No, applicant was provided a business license application
Notes:
Approved by Planning: Date: CD12-0/V
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved •
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: la I1/0 1 'V
Site Plans: #
Building Plans: #
Building Permit#: ' Enter building permit#above.
Workflow Routing: Nil Planning 0."Permit Coordinator cr Building
Workflow Sign-off: D.-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: A• 4
By Permit Technician: D;/YW,(`1 \ iJ
to
Date: 611,1. 1(i1
I:1Building\Forms\B ldgPermitRvw_COM_NoLandUse_09072o22.docx
Engineering Review
O Slope at building p d:
❑ PFI Permit#:
❑ Conditions "Met"p for to issuance of permit
❑ Easements (encroac meets) pet engineering conditions of approval and plat(not typic on SDR/CUP)
O Water Quality/Quan, ty Facility:
Assess Water Qu4lity Fee in-lieu: 0 Yes 0 No
•
Assess Water Qu. tity Fee in-lieu: 0 Yes 0 No
LIDA Facility on 1.,: 0 Yes 0 No Add Pee: ❑ Yes 0 No
❑ NOT Approved by E gineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submi al only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved MI Not Approved
Revision 3: 0 Approved ■ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: ` Date:
Notes:
❑ SDC Exemption ❑ Applie. for ❑ Re 'ved ❑ Does not apply
❑ Fees Entered: Wash Co tans Dev Tax: ❑ Yes 0 N/A 0 Deferred
Tigard rans SDC: 0 Yes ❑ N/A 0 Deferred
Par s SDC: ❑ Yes ❑ N/A 0 Deferred
PA Fee: ❑ Yes N/A
Date:
❑ OK to Issue/Approved by Permit Coordinator:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:1Building\Fonns\BldgPeimitRvw_COM NoLandUse_08162022.docx