06-June (6) CITY OF TIGARD BUILDING PERMIT
i Permit#: BUP2023-00110
COMMUNITY DEVELOPMENT
T t GAR)_7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/25/2023
Parcel: 2S 110AC00400
Jurisdiction: Tigard
Site address: 14729 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 5946.00
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 952-001-009 ou obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r/ � Permittee Signature: h`'r
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 OFIICE CSE 011.1
City of Tigardy�cte,iiB d is lit ium . N1 Permit Na.:
p Ci1171V23-00110
13125 SW Hall Blvd.,Tigard,OR 97223 r a 9�, 2 2 Plan Review f,
■ Phone: 503-718-2439 Fax: 503-598-1960 !I 0 2�13 Date/By: 7""J Related Permit:
TIGARD Inspection Line: 503-63 9 4175 Date Ready/By: /I Jens. HSee Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7>J ,) Supplemental Information
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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ElCommercial/industrial Valuation: $
0 Accessory building Multi-family Number of bedrooms:
DI Master builder El Other:
Number of bathrooms:
JOB BFrE INFORMATION tt1 D LQtA I6 I Total number of floors:
Job site address:\%Al lot s Aj i co Tt- - New dwelling area: square feet
City/State/ZIP: tCT p1/4.Q7 a ®Q._y c 3 .2-2-4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:T 104 by t_i may a� c D Covered porch area: square feet
Cross street/directions to job site: i Deck area: square feet
Other structure area: square feet
ail can ; ctArlfs*CtircktisT
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
f ``''` ` .`f<1- work indicated on this application.
tAaa .t= t� -rat
C )(- (��Pt. CE m 1��,1 - -I-t.1 -0 - S 11.e Valuation: $ 2 Co ) Ool)
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ___I 0 TENANT Number of stories:
Name: ['f\ �j N55ce% A-`a'-) Type of construction:
Address: S.33 s p G S . .s -✓j • 1 4p Occupancy groups:
City/State/ZIP: Lq v-C ® .b'�' X. CYZ • lit 3-0 7 Existing:
Phone (c05) r 34. 03 Fax ( ) New:
-. * l - ,�a 8094PING PERMIT LEES*z
k'�"�,*,�r -� ,i��°letak4°✓¢jedrfd jee`3a�db7Y¢�",e'-'
Business name: 'F i NB ui 1 ac P erg S `- dL+'-
r,d-� ^ Structural plan review fee(or deposit):
Contact name: �3264 S J'J 1—��C S
G V FLS plan review fee(if applicable):
Address: ��0 -5 De.- S.4 a-,4 Fj,,,,jj0 , $�:2- 3Q
City/State/ZIP: Pp t4\�� t 0 c q 22 Total fees due upon application:
Phone:(S.:3,) L/7S - 0(0 p& Fax: :( ) Amount received:
E-mail: KaruVOLTAIC SOLAkP 4NTL SYSt'EM,FEES*
CONTRACTOR ' Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: c t pi'�AG-L1t '�c Q "t S'� f,-li i C e Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: csb 50 t,„...)e. CdvaOA Sai i.v ,E. '5}-0 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
h o 1_� `I,lv 0 1 0,2 . if�1-7_0 and administrative fees): $180.00
Phone:(5-e3) ti' 5 - o 6 c s- - Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB Lie.: 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: Q) 4^OG,---2` C-S Date: V i'3 I 40~3.,-5 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
8
City of Tigard
III " COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Lise
Building Permit #: 1U )' fj1/ - VD\6
Site Address: j14171 S(A) Mil& Suite/Bldg#:
Project Name: lit (difte, AuV'Y .n S - c(c. eelec (-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: it\R(ezi e,w5tI (3 oteC , SQ/ry'e S .. - -
Existing Business Activity: ff ali nete.41
Proposed Business Activity: a
Verify site address/suite#exists and active in permit system.
.rRiver Terrace Neighborhood: ❑ Yes 0 No
,0"Zoning: S-9
Permitted Use: -E] Yes ❑ No 0 Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: PII -
Date: (01.�I Z3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: D Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: le lin I 1/0/3
Site Plans: ## 3
Building Plans: #
Building Permit#: E( Enter building permit#above.
Workflow Routing: Lp7' Planning Permit Coordinator [ 'Building
Workflow Sign-off: g( Sign-off for Planning(include notes from planning review)
Route Application Documents: if Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: A- A
y Permit Technician: A p, P L Y'-1<, Date: WV/i'Ul1/3
I:\Building\Fonns\BldgPetmitRvw_COM NoLanduse_09072022.docx
Engineering Review
❑ Slope at building pad:
O PFI 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 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No
LIDA Facility on lot: 0 Yes 0 No Add Fee: ❑ Yes 0 No
O NO Approved by Engineering: Date
Notes:
Approved by ngineering: Date:
Revisions (after : ilding Submittal only) ' Reviewer Date
Revision 1: 0 : .proved 0 Not Approved 1
Revision 2: 0 A..roved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved /
1
/
Permit Coordinator Re '-w i
❑ Conditions "Met"prior to issuanc- .f permit Jz�
i
❑ Approved,NOT Released: / Date:
1
❑ ENG Revisions Required: / Date:
Notes: '
O SDC Exemption 0 Applied for 0 'Received 0 Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A 0 Deferred
Tigard Trans SDC: 0 Yes 0 N/A 0 Deferred
Parks SDC: 0 Yes 0 N/A 0 Deferred
LIDA Fee: / 0 Yes 0 N/A
Date:
❑ OK to Issue/Approved by Permit oordinator:
Revisions (after Building Submittal on ) Reviewer Date
Revision 1: 0 Approved Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
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