06-June (13) BUILDING PERMIT
CITY OF TIGARD
Permit#: BUP2023-00097
• COMMUNITY DEVELOPMENT Date Issued: 7/25/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC00500
Jurisdiction: Tigard
Site address: 14759 SW 109TH AVE None Lot: None
Project: Timberline Apartments Subdivision:
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:
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee-Additions,Alterations, 07/25/2023 $464.97
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: R-2 Occupancy Load: 0 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 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. Yo pbtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ( Permittee Signature: d(p k- u
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 . z 1
Commercial JUN 2 0 2023 UDR OFFICE ISI: OALI
City of Tigard Received I,1l nI^ ^IA yip IIIPermitNo.:�UV�V3, OOOq,
+ Date By: y/ IN W 11
• 13125 SW Hall Blvd.,Tigard,OR 97223 i OF 7IGARD Plan Review _
a Phone: 503-718-2439 Fax: 503-598-1960 NG DIV SIGN Date/By: 7-) I ' Related Pe mit:
T.1 G A R D Inspection Line: 503-639-4175 Date Ready/By: / Saris: ® See Page 2 for
Internet: www.tigard-orgoy Notified/Method:7� ,/3� I Supplemental Information
LtvlQ, re-4 'Drvi`l
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.
dwellingValuation: $
❑ 1-and 2-family 0 Commercial/industrial
❑Accessory building Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�iOB SITE WitORMATTON Lt 11&A'YdN Total number of floors:
Job site address: [1
i+-\1 s^� ."i!
i J 1 ® "rik 'e New dwelling area: square feet
,+
City/State/ZIP: ,1�,,,.4,-, a o Q , 9 7 '2-2-4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:T!�,t� y2,Li�g.rL pc Q Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'12� 44 1E t71€ti iS1 c 1sT
es ,r �,...., ,r ct :�,�:, _.emu ,e
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
1d�� DESCRIPTION OF WORK work indicated on this application.
L� C V- P`C-F L C 'LA rcc:N` i-Pci (`-1 51`�t.,�''. Valuation: $ 2-�DI l l�
Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: k 1k5 z,c t- %C? Type of construction:
Address: 3 33 s 1,4.`EA-000v R() < ,J . A- 140 Occupancy groups:
City/State/ZIP: l- (b,lJ€ \ ®Q 9 30 3 C Existing:
Phone:(cO5) C1(0 3, C9.3 Fax:( ) New:
Ak hiG;ANT- y- CU' . SONI BUILDING FE f FEES*
Business name: IN$.) �AA� 1 QC P S q tca F as�re( deposit):
re),
Structural plan review fee(or deposit):
Contact name: EAN:A S`44•, t3(„Q S(,,
Address: GZFLS plan review fee(if applicable):
3 0 J c�N 8 12y,....0 0 3 C� Total fees due upon application:
City/State/ZIP: P®2-7 L fJ I 0 q VZ-0
Phone:(5 J) L - 0( (d4t Fax: : ( ) Amount received:
E-mail: fROTOVOLTAIC SOLAR PANEL SS'STEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
t l' -AN _ f�0 Qe.a.k--.( cq_fiv 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: bz7 3 tint- ctcylv 0..% 3, D S-k 3' Solar Installation Specialty Code checklist.
Permit fee(includes plan review
g City/State/ZIP: .%a iZ kN
� 1 41 2 z�
, 53- 0 and administrative fees): $180.00
Phone:(�O`zj) 495 - 0(0 6 S Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 0. � 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:, Qy ,,p ,_-,�-*cs Date: Co i''3 I LU L'� * Fee methodology set by Tri-Counly Building Industry
Service Board.
l:\Building\Permits\BUPCOM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
8
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
IIPI
7IGA12D Building Permit Review — Commercial - No Land Use
Building Permit #: "UQ'l o ti3. 600611
Site Address: t 11,SGt 61n) l o't14 tk Suite/Bldg#:
Project Name: T+Y1zOinz, r nts - act.- ikelaC_e venf
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: {•q°VaCQ,9e,K,(. 0•119 C(Q,Ci 5 , c e sl t .
Existing Business Activity: JPCW.I rt"te/t"
Proposed Business Activity: `A
Verify site address/suite # exists and active in permit system.
.ErRiver Terrace Neighborhood: 0 Yes 0 No
,Zoning: giS-9
,fa Permitted Use: -El Yes ❑ No ❑ Spec Space
7 Confirm no land use required.
AR-Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: Date: C/2O 12 3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: D Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (I�q I W ,I
Site Plans: # J
Building Plans: # 3
Building Permit#: 0 Enter building permit#above.
Workflow Routing: Ef Planning g Permit Coordinator V Building
Workflow Sign-off: Q 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,
:y Permit Technician: ..NYV AJ,,, Pon..A, Date: IJ�t 1 NIA
I:\Building\Forms\BldgPernutRvw_COM_NoLandUse_09072022.doex
Engineering Review
❑ Slope at building .ad:
❑ PFI Permit#:
❑ Conditions "Met' prior to issuance of permit
❑ Easements (encro chments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Q :ntity Facility:
Assess Water III uality Fee in-lieu: ❑ Yes ❑ No
Assess Water 4 uantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility • lot: ❑ Yes ❑ No Add Fee: ❑ Yes 0 No
❑ NOT Approved b Engineering: Date
Notes:
Approved by Engineer •: Date:
Revisions (after Building ` bmittal only) Reviewer Date
Revision 1: 0 Approve 0 Not Appr. ed
Revision 2: ❑ Approve ❑ Not Appraved
Revision 3: ❑ Approved 0 Not App oved
Permit Coordinator Revi
❑ Conditions"Met"prior to issuan.- of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Tr. - D- Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trail- SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA 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
1:\Building\Fonns\31dgPermitRvw_COM NoLandUse_08162022.docx