06-June (15) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2023-00112
Date Issued: 7/25/2023 i
T t GARL7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110AC00400
Jurisdiction: Tigard
Site address: 14741 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 952-001-0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
n
Issued By: 1"—A 7�� Permittee Signature: r-F, = l 0 l‘ c ejl ,t.'', 0f /'/' r
/ Ca 1503.639.4175 by 7:00 a.m.for the next available Inspection date.
l/ This permit cahall 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 "U�CA i- FOR OFFICE I SL OALl
h�Received
City of Tigard Date/By: ,7�'� /'1,(0 ' 'a Permit No.: jDt 31,3.. I II
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 11 t � 0 2023 Plan Review .
_ Phone: 503-718-2439 Fax: 503-598-1960 J U 2 LJL Date/By: /^ Related Permit
T I G A R D Inspection Line: 503-639-4175 Date Ready/By: Jaris: Ei See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 �' ( 03 Supplemental Information
Efloaqr+4 133ir
TYPE OF WORK REQUIRED DATA:I-AND2-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.
El1-and 2-family dwelling ElCommercial/industrial Valuation: $
Number of bedrooms:
❑Accessory building Multi-family
El Master builder ❑Other: Number of bathrooms:
JO1t srtR 1 FORMATION t0 Lf ALTO Total number of floors:
Job site address:lylc4..\, SA...) 1 o 1=34' . _ New dwelling area: square feet
City/State/ZIP: - ,,,ez".k.Q,f e. 0 a ,, 9 7 -z'P ( Garage/carport area: square feet
Suiteibldg./apt.#: Project name:1 v.A.Zy IL JJ,rL &Q Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
;.4' 44,**f0c c... `S C IIaCWST
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
I .rr `4 ° ti "' =x 5 "'� 1" 14 work indicated on this application.
Drz C ke-- (LC-ek (,C A<+ €lv 1 -- 'Pi P2 Kok 45.1 Le— Valuation: $ 2.ce, t 0-0 l)
Existing building area: square feet
New building area: square feet
elg PROPERTY OWNER 0 TENANT Number of stories:
Name: k A. `3 N,5 cc ,.A:t re z.J. Type of construction:
Address: )33 5Ns,c,,A.00„ j5 R..0 Aj , a'iO Occupancy groups:
City/State/Z1P: LZ y_C 013„LQ (> s ®z. , 9 3-0 r3-c- Existing:
Phone:(cO ) C(o 34 rya Fax ( )
. L 1 ' 0,* ,.. ' OLt r s New: SITILpI IC,pg t1t11T S*
Business name: V. i N.) ,LV 1 p 2C P 6, 4 5 tcro 5 Structural plan review fee(or deposit):
Contact name:?2.&„.0 Shy.:0 S.C' FLS plan review fee(if applicable):
Address: 9 Z J c4 jJ Q 4 5- t)Q . C (2- 1 V
City/State/ZIP: pO Q--N`i.iJ(� t 0!� q 22- Total fees due upon application:
Amount received:
Phone:(S�3,) 1-e7S— - 0 Vag Fax: :( ) ,
E-mail: PHOTOYOL TAIL SOLAR PAIL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C i Al N.yea_ , 'Qc 9e, C� t C e` Submit two(2)sets of roof plan with connection details
? and fire department access,along with the 2010 Oregon
Address: c67J R 3 �w._ cokovo.ii 13 r.v <5 E. 3 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: it, -‘ `�� Q ( 0 �'�" Qfp and administrative fees): $180.00
Phone:(j 0-5) til t - 0 b 6 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: lq` r Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:B. j�,6,0 d,OC__�-k Date: Co i 3 f 'Z�,i,'� * Fee methodology set by Tri-County Building Industry
Service Board.
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a
City of Tigard
1114 r COMMUNITY DEVELOPMENT DEPARTMENT
s
T Fz D Building Permit Review — Commercial - No Land L se
Building Permit #: l P IJ1J3 db t 1ti
Site Address: 114 41 9,0 1 OctfIN Avf Suite/Bldg#:
Project Name: -14erVale, AyuY•its&AtS - Decii, kriaCe vpevf-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ceti A.t-2-11 e,)a 1C9 dock-s , S(,we Size .
Existing Business Activity: i ani meA d 1
Proposed Business Activity: `l
Verify site address/suite#exists and active in permit system.
.River Terrace Neighborhood: ❑ Yes ,1J No
,2"Zoning 9kS-9
Permitted Use: -6 Yes ❑ No ❑ Spec Space
Confirm no land use required.
AR-Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: ..— _ Date: (2 I L a[z3
69
Revisions (after Building Submittal only) Reviewer Date
Revision 1: D Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: IV 1' 1141/3
Site Plans: #
Building Plans: # '$
Building Permit#: C2 Enter building permit#above.
Workflow Routing. &7 Planning a Permit Coordinator Building
Workflow Sign-off: la 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"d 1 y�
r.y Permit Technician: J/YVY14 P kAI14, Date: V ha l tioti3
I:\Building\Fonns\BldgPennitRvw_COM_NoIandUse 09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
Cl Conditions "Met"prior to issuan.- of permit
❑ Easements (encroachments)per e eering conditions of approval an5(plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility: 1
Assess Water Quality Fee in-lieu ❑ Yes ❑ No
Assess Water Quantity Fee in-lie • ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approve.
Revision 2: ❑ Approved ❑ Not Appro.;:
Revision 3: ❑ Approved ❑ Not Appro
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Appli-: for D Receive. ❑ Does not apply
❑ Fees Entered: Wash C. rans Dev Tax: D Yes ❑ N/A 0 Deferred
Tigard rans SDC: ❑ Yes ■ N/A ❑ Deferred
Par: SDC: ❑ Yes ■ N/A ❑ Deferred
DA Fee: ❑ Yes ❑ A
Date:
• ❑ OK to Issue/Approved by Permit Coordinator:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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