Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00461
DEVELOPMENT SERVICES DATE ISSUED: 11/24/2004
"" 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16005 SW 108TH AVE BLDG A PARCEL: 2S115AA -OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 7,067 sf N: 1HR S: 1HR E: 1HR W: 1HR
TYPE OF USE: MF SECOND: 6,720 sf PROJECT OPENINGS?
TYPE OF CONST: 5-1HR : 6,354 sf N: N S: N E: N W: N
OCCUPANCY GRP: R1 TOTAL AREA: 20,141 sf ROOF CONST: C FIRE RET?
OCCUPANCY LOAD: 84 BASEMENT: sf AREA SEP. RATED:
STOR: 3 HT: 32 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 18 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: 21 IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 1,651,562.0C
Remarks: Building A - 18 units
Owner: Contractor:
OT2 LLC KEYWAY CORP
5437 ROSALIA WAY SUITE 100 7275 SW HERMOSO WAY
LAKE OSWEGO, OR 97035 PORTLAND, OR 97223
Phone: 503 - 620 -4373
Phone: 503 - 684 -5100
Reg #: LIC 127522
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require Insulation Insp
[BUPPLN] Pln Rv 9/29/2004 $3,910.12 Electrical Permit Required Shear Wall Insp
Sprinkler Permit Required Exterior Sheathing lnsp
[FLS] FLS Pln Rv 9/29/2004 $2,406.23
BUILD Permit Fee 11/24/2004 $6,015.56 Plumbing Permit Required Firewall Insp
[BUILD] Ersn Cntrl 681 -4444 Drywall nail /screw
[TAX] 8% State Surchan 11/24/2004 $481.25 Footing Insp Gyp Board Insp
(additional fees not listed here) Foundation lnsp Smoke Detector
Slab lnsp Bolts in concrete final repo
Total $29,186.76 Underfloor insulation Structural welding final rep
Framing lnsp Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: p t
Permittee
Signature: '
Call 639 -4175 by p.m. for' an inspection the next business day
160o$' Sw /O5 4VC
NIL TACO
1 Building Permit Application FOR OFFICE USE ONLY
RECEIVED
Received p
City of Tigard Date/By: / Q y / Permit No.: AuP /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review, Art
Phone: 503.639.4171 Fax: 503.598.1RfB 9 2 2004 ' 4 " /'I Date /By: I ^ &"1/7 Other Permit:
Inspection Line: 503.639.4175 J �t . 6' Date Ready /By: /��d! Juriss ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: (� Supplemental Information
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lTY OF TI �� ,�
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tiJIREDD'ATA. 1 -:AND 2 FAMILYUWELLING
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® 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
PP
work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ® Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
y
JOB SITE.JNEORMATION AND':.LO'CATION- h '; ' °`', Total number of floors:
.« 2:H: • 'b ° :' "`��f _ := ,... :.. ... .. :. ..: :'.'."e�f'*'`c , ate•.`°,. \`
Job site address: 1600`�' �° � �t) New dwelling area: square feet
City /State /ZIP: 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: BLDG A Project name: OAK TREE II APARTMENTS Covered porch area: square feet
Cross street/directions to job site: SW 108 Ave. & SW Durham Road Deck area: square feet
Other structure area: square feet
REQUIRED" DATA: COJ� MERCIAL -USE CHECKLIST:;;
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S115AA 00700, 01000, 01100, 01200 Indicate the value (rounded to the nearest dollar) of all
_: a and the materials, labor, overhead, a e pr ofit for the
5 - DE IPTI N" ti;W RK a'• work indicated on this application.
SCR O ; O ,O � PP
New construction Valuation: $ 1,6 5/ 1 16 Z 4a
Existing building area: square feet
New building area: 20141 square feet
v " Nu Number stories:
A PROPERTY; °OWNER:ky�y� TENAt ° 1ST mb 3
Name: OT2 LLC Type of construction: V -1 hour
Address: 5437 Rosalia Way, Suite 100 Occupancy groups:
City /State /ZIP: Lake Oswego, Oregon 97035 Existing:
Phone: (503)620 -4373 Fax: (503)620 -1243
New R1
T .:;6, ONTAGT •PERSON � ; . ; ...,,, : , r:' °'::,�::.:: °'r:
�_® ,,APPLICANT °,C
�t-
. . •il - =Ng�
Business name: Ossey Development Corporation All contractors and subcontractors are required to be
Contact name: Dick Ossey licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5437 Rosalia Way, Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Lake Oswego, Oregon 97035 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -4373 Fax: : (503) 620 -1243
E -mail: richard.ossey @verizon.net
i +:.q
r,�: gk �+ :- CONTRACTOR
..J
Business name: Keyway Corp,. :; <; : • ,,.
: ,
Address: 7275 SW Hermoso Way
Please refer to fee schedule.
City /State /ZIP: 97223
Fees due upon application
Phone: (503) 684 -5] 00 Fax: (503) 684 -5500
Amount received
CCB lie.: 127522
Date received:
Authorized signatu e: dgfArA This permit application expires if a permit is not obtained
�- within 180 days after it has been accepted as complete.
Print name: Richard B. Oss y Date. 9/24/04 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 2/03 440- 4613T( I l /02 /C'OM /WEB)
/�iirilaN����
November 18, 2004 _ a� f i
CITY OF TIGARD
OREGON
Dick Ossey
Ossey Development Corporation
5437 Rosalia Way, Suite 100
Lake Oswego, OR 97035
RE: NEW APARTMENT, BUILDING A
Project Information
Building Permit: BUP2004 -00461 Occupancy Type: R1
Tenant Name: Oak Tree II Construction Type: V /1HR
Address: 16005 SW 108 Avenue Occupant Load: 84
Area: 20,141 Sq Ft Stories: 3
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999
edition. The submitted plans are approved subject to the following conditions.
• The deferred submittal items listed on sheet A1.0 may be charged a deferred
submittal fee based on the valuation of the portion of the work being deferred. The
minimum fee shall be $200.00.
Special Inspection: Special inspection is required for items listed on sheet 5101.1. The
special inspection agency of record, shall furnish inspection reports to the Engineer of
Record, Conlee Engineers, Inc. the General Contractor, Keyway Corp and the City of
Tigard, Building Division, attention Hap Watkins. All discrepancies shall be brought to the
immediate attention of the general contractor for correction. The special inspector shall
submit a final signed report stating whether the work requiring special inspection was, to the
best of the inspector's knowledge, in conformance with the approved plans and specifications
and the applicable workmanship provisions of the code. 1701.3 OSSC
American with Disabilities Act (ADA): It shall be the responsibility of the Architect,
Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA
requirements for the structure. The City of Tigard reviews the plans and inspects the structure
only for compliance with Chapter 11 of the OSSC which may not include all of the
requirements of the ADA.
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall be available to the Building Division inspectors
throughout all phases of construction. 106.4.2 OSSC
13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639 -4171 TDD (503) 684 -2772
,a
•
COUNTYWIDE Date: , 0 I q Plans Check No.
TRAFFIC IMPACT FEE Project Title:
JORKSHEET Ocuk c �
(FOR NON - SINGLE FAMILY USES) so
Applicant: , — .1 , `. �' _ .,
Mailing Address: , • •
Tax Map No.
Site Address:
Land Use Category Rate Per Trip Payment Method
❑ RESIDENTIAL $ 269.00 ❑ CASH /CHECK
❑ BUSINESS /COMMERCIAL $ 68.00 ❑ CREDIT
❑ OFFICE $ 247.00 ❑ BANCROFT (PROMISSORY NOTE)
❑ INDUSTRIAL $ 259.00 ❑ DEFER TO OCCUPANCY
❑ INSTITUTIONAL $ 111.00
LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG TRIP RATE WEEKEND AVG TRIP RATE (institutional)
BASIS �` 69-) /' �� 1 Y S �.
l `- (- (21.04)
J Pa'd f cCL LCS / 1
i_. Li D-
CALCULATI • S - ._______
I'D /al - -- 1.- D — Iiryp r ,_-_-- - ‘, , .e. E---0
(93 -i E(6-.,‹- G 9 oe rw - i, P 7 ...1-40
, $777 � - 7,
.....
._..... _
/ 60 A ir. ADDITI• AL , . 11' 1 i l .D 3,)- ( -- Cpl-"
, n ' 4;...- . 4 a 9) 5
t (2 ,_
707 Ed :x. gce 9 -.- 4--D-Lx-c-/-7--b/ ..
/ ,C. , : ),/ / _ _
PROJECT TRIP GENERATION ROAD AMOUNT y TRANSIT AMOUNT, c o TOTAL FEE to
. - . & 6 9 . ' . 4. i 4 - - f / , $ 17 7 02-f7
, ' /
REP ARED BY co cal
1" z-/ L74' /3__(°:_21_. "1 ( --
•
/ , , 7
p ,:- ---
COUNTYWIDE Date: /J" / O _ ) Plans Check No.
TRAFFIC IMPACT FEE Project Title: 7
WORKSHEET
(FOR NON- SINGLE FAMILY USES)
Applicant:
Mailing Address:
Tax Map No.
Site Address: it 1 ;: -e
Land Use Category Rate Per Trip Payment Method
1 RESIDENTIAL $ 269.00 ❑ CASH /CHECK
❑ BUSINESS /COMMERCIAL $ 68.00 ❑ CREDIT
❑ OFFICE $ 247.00 ❑ BANCROFT (PROMISSORY NOTE)
❑ INDUSTRIAL $ 259.00 ❑ DEFER TO OCCUPANCY
❑ INSTITUTIONAL $ 111.00
LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG TRIP RATE WEEKEND AVG TRIP RATE (institutional)
c20/0 — o ► r ► - ! ,, \&vk 6. /0
BASIS / �'� _\
a wic________ttit e -
CALCULATIONS
JD / ' 41_g
/0 0 ) s d ,61 &rid e r� .
,
00 7`r-� s)
qq. gv 'MPS P =a 8'1 6.02-0
ADDITIONAL NOTES
PROJECT TRIP GENERATION ROAD AMOUNT TRANSIT AMOUNT \ TOTAL FEE
/ l boo � c,1(0, & ( -.a 0
PREPARED BY
4
RECEIVED
Nov p. d 2004
COUNTYWIDE CITE' OF TIGARD
BUILDING' DIVISION
TRAFFIC IMPACT FEE
PAYMENT OPTION FORM
d ZY' Gay `l f6 ADS �LV . te4
Date Site Address
-/J 3v%'zoo 00 eic(
Project Name Plan Check #
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this
time. Therefore, I request the following (choose whichever option or options are
applicable):
•
Cash or Check
•
[ Credit Voucher
n Bancroft or Installment Payments
or
The Ordinance allows for deferral of payment of the TIF until issuance of the
occupancy permit if the TIF is greater than $5,000. If the TIF meets this
requirement, I also request this option. I understand the TIF must be paid prior to
issuance of an occupancy permit. I also understand that the TIF will be
recalculated based on the prevailing rates at the time of payment. Please be
advised that TIF rates may increase up to six percent each July 1st. This rate
increase is not subject to appeal.
•
4,f
O OER/APPLICANT OWNER/APPLICANT
cc: Building Permit File
Payment Option Notebook
is \dsts \tif\TIF - PayOption.doc 03/28/02
11116 TIGARD
BUILDING DIVISION PERMIT #: BUP2004 -00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2412004
Phone: (503) 639 -4171 , /�ap���utp li (
Inspection Requests (24 Hrs.): (503) 639 -4175 �' :_..
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 110
SITE ADDRESS: 16005 SW 108TH AVE BLDG A CLASS OF WORK:
SUBDIVISION: LOT #: OAK TREE NO. 2 APARTMENTS OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building A - 18 units TIF Deferred
OWNER: OT2 LLC. PHONE #:
CONTRACTOR: PHONE #: 503 620 - 437
KEYWAY CORP 503-654-6223
' Inspection Request Scheduled For: Date: 9/29/200+5 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 016910.01 503 - 888-2082 Y
Corrections/ Comments /Instructions:
a . ,
( fi4k ,
•
ASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIO "AL FE. S ASSESSED
EAU if Inspector: Date: £t " 5 Phone #: (503) 718 -