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Permit
• CITY OF TIGARD BUILDING PERMIT 14 • ti • -- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00040 .TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2012 Parcel: 1S 135ACO2500 Jurisdiction: Tigard Site address: 9304 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: New MF. Building 5 (6 units). Contractor: JT SMITH COMPANIES Owner: J.T. SMITH CO 5285 MEADOWS RD, STE 171 5285 MEADOWS RD SUITE 171 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 975 -7639 PHONE: 503 - 975 -7639 FAX: 503 - 684 -0102 FEES Specifics: Description Date Amount Type of Use: MF DC Provision Review, COM New - Bldg 06/21/2012 $129.00 Class of Work: NEW DC Provision Review, COM New - Ping 06/21/2012 $129.00 . Dwelling Units: 6 DC Provision Review, COM New,- LRP 06/21/2012 $38.00 Stories: 2 Height: 23 ft Info Process /Archiving - Lg $2.00 (over 06/21/2012 $64.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $654,783 Info Process /Archiving - Sm $0.50 (up to 06/21/2012 $24.00 11x17) Erosion Control 06/21/2012 $184.00 Floor Areas: Erosion Plan Review CWS 06/21/2012 $59.80 Erosion Plan Review COT 06/21/2012 $59.80 Total Area: 6070 Metro Const. Excise Tax - Residential 06/21/2012 $785.74 Accessory Struct: 0 Use Basement: 0 Tig -Tual School CET - Residential 06/21/2012 $6,494.90 Carport: 0 Park - Multi Family Unit - Apartments & 06/21/2012 $19,525.20 Covered Porch: 632 Condominiums Permit Fee - RES - New Construction 06/21/2012 $3,271.04 Deck: 272 12% State Surcharge - Building 06/21/2012 $392.52 Plan Review 06/21/2012 $2,126.18 Garage: 1566 Plan Review - Fire Life Safety 06/21/2012 $1,308.42 Mezzanine: 0 Total $34,591.60 • Required: Required Items and Reports (Conditions) 1 Ersn Cntrl 681 -4444 Fire Sprinkler: Yes Parapet: No Fire Alarm: No Protected Corridors: No Smoke Detectors: Yes 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 Cen . r. Tho - rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090: You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. =87 or 1.84 4.332.2344. Issued By: Permittee Signature: — .‘adi. / Call 603.639.4176 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 Residential ��� FOR OFFICE USE ONLY of Tigard R Date ecei B ved r M u 13125 SW Hall Blvd., Tigard, OR 9722 : i O Phone: 503.718.2439 Fax: 503.59 'L�� p e/g vtew 'N ( p (p /y Other Permit: T I G AR D Inspection Line: 503.639.4175 ` � er- G�` Date Ready/By: El See Page 2 for Internet: www.tigard- or.gov ` Q+'S\ Notified/Meth/Method:0 / 1',A PM Su pplementa lInformation F ` J GRE V7 TYPE OF WORK , ,.•.., REQUIRED DATA: 1- AND 2- FAMILY DWELLING Et New construction ❑ Demgh0 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. 1- and 2- family dwelling ❑ Co rcial/industrial Valuation: $ ❑ Accessory building ulti- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: q 31(e q 3D4- 3 a 2i q 3 32, q 3 Sr q 32p 5 t,v t�ACt..�n�LA.�rlt 5 New dwelling area: square feet City /State/ZIP: T m- , i 2 a - 1 2.Z-t (t�f Garage/carport area: square feet Suite/bldg. /apt. no.: ?AA 5 I Project name: A--,,,..,„ ., S/x �T Covered porch area: square feet j site: Cross street/directions to ob Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: l Lot no.: Zh • ZS Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 'n Valuation: $ S / --- Existing building area: square feet New building area: square feet ROPERTY OWNER ❑ TENANT Number of stories: Name: • Type of construction: P8 Address: 5 2 f, Al ,eQdpoS led S /7/ Occupancy groups: A, / City /State/ZIP: Z £iGL AC �)Pk.', I � 9 7P3 S Existing: Phone: (5Z ) 975 -'7 & 39 Fax: ( 57%3) 1p kV - /' /,Z New: ❑ APPLICANT ❑ C NTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) �/ Business name: T ,9 � j yt'elf Structural plan review fee (or deposit): Contact name: C44.y FLS plan review fee (if applicable): Address: 5 PS- 41 ea" a , /fdd, „'f., /7/ Total fees due upon application: 6' 95 j . 7 lGG City / State/ZIP: LA 093 �,e, D / b12 g 7 U.S S l Phone: (67 97S — `7& Fax: (SU3) 4 tyz� /OZ Amount received: E -mail: ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* (n I1 /t ,..4_,, ,- ., AS�r, i/ Co , Gaw CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted Photo Voltaic Solar Panel System. Business name: Submit two (2) sets of roof plan with connection details ,' r , and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. — City / State/ZIP: Permit Fee (includes plan review $180.00 I and administrative fees): Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: fyi 9'�o� 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: (4 /,� o •�� I Date: 2701/0/1_ 'Fee methodology set by Tri County Building Industry Service Board. I:\ Building \Permits\BUP - RESPermitApp.doc 02/24/2011 440- 4613T( 1 1/02 /COM/WEB) I 51111 e ° Building Division Development_ Code Provision Review T I G A R D Commercial Projects with Approved Land Use Building Permit No.: Q I,, P c201 d.- c)OOLV d Land Use Casefile No.: (r mi.)arXJ >--Ok c) 17 is f)e 9.605- & i I Ar L w b .). Routed Plans: Submittal Date: 42 / /1) e,7--. Submittal Date: a— ? ZE PRoTc A/ Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. • Planning Review (contact at 503 -718 -Zgg_ or @tigard- or.gov) Er Land Use Approval Er Building Plans Match Approved Plan:. Yes la No ❑ a Maximum Building Height cl- Conditions Met T .40.sa . F 11 Notes: �.aQ /�A�c�'� .r�+ Original Plan: Approved .2' Not Approved ❑ Date: 3 - L' /Z Revision 1: Approved ❑ Not Approved la Date: d ' Y -1-. Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ,Actual Slope: 3 ❑ PFI Permit # ❑ Conditions Met Notes: • Original Plan: Approved .Pr Not Approved ❑ Date: 7 l Az_ Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact -Todd Prager at 503- 718 -2700 or todd @tigard - or.gov) Ei Trees • Protected Trees � Notes: ,L4 + .J Qe r(r e J y j'I c p,.,) •iC n /r' £ . sl. a , rt, .,,� A I ,, fi t, rL c d . ' IL. l Pi ' hr e • Uwt,� Original Plan: Approved ❑ Not Approved G Date: 3 'a - aol a Revision 1: Approve Not Approved ❑ Date:t/5 Revision 2: Approv d ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No 1 4° Date Routed to Building: - • • • • Page 2 of 2 \.�.. A ; sL. \ 1. 1-'r firma \I , , , _ —01_ f4 r_. can: alpha '1 \ �. - 110 ra ,0-1 coma ,,,,�,� COMMUNITY Mai DEVELOPMENT mrRI nIc 0 Mane Inman I I `1 ® :AM. 01.5r1.1101 gym SW 1.111••••• Av. I� ' �' _I> f •e I. WAS to MY•Y A10mM PI MuNgal ' 1� ® n Inca 10 t 110•240 •waorommvmm• Dam REVISOfte ...�- =7 - - -- - rAr 0O M OY�Id • 1 f r' _ r�t y _ Di .ai .a° ur er'nr ma u t - ©�u i ' ,r1-4 P le mow•-• --:::-.... to EMIL:Z=1T% . .. ` ;..3 -- /- 1 �� n GUM rY OlrYlan .iUla ' We Le Y �N [' err '. .�•,. 1 ^• GUAM ra rat W/LL YM / ." 1 I rm " .• ` t ,' ∎ � ra Ionia ..•1m■ M. 1 I • 11 �� j r L •17�r S. R1005 • WI !AKA a•10 1 � �4 : me. mYn ,i � i49f ' 11 I i .. 1 I ' , 4. I I ics�tcn r s a •w¢o g KIWI. OCTOBVI 131 I003 ' �� / I . ,- - - - -... J� -- - , ICY MAY 31ST. - —1 .1 - - T �� - - — - - r p \ - rro • SIC 1700 -C OR•BI� !OR rri I,mmr .JSa , v r r p MC. rp19 IRO Tree Protection Verification — Longstaff Condominiums ' . ■ r � , ;�' ' 6 ip C) LONGSTAFF Tree protection has been Installed for new construction as shown on - this plan and erifled by me In the field on 5- 30 -12. ��,� � � �. y � � � p g g ® � CONDOMINIUMf ��� , me ..Mandl r 'f 3 O .� g Walter H. Knap i _ Mile � 0 4 '� \� - e ' Certified Arborlst PN -0497A \ '�f a ; .1,..—%" - .' m • -- G - . •. /.2-. l ' � " mP ®° '• • • % .� EROSION • • e-. " s - . °m•.- '- -'�• ; n Legend: Tree Protection Fence ~ee1 .►m • . • .. • s _4‘. - - ; ' CONTROL - • � -- - ® - ' - 4...•; - .N.*. J m ° -e a _� • "- `\ �.i.�. • .. '• -• tit • • * - • .m • • t ` i I • � = f ®m 41 ,\ • �� • • c "_ • k _ a ® "m - \ s__�_e _, - _ =te• r _ 1 .w• ea•••••• ecALe • � ..: MIME 6 . gwr••om ••Oro..• -••• L. tie • a■ ••••• i a TIGARD City of Tigard INVOICE DATE: 06/06/2012 Project Name: Longstaff - Building 5 Fee Item Fee Amount Fees Paid Fees Due Building Permit Fees: BUP2012 -00040 Permit Fee - RES - New Construction $ 3,271.04 $ - $ 3,271.04 12% State Surcharge Building $ 392.52 $ - $ 392.52 Plan Review $ 2,126.18 $ 2,075.85 $ 50.33 Plan Review - Fire Life Safety - $ 1,308.42 $ 1,277.44 $ 30.98 . �� Park - Multi Family Unit - Apartments & Condominiums $ 19,525.20 $ . - $ 19,525.20 TDT - Transportation Development Tax $ 25,950.00 $ - 25,950.00 0 e6. DC Provision Review, COM New - Bldg $ 129.00 $ - $ 129.00 DC Provision Review, COM New - Ping $ 129.00 $ - $ 129.00 DC Provision Review, COM New - LRP $ 38.00 $ - $ 38.00 Info Process /Archiving - Lg $2:00 (over 11x17) $ 64.00 $ - $ 64.00 Info Process /Archiving - Sm $0.50 (up to 11x17) $ 24.00 $ - $ 24.00 Erosion Control $ 184.00 $ - $ 184.00 Erosion Plan Review CWS $ 59.80 $ - $ 59.80 Erosion Plan Review COT $ 59.80 $ - $ 59.80 Metro Const. Excise Tax - Residential Use $ 785.74 $ - $ 785.74 Tig -Tual School CET - Residential $ 6,494.90 $ - $ 6,494.90 Total Building Permit Fees: $ 60,541.60 $ 3,353.29 $ 57,188.31 - a s,9so. ov 3/, 23J.3/ City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard or.gov RECEIVED CITY OF TIGARD JUN 21 2017 COUNTYWIDE TRANSPORTATION crfy0F173ARD DEVELOPMENT TAX (TDT) BIT B ON NOTIFICATION OF FEE AND PAYMENT OPTIONS Please sign and return prior to hi/Ailing permit issuance. This advises you that the TDT for this project is as shown below and outlines the payment options that may be available to you. The TDT amount will increase on July 1, 2015 if payment is not received before then. This form is to be signed and submitted prior to issuance of a building permit. City of Tigard Date: Site Address: • (O�lyl9,ol� q3(& -Sea Mand.amas Ca,` Project 4* Land Use Case Name: o, s frif - C 6r/AeGrn or Permit #: 8UPP.O -coo s-1-o Tax TDT Amount: a 5 LSD, °e) � Lot #: 1 This constitutes my request to use the TDT payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that TDT charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. [Please address questions about TDT. or Deferral or Installment Payments to Albert Shields, Permit Coordinator, 503 ID Cash, Check. or Credit Card, payment due at building permit issuance. Lid Deferral until Occupancy, payment due before issuance of an occupancy permit Payment of the TDT may be deferred until issuance of the occupancy permit if the TDT is greater than the amount for a single family residence. currently $6.665. In requesting this option I understand that any deferred TDT must be paid prior to issuance of a Certificate of Occupancy and that the TDT will be recalculated at the time it is actually paid based on the TDT rates prevails at that time. I further understand that TDT rates may increase each July 1' and that such increases are not subject to appeaL For a deferral request to be accepted both the Owner and the Applicant must sign this request ❑ Credit Voucher (for developer -built required public improvements, subject to approval, • completion, and acceptance of creditable improvements.) PLEASE NOTE: TDT Credits must be redeemed at the time TAT Payment is due, either at the time the building permit is issued or, if payment is deferred, prior to issuance of an occupancy permit. If you expect to claim TDT Credits be sure the improvements, any creditable payments, and your Request for Credits is complete either before your building permit is to be issued or, if payment is deferred, before you request an occupancy permit No refund of TDT Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ `Bancroft" or Installment Payments (separate a : ' . tion required.) Dt/A :ice /1� �F OWNER /APPLICANT ,,+ i'i LICANT DATE: t Z.0 / DATE: 6 " (9 • d O— E CURPLIA •t • or \TDT Fomu \TDT Payment Option Form 061312AMS