Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00133
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/16/2014
Parcel: 1 S 135ACO2500
Jurisdiction: Tigard
Site address: 9378 SW MANDAMUS CT
Project: LONGSTAFF APARTMENTS SALES OFFICE ADDITIC Subdivision: ASHBROOK FARM Lot: 25
Project Description: Converting a temporary leasing office to a permanent leasing office.
Contractor: HAMMER AND HAND INC Owner: MACH 1 GE-ASHBROOK LLC
1020 SE HARRISON STREET 851 SW 6TH AVE#1500
PORTLAND, OR 97214 PORTLAND, OR 97204
PHONE: 503-232-2471 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 06/16/2014 $759.57
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/16/2014 $91.15
Dwelling Units: 0 Plan Review 06/09/2014 $245.64
Stories: 2 Height: 0 ft Plan Review 06/16/2014 $248.08
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/16/2014 $70.00
Value: $53,745 DC Provision Review,COM TI-LRP 06/16/2014 $10.00
Info Process/Archiving-Sm$0.50(up to 06/16/2014 $3.50
11x17)
Floor Areas: Tig-Tual School CET-Non Residential 06/16/2014 $252.51
Total Area: 443
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,680.45
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
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 Center. Those 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 503.232.1987 or 1.800.332.2344.
Issued By: - ' -.Signature:
--mollima.' — 1...,----.... ._ :. .:1:.../
•.39.4175 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, e project
Approved plans are required on the job site at the time of each inspection.
t t
Building Permit Application
(omnlercial I OR 01 [I( 1 1 tit O\l l
- Cl of Tigard Received
g
Date/B r /1 ' u Permit No.: / 1 461• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -a fJ
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ate' 1 ( 1 • er Permit:
I WARD Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov 9 .�O{(1 Notified/Method: 4,jr I I •. Z Supplemental Information
1 L►�c t.0.t"i, rr,- -a.e. .
TYPE OF WORK . ifina t
i REQUIRED DATA:1-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
XAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.1/��/f/f�
❑ I-and 2-family dwelling XCommercial/industrial
Valuation: $ rI'D'Y br
❑Accessory building ��''❑``Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9 778 r1Al1/41 bAMJj G'7. New dwelling area: square feet
City/State/ZIP: 'r l CAT?IS /0 0.7 '17223 Garage/carport area: square feet
Suite/bldg./apt.no.: 3 ` Project name: A11.417?oo1f. k LEA//A," Covered porch area: square feet
Cross street/directions to job site: OFFICE Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: 714,717$,��Oat3
ctauOOP" tntr Futt1 tw d'APtCE Tb C'EArei...- I
O tGF . Existing building area: 1'17'f square feet
New building area: 0 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: /VIACM I a. - At Hflau o K 1 LA-G Type of construction: vg
Address: ii/7-1 IVORII41,/ 1`1 euETTh-T Occupancy groups:
City/State/ZIP: ?eR'lC..Airb /0rt//720'5 Existing:
Phone:( ) ` Fax:( ) New:
XAPPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: MITCHELL 1)1`(AER ARCH(TIE C?•iY7 C.L L Structural plan review fee(or deposit):
Contact name: /ytrT Ck Et L rMV'(bRiZ
FLS plan review fee(if applicable):
Address: l?22 k 4C.TIE 7274 S'i• .
Total fees due upon application: 74)
City/State/ZIP: pbg7 c t /0/Z, /57/(1
Amount received:
Phone:(507) 7(1 - vir 83 Fax::( )
E-mail:M KGK t? 'Pt(At T t ertARGK. C•/N
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: f.[A stiAA VI ALA i-{tg0 D Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: /oZo r ri.i A ri HA 71T?I to() ./?. Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: parr?L Au, /on 971 and administrative fees): $180.00
Phone:(Sol) 272 - 2 l:'el`!!) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 1C it 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: 1j1 KGNotc. .CN (b ft. Date: 6/1/e.t k * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
s
TIGARD Building Permit Review — Commercial - With Land Use
ti
Building Permit #: 4Z,o 1-._ <)d l -13
Site Address: 73 -4 MA,(4ksivs Suite/Bldg#:
Project Name: ion,5,54 4rts ,:D Q9
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review / �//��
Proposal: cc+hi Goce - ((4jHl✓� p PO "QM, 02#'t
❑ Verify site address/suite #exists and active in permit system.
❑ Land Use Case#: /kit Dolo/7`'afp/„Z
❑ Plans atch Approved Land Use:
Brr Site Plan ❑ Landscape Plan ❑ Other
❑ Urban Forestry Plan ❑ Elevation Plan
❑ Byilding Height: Maximum Height Actual Height
Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Notes: 400eige .i re eereht,,( /..I 4:4611/..% 741/ Apow" /O.r-p 4.6 Ji4,61,
wk.f• At 4 fic•woi. /e. 780.04o.4.0k
Approved by Planning: ‘( Date: 5:4
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6pr9//(.,
Site Plans: #
Building Plans: #
Building Permit#: [-- er building�permit#above.
Workflow Routing. �) [nning -iti eering a-lcrmit Coordinator $13-0-ding
Workflow Sign-off: f( ' ff 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:
By Permit Technician: e`%- Date: erfAll
I:\Building\Forms\BldgPermitRvw_COM_W ith LandUse_042914.docx
Engineering Review
❑ Actual Slope:
❑ PFI Permit#:
❑ Conditions Met
Notes: /J 4 6 .•s G M':(2/,v G r S
Approved by Engineering: Date: 6 ./0 (/ /
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Per t Coordinator Review
Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision otice 3: Date Sent to Applicant:
OR to Issue Permit
Approved by Permit Coordinator: 4 Date: /) //.'1.77
1:\Building\Forms\BldgPermitRvw_COM_W ith LandUse_042914.docx
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