Permit . CITY OF TIGARD BUILDING PERMIT
N COMMUNITY DEVELOPMENT Permit#: BUP2015-00101
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2015
Parcel: 2S110DB00200
Jurisdiction: Tigard
Site address: 15199 SW ROYALTY PKWY
Project: Arbor Heights Apartments Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Remodeling existing clubhouse.
Contractor: SAGE GENERAL CONTRACTING LLC Owner: SPUS7 ARBOR HEIGHTS LP
8190 SW DURHAM RD BY CBRE GLOBAL INVESTORS LLC
TIGARD, OR 97224 800 BOYLSTON ST#2800
BOSTON,MA 02199
PHONE: 503-430-8572 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 04/16/2015 $2,132.75
Demolition
Occupancy Grp: B Occupancy Load: 75 12%State Surcharge-Building 04/16/2015 $255.93
Dwelling Units: 0 Plan Review 04/16/2015 $1,386.29
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/16/2015 $853.10
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/16/2015 $299.00
Value: $270,000 DC Provision Review,COM TI-LRP 04/16/2015 $44.00
Info Process/Archiving-Lg$2.00(over 04/16/2015 $28.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 04/16/2015 $4.00
11x17)
Total Area: 0 Metro Const.Excise Tax-Commercial 04/16/2015 $324.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,327.07
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. AT ION: • =_.n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through OAR 9 -00 .r9r You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 874ST1.80.0.332.20344/.
Is ued By: I /.4/62,06W Permittee Signature: X V�/�/
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.
I
Building Permit Application
Commercial FOR OFFICE I'SF 0\El
City of Tigard Received `
Dates �i Permit No.:r _
- 13125 SW Hall Blvd.,Tigard,OR 9722ECEIVED Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/B : t,� 9 • Other Permit:
TI G A R D Inspection Line: 503.639.4175 p 2U15 Date Ready/By:y: See Page 2 for
Internet: www.tigard-or.gov APR 9 I Notified/Method: /11rel Supplemental Information
. . ■ _ 1,r
TYPE OF W i~' - •N REQUIRED DATA:1-AND 2-FAMILY DWELLING
•' Permit fees*are based on the value of the work performed.
❑New construction ii emo ition P
�J Indicate the value(rounded to the nearest dollar)of all
IX 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 ACommercial/industrial
Valuation: $
❑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: \51q0\ p_bY' Ty-- pkwy- New dwelling area: square feet
City/State/ZIP: T CrtjA ) , 49-2'4_ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Je... (C-�j Covered porch area: square feet
Cross street/directions to job site: SA� �b�AL-1-C( ° )t'l \ I Deck area: square feet
S10 V_IN.bue, -1". �i/� Other structure area: square feet
REQUIRED DATA:CO CHECKLIST
Subdivision: I 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 t work indicated on this application.
el4STI N& CI-AA:A.1Sr .TD 612. t l.0/ ) W t-vt t Valuation: $ 72.01 0
O C)
-010,1` ,n' pv t ONA-1 0E1,3 Qpt � Existing building area: square feet
`AAA , �. c x .s,E 1�I.YS)Ci gi' c _ 1R € G lu - New building area: square feet
V�W�p�PROPERTY OWNER C 1�JICMt ❑ TENANT 3 ta Number of stories:
Name: JKY-. COL-1'1F7 i VV ILSI A P. > Type of construction:
Address: S 2 T -1�- f/1/e�D1'DDt�of J I [kb Occupancy groups:15
City/State/ZIP: �T,P4`')TA 1 3O3Os Existing:
Phone:4 ) s 4 • 5 oI 54 Fax:(464) 5UT .5(33 New:
D APPLICANT NtiA CONTACT PERSON BUILDING PERMIT FEES'
Business name: .�', a nalo A� lam/
(Please refer tofttn le) _
mw et_ � l �` �Fes' Structural plan review fee(or deposit):
Contact name: t-4 ► 1
-
Address: Lo� w p(,A AG �Sbo FLS plan review fee(if applicable):
City/State/ZIP: P ivr-v- _-t* D 1'`a t } q�� zl Total fees due upon application:
%3 23 e(Q'-.` DCI _O ` (S/33 2-S(0. f< )
Amount received:
Phone: ) Fax: : )
E-mail: Ie .ak1Ae� r').rYL l4�Y�.q Y-� • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: < i� atz-r(Z J ' L� Submit two(2)sets of roof plan with connection details
(CAa C� 'L l a - �1 ^ �)4 Solar fire Installation a along chec the. Oregon
Address: t.I ll'�1V 1 Snlar/nstallation Code checklist.
City/State/ZIP: l l 1,� � O� G��ZZ(� Permit fee(includes plan review $180.00
and administrative fees):
Phone:503) 4 30, `as`�.:Z Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 11_0(84 ' 1.1((st Total fee due upon application: $201.60
Authorized signature:cV0j2aSUbli< This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1. r M��a Date: _ O �'5 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
11114 COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 0.rp,d 0 S--co iii f
Site Address: ( SIT SvJ R09 otlt') Suite/Bldg#:
Project Name: 4f,.Ivr h1S 6j4/ '13
(Name of commerciaUSusiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: (Zen-Node( �)(i 1t1Yl ClUbhhovJ-e-
Existing Business Activity: C4 Pa.-{vne,tni-s ref-l`d r cA-
Proposed Business Activity: o.po r t(1r\L,A \ l\ r.1 i c(-p*n t -L,
Verify site address/suite#exists and active in permit system.
-0—River Terrace Plan District ❑ Yes ❑ No
Zoning: -t Z
j2' Permitted Use: 7 Yes ❑ No ❑ Spec Space
--8-confirm no land use required.
❑ Business License: (ar5 i ci.QXI 1izA-L
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: itNio n,Zot_ (jt 1 O GLa_ok....-- Date: 41°1/ IS
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y 1 j�
Site Plans: # /�j¢
Building Plans: L
Building Permit#: .,_, Enter building permit#above.
Workflow Routing: eiliin g Coordinator 8-$ffildf g
Workflow Sign-off: tgn-o for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �.. Date: 0 ir-
1:\Building\Forms\BIdgPermitRvw_COM_NoLandUse 031015.docx
4
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
J3OK to Issue Permit / _
Approved by Permit Coordinator: 4/�1,
Date: '7` 9 !j
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx