Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00017
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2016
Parcel: 2S110AC00400
Jurisdiction: TIGARD
Site address: 14799 SW 109TH AVE
Project: Timberline Apartments Subdivision: 2003-083 PARTITION PLAT Lot: 2
Project Description: Moving the office entry door to a new location and building a decorative dormer.
Contractor: REGALADO Owner: KA-5 ASSOCIATES LLC
13935 SE CALLAHAN RD 5335 SW MEADOWS RD#190
PORTLAND, OR 97236 LAKE OSWEGO, OR 97035
PHONE: 503-702-8459 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/17/2016 $286.64
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 02/17/2016 $34.40
Dwelling Units: 0 Plan Review 01/14/2016 $186.32
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/14/2016 $114.66
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/17/2016 $2.50
Value: $14,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $624.52
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 03 232.1987 or 1.8 2.2344,
Issued By: Signature:
C 9.4175 by 7:00 a.m.for the next available in pection 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
Commercial FOR OFFICE USE ONLI
City of Tigard Received Date/By: / Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR Plan Revi�
DateB O
Phone: 503-718-2439 Fax: 503-5 �p / Related Permit:
94 `�Q
�(
a Inspection Line: 503-6394175 1 Date Rea Jig ® See Page 2 for
Internet: www.tigard-or.gov ,P� 1 + ty Notified/Method: 1(� Supplemental Information
,1� W
❑New construction ❑ Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑ er: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercialrndustrial Valuation: $
❑Accessory building ixLM—ulti-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.#: Project name: r,ha rA overed porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
EQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#.-inPermit 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
work indicated on this application.
aluation: $
K Existing building area square feet
New building area: square feet
Number of stones:
Name: �' `c L Type of construction:
Address: t.J �c. Occupancy groups:
City/State/ZIP: R 970 3" Existing:
Phone:(5-03 )q(o�{. r5$d c yp Fax:( ) New:
APPLICA ❑ CONTACT PERSO BUILDING PERMIT FEES*
Business name:
Structural plan review fee(or deposit):
Contact name:
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application: Ct
Phone:( ) Fax::( ) Amount received:
E-mail: 00i
ONTCommercial and residential prescriptive installation of
'1' CRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �, -S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: .v/r Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: and administrative fees : $180.00
Phone: 2 & 2 ,02Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 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: Date: * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Pennits\BUP COM—Z itApp.doc Rev.04/21/2014 4404613T(11/02/COM/WEB)
City of Tigard - COMMUNITY DEVELOPMENT DEPARTMENT
■
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
13125 SW Hall Blvd. - Tigard, Oregon 97223 - 503.718.2439 - www.ti arg d-gLg_ov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(0 accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014