Permit (38) 4 BUILDING PERMIT
CITY OF TIGARD , 4,,,:._ ,j
8. COMMUNITY DEVELOPMENT i._LP _
2 �7 Permit#: BUP2015-00365
Date Issued: 07/28/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133AC14500
Jurisdiction: Tigard
Site address: 13145 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 5-24 units. 6/27/17 REPRINT:to correct owner information.
Contractor: HOLLAND CONSTRUCTION INC Owner: KELLER HOLLAND TIGARD INVESTORS
1111 MAIN ST SUITE 700 BY HOLLAND PARTNER GROUP
VANCOUVER,WA 98660 1111 MAIN ST STE 700
VANCOUVER,WA 98660
PHONE: 360-597-2036 PHONE: I
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: NEW Type of Const: VBPermit Fee-RES-New Construction 07/28/2016 $9,971.24
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,196.55
Plan Review 12/31/2015 $5,888.08
Dwelling Units: 24 Plan Review-Fire Life Safety 12/31/2015 $3,623.43
Stories: 3 Height: 42 ft Wash Co Trans Dev Tax-Apartment 07/28/2016 $127,392.00
Bedrooms: 36 Bathrooms: 24 Parks SDC Improvement-MF 07/28/2016 $76,752.00
Value: $2,614,914
(apartment/condominium)
Parks SDC Reimbursement-MF 07/28/2016 $18,072.00
(apartment/condominium)
Floor Areas: Parks SDC Neighborhood-MF 07/28/2016 $28,464.00
Total Area: 25443 (apartment/condominium)
Plan Review 07/28/2016 $593.23
Accessory Struct: 0 Plan Review-Fire Life Safety 07/28/2016 $365.07
Basement: 0 Metro Const.Excise Tax 07/28/2016 $3,137.90
Carport: 0 DC Provision Review,COM New-Bldg 07/28/2016 $175.50
Covered Porch: 0 DC Provision Review,COM New-Ping 07/28/2016 $175.50
Deck: 429 Additional Plan Review 07/28/2016 $400.00
Beaverton School CET-Residential 07/28/2016 $30,531.60
Garage: 0
Mezzanine: 0
Total $306,738.10
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations: Yes
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: A‘Ze
t j4;
2z^e4 Permittee Signature: (`�Cli ��
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.
CITY OF TIGARD BUILDING PERMIT
1111
: COMMUNITY DEVELOPMENT Permit#: BUP2015-00365
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13145 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 5-24 units.
Contractor: HOLLAND CONSTRUCTION INC Owner: GRABHORN, BURTON E ESTATE OF
1111 MAIN ST SUITE 700 14577 SE ANDERSON RD
VANCOUVER,WA 98660 CLACKAMAS, OR 97011
PHONE: 360-597-2036 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: NEW Type of Const: VB Permit Fee-RES-New Construction 07/28/2016 $9,971.24
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,196.55
Dwelling Units: 24 Plan Review 12/31/2015 $5,888.08
Plan Review-Fire Life Safety 12/31/2015 $3,623.43
Stories: 3 Height: 42 ft Wash Co Trans Dev Tax-Apartment 07/28/2016 $127,392.00
Bedrooms: 36 Bathrooms: 24 Parks SDC Improvement-MF 07/28/2016 $76,752.00
Value: $2,614,914 (apartment/condominium)
Parks SDC Reimbursement-MF 07/28/2016 $18,072.00
(apartment/condominium)
Floor Areas: Parks SDC Neighborhood-MF 07/28/2016 $28,464.00
(apartment/condominium)
Total Area: 25443 Plan Review 07/28/2016 $593.23
Accessory Struct: 0 Plan Review-Fire Life Safety 07/28/2016 $365.07
Basement: 0 Metro Const.Excise Tax 07/28/2016 $3,137.90
Carport: 0 DC Provision Review,COM New-Bldg 07/28/2016 $175.50
Covered Porch: 0 DC Provision Review,COM New-Ping 07/28/2016 $175.50
Deck: 429 Additional Plan Review 07/28/2016 $400.00
Beaverton School CET-Residential 07/28/2016 $30,531.60
Garage: 0
Mezzanine: 0
Total $306,738.10
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations: Yes
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 503.232.197 .2344.
•
Issued By: 11 la'/ / Permittee Signature:
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.
Building Permit Application ?LQ4
/ T
Commercial tt)it til 1 11 11 .I 0\11
CIVD '
City of Tigard Day , 34 ,‹ Permit No.: idO15--00 3&
13125 SW Hall Blvd.,Tigard,OR 97223 Nan R
• Phone: 503-718-2439 Fax: 503-598-1961 EC 3 0 2015 Date/By•: '''� `C �A7 Related Permit:
, i j 1'-� Inspection Line: 503-639-4175 CITY
Date R .. ,- iwu s See page 2 far
Internet: www.tigard-or.gov 'rCITY OF riGARD Notified/Method: '/LCIC�(U Supplemental Information
zr
:177
.:'k 1.*: . ,. ' 'ri-' 7 ' 0 s , .::'ry : �. I' 3I t 0.,/ lI t '1
,New construction 0 Demolition Pe ,' fees*are based on the value of the work perfo ed.
- Indica - e value(romded to the nearest dollar)of
❑Addition/alteration/replacement 0 Other: equipmen . aterials,labor,overhead,and the p..i t for the
, ‘,',',14,."' t i work indicate: on this application.
❑ 1-and 2-family dwelling 0 Commercial/mdustrial •
Valuation: $
❑Accessory building Multi-family Number of bedroom
❑Master builder 0 Other Number of bathrooms:
( '� 1" a , Total number of floot o : t t U •
Job site address: 13//-5 SW Se
' 1.� 40 ,:5..1 , New dwelling ar :. :quare feet
City/State/ZIP: Tigard Oregon 97008 Garage/carp, area: squ:,• feet
Suite/bldg./apt.#: I Project name: Tigard apartments Coverei porch area square fe•
Cross street/direUions to job site: 135th and Scholls Ferry I• area: square feet
Other structure area: square feet
9 i 1 1 t .i ,t rl ' ffiI .4.1 -,„,,-e 9 -
Subdivision: Lot#: 63 �� . � ,.� -.1. ,�.
Permit fees*are based on the value of the work performed.
- Indicate the value(romded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
a)� e f work indicated on this application.
s a ; i
BUILDING 3-story apartment building `2, up, j
Existing building area NA square feet NA
- New building area: 301,310.00 square feet
l a h Number of stories: 3 STORIES
,,...„.,,,,L,.....„,,,Lef ' !
Name: Keller Holland Tigard Instors,
LLC Attn: Brenner Daniels Type of construction: VB
Address: 1111 Main Street Suite 700 Occupancy groups:
Pan Y
City/State/ZIP: Vancouver,WA 98660
Existing: NA
Phone:(360 ) 694-7888 Fax:( ) New: R2
-1 s ” } ) ' ' t ` ` 1 I � :'. I P
e :: . -te, !.,:z.-r : k , 4, i6 ,,,,,t.,-,-,„,' er..
Business name: LRS Architects
Contact name: Dean Masukawa Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 720 NW Davis Suite 300
City/State/ZIP: Portland OR 97209
Total fees due upon application:
503 221 1121Amount received:
Phone:( ) Fax::( ) 503-221-2077
o a °�i + .
E-mail: dmasukawa@Irsarchitects.com •.��, �=-� ��� $�.,;� # °
j='alp : fir: � Commercial and residential prescriptive installation of
' a .. zr. :. _: roof-top mounted Photovoltaic Solar Panel System.
Business name: Holland Construction, Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1111 Main Street Suite 700 Solar Installation Specialty Code checklist.
City/State/ZIP: Vancouver, WA 98660 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 360) 694-7888 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 193 872
,� v Total fee due upon appication: $201.60
Authorized signature: ill'i This permit application expires if a permit is not obtained
' !�� within 180 days after it has been accepted as complete.
Print name: (JC/1I, Ai`ffkt,_ Date:/'j���Or * Fee methodology set by Tri-County Building Industry
-v f Service Board
I:,Building,Permits,BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
IF
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
s
TIGARD Building Permit Review — Commercial - With Land Use
iimembinsimmoristarsommage. t4
Building Permit #: i j u P 3(05—
Site
fpsSite Address: 1 3145 S`c i o j t ! Perry Rd Suite/Bldg#: 5
Project Name: Scholl s Fier r) I\po rf^rn e. n t-s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: i 0 r' r i cum h c-,k,, iu;l d. ricjs . . 6-0 rhUfli
14 Uel `�
Verify site address/suite# exists and active in permit system.
—El—River Terrace Neighborhood: ❑ Yes No
Land Use Case #: R 20)S - 0000i
Plans Match Approved Land Use: S il'ZA1s 000
ie
Site Plan °Landscape Plan ❑ Other:
❑ Urban Forestry Plan X Elevation Plan
Zi Building Height: Maximum Height 45 Actual Height 4 2.
Conditions Met: N o ❑ Prior to Submittal p Prior to Permit Issuance
—a—Business License: iv/
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI) Permit: P Z 2.-0!S - 00 i q o
Required: ❑ Yes,applicant was notified ❑ No Applied For: jZf Yes 0 No,stop intake
Notes: CO i`1 Cti it vr'11 r rnC i h i r- c , (Torino* is cue. U r)t Cc1fi s ti ec'
Approved by Planning: ,? i 0 ie 64_, Date: !2-/ ,3O /15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: A�/AP//S5
Site Plans: # J
Building Plans: # 3
Building Permit#: Enter building permit# above.
Workflow Routing: Manning j4]/Engineering ermit Coordinator /uuilding
Workflow Sign-off: [ A -off for Planning(include notes from planning review)
Route Application Documents: ding original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: Date: / %� _
1:\Building\Fonns\B1dgPennitRvw_COM_WithLand Use 070915.docx
, I
Engineering Review ��
,.,E Slope at building pad: 4
l�
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes /0./No
Assess Water Quantity Fee in-lieu: ❑ Yes 0 No
LIDA Facility on lot: Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 4A /l'6 tZJk l 71 Date: /M! 4
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit?"- ��
Approved, NOT Released: , fl, MA--) t e- ze �/���'0 Late: '/>i/e
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:
IPSDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ,PN/A
Parks SDC: jC?Yes ❑ N/A
OK to Issue Permit
/Approved by Permit Coordinator: ( Date: /.7.-'/.//(4''
I:\Building\Forms\B1dgPennitRvw_COM_W ith IandUse_0709I 5.docx
DESIGN WITH INTEGRITY PLANNING DESIGN INTERIORS ARCHITECTURE
720 NW Davis 503.221.1121
Suite 300 503.221.20776
Portland OR 97209 www.lrsarchitects.com
TRANSMITTAL
To: City of Tigard, Oregon Date: 12.29.15
13125 SW Hall Blvd Project Number: 215079
Tigard, OR 97223 Project Name: Tigard Apartments
Total Pages:
re 503-718-2448 Copies To: File
2 Transmitted By: Dean Masukawa
Transmit Via: 0 Fax 0 Mail 0 Messenger 0 Overnight 0 Other walk in
Item Description
1 1 copy of building permit applications (11) total
2 Building permit intake fee check
3 1 copy ComCheck form signed
4 3 sets of plans for each building (11 buildings total)
5 2 set of specifications
6 2 sets of structural calcs
Sincerely,
Dean Masukawa
LFS
ARCHITECTS
.4)
-dC:I T..t.
411660WL � !
TRANSMITTAL D/,r. .
•Project Tigard Apartments Olt
Office Locations No.: 817i OP
12/16/15 sl ! yNirt1
ALASKA City of Tigard
AnchorageTo, 13125 SW Hall Blvd
Juneau Tigard,OR 97223
Fairbanks Building Department
Ketchikan Regarding: SiteWork Permit Submittal
Kodiak
Palmer We are
sending you ® Attached ❑Under Separate Cover
ARIZONA Via
Tem e Delivery the following items:
p
Tucson ❑ Shop
drawings 0 Prints ®Plans 0 Specifications
COLORADO 0 Copy of
Letter
Golden
0 Change Order 0 Samples ®Other
Gunnison Copies Date Description
Montrose 1 12/16/15 Signed Building Permit Application 7
MONTANA 1 12/16/15 Permit Fee Deposit-$4,028.32
1 12/16/15 Geotechnical Report(Terra&Assoc dated 5/13/15)
Billings
Bozeman 1 12/16/15 Fire Flow Worksheets(6 total—1/per Building Type)
Butte 2 12/16/15 Full Size Civil Plans—Onsite Improvements(dated 12/11/15) ✓
Great Falls
Helena
Miles City These are transmitted as indicated below:
❑ For approval 0 Approved as submitted 0 Resubmittal Copies for approval
NORTH DAKOTA
❑ For your use 0 Approved as noted 0 Bids due Copies to distribute
Dickinson
❑ Return 0 Returned for corrections Corrected prints
OREGON to Review and Comment
0 Prints returned after loan to us
Bend 0 Other:
Portland
Message:
WASHINGTON
Redmond Copy to: Printed Name: Kevin Russell
Seattle Printed Name: Signature:
WYOMING
Gillette
Lander
Laramie
Sheridan
971-280-8641 ■ 800-865-9847(fax) ■ 720 SW Washington Street, Suite 750 • Portland, Oregon 97205 n www.dowl.com
ry
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k: ,-,8jeet n,,, »; Wston name an. of n a t 5'
:,. `Valuation fDeferred Submitta 'I x
€
M
ATTACHED IS THE FOLL o r " 'PFERRED TTAL IT ai ;
_•
t alemiNi.,!_...0,=4 4w.,., ,..,
A a1 sw
A -
,, :7"•` - Remarks:
'''''''::::1::':'.1:''...-'7:S.:17.1::'
f NOTE:Documents for deferred submittal items shall be submitted to the registered design professional in }`
" responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building.The deferred submittal items shall not be installed until the design and submittal documents have been
a a
rr:
the b 1 e ". Iz:.on Structural Specialty Cade Section 1063.4.2
*'-;a:'1,,:::. g q FOR OFFICE USI✓` OI'�1LY
�., -:' Initials:
Fees Due: � ❑ Yes d No Fee Description: Amount Due:
� Deferred Submittal Fee: _
',' Additional fee based on valuation:
Other:
Total Fees Due: $
Special
Instructions:
Reprint Permit(per PE): D Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
The fee for processing and reviewing deferred plan submittal shall be.an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in ,:i ;
addition to the project plan review fee based on the total project value.
I:Building\Forms\Tran smittalLetter-DefrdSubmtl.doc 04/04/07
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Ji EDISTH 'O `t ® `G DE b, . • DS i : TALITEM ,, I�4
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1u[�SRs'<+Y .,� -;:s‘,.;;::,-,':: .�` fit
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F Remarks: ,
NOTE:Documents for deferred submittal items shall be submitted to the registered design professional in
, 8.
,F responsible charge who shall review them and forward them to the building official with a notation indicating that
. the deferred submittal documents have been reviewed and been found to be in general conformance to the design of ,.
the building. The deferred submittal items shall not be installed until the design and submittal documents have been ,.
x approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OFFICE USE ONLY
Routed to Permit Technician: Date:
Initials:
,
Fees Due 1 fJ Yes • No Fee Description: Amount Due: :
r. ): ` ‘ Deferred Submittal Fee:
Additional fee based on valuation: $
h :, v Oter.
,� �A
Total Fees Due:
Special
Instructions: _.___ _._____.. _._____ ..
z,
, z
Reprint Permit (per PE): Yes 0 No [] Done
Applicant Notified: J d Date: Initials:
The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
I.BuildingWorms\TransmittalLetter-pefrdsubmtLdoc 04/04/07
FOR OFFICE USE ONLY–SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: alit) DATE
WIT110411
DEPT: BUILDING DIVISION
OCT 4 zo
FROM: r; CITY 01. GARDD
ISION
COMPANY: �t-t- '� (CANS' CT1orvU '° ;r'�� ''
PHONE: 53, 1048 By:6-1
RE: 17 k'--r S S"W J Y—S $1 O ,i, 0 • 242 0 %cos—
(Site Address) f'ermit Number)
t-t-StAf&P-nM l
(Project name or subdivision} name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS: 1
Additional set(s)of plans. I Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. , �� Engineer's calculations.
Other(explain):
REMARKS: koo 1110,^->— &U TT- - I i'V F.
Routed to Permit Techn. ian: Date: in 4 Initia m
Fees Due: ❑ Yes 0 o Fee Description: Amount ue:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: /d/t//G Initials: /3 %
CU.m i$r- ke v,k)
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
Case# Address Building BUP2015-00363 13295 HAWKS BEARD 3 BUP2015-00366 13351 HAWKS BEARD 6
BUP2015-00361 13465 HAWKS BEARD 1 BUP2015-00364 13205 HAWKS BEARD 4 BUP2015-00367 13215 HAWKS BEARD 7
BUP2015-00362 13375 HAWKS BEARD 2 BUP2015-00365 13145 HAWKS BEARD 5 BUP2015-00368 13435 HAWKS BEARD 8
Site Address: (?75#` t`_L,.'
III
Building Division
-r 1 vA R DD Deferred Submittal Transmittal Letter
BUP2015-00369 13327 HAWKS BEARD 9
BUP2015-00370 13225 HAWKS BEARD 10
BUP2015-00371 13285 HAWKS BEARD 11
TO: k ii .(...... j DATj E1VED
DEPT: BUILDING DIVISION
SFP 1 21116
FROM: 'v 1N .0 J r
isiti , . ,,
COMPANY: 1 Cof4cr aulcrt or..+ -
PHONE: $1:43 . (010 . ft)Y8 BY: 8.72
RE: 13111f-96v k4 if.orkieD ,ST. B ' y„., 6, , - 0 3"70
(Stte Address) '- t ase 'um r
OFFICE COPY
6ea' su tvt name and lvumbet. OFFICE COPY
Valuation of Deferred Submittal: $ 028 dt .00
ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
, L.' .1 :/ th .� to L6,., 2 .._...4i01.a 1.1A
! E
Remarks:
NOTE:Documents for deferred submittal items shall be submitted to the registered design professional in
responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building.The deferred submittal items shall not be installed until the design and submittal documents have been
approved by the building official.Oregon Structural Specialty Code Section 106.3.4.2
I US ONLY
Routed to P- •j ,T,,:,..,1”' ian• Date. '22 ( Initials / 1
Fees Due: .re'stifle'
[ K! 'es No Fee Description: Amoun 0 e irL'-31.
Deferred Submittal Fee: $ =:wis
__a_ ____._.„., „,'._ _�. N-, Additional fee based on valuation: $
Other: $
-
t - Total Fees Due• $
Special
Instructions:
Reprint Permit(per PE) ❑ Yes 0 No 0 Done
Applicant Notified: Date: Initials:
The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
I:Building\Forms\TransmittalLetter-DefrdSubmtl.doc 04/04/07
FOR OFFICE USE ONLY—SITE ADDRESS: 9-5V J)) AIttr lA1' A/ g i
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT
liAll Transmittal Letter
TIGAIR.I 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
ir PO RECEIVED
FROM: ! ._ ; ,- QCT 262015
COMPANY: ,/ _ �` r„ CITY OF TIGARD
PHONE:
--6,-, ,r 7��� BUILDING DIVISIN _1�
RE: / /
A. A 0111 A lk, V' a0(.4'' , VP f-- (.? 49 5--a-o 2.-.. ..7
ite A..ress2 (Permit Nti
1 —SP Or
roject name or su.owl ton nam- an• of num.er092%
+ �\
ATTACHED ARE THE FOLLOWING ITEMS:
I Copies: ,Description Copi
c y tion•� F ii",:. P
Additional set(s) of plans. ' : isions:
Cross section(s) and details. # # all bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): q>
REMARKS: - jam K
ri4
T 5 z -FO>: ,?. E USE.9NLY ,,Routed to Permit Technician: Date: ( 3 /b'' Initials.
Fees Due: ❑ Yes L&J"lC o Fee De:cription: Amount Due:
S , $
$e
' (<.. $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: L',, yz-x. Date: /r/S71s" Initials:45 --
I:\Building\Fonns\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13145 SW HAWKS BEARD ST, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2015-00365
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
FA I L
Comments:
Ok for TCO
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13145 SW HAWKS BEARD ST, TIGARD, OR, November 7, 2017 at 9:38:00
97223 AM
Record Type: Record ID:
Commercial - Building BUP2015-00365
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor