Permit (42) CITY OF TIGARD � BUILDING PERMIT
. '., r Permit#: BUP2015-00367
1. COMMUNITY DEVELOPMENT
Tt.GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13215 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 7-24 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:
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 $11,752.04
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,410.24
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: 48 Bathrooms: 36 Parks SDC Improvement-MF 07/28/2016 $76,752.00
Value: $3,174,356 (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: 30797 Plan Review 07/28/2016 $1,750.75
Accessory Struct: 0 Plan Review-Fire Life Safety 07/28/2016 $1,077.39
Basement: 0 Metro Const.Excise Tax 07/28/2016 $3,809.23
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: 943 Additional Plan Review 07/28/2016 $400.00
Beaverton School CET-Residential 07/28/2016 $36,956.40
Garage: 0 ,
Mezzanine: 0
Total $317,698.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No
1 Special Inspection(see plans)
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 M',06,ivil _of thethrules or direct questions to OUNC by calling 503.232.198723or 1.800.332.2344.
Issued By: v2Gl�! Permittee Signature: VT/Z lL Dili vh
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
111111
2-.. COMMUNITY DEVELOPMENT Permit#: BUP2015-00367
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: 13215 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 7-24 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 $11,752.04
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,410.24
Dwelling Units: 24 Plan Review 12/31/2015 $5,888.08
Stories: 3 Height: 42 ft Plan Review-Fire Life Safety 12/31/2015 $3,623.43
Wash Co Trans Dev Tax-Apartment 07/28/2016 $127,392.00
Bedrooms: 48 Bathrooms: 36 Parks SDC Improvement-MF 07/28/2016
p $76,752.00
Value: $3,174,356
(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: 30797 (apartment/condominium)
Plan Review 07/28/2016 $1,750.75
Accessory Structs 0 Plan Review-Fire Life Safety 07/28/2016 $1,077.39
Basement: 0 Metro Const.Excise Tax 07/28/2016 $3,809.23
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: 943 Additional Plan Review 07/28/2016 $400.00
Beaverton School CET-Residential 07/28/2016 $36,956.40
Garage: 0
Mezzanine: 0
Total $317,698.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: No 1 Special Inspection(see plans)
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes Manual Pull Stations: Yes
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul-s are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling,503.237.1987 or 1. 90.332. 344.
Issued By: // 71-e-- Permittee Signature: 410 tt
/lam 6 1 t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
PL94 1
Building Permit Application ! 9
Commercial RECEIVE() I'OI< UI H( I I 'I (I\I ,
City of Tigard ��r Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972 3. 3 0 2015 Date/By: a' I /S orolS--x 3 ,7
Plan R l\.4
0 Phone: 503-718-2439 Fax: 5 j$p$�1 Q, D�gy, , , ',-.�' e Related Permit:
� �,; ,, 1, Inspection •Line: •503-639.41, �11 11 1Y d�,•j, IGa RD Date R : : r a;g: See page Z for
Internet: www.tigard-or.go UlLOI�f rlinsfoNt Notified/Method: /l�f�a Supplemental Information
P. .: qITOji*lz .. , '
New construction 0 Demolition Pe ' fees*are based on the value of the work peifo ed.
Indica - e value(romded to the nearest dollar)of
❑Addition/alteration/replacement 0 Other: aterials,labor,overhead,and the p .t for the
equipmen n
r c • ;(t t i " t, ''r work indicate: on this application.
❑ 1-and 2-family dwelling 0 Commercial mdustrial Valuation: $
❑Accessory building IgMulti-family Number of bedroom •
❑Master builder 0 Other: Number of bathrooms:
o J r t 19. ''',':•-; ',.''''.. Total number of floors.
Job site add: 3 2/S 'SW S Alei4.41.4LO New dwelling ar',-. quare feet
City/State/ZIP: Tigard Oregon 97008
Gazage/carp• area: squ:,, feet
Suite/bldg./apt.#: I Project name: Tigard apartments Covere•porch area square fe.
Cross street/directions to job site: 135th and Scholls Ferry ►- area: square feet
Other structure area: square feet
Subdivision: � � �
f Lot#: 63 Permit fees*are based on the value of the work performed.
Tax map/parcel#: - Indicate the value(rounded to the nearest dollar)of all
:'
r.
equipment,materials,labor,overhead,and the profit for the
�,�'.".,�' ? , � work indicated on this application.
t : ( Sf J e"� t
BUILDING 7 - 3-story apartment building —""� , t ?4.S. $ / 7b0
i um: Existing building area NA square feet NA
New building area: 301,310.00 square feet
( j ^i. : • 1`4 " _ - ` ,.,-, x.. ' Number of stories: 3 STORIES
Name: Keller Holland Tigard Investors, LLC Attn: Brenner Daniels Type of construction: VB
Address: 1111 Main Street Suite 700 Occupancy groups:
City/State/ZIP: Vancouver,WA 98660
Existing: NA
Phone:(360 ) 694-7888 Fax
(
New: R2
Business name: LRS Architects
Structural plan review fee(or deposit):
Contact name: Dean Masukawa
Address:
720 NW Davis Suite 300 FLS plan review fee(if applicable):
City/State/ZIP: Portland OR 97209 Total fees due upon application:
Phone:( )503-221-1121 Fax::( ) 503-221-2077 Amount received:
•
Email: dmasukawaglrsarchitects.com •
,.�1'.4, 30 J) 1 -'CJ�r t31` r �“4,';I : i
� n - Commercial and residential prescriptive installation of
,� P F
'1,('',".1.1.1„...:, ,� r 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
Authorized signature: �� Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
( �� within 180 days after it has been accepted as complete.
Print name: !r'/'11'� Lite/'' Date:/77/ii/S— ` Fee methodology set by Tri-County Building Industry
�N' Service Board
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
1
City of Tigard
71 ~ COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G n R D Building Permit Review — Commercial - With Land Use
Building Permit #: -/ -Pc,00r s---DO -56-7
Site Address: I 3Z 15 Sc,h oil J Ferril (ad Suite/Bldg#:
Project Name: SC-11011 S Fe r \pi rfi-lry e r t-s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1 0 rr(i e(t,in ti ctC {0v;l ct i r) j 1 (-O En rho'?i t)
b'v i�,C��'1
29 uiit3 c)
XVerify site address/suite# exists and active in permit system.
-E.-River Terrace Neighborhood: ❑ Yes /21 No
7 Land Use Case #: ,S.b R 2 01 S -00001
vi Plans Match Approved Land Use: S i r ZC71 S °oo u
6 Site Plan Landscape Plan CIOther:
Urban Forestry Plan rn Elevation Plan
Building Height: Maximum Height 45 Actual Height 4 2-
/ Conditions Met: N 0 ❑ Prior to Submittal 71 Prior to Permit Issuance
..n-Business License: iv A
Exists: ❑ Yes El No,applicant notified to obtain business license
Public Facilities Improvement (PFI) Permit: PEI 2,4)1C - 00 1 Ci ct
Required: ❑ Yes, applicant was notified ❑ No Applied For: % Yes ❑ No,stop intake
Notes: Co n CL1 h l)n S r Inm i r)1 1 c) , co ri dr( * 1 S c i.'c Ur)ti( Cort-Ls 6-ecl
Approved by Planning: fri 0 vkc c,L, a (o _Q- , A_ Date: 121 3o 115
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: A,2/WI5
Site Plans: # /
Building Plans: # i
Building Permit#: E Enter building permit#above.
Workflow Routing: [k Planning ("Engineering 'rmit Coordinator wilding
Workflow Sign-off: i -off 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: (-- 014(-,fr Date: / „1S
1:\Building\Fonns\B1dgPennitRvw_COM_WithLandUse 070915.docx
J
Engineering Review
Er Slope at building pad: 'er �a
❑ 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: 9 Yes 1r No
Assess Water Quantity Fee in-lieu: ❑ Yes / No
LIDA Facility on lot: Yes ❑ No
9 NOT Approved by Engineering: Date
Notes: hi 6-r-r 6-r- cobco,..._ i Tl' 3 P To Atm-) 1 1--)6)
Approvedby Engineering:En ineerin : A/Ka. W k / Date: // / 6C
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 9 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit '
roved NOT Released: /� eGt�a 1 Date: / /I? i.pp � tfi
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:
SDC Fees Entered: Wash Co Trans Dev Tax: 'es ❑ N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: Yes 0 N/A
41/
' OK to Issue Permit
Approved by Permit Coordinator: v Date: 6/24// '
1:\Building\Forms\B1dgPennitRvw_COM_W ithLandU se_0709 1 5.docx
DESIGN WITH INTEGRITY PLANNING G DESIG INTERIORS ARCHITECTURE
720 NW Davis 503.221.1121 w
Suite 300 503.221.20776
TRANSMITTAL Portland OR 97209 www.lrsarchitects.com
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:
503-718-2448 Copies To: File
.._.._._.__..._.._.._.__........
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
Lrs
ARCHITECTS
11111166 W L ReCt
TRANSMITTAL Jfi r,
Project Tigard Apartments
Office Locations No.: y 1:11:4A -ilk,
12/16/15 xj� 44
ALASKA Date: I a
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
Tempe Delivery the following items:
Tucson ❑ Shop
drawings ElPrints ®Plans IDSpecifications
COLORADO ❑ Copy of
Golden Letter ElChange Order ElSamples ®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
Billings
1 12/16/15 Geotechnical Report(Terra&Assoc dated 5/13/15)
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 ® 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) e 720 SW Washington Street, Suite 750 • Portland, Oregon 97205 ■ www.dowl.com
,*„..:i
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5-
3
PH -
RE:
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ATTACHED IS T ,w.4 AL
r
Remarks:
t
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 `j
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 ,9y
Routed to Permit Technician: -Date:' ' . ' Initials:
Fees Due: I U Yes [J No Fee Description: Amount Due:
Deferred Submittal Fee: $ _
k
`"" Additional fee based on valuation:
Other: $
Total Fees Due: $
Special
Instructions:
Reprint Permit(per PE): i El 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 ofof the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
I:BuiIding\Forms\TransmittalLetter-DefrdSubmtl.doe 04/04/07
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ATTACHED IS' 'i 4 ', G DEFERRED SUBMITTAL ITEM:
Q
,Co" r �7+ F <Y a ^�,Y _:$, ai__..... I if s
._
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 '.
E = 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 u.
,- - approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OEF' CE USE ONLY
e
S
Routed to Permit Technician: Date: Initials:
l'':';'.,. '.,,'' Fees Due: I ❑ Yes la No Fee Description: Amount Due:
# I Deferred Submittal Fee: $
x Additional fee based on valuation: $
� , Other: $
Total Fees Due:
Special
Instructions:
Reprint Permit (per PE): 0 Yes f No I 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\FormslTransmittalLetter-DefrdSubmtl.doc 04/04/07
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:
13215 SW HAWKS BEARD ST, TIGARD, OR, November 7, 2017 at 9:31 :32
97223 AM
Record Type: Record ID:
Commercial - Building BUP2015-00367
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor