Permit (45) RF ,
,, CITY OF TIGARD BUILDING PERMIT
I 2. COMMUNITY DEVELOPMENT -� Permit#: BUP2015 00361
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
[ 'A 9 Parcel: 1S133AC14500
Jurisdiction: Tigard
Site address: 13465 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: HAWKS BEARD TOWNHOMES Lot: 63
Project Description: Building 1 -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: VB Permit Fee-RES-New Construction 07/28/2016 $10,957.04
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,314.84
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: 36 Parks SDC Improvement-MF 07/28/2016 $76,752.00
Value: $2,924,456 (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: 28404 Plan Review 07/28/2016 $1,234.00
Accessory Struct: 0 Plan Review-Fire Life Safety 07/28/2016 $759.39
Basement: 0 Info Process/Archiving-Lg$2.00(over 07/28/2016 $234.00
Carport: 0 11x17)
Covered Porch: 0 Info Process/Archiving-Sm$0.50(up to 07/28/2016 $250.00
Deck: 720 11x17)
Metro Const.Excise Tax 07/28/2016 $3,509.35
Garage: 0 DC Provision Review,COM New-Bldg 07/28/2016 $175.50
DC Provision Review,COM New-Ping 07/28/2016 $175.50
Mezzanine: 0
Total $313,375.93
Required: Required Items and Reports(Conditions)
1 Bolts in Concrete
Fire Sprinkler: Yes Parapet: No 2 Structural Observation
Fire Alarm: Yes Protected Corridors: No 3 Reinforced Concrete
Smoke Detectors: Yes Manual Pull Stations: Yes
Accessible Parking: 1
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; . Permittee Signature:
Call 603.639.4175 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
` COMMUNITY DEVELOPMENT Permit#: BUP2015-00361
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2016
Parcel: 1 S133AC14500
Jurisdiction: Tigard
Site address: 13465 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: HAWK'S BEARD TOWNHOMES Lot: 63
Project Description: Building 1 -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 $10,957.04
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/28/2016 $1,314.84
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: 36 Parks SDC Improvement-MF 07/28/2016 $76,752.00
Value: $2,924,456 (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: 28404 (apartment/condominium)
Plan Review 07/28/2016 $1,234.00
Accessory Struct: 0 Plan Review-Fire Life Safety 07/28/2016 $759.39
Basement: 0 Info Process/Archiving-Lg$2.00(over 07/28/2016 $234.00
Carport: 0 11x17)
Covered Porch: 0 Info Process/Archiving-Sm$0.50(up to 07/28/2016 $250.00
Deck: 720 11x17)
Metro Const.Excise Tax 07/28/2016 $3,509.35
Garage: 0 DC Provision Review,COM New-Bldg 07/28/2016 $175.50
DC Provision Review,COM New-Ping 07/28/2016 $175.50
Mezzanine: 0
Total $313,285.93
Required: Required Items and Reports(Conditions)
1 Reinforced Concrete
Fire Sprinkler: Yes Parapet: No 2 Bolts in Concrete
Fire Alarm: Yes Protected Corridors: No 3 Structural Observation
Smoke Detectors: Yes Manual Pull Stations: Yes
Accessible Parking: 1
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 1.800.3 .2344.
Issued By: Permittee Signature: `
_,A)
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 „lbQao/sz-Douo -I 3c
Commercial
City of Tigard 2015 ReDate/Bceived `� / PermitNo.:
IN...- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi l /sl�u�fs oe 06/
■ ` 7 Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 DatetBy: V
3 <, .,/ I, Inspection Line: 503-639-4175 a`,' Date Ready y:y d�,,''` Juris: ® See Page 2 for
Internet: www.tigardor.gov `si faT 1 k it f Notified/Method:/ 4r/fi�7 f Supplemental Information
A'a
s;'A:
' 'il ' d J 31 '''',' '. "9 ii' 6 I ! 11 ) Bi 1
New construction ❑Demolition Pe fees*are based on the value of the work pelf() . ed.
Indica - e value(rounded to the nearest dollar)of:,
❑Addition/alteration/replacement 0 Other: equipmen a aterials,labor,overhead,and the p•.,t for the
{ . aril° ' work indicate. on this application.
n` �.. '�.. � J 1 '� iQ�s� { � !�:9 tl�t�� ��3i° '.. . . : i�
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuatton: $
❑Accessory building Multi-family Number of bedroom
❑Master builder 0 Other: Number of bathrooms:
.. , o : ' F 1 ITC ` .. 1` 3 c .a s Total number of floo
. .
Job site address:IV)bs SW Sel3elts-Ferry-Roael- l , �s ' , L 271--- New dwelling ar..•. :quare feet
City/State/ZIP: Tigard Oregon 97008 Garage/carp. area: squ:,. feet
Suite/bldg./apt.#: , Project name: Tigard apartments Coverer porch area square f-
Cross street/directions to job site: 135th and Scholls Ferry Ir area: square feet
Other structure area: square feet
l�� 'FG
(0,0-.))pt} _ S 0.41r):14)011-12.M n�om,/ 1. ®. }j i" i 1' '! 0171 :@:8i Q
Subdivision: t ✓► _ 1 Lot#: 63 Permit fees'are based on the value of the work perform d. ,
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all .,
equipment,materials,labor,overhead,andthe profit f
'1 �t s ' ° .. . ie. :.',:0.4r;');;.$1'.. ,a _ _ work indicated on this a volication. .v t *Al t 'or C' I
BUILDING 1 - 3-story apartment buildings. �,�
Valuation ,') old$ �. ® it d
•- -•- - - : •• •- '• •�' • � � Existing building area NA square feet NA
(r a /h, NB-Yr, ,i e
' •, 6u P2"/S-oo 37 1 New building area: 301,310.00 square feet
TR ra � : 3 STORIES
�a . `'� . �.. .� `� _ �`,.a I o ) s
'�` , �.� Number of stories:
Name: Keller Holland Tigard Investors, LLC Attn: Brenner Daniels Type of construction: VB
Address: 1111 Main Street Suite 700 Occupancy groups:
Pan Y gr s:P
City/State/ZIP: Vancouver,WA 98660 Existing: NA
Phone:(360 ) 694-7888 Fax:( ) New: R2
: ^ . B`" >, ',hN, t 1r :e'v - c, .3 iti` ' -.)14,f5.,11.°,;!"4:::: ; Iii I : ,,,
Business name: LRS Architects s .,-_; ; , r7 3'..L'. L"'_. ..
Structural plan review fee(or deposit):
Contact name: Dean Masukawa
720 NW Davis Suite 300 FLS plan review fee(if applicable):
Address: �__..._____.
Total fees due upon application: 4 q 6//.67
City/State/ZIP: Portland OR 97209
Phone:( )503-221-1121 l Fax::( ) 503-221-2077 Amount received ,-14!
E-mail; dmasukawa@Irsarchitects.com
- ?
, „ Commercial and residential prescriptive installation of
g ' -, p t '(P...4.-.1`/.- '''.,;(1,1'0.), t ' 9 �,''' •,� %' ; �, 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 Specially 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
Total fee due upon appication: $201.60
Authorized signature: iliasgitkU
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1) NwLk- Date: 1 t./ 11/Jr ' Fee methodoloy set by Tri-County Building Industry
1ia Service Board
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
v
City of Tigard
III
r COMMUNITY DEVELOPMENT DEPARTMENT
■
�,A RDBuilding Permit Review — Commercial - With Land Use
c,
Building Permit #: vx_P 15- 36
Site Address: ( 34 S s ch o i i 1 IC(( R ti . Suite/Bldg#: L
Project Name: Sc h U I l S F-e r cj Ppcii rt-rrl e,r)t-S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /�S i Cli )h c&k.. 00i)cL)199.s - - e - , 41 •- -
241 t>•l
yr Verify site address/suite#exists and active in permit system.
— River Terrace Neighborhood: ❑ Yes / No
Land Use Case#: b(Z 206 -00001
Plans Match Approved Land Use: S 1 r io ts "00(16
6Site Plan ()Landscape Plan ❑ Other:
❑ Urban Forestry Plan Elevation Plan
X Building Height: Maximum Height 4 5 Actual Height _ 4 2-
XX Conditions Met: N o ❑ Prior to Submittal Z Prior to Permit Issuance
—a—Business Business License:
N`
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PH) Permit: Pf T to I S- vo 1 q a
Required: ❑ Yes,applicant was notified ❑ No Applied For: j7r Yes ❑ No, stop intake
Notes: ConcLiiDr,s r .rherir1,r)9 , ratloo+ iscve urf1`i1 c -hsee (
Approved by Planning: ()iQ VLit ci_ 3 (ote...,tAA_ Date: 12i .30 11 5
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: /W...ifi/S.---
Site
Site Plans: # /
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: .2'Planning (Engineering Permit Coordinator [ 11uilding
Workflow Sign-off: a Sign-off for Planning(include notes from planning review)
Route Application Documents: la-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ( Ca/,- Date: / ,_,
I:\Building\Forms\BldgPennitRvw COM WithLandUse 070915.docx
Engineering Review tIJ
Slope at building pad: (°
❑ PFI Permit#:
E Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
fd'Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: D Yes ZrNo
Assess Water Quantity Fee in-lieu: ❑ Yes ,Er No
LIDA Facility on lot: „LI Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: itt VA- lbw 1-L,Ti 0.w5. ?/Ll 072- Tb 'j U i C:bitill
Approved by Engineering: 414. 1 k 4., lJ H I rt Date: //04516.
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
sr--Approved, NOT Released: �,,acv,,„n., nee--64et ', '
/i Date: V )/ 1
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:
4;1SDC Fees Entered: Wash Co Trans Dev Tax: !�Yes CI N/A
Tigard Trans SDC: i'- N/A
Parks SDC: Yes ❑ N/A
0:4- •K to Issue Permit
A roved b Permit Coordinator: I / Date: °,9 ,�
pp Y
I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 070915.docx
DESIGN WITH INTEGRITY PLANNING DESIGN INTERIORS ARCHITECTURE
720 NW Davis 503.221.1121 rit
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:
121 503-718-2448 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
LFS
ARCHITECTS
4016
Ree
ph
d Q W L
TRANSMITTAL U ,�
Project Tigard Apartments
Office Locations No.: 8 '
'.d
�r' dl r 4
12/16/15
ALASKA Date:
City of Tigard
Anchorage To: 13125 SW Hall Blvd
Juneau Tigard,OR 97223
Fairbanks Building Department
Ketchikan Regarding: SiteWork Permit Submittal
Kodiak
Palmer We are
sending you ® Attached ElUnder Separate Cover
ARIZONA Via
Tem e Delivery the following items:
P
Tucson 0 Shop
drawings 0 Prints ®Plans 0 Specifications
COLORADO ❑ Copy of
Golden Letter 0 Change Order 0 Samples N 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) _7
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 ❑ 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 N 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 IN www.dowl.com
i Site Address: f
." q `�.
k ;fin . a-11',j Building Division F
<i -Ifi
11 ._j. ,R I) Deferred Submittal Transmittal Letter
IIP` TO: DATE RECEIVED:
` DEPT: BUILDING DIVISION
;::,:.,1;:.'-..,',.‘.'',.: i' ;
FROM:
COMPANY:
1 '.,:;.,,',"liN":4'?•,:i':,,:l PHDNE:
11-
RE:
4 (site Address) '- ase l um Y
,,,,,,:
,r ,'",, (Project name or subdivision,name and lot number) i
Valuation of Deferred Submittal: $
X ATTACHED IS THE FOLLOWING DEI+`ERRED SUBMITTAL ITEM:
C~op yes: -Dem on:
-, . 01,
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 :`
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
='l . .E USE ONLY
z.. Routed to Permit Technician: Date: Initials:
Fees Due: [] Yes ❑ No Fee Description: Amount Due:
Deferred Submittal Fee: $
- Additional fee based on valuation:
= Other: $
- Total Fees Due: $
Special
Instructions:
Reprint Permit(per PE): Q Yes 12No Q Done }'
t; Applicant Notified: Date: Initials:
rt The fee for processing and reviewing deferred plan submittal shall be an amount equal to 65%of the building based
i 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\Farms\TransmittalLetter-DefrdSubmtl.doc 04/04/07
y.
�, Building Division
,F
r f , Deferred Submittal Transmittal Letter
e
_ rQ DATE RECEIVED:
BUILDING DIVISION
F
y - By:
(Ste Address) COPerm�tl 3€
„. (Project name or subdivision name and lot number) >;
Valuation of Deferred Submittal: $
. ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
x
f J`Ts.�aE` y
Remarks:
4, 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
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: Li Yes • No Fee Descri.tion: Amount Due:
Deferred Submittal Fee:
2 4,' . Additional fee based on valuation: $
-.'s::-- *:4-,-,-01,-.::: Other: $
.
Total Fees Due: $
Special
Instructions:
Reprint Permit (per PE): d Yes { 0 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
addition to the project plan review fee based on the total project value.
I.Building\Forms\TransmittalLetter-DefrdSubmtl.doe 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:
13465 SW HAWKS BEARD ST, TIGARD, OR, November 7, 2017 at 9:37:25
97223 AM
Record Type: Record ID:
Commercial - Building BUP2015-00361
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor