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Permit (83)
a CITY OF TIGARD BUILDING PERMIT I . COMMUNITY DEVELOPMENT Permit#: BUP2018-00214 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2018 TIGARD 9 Parcel: 1 S 136DC03200 Jurisdiction: Tigard Site address: 11720 SW 72ND AVE Project: 72nd Avenue Apartments Subdivision: Lot: 8 Project Description: Demolition of existing 1,750 sf single-family residence on septic system. Provide pump/fill receipt prior to final inspection. UPON FINAL INSPECTION, DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: KEYWAY CORP Owner: 72ND AVENUE PROPERTY LLC 7275 SW HERMOSO WAY BY CASSINELLI, RICHARD TIGARD, OR 97223 11720 SW 72ND AVE TIGARD, OR 97223 PHONE: 503-684-5100 PHONE: FAX: 503-684-5500 Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Reimbursement District Fee 08/13/2018 $15,478.17 Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 08/13/2018 $180.17 Demolition Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 08/13/2018 $1.00 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Erosion Control w/Development 08/13/2018 $80.70 Value: $7,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $15,740.04 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: 1 Ersn Cntr1503-639-4175 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 calling 503.232.1987 or 1.800.332.2344. Issued By:�' 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 Ap licatio 1 . f IV:� , Commercial FOR OFFICE l'SE()NIA City of Tigard JUL, 1 i j'' Date Be� 7� j7/ Permit NyguA //,e02,/ 11111 w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598r,;,:, " Date/B : Other Permit: �� '`�FDate Read /B lures: ® See Page 2 for TIGARD Inspection Line: 503.639.4175 Y Y Internet: www.tigard-or.gov I !-..40101,,i Notified/Method: Supplemental Information TYPE OF WORK REQUIRED DATA;1-AND 2-FAMILY DWELLING El New construction ®Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling Z Commercial/industrial Number of bedrooms: ❑Accessory building ®Multi-family ElMaster builder ®Other:Mixed Use Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:11720 SW 72ND AVENUE New dwelling area: square feet City/State/ZIP:97232 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:72N°AVENUE APARTMENTS Covered porch area: square feet Cross street/directions to job site:BETWEEN SW CLINTON STREET AND SW BAYLOR Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:ENOLA HEIGHTS Lot no.:3200 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.:WCTM 1S136DC equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. DEMOLOTION OF EXISTING SINGLE FAMILY RESIDENCE ON SEPTIC SYSTEM Valuation: $$7,000.00 -,/ 9/o Existing building area: 1,750 square feet /N k'E/�`11Cl2d E`/t'L�7JT .,d/sT1Z/ C-7--- ,( y!P j u/� New building area: 49000 square feet ® PROPERTY OWNER 0 TENANT Number of stories: 1+4 Name:72ND AVENUE PROPERTY,LLC Type of construction: 1+A+V-A Address:4804 NW BETHANY BOULEVARD SUITE I-2 Occupancy groups: City/State/ZIP:PORTLAND OR,97229 Existing: R-3 Phone:(503)545-5217 Fax:( ) New: M/B/U/R-2/A-3 ►i4 APPLICANT ►-o CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:72ND AVENUE PROPERTY,LLC Structural plan review fee(or deposit): Contact name:RICHARD CASSINELLI FLS plan review fee(if applicable): Address:4804 NW BETHANY BOULEVARD Total fees due upon application: City/State/ZIP:PORTLAND,OR 97229 Amount received: Phone:(503)545-5217 Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:rec65@me.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:KEY WAY CORP. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:7275 SW HERMOSA WAY Solar Installation Specialty Code checklist. City/State/ZIP:TIGARD,OR 97223 Permit fee(includes plan review and administrative fees): Phone:(503)684-5100 Fax:(503)684-5500 State surcharge(12%of permit fee): CCB lic.:127522 d/r t/a® Total fee due upon application: Authorized signature: "r- 4".... This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Richard Cassinelli Date:7/9/18 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Petmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan TIGARD 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 per-cent(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: $ (f) 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 03/03/2011 Building Division Plan Submittal Requirements TI GARD Commercial& Multi-Family-New,Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ® map&tax lot# ® project name ® site address ❑ suite number ® zoning ® applicant name ® phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit- based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 '. Building Division Plan Submittal Requirement Matrix TIGARD Commercial& Multi-Family-New,Additions or Alterations Type of Submittal #of Plans (Includes new,additions and alterations) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County, and Tualatin Valley Fire & Rescue),if applicable. I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 City of Tigard III1 COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 c A R D Building Permit Review — Commercial - With Land Use Building Permit #: / '°,2c,/I' — U©,2// Site Address: /7 7,;20 SA) 7,2- r fi7/-L7.- Suite/Bldg#: Project Name: 72 '`" /9--/76- t9-/!1-72.7-CIE-A7 73 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: —,.. &714-70 6,,G (i) -S';'JG -c-,r=-fio'f/V /2,E3-r ,/[` -.-"" on/.s-c-/-)17 L d/J Verify site address/suite# exists and active inermit system p \• I'% er Terrace Neighborhood: LI Yes No /and Use Case#: _ ,4,&2 O j 6 -�? )1 Ill Plaatch Approved Land Use: LTJ Sit Plan PLandscape Plan d"mther: �� Jrban Forestry Plan a levation Plan o:uilding Height: Maximum Height Actual Height i\' .nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance TA Business Lice se: xiYes [EI No,applicant notified to obtain business license Public Faciliti Improvement(PFI) Permit: . o2O)8 'O f C. Required: Yes,applicant was notified ❑ No Applied For: 71 /a Yes ❑ No,stop intake Notes: Approved by Planning: -____ —___--":" .-- ---."1"WrDate: 'A / 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: k' Site Plans: # v,1-- Building Plans: # Building Permit#: *oEnter building permit#above. Workflow Routing: t.2l5lanning Engineering is Permit Coordinator ❑ Building Workflow Sign-off: El Sign-off for Planning(include notes from planning review) Route Application Documents: El Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: ByPermit Technician: "��" t ��., �/� Date: 71,A7 I:\Building\Forms\BldgPermitRvw COM WithLandUse 060116.docx Engineering Review Et Slope at building pad: ErPFI Permit#: PP/ 20/g '0013-3 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 L'J No Assess Water Quantity Fee in-lieu: ❑ Yes .Ergo LIDA Facility on lot: ❑ Yes -ErNo 0 NOT Approved by Engineering: Date Notes: Sewer Beim ct.r-,S2.neo--L Dis-i-r/ef- wee ell�-er a 1,-771A A ccela Approved by Engineering: 4'4 R. 134 Date: P ,/2.0/6 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 % . , /191 ov s ► e - - ,sed : /kt- .et�au s,j_.00 wst c1;u.... atra t +vee.Date: otes: 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: rSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes RN/A OK to Issue Permitfr?//el Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPemiitRvw_COM_WithLandUse 070915.docx City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT N. ‘ I Reimbursement District Payment Worksheet TI(J A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov This worksheet must be completed by the Finance Department and provided to the applicant to submit together with a completed plumbing permit application and payment for sewer connection and reimbursement district fee, ifapplicable, by expiration date shown below to the Building Division. FINANCE DEPARTMENT TO COMPLETE: Site Address: 11720 SW 72nd Ave Reimbursement District #: 46 Parcel #: Amount Due: $15,478.17 Amount Due Expires On: 3/15/19 Developer (Brady Bullinger has Applicant: info) Daytime Phone: Email Address: ❑ Sewer Loan Processed (journal entry to follow for payment of deferred sewer connection fee and reimbursement district fee, if applicable)* ByLMw'`— Date: 7/25/18 Name ?laf Printed: Jared Isaksen BUILDING DIVISION TO COMPLETE: *If a sewer loan is processed, waitforjournal entry before creating plumbing and sewer permits. Reimbursement Amount Paid: $ / Y7/, / 7 Receipt #: y/��c oP S aUUf ZO/f-- e0,2/y PLM #: ,//9 Enter arcel conditions in Accela (check all that apply): ,; Enter "paid" condition. 0 Enter "deferral" condition, if applicable. By: i Date: /3 /:P Name Printed: .2/4iv,V?$ �/S Attach this worksheet to issued sewer permit for records scanning. I:\Building\Riembursement Districts\ReimDistPaymentWorksheet NoDeferredAccounts 041918.docx