Permit (84) IN
CITY OF TIGARD BUILDING PERMIT
8 ` COMMUNITY DEVELOPMENT Permit#: BUP2018-00215
R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2018
T[{'' 9 Parcel: 1 S 136DC03300
Jurisdiction: Tigard
Site address: 11750 SW 72ND AVE
Project: 72nd Avenue Apartments Subdivision: Lot: 9
Project Description: Demolition of existing 1,835 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, RICH
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 $15,494.80
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 $15,756.67
Required: Required Items and Reports(Conditions)
1 Ersn Cntrl 503-639-4175
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ '•
Issued By: ) / !Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
„Building Permit Applicatio CE
E
Commercial FOR OFFICE USE O\I.1
CI of Tiand n ' Received
`J g �., 'x 1� T ” DateB j 4f- 1rr. .- Permit No, t( A2 f-�1 )vi,5
11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598 �i1i �' Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 + Date Ready/By: Juris: See® Page 2 for
Internet: www.tigard-or.govt`I. rfN4 1°:!a , 'til€`i$-�4 Notified/Method: Supplemental Information
.,
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ®Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION : work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
❑Master builder ®Other:Mixed Use Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11750 SW 72ND AVENUE New dwelling area: square feet
City/State/ZIP:97232 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:72ND 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.:3300 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:WCTM 1S136DC Indicate the value(rounded to the nearest dollar)of all
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
JN / //y63g,c r9(7vr bre m eT r 07/./0/0/O Existing building area: 1,835 square feet
New building area: 49000 square feet
yr 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 1-2 Occupancy groups:
City/State/ZIP:PORTLAND OR,97229 Existing: R-3
Phone:(503)545-5217 Fax:( ) New: M/B/U/R-2/A-3
►�� APPLICANT ►..� CONTACT PERSON BUILDING PERMIT FEES*
Business name:72ND AVENUE PROPERTY,LLC (Please refer tafee sekednte)
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: :( )
E-mail:rec65@me.com PHOTOVOLTAICSOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic 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 lie.:127522
Total fee due upon application:
Authorized signature: /69 / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Richard Cassirelli Date:7/9/18 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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5111 .4
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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
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Building Division
Plan Submittal Requirements
TIGARD 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
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Plan Submittal Requirement Matrix
T I G A R D 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
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - With Land Use
Building Permit #: ,ettf j/y p0„,$
Site Address: // 75 Sc ) 7.2 '' /el i/ter-- Suite/Bldg#:
Project Name: -2 ^4 /fVc-- e 9 , -t r>c t Ijr
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .2)E7`10 o, 6) S,c'6 LE -ci-,,,i t.�r /LE3i6,-?/Ce e,„/ se-pry c
Verify site address/suite# exists and active in permit syste
11 t. er Terrace Neighborhood: ❑ Yes No
ii/Eand Use Case#: .2 J 2 0/e — 6000/
of Plan atch Approved Land Use: �y
FA Site Plan la it,an scape Plan they:
11 ► rban Forestry Plan 115 evation Plan
hi ►I uilding Height: Maximum Height Actual Height
IP. , •nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Y Business Lice e:
E ists: Yes ❑ No,applicant notified to obtain business license
Public Facilities mprovement(PFI) Permit: pFA2_01 b-607C3
Required: Yes,applicant was notified ❑ No Applied For: 1,/Yes ❑ No,stop intake
Notes:
Approved by Planning: — Date: f Qj
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: 7//k//,
Site Plans: # ,72...
Building Plans: # ----
Building Permit#: CJ Enter building pe #above.
Workflow Routing: Manning Er-Engineering Permit Coordinator ❑ Building
Workflow Sign-off: ,, i-Sign-off for Planning(include notes from planning review)
Route Application Documents: .2-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
e
By Permit Technician: l '�• i Date: 7/ 7
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse 060116.docx
Engineering Review
L (Slope at building pad: / %
C2 ,,,„/,5-
,
'PFI Permit#: pf-/;�/ ��/p�jS3
® Conditions "Met"prior to issuance of building permit
Cr-Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
D Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes a No
Assess Water Quantity Fee in-lieu: ❑ Yes ID" No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: Sewer /Pe,n,6 urrerele,-71- A,.5-7tric - Pe-e_.- en hrel i n 4 4'C( 1 —
Approved by Engineering: 54, /e. 0C/ Date: - //9/ZD I S
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: Date:
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:
DC Fees Entered: Wash Co Trans Dev Tax: El Yes L /A
Tigard Trans SDC: CI Yes �N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
/7# f
Approved by Permit Coordinator: Date: fid /' £
I:\Building\Forms\BldgPermitRvw_COM_WithlandUse_070915.docx
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
41
= Reimbursement District Payment Worksheet
T I G 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,
if applicable, by expiration date shown below to the Building Division.
FINANCE DEPARTMENT TO COMPLETE:
Site Address: 11750 SW 72nd Ave
Reimbursement District #: 46 Parcel #:
Amount Due: $15,494.80 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)*
By: w�'-- Date: 7/25/18
Name Atal
Printed: Jared Isaksen
BUILDING DIVISION TO COMPLETE:
*If a sewer loan is processed, wait forjournal entry before creating plumbing and sewer permits.
Reimbursement Amount Paid: $ l S `i9 V. e() Receipt #: 9//F 76
.wit-gr-U /f-u1?r$ . :- „eon,
,z51;77,0 ,Fizeti �-
Enter parcel conditions in Accela (check all that apply):
l� Enter "paid" condition.
❑ Enter "deferral" condition, if applicable.
By:
? ,3 ;
�.'�.r--�.___ Date: /
Name
Printed: )t9A/Afr3. /4�d7t'..r
Attach this worksheet to issued sewer permit for records scanning.
I:\Building\Riembursement Districts\ReimDistPaymentWorksheet NoDeferredAccounts_041918.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11750 SW 72ND AVE, TIGARD, OR, 97223 September 20, 2018 at
10:11 :56 AM
Record Type: Record ID:
Commercial - Building BUP2018-00215
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Previous inspection corrections completed
Violation Summary:
Inspector Contractor