Permit CITY OF TIGARD BUILDING PERMIT
111,
s ,'- COMMUNITY DEVELOPMENT Permit#: BUP2020-00140
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2020
Parcel: 1 S136DC00300
Jurisdiction:
Site address: 11550 SW 72ND AVE
Project: 72nd&Baylor Apartments Subdivision: Lot:
Project Description: Demolition of 2,333 sf residential structure on public sewer. Upon demolition final,credits will apply towards
transportation,parks and sanitary sewer SDCs on new construction.
Contractor: BREMIK CONSTRUCTION INC Owner: CDP DEVELOPERS LLC
1026 SE STARK ST ATTN PAINE, ERIC
PORTLAND, OR 97214 126 NE ALBERTA ST STE 202
PORTLAND, OR 97211
PHONE: 503-688-1000 PHONE: 347-218-0242
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: DEM Type of Const: Permit Fee-Additions,Alterations, 06/29/2020 $509.05
Demolition
Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 06/29/2020 $4.00
Dwelling Units: 0 11x17)
Stories: 0 Height: 0 ft Erosion Control w/Development 06/29/2020 $107.60
Bedrooms: 0 Bathrooms: 0
Value: $30,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $620.65
Required: Required Items and Reports(Conditions)
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.
.r
Issued By: ll Permittee Signature: rege J•
3.639.4175 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
c yy,.a., • t 5 y _
Commercial i 1 0. F ;,R 4JS`j FOR OFFICE USE ONLI
JUN N 0 Received Q
City of Tigard 9 2U2L1 DateiBy: r IO 20 4d PermitN'rt P o2,4I -� i 10
_ 'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Vl. !N v�
L Phone: 503-718-2439 Fax: 503-598-1960" 0,—..,.„... ,r Date/By: Related Permit:
TIGARD Inspection Line: 503-639-4175 k t� :: -i "it DateReady/By. /- (� //j) Jvris: HI See Page 2for
Internet: www.tigard-or.gov Notified/Mello/to' �rr/W /(JC I/ I Supplemental Information
e 14 f1-- rti%✓ Y
TYPE OF WORK - REQUH2ED 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.
0 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $ 30,000
❑Accessory building El Multi-familyNumber of bedrooms:Demo
El Master builder El Other:
Number of bathrooms:Demo
t;• z< JOB SITE INFORMATION AND LOCATION Total number of floors:Demo
Job site address: 13f7trgvW 72nd Ave. New dwelling area: Demo square feet
City/State/ZIP: Tigard, OR 97223 ''arage/carport area:Demo square feet
Suite/bldg./apt.#: N/A Project name: SW 72nd Ave&SW Baylor St Covered porch area: Demo square feet
Cross street/directions to job site: SW 72nd Ave&SW Baylor St /974971 77'1e7J TS Deck area: Demo square feet
Other structure area: Demo square feet
REQUIRED DAT MMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1S136DC00300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
( work indicated on this application.
Demo of existingresidential home. 1 Valuation: $
ON P(A.r'�rd Sr=ttJC12
2-033 S f Existing building area: square feet
.ch(! C12-C-1�1i tr PL/ Pit! 72-- TP-4—P4 r P4r/241S 1. 5L iI New building area: square feet
® PROPERTY OWNER °"CMf'FEL+FPI;P'fi`- i, Number of stories:
Name: Community Development Partners-Attn: Wendy Klein Type of construction:
Address: 126 NE Alberta St, Suite 202 Occupancy groups:
City/State/ZIP:Portland, OR 97211 Existing:
Phone:( 347)218-0242 Fax:(N/A ) New:
® APPLICANT - 0 CONTACT PERSON BUILDING PERMIT FF.F:S*
Meese refer to fee schedule)
Business name: Scott Edwards Architecture
Structural plan review fee(or deposit):
Contact name: Dave Mojica
FLS plan review fee(if applicable):
Address: 2709 SE Ankeny St.
Total fees due upon application:
City/State/ZIP: Portland, OR 97214
Amount received
Phone:(503 )896-5378 Fax::(N/A) ���?�, .
F.-mail dmojica@seallp.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Bremik Constuction-Attn: Bob Trapa Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1026 SE Stark St Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97214 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)688-1000 Fax:(N/A ) State surcharge(12%of permit fee): $21.60
CCB Lic.:160383 Total fee due upon application: $201.60
Authorized signature: j j This permit application expires if a permit is not obtained
����"''"'"`""'"VVV within 180 days after it has been accepted as complete.
Print name: Dave Mojica Date:06.04.2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB)
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: (�uto 10 i7 ,- oo i H 0
Site Address: 1\5SD SLJ 12via1 lie. Suite/Bldg#:
Project Name: 72hd Av- / &A.9 forpay-hytpXn-f-s
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Olem 0 htOcr-
Existing Business Activity: 1.J /A—
Proposed Business Activity:
XVerify site address/suite#exists and active in permit system.
ARiver Terrace�NeiAghborhood: ❑ Yes CI No
a- Zoning: 11v1IA
lr ermitted Use: ❑ Yes ❑ No ❑ Spec Space
►� Confirm no land use required.
siness License:
Exists: E Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: iiivvv P-I0L•. ( pbs &# 1 P. ) Date: (o f I 12°
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
NNW.- _ ti
Building Permit Submittal
Original Submittal Date: 4 / 11/ 2-0
Site Plans: # Z.
Building Plans: # 2—
Building Permit#: 1--Enter building permit# above.
Workflow Routing: ,t=i--Planning DI---Permit Coordinator 0 Building
Workflow Sign-off: U—Sign-off for Planning(include notes from planning review)
Route Application Documents: E ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /�
By Permit Technician: /1 JCS Der Q�„__. Date: ///cf27
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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:
Nl SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /1!. N/A
Tigard Trans SDC: ❑ Yes - /A
Parks SDC: ❑ Yes N/A
g2 OK to Issue Permit
Approved by Permit Coordinator: Date: p1'42.0
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