Permit CITY OF TIGARD BUILDING PERMIT
1111
• '2 COMMUNITY DEVELOPMENT Permit#: BUP2020-00141
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06129/2020
Parcel: 1 S136DC00400
Jurisdiction:
Site address: 11580 SW 72ND AVE
Project: 72nd&Baylor Apartments Subdivision: Lot:
Project Description: Demolition of 2,632 sf residential structure on public sanitary 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.
Issued By: f Permittee Signature:
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
Commercial T-(.''.�` 4 l r' ' . FOR OI I ICI: I SE ON.t,1
City of Tigard 9 Received 4 'D C/ � Permit l os�P' -�1/'
III • 13125 SW Hall Blvd.,Tigard,OR 97223 .�U N o 9 2020 Phan Review2 II
Phone: 503-718-2439 Fax: 503 598 1960 Date/By: Related Permit
/ f.E i., g l Y l l
T I G A R a Inspection Line: 503-639-4175 ( , ; V (�}� , -v �.-. Date Reedynsy:/ p� hem � See Pale 2 for
Internet: www.tigard-or.gov t Noufied/Methoyey/er/'7.. /.k t� Supplemental Information
TYPE OF WORK .`';:7.: 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
I , . s s` 7 work indicated on this application.
❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: S 30,000
❑Accessory building ❑Multi-family Number of bedrooms:Demo
❑Master builder 0 Other: Number of bathrooms:Demo
JOB SIZE INFORMATION AND LOCATION Total number of floors:Demo
Job site address: 11580 SW 72nd Ave. New dwelling area:Demo square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area:Demo square feet
Suite/bldg./apt.k: 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 /3-PA/-Ti-IfEAJT! , Deck area: Demo square feet
Other structure area: Demo square feet
-
REQUIRED D.4T'A:COMMERCIAL-USE CHECKLIST.
Subdivision: Lot 4: Permit fees*are based on the value of the work performed.
Tax map/parcel N 1 S136DC00400 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.
Demo of existing residential home. 0 fJ 0t,(3E4 C SG-vJQ. r2-- Valuation: $
74,3 2 -CF Existing building area: square feet
S'',be- ('ac 71 iT ii-p I c, f—LK 1 lt!tr,Y se.1 P:but S e £Lt)je New building area: square feet
® PROPERTY OR'\ER 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 FEES*
(Please refer rofee 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
Phone:(503 )896-5378 Fax::(N/A) Amount received
F,-mail: dmojica@seallp.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details Business name: Bremik Constuction-Attn:Bob Trapa
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: This permit application expires if a permit is not obtained
�'''���"""""`""����0000 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.
l:Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I l/02/COM/WEB)
I City of Tigard
71 11 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
c- - _ - - -
Building Permit #: jute" 20 Zo -' 00 '1_9/
Site Address: A 80 Sv.) 121'0 A. e- Suite/Bldg#:
Project Name: 72hd Avt f evul Ior ApotV liS
(Name of commercial business occupying t e space. If vacant,enter Spec Space.)
Planning Review
Proposal: CkYp 0 htofCi
Existing Business Activity: KJ / fr
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
.Ak River Terrace Neighborhood: ❑ Yes 0 No
a Zoning: liA LA
UP ermined Use: ❑ Yes ❑ No ❑ Spec Space
ZI Confirm no land use required.
fitirUsiness License:
Exists: 0 Yes ❑ No,applicant was provided a business license application
Notes: A y. r
Approved by Planning: f ma .) ( P" &4 (o!R ) Date: I(1) I W
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (o g Zt�
Site Plans: # 2/
Building Plans: # 2-
Building Permit#: 0--Enter building permit# above.
Workflow Routing: 'Ea'Planningrmit Coordinator ❑ Building
Workflow Sign-off: C�?'S -off for Planning(include notes from planning review)
Route Application Documents: er Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ,,� /
By Permit Technician: t. . )(�.4.-1c.(� _ Date: rl�P//26)
L:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx
,(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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes z N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: rr Date: bi
I:'Building\Forms\BldgPermitRvw_COM_NaLandUse_l 11819.docx