Permit .•v
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00466
4454 — 13125 , .,11 DEVELOPMENT Tigard, � 639 -4171 DATE ISSUED: 11/24/2004
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE PARCEL: 2S115AA OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R -25
BLOCK: LOT: OOA JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 2,545 sf N: NR S: NR E: 1HR W: NR
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: N S: N E: Y W: N
OCCUPANCY GRP: A3 TOTAL AREA: 2,545 sf ROOF CONST: C FIRE RET?
OCCUPANCY LOAD: 75 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 16 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 125 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: 2 IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 173,314.00
Remarks: Building F - Clubhouse
Owner: Contractor:
OT2 LLC KEYWAY CORP
5437 ROSALIA WAY SUITE 100 7275 SW HERMOSO WAY
LAKE OSWEGO, OR 97035 PORTLAND, OR 97223
Phone: 503 - 620 -4373
Phone: 503 - 684 -5100
Reg #: LIC 127522
FEES REQUIRED INSPECTIONS
Description Date Amount Ersn Cntrl 681 -4444 Shear Wall Insp
[BUPPLN] Pln Rv 9/29/2004 $1,456.14 Mechanical Permit Require Firewall lnsp
[FLS] FLS Pln Rv 9/29/2004 $896.09 Electrical Permit Required Gyp Board lnsp
Fire Alarm Permit Final Inspection
[BUILD] Permit Fee 11/24/2004 $1,032.90 Plumbing Permit Required
[TAX] 8% State Surcharl 11/24/2004 $82.63 Foot/Found Insp
(additional fees not listed here) Footing Drain
Slab lnsp
Total $2,569.68 Framing lnsp
Insulation Insp
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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By:
Permittee
Signature:
Call 639 -4175 by 7 p' . for a inspection the next business day
I
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.. .• Building Permit Applicalimi,.. - USE ..- - 'FOR OFFICE USONLY
13125 SW Hall Blvd., Tigard, OR 97223 Li
City of Tigard FIEGitiVEDA Received „...., 7 ri -- , i
Date/By: /..X") Permit No. y -, 13 (AR ed y (
Phone: 503.639.4171 Fax: 503.598.1960 1"111
Date/By:
CCD SEP 2 9 2004200iiii Plan Review, <— ,..,_, /Ai,
/1 . . . V ‘.1.' 7 e .. q'..-- Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: sl://rA 5/ AF-A Juris RI See Attached Checklist for
Internet: www.ci.tigard.or.us
CITY OF TICVLUID Notified/Methnd: 6,4 A E Of , v Supplemental Information
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,, P1 1 7,:' , NW - - . 'ti tit'AVOR141,Z4:4,1 SI 'itiZEOCIRED:DATA :. 14ANIX2=FAMILVDVVELLIk
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El New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ID Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
e:' 'dor ,z!%42'1' '',., ',,',,,,,,,,z':',.::::f." work indicated on this application.
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Valuation: $
El 1- and 2-family dwelling 1=I Commercial/industrial
El Accessory building N Multi-family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms:
gifilPiNiOi6ir.rfrONTIfsiliVi4N;WMS::::6:0111.4i Total number of floors:
Job site address: i ( ,,,) • () 4 0444 (.,, New dwelling area: square feet
City/State/ZIP: 97224 Garage/carport area: square feet
Suite/bldg/apt. no.: BLDG F,..G.--...
Project name: OAK TREE H APARTMENTS Covered porch area: square feet
n41-Carports street/directions to job site: SW 108 Ave. & SW Durham Road Deck area: square feet
Other structure area: square feet
_____ w„,„,...,":,„,„,„,., -,,. i,4;1
11QPIREOPAT4- !!
Subdivision _
Permit fees* are based on the value of the work performed.
: L,ot no.:
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: 2S115AA 00700, 01000, 01100, 01200 equipment, materials, labor, overhead, and the profit for the
,,,,, ,„„,„,,,,,,,, ., mr.c,.-,.„ work indicated on this application. '
40, '::',' valuation: 4
New construction Clubhouse Building F 2545 sq. ft. (A-3 Occupancy) e rr(-
Existing building area: square feet 13
____
New building area: 20983 square feet
Number of stories: 1
: 51 , 1";„( 21 , .41 1.1111A:1131.11JJ'i.:`.:aliait'": Type of construction: V-N
Name: OT2 LLC
Occupancy groups:
Address: 5437 Rosalia Way, Suite 100
Existing:
City/State/ZIP: Lake Oswego, Oregon 97035
New: A3, S-1, Ul
Phone: (503)620-4373 Fax: (503)620-1243
PM
•-'-''- ! '"'" 1;5'47 '' " '''''''''" '''''"'''''''' '''''''''''"'"' '' '' " ' ''''''''':''' -"" ''''` ' ' All contractors and subcontractors are required to be
Business name: Ossey Development Corporation licensed with the Oregon Construction Contractors Board
Contact name: Dick Ossey under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
Address: 5437 Rosalia Way, Suite 100 applicant is exempt from licensing, the following reasons
City/State/ZIP: Lake Oswego, Oregon 97035 apply:
Phone: (503) 620-4373 Fax: : (503) 620-1243
E-mail: richard.ossey@verizon.net
.. .. ...... ..
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, ,',:,' ::"BUIEDINGERMIT-FEESI"4,,,
Business name: Keyway Corp Cr-A
Address: 7275 SW Hermoso Way Please refer to fee schedule.
City/State/ZIP: 97223 Fees due upon application
Phone: (503) 684-5100 Fax: (503) 684-5500 Amount received
CCB lie.: 127522 Date received:
/ This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
....,... * Fee methodology set by Tri-County Bililding Industry ilk)
Print name: Richard B. Os ey Date: 9/24/04 Service Board. 6 apl 6 TA if, p A2
I: \: :in Perrnits\ BUP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB) . ''--c pd
ills
IT TIGARD
BUILDING DIVISION PERMIT #: BUP2004- 00466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/124/2004
Phone: (503) 639 -4171 u�ilimpl�'�I
Inspection Requests (24 Hrs.): (503) 639-4175 . �_�
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:03AM PAGE: 7
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Clubhouse TIF Deferred
Permit includes pedestrian bridge
OWNER: OT2 LLC PHONE #: 503-620-4373
CONTRACTOR: KEYWAY CORP PHONE #: 503 -684 -5100
Inspection Request Scheduled For: Date: 9/1512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 015799-01 503-888-2082 N
Corrections /Comments /Instructions:
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PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL I CALL FOR SPECTION ❑ ADDITIO AL FE S ASSESSED
Inspector: AIWA Date: L' Phone #: (503) 718 -
Tidemark Advantage [Jeanne Temple - JMT] - [Building Permit (BuP) 01.1P200 ..st - 11512d ...- ' =''' it! start'
1111 File Eck Options Window Help _ 11511211 El
9 ,.
, 1 4 2 Gir"' :,2j A • ' sa. Novell Grou. „
' Exit Maw Open In:A Liot Cif3£ GIS '
11111 Tidemark -.
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1 ,,, C102e Edi t Project Group Add Giant Parcel Attiyity People Ft*: Valuntion Condition: Csiin Not Tnip Doceintat: GIS CI:n I
-.4.04.4........-
Name:OT2 LIC Updated: 7/2712005 314T General
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Address:16055 SW 108TH AVE 100 CLUB HOUSE Jur: ffrG"
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Description: Master #130R2004-00007 Project: IOAK TREE II APARTMENTS 4)ecidc c '
Areas ,Fg] 0
Building F - Clubhouse TlF Deferred :::14
Permit includes pedestrian bridge Setbacks
- :
Reissue: f ---------- Cond.
Class of Work: 1NEW Dates „,„„,.........._ .„„
Type of Use: .1COlvl Received Required
Items
Type of Construction: 15N Target; I
.0.■■■••■..14147.0.0■004
Occupancy Group:
Issued: 11112412004
IA3
Occupancy Load, I 75 Expired: . " . 7 7 17201151
Valuation: rii75:514J-To Finaled: I.
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