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Permit CITY OF TIGARD BUILDING PERMIT 16 : COMMUNITY DEVELOPMENT Permit #: BUP2012 -00038 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012 Parcel: 1 S135ACO2500 Jurisdiction: Tigard Site address: 9208 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: New MF. Building 7 (6 units). Contractor: JT SMITH COMPANIES Owner: J.T. SMITH CO 5285 MEADOWS RD, STE 171 5285 MEADOWS RD SUITE 171 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 975 -7639 PHONE: 503 - 975 -7639 FAX: 503 - 684 -0102 Specifics: FEES Description Date Amount Type of Use: MF Class of Work: NEW Type of Const: VB DC Provision Review, COM New - Bldg 08/14/2012 $129.00 Occupancy Grp: R -2 Occupancy Load: DC Provision Review, COM New - Ping 08/14/2012 $129.00 Dwelling Units: 6 DC Provision Review, COM New - LRP 08/14/2012 $38.00 Permit Fee - RES - New Construction 08/14/2012 $3,271.04 Stories: 2 Height: 23 ft 12% State Surcharge - Building 08/14/2012 $392.52 Bedrooms: 0 Bathrooms: 0 Plan Review 08/14/2012 $2,126.18 Value: $654,783 Plan Review - Fire Life Safety 08/14/2012 $1,308.42 Info Process /Archiving - Lg $2.00 (over 08/14/2012 $64.00 11x17) Floor Areas: Info Process /Archiving - Sm $0.50 (up to 08/14/2012 $24.00 11x17) Total Area. 6070 Erosion Control 08/14/2012 $184.00 Accessory Struct: 0 Erosion Plan Review CWS 08/14/2012 $59.80 Basement: 0 Erosion Plan Review COT 08/14/2012 $59.80 Carport: 0 Metro Const. Excise Tax - Residential 08/14/2012 $785.74 Covered Porch: 632 Use Deck: 272 Park - Multi Family Unit - Apartments & 08/14/2012 $19,525.20 Condominiums Garage: 1566 Tig -Tual School CET - Residential 08/14/2012 $6,494.90 Mezzanine: 0 Total $34,591.60 Required: Required Items and Reports (Conditions) 1 Ersn Cntrl 681 -4444 Fire Sprinkler: Yes Parapet: No Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Yes 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: at APL/ Cict7i0i ___,,A, 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 Application v. Residential 1 _ FOR OFFICE USE ONLY City of Tigard .R • � {'a V��i Date/B � � , ' q 13125 SW Hall Blvd., Tigard, OR 972 q ' d g nS\Zb P lan Rene Other Permit: Phone: 503.718.2439 Fax: 503.598.1' r c Q d Date/g : �F ©r© T I G A K D Inspection Line: 503.639 C � -. rate Rea l= r ® See Page 2 for Internet: www.tigard-or.gov C � �lQ ; r TYPE OF WORK t�',� .. ,e. h, , • 6p 7 /2. /�� Supplemental Information i � ` ,L �'►�E'� REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction ❑ Demon 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. rif(Atnd 2- family dwelling ❑ Co ercia1industrial Valuation: $ ❑ Accessory building ulti- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JO : E INFORMATION AND LOCATION Total number of floors: Job site address4'Z( 2 q 2,v0e q - z - iz, ' LZ'4 8130 q Z1(o 5,,,i P✓1 t�-�La-�tti� New dwelling area: square feet City/State/ZIP: Ta , , I O. q 7 2 . z q CA Garage/carport area: square feet Suite/bldg. /apt. no.: & e i l , I Project name: A cw,„ S 4 e.4 ;,.! 5 Covered porch area: square feet Cross street/directions to job site: / Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: , 37. - 31 Permit fees' are based on the value of the work performed. Tax map /parcel no.: 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. ,y'_ / Valuation: $ 6)---?6 1 Q _ " , Existing building area: square feet New building area: square feet 11141 OWNER I ❑ TENANT Number of stories: Name: - Type of construction: Address: ;5 Rs /14� a ,d led Si o / 7 / Occupancy groups: City/State/ZIP: L i 4L gS Ive9 p v�� /! 7U3 S Existing: Phone: ($773 9 7 c✓ . `7 4 9 Fax: ( 573) 4' ksz - 0/ r New: ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: " ,,P,i, 76_. � 1 -i Structural plan review fee (or deposit): Contact name: C4� FLS plan review fee (if applicable): Address: 52 PS' 47 eaic4-os /fd, S'& /7/ City/State /ZIP: L� �,. ,,v ,eo p � & 9 _7 a.3 5 Total fees due upon ap � t 3S3• ' / Amount received: Phone: ( 5 , 3) 97,5 7& I Fax: : (SU3) k P 7 - /OZ E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES" �6r1 c. /-e. - e J /-Sm k eo , Cdwt Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Submit two (2) sets of roof plan with connection details �, and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. _ City / State/ZIP: Permit Fee (includes plan review $180.00 I and administrative fees): Phone:( ) Fax :( ) State surcharge (12% of permit fee): $21.60 CCB lic.: / 2 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained /,'���� //�� / within 180 days after it has been accepted as complete. Print name: eA4-4 -1Q5 ,/i G/ «�/ Date * methodology set by Tri County Building Industry 9 "- Service Board. (:\Building \Permits \BUP- RESPetmitApp.doc 02/24/2011 440 -4613T( I 1 /02/COM /WEB) lig e ° Building Division Development Code Provision Review TIGARD Commercial Projects with Approved Land Use Building Permit No.: /34?0 /.1._ — xxi3I Land Use Casefile No.: h- rni>92 c)g- CXX)1 7/501 3 ,2200S-000 I I /Szgo' vs-- -ajoai Routed Plans: Submittal Date: Submittal Date: (o /y /.Z. / Pge e Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (■) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. - : r ' M STAFF: please only mark those items on the left side that are approved. . ' Planning Review (contact A at 503 -718- ON or _dAy �A @tigard- or.gov) 0" Land Use Approval Er Building Plans Match Approved Plan: Yes la No ❑ ErMaximum Building Height 3r f Notes: Conditions Met N 7-4t.4 4 J , otes: Original Plan: Approved Er Not Approved ❑ Date: 3 - a Revision 1: Approved ❑ Not Approved .0' Date: G ' Y -A. Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard - or.gov) Actual Slope: 3 ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approve Not Approved ❑ Date: 3/ 2� Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 • City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) p Trees �( Protected Tr es Notes: 3c< H. Cr 4/L 7 , L I Original Plan: Approved ❑ Not Approved a Date: 3 Revision 1: Approved Not Approved ❑ Date: (p /r-57/L--, Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes pi No 1516 'L1) Date Routed to Building: • • •ter:; i q , n . \ 1 Page 2 of 2 alpha I m ,,� • „ COMMUNITY DEVELOPMENT • - S s * .:• • s N \ : ',.... ...Welig 10411 .. doss I a rs It if mi 1 K.I.a•..v.•I YsI ma MI —. 11 ii . OW CAW 015•00.110•1 m ; I 1 1 ' e •°y •Iposll vs. ti a... e r g ) 1 1 - - i , ' ' , ., 0 MST. WOOER 4G• • . 1 � , • f1101.1 Er 1 1 r IME . 'Mi ll ' 11 ,'1: ' mmis�cao. oouiiiw air ! ' - 1 • �' n om"", I w " /� � � r r ; .' WA mama a mama u. I j�1/. I In. l+.a W o• 1 I V • .4 r 'M' - •' � �i'1. ``� m K.a • a �mrlmd..taro. j .... 11 It I I �! � � al. l m •n it ' i � 47p - osl •[AMP' WISISYCIIO. ' s1 \ .lASll•LS WED ID Of APRIL!) "I I - -_- - - }�. - - -- �. 1 I \ . A 1MV 11 ST DCT0�A 1S1 u0 .40ds • s[[ 1200-C Dd•tdds Fill ruu. B[CIUMEW1IS .•D , " ' J'' . a .n 1511111t1 t i SacDUISS Tree Protection Verification — Longstaff Condominiums ' 6 dill' )I q C) LONOSTAFF Tree protection has been Installed for new construction as shown on I , 4 1 i� * e • this plan and erified by me in the field on 5- 30 -12. i ��•"i'; '` �, 1 `� � p z ® fi e CONDOMINIUM: Walter H. Knap14811/Y7 ' II ....-- e./. Certified Arborist PN- 0497A �_ .`r te ° - ° ° . / ''- �7 - O - Oa % • • . ~1 • ;. . • Legend: Tree Protection Fence 4#3.. ' e- , - �T ° ° : � - d,. - - � - - ?+ - CONTROL ` �•. i \ Z7Ill •� ° -® °�.t ( t, •r it • a • -t;r -' �.\ . \ 14 � �1.. 1 - f! . ., • 4 e._ " ' r: • • - -- ••� �-�••• --- 1 =' �' • _• B eset � t °= ��e • ® = ° �( 'ay., s Ir=iiii a _,, '..•'_ _2_,''' .4. - - --/ — - - — 4.7 WALE :.: = 6 i:� wo of . • ° s, MW. .B®.l.O.sd1..• -..151 soy 0• II t0....•.. FEED CITY OF TIGARD JUN 2 1 2012 COUNTYWIDE TRANSPORTATION CITY OF T.: :3,A P.1) DEVELOPMENT TAX (TDT) EUlLDIN D `S ON NOTIFICATION OF 1E AND PAYMENT OPTIONS Please sign and return prior to building permit issuance. This advises you that the TDT for this project is as shown below and outlines the payment options that may be available to you. The TDT amount will increase on July 1, 2015 if payment is not received before then. This form is to be signed and submitted prior to issuance of a building permit City of Tigard Date: Site Address: gala Su/ M lkscates CC Project #v 7 Land Use Case Name: t-onAS` a,CC bvi(dvtn or Permit #: uPaota "0003$ Tax TDT Amount: � i � SO, ap Lot #: 15 (3514Gp a,SS'o This constitutes my request to use the TDT payment option or combination of options I have selected below. [This selection can be changed up to the time a building permit is issued.] I realize that TDT charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. [Please address questions about TDT.or Deferral or Installment Payments to Albert Shields, Permit Coordinator, 503-718-2426.] ❑ Cash, Check, or Credit Card, payment due at building permit issuance. Lid / Deferral until Occupancy, payment due before issuance of an occupancy permit Payment of the TDT may be deferred until issuance of the occupancy permit if the TDT is greater than, th - . un • a • . a e _. • s: si.: i . : • • • 6 66 . In requesting this option I understand that any deferred TDT must be paid prior to issuance of a Certificate of Occupancy and that the TDT will be recalculated at the time it is actually paid based on the TDT rates prevailing at that time. I further understand that TDT rates may increase each July 1R and that such increases are not subject to appeal. For a deferral request to be accepted 122th the Owner and the Applicant must sign this request. ❑ Credit Voucher (for developer -built required public improvements, subject to approval, completion, and acceptance of creditable improvements.) PLEASE NOTE: TDT Credits must be redeemed at the time TDT Payment is due, either at the time the building permit is issued or, if payment is deferred, prior to issuance of an occupancy permit If you expect to claim TDT Credits be sure the improvements, any creditable payments, and your Request for Credits is complete either before your building permit is to be issued or, if payment is deferred, before you request an occupancy permit No refund of TDT Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ Bancroft" or Installment Payments (separate application required.) O ni# P %I5 'a•a OWNER /APPLICANT „ «s: LICANT DATE: I 2 . 0 ( DATE: !O I: \CURPL.N \P 't r \TDT Foams \TDT Payment Option Form 061312AMS ..... IN p copy : . . . TIGARD City of Tigard INVOICE DATE: 06/06/2012 Project Name: Longstaff - Building 7 Fee Item Fee Amount Fees Paid Fees Due Building Permit Fees: BUP2012 -00038 Permit Fee - RES - New Construction $ 3,271.04 $ - $ 3,271.04 12% State Surcharge Building $ 392.52 $ - $ 392.52 Plan Review $ 2,126.18 $ 2,075.85 $ 50.33 Plan Review - Fire Life Safety $ 1,308.42 $ 1,277.44 $ 30.98 Park - Multi Family Unit - Apartments & Condominiums $ 19,525.20 $ - $ 19 525.20 TDT - Transportation Development Tax $ 25,950.00 $ - $ a. IS D. t a Ccf 1 DC Provision Review, COM New - Bldg $ 129.00 $ - $ 129.00 DC Provision Review, COM New - Ping $ 129.00 $ - $ 129.00 DC Provision Review, COM New - LRP $ 38.00 $ - $ 38.00 Info Process /Archiving - Lg $2.00 (over 11x17) $ 64.00 $ - $ 64.00 Info Process /Archiving - Sm $0.50 (up to 11x17) $ 24.00 $ - $ 24.00 Erosion Control $ 184.00 $ - $ 184.00 Erosion Plan Review CWS $ 59.80 $ - $ 59.80 Erosion Plan Review COT $ 59.80 $ - $ 59.80 Metro Const. Excise Tax - Residential Use $ 785.74 $ - $ 785.74 Tig -Tual School CET - Residential $ 6,494.90 $ - $ 6,494.90 Total Building Permit Fees: $ 60,541.60 $ 3,353.29 $ 57,188.31 — o ?S950. o0 3j a 3eP, 3i City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 - 2430 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov 14 U ,, • TIGARD INVOICE DATE: 06/06/2012 City of Tigard Project Name: Longstaff - Building 7 Fee Item - Fee Amount Fees Paid Fees Due Mechancial Permit Fees: MEC2012 -00304 , Range Hood /Other Kitchen $ 200.34 $ - $ 200.34 Clothes Dryer Exhaust $ 200.34 $ - $ 200.34 Single Duct Exhaust (Bathrooms, Toilet, Utility Rooms) $ 373.12 $ - $ 373.12 12% State Surcharge - Mechanical $ 92.86 $ - $ 92.86 Sub - Total: $ 866.66 $ - $ 866.66 Electrical Permit Fees: ELC2012 -00351 _ Electrical Permit $ 708.61 $ - $ 708.61 12% State Surcharge - Electrical $ 85.03 $ - $ 85.03 Sub- Total: $ 793.64 $ - $ 793.64 Plumbing Permit Fees: PLM2012- 00161 Sewer service $ 62.54 $ - $ 62.54 Storm and Rain Drain $ 62.54 $ - $ 62.54 Water Service $ 62.54 $ - $ 62.54 Clothes Washer $ 150.12 $ - $ 150.12 Dishwasher $ 150.12 $ - $ 150.12 Expansion Tank $ 12.51 $ - $ 12.51 Garbage Disposal $ 150.12 $ - $ 150.12 Hose Bib $ 50.04 $ - $ 50.04 Sink $ 150.12 $ - $ 150.12 Lavatories $ 350.28 $ - $ 350.28 Tub /Shower /Shower Pan $ 125.10 $ - • $ 125.10 Water Closet $ 250.20 $ - $ 250.20 Water Heater $ 225.12 $ - $ 225.12 12% State Surcharge - Plumbing $ 216.16 $ - $ 216.16 Sub - Total: $ 2,017.51 $ - $ 2,017.51 Sewer Connection Permit Fees: SWR2012- 00112 Sewer Connection Fee $ 27,000.00 $ - $ 27,000.00 Sewer Inspection - Commercial $ 45.00 $ - $ 45.00 Sub - Total: $ 27,045.00 $ - $ 27,045.00 Total Mechanical, Electrical, Plumbing & Sewer Fees : $ 30,722.81 $ - $ 30,722.81 City Contact: Dianna Howse, Building Division Services Supervisor, 503 - 718 -2430 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov