Permit CITY OF TIGARD BUILDING PERMIT
' • COMMUNITY DEVELOPMENT Permit#: BUP2015 00185
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/18/2015
Parcel: 2S102AD02900
Jurisdiction: Tigard
Site address: 12790 SW ASH AVE
Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5
Project Description: Building 2-New 3-story multi-family 26 unit apartment building with 2 retail spaces.
Contractor: JBA, LLC Owner: PREMIUM PROPERTY-TIGARD LLC
1645 NW HOYT ST 1015 NW 11TH AVE, STE 243
PORTLAND, OR 97209 PORTLAND, OR 97209
PHONE: 503=504-9596 PHONE: 503-226-1972
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: NEW Type of Const: VA DC Provision Review,COM New-Bldg 11/18/2015 $175.50
Occupancy Grp: R-2 Occupancy Load: 191 DC Provision Review,COM New-Ping 11/18/2015 $175.50
Metro Const.Excise Tax 11/18/2015 $4,236.69
Dwelling Units: 26 School Const Excise Tax-Tig-Tual- 11/18/2015 $33,121.53
Stories: 3 Height: 0 ft Residential
Bedrooms: 0 Bathrooms: 0 School Const Excise Tax-Tig-Tual- 11/18/2015 $5,039.04
Value: $3,530,575 Non-Residential
Permit Fee-RES-New Construction 11/18/2015 $12,884.12
12%State Surcharge-Building 11/18/2015 $1,546.09
Floor Areas: Plan Review 11/18/2015 $8,374.68
Plan Review-Fire Life Safety 11/18/2015 $5,153.65
Total Area: 26586 Additional Plan Review 11/18/2015 $200.00
Accessory Struct: 0 Additional Plan Review 11/18/2015 $200.00
Basement: 0 Additional Plan Review 11/18/2015 $200.00
Carport: 0 Additional Plan Review 11/18/2015 $200.00
Covered Porch: 0 Additional Plan Review 11/18/2015 $200.00
Deck: 0
Garage: 7420
Mezzanine: 0
Total $71,706.80
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: Yes
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking: 1
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: �_-/ d. 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.
A
Building Permit Applich CC
ecEIVED
Commercial JUN 2 9 2015 FOR 01 11( F. 1'SE O\l 1
City of Tigard Received /. . -
TI F TIGARD Date/B .- a ar.....• 11125 SW Hall Blvd,Tigar 1S9ia t t Plan Rcvic
°� • Phone: 503.718.2439 Fa DIVISION Date : ,41; Other Permit:
TI G A k D Inspection Line: 503.639.4175 Date Re.• furls. Ed See Page 2 for
Internet: www.tigard-or.gov 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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
III I-and 2-family dwelling ❑Commercial/industrial Valuation: $
I=1 Accessory building ®Multi-family Number of bedrooms:
[1]Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12780 SW Ash Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 7 7 6 ec 11Jit-4-vy Garage/carport area: square feet
Suite/bldg./apt.no.: r Project name:Burnham&Ash Apartments Covered porch area: square feet
Cross strcetidirections to job site:SE Corner of Burnham St.and Ash Ave. Deck area: square feet
(Building 2) Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:25102AD 02800,02900 ,03000 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.
Three story multi-family apartment building with internal parking and small Valuation: --75-"5$2.926, .00 _9k
retail space. Separate building holding 8 enclosed parking spaces included. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jeff Sackett c/o Premium Property-Tigard LI.0 Type of construction:
Address: 1015 NW Ills Ave Occupancy groups:
City/State/ZIP:Portland,OR 97209 Existing:
Phone:(503)226-1972 Fax:( ) New
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:SERA Design and Architecture,Inc.
q Structural plan review fee(or deposit):
lk, Contact name:Josh Cabot
FLS plan review fee(if applicable):
Address:338 NW 51h Ave.
� City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Amount received:
Phone: (503)445-7898 Fax: :(503)445-7395
U./ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:joshc @serapdx.com
Commercial and residential prescriptive installation of
CONTRACTOR _ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
2 Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Q+ Phone:( ) Fax:( ) State surcharge(12%of permit fee): $2 1.60
1 . CCB lie.: Total fee due upon application: $201.60
....9--
Authorized signature: �� This permit application expires if a permit is not obtained
within 180 days after it has bp
Print name:Michael Bar tt,AIA Date:6/29//5 $ Fee methodology set by Tri-County een Buacceilding ted as Industrycomplete.
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
4 .
City of Tigard
It
COMMUNITY DEVELOPMENT DEPARTMENT
■
IIt.ARI)
Building Permit Review — Commercial - With Land Use
Building Permit #: u c 9015- OD ) 2 5
Site Address: 4714.fo 6 W ASH flt)� Suite/Bldg#: cP--•
Project Name: - - ' -. • - 11 • • " 5 ha/1)/44W
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: i) j . 2, 0uk ti(o,-.tit
O.-Verify site address/suite#exists and active in permit system.
.2I River Terrace Plan District: ❑ Yes 43-No
.Land Use Case#: 17 0(Z 2 i -0 2_-
❑ Plans Match Approved Land Use:
,.3 Site Plan ❑ Landscape Plan ❑ Other:
3 Urban Forestry Plan )" Elevation Plan y�
Building Height: Maximum Height 45 Actual Height
2.121 Conditions Met: ❑ Prior to Submittal .,-.0 Prior to Permit Issuance
;a-Business License:
Exists: )21 Yes ❑ No,applicant notified to obtain business license
[2'Public Facilities Improvement(PFI) Permit:
Required: , ❑ Yes,applicant was notified , ❑ No Applied For: .0- Yes ❑ No,stop intake
Notes: 3(d, (4- ,-,if`',/ b
Approved by Planning:ng: ehor e Pew &cull 1 S ? Date: '°14-/S
7-a8-11-
Revisions (after Building Submittal only) rr,'Ui Pit- Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ,94 it r,
Site Plans: #
Building Plans: # .-
Building Permit#: Enter building permit#above.
Workflow Routing: $Planning G-Engineering .ermit Coordinator a'Suilding
Workflow Sign-off: a Sign-off for Planning(include notes from planning review)
Route Application Documents: a'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: `%/Bil
I:\BuildingWorms\BldgPermitRvw_COM_W ithLandUse_040115.docx
0.
Engineering Review
elope at building pad: 4/Z'
[ �YFI Permit#: 2fx- ,jls- coa5�
( Conditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility: _/
Assess Water Quality Fee in-lieu: ❑ Yes [ No
Assess Water Quantity Fee in-lieu: Yes �❑ No
LIDA Facility on lot: CI Yes [ No
❑ NOT Approved by Engineering: Date
Notes: 5TH .., t�A (4_,„Kt�CTt mt9 elf (, �- o F n, 44) NE wc,4. � 3 ,j �.
/4r• or ;a t—v2 c7'F?'.
Approved by Engineering: i6__ _� __J Date: /D •I q-/5--
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
Cl Conditions "Met"prior to issuance of building permit
> pProved,NOT Released: (--,it-, d Gol,4.ti Date: ' ,/ A�
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:
K to Issue Permit -
Approved by Permit Coordinator: 41 Date: "7 A S
R4 EnV-----
I:\Building\Forms\BIdgPermitRvw_COM_W ithLandUse_040115.docx
______A
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G A rt D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ,,/ DATE '; a Alum
4 Tti3 F
DEPT: BUILDING DIVISION
AUG g X015
FROM: V 514 Cato j- ? - -- 1,t, CM OFTIGARD
COMPANY: cv -1n i 5 BUILDING DIVISION
PHONE: `j-
RE: 17 'a 5tAi ASIA 9e (FAA,TAy}'. ie01 S=(:j( �'S
(Site Address) (Permit umber)
443
(Project name or subdivision name and Io number) M
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: op es: Description:
set(s) plans. t/tA� P l� S keel-5
Additional of 3 Revisions: �
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. / Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: ‘/O1 L ReNi SCon Ske€- \a v2, tG €, t jwa?QeA t n4-0 axi S H
VD - See Vi LAAa t4ou,wU selz (c 1tVe-r c 81S)
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: t l j (b Initials:
Fees Due: ❑ Yes .< Fee Description: Amount Due:
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Site Address: (2 �-f-t esV-E-
11
e °11 Building Division
TI GA RD Deferred Submittal Transmittal Letter
--JAI
TO: Ve___,..c)VvDATE I >� f):'' ''
I"4
DEPT: BUILDING DIVISION A f'k 14 ?016
FROM: ce► a/J L 4_s5 W
COMPANY: 0-1f3A r- ACGo! L-LL,
PHONE: _4'03 -46-0q — 93-94
Gy:jki,
RE: i--2--/ -0 $ vy Ask /tyS P-- ,..,_P, __0 1 S- vo l
(Site Address) p
( ermttlCase Number)
"'e.n ", i C Ara Nn
Project name or ub tviston name and of number)
Valuation of Deferred Submittal: $ 36 ( 2 0
ATTACHED IS THE FOLLOWING DEFERRED SUBMITTAL ITEM:
Copies: Description:
2-
SHOP ICO( ._.... __T37.( 1 r (. i (=1 ='c aS
p
R arks: ► r"'
Z V% \CA. Cij.I) '.
(EQ . j
TE: Documents for deferred su. ittal items shall be submitted to the registered design professional in
responsible charge who shall review them and forward them to the building official with a notation indicating that
the deferred submittal documents have been reviewed and been found to be in general conformance to the design of
the building. The deferred submittal items shall not be installed until the design and submittal documents have been
approved by the building official. Oregon Structural Specialty Code Section 106.3.4.2
FOR OFFICE USE ONLY
Routed to Permit Te ician: Date: 4( (,(, Initials: c$1, fP
Fees Due: es ❑ No Fee Description: A 1 i ue:
Deferred Submittal Fee: 275?,4
Additional fee based on valuation: $
Other: $
Total Fees Due: $
Special •
Instructions:
Reprint Permit(per PE : 0 Yes ❑ No ❑ Done
Applicant Notified: ` ,,) Date: He Initials:
The fee for processing and reviewing deferred plan ubmittal shall be an amount equal to 65%of the building based
on the valuation of the particular portion or portions of the project with a minimum$200.00 fee.This fee is in
addition to the project plan review fee based on the total project value.
(:Building\Forms\TransmittalLetter-DefrdSubmtl.doc 04/04/07
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12790 SW ASH AVE, TIGARD, OR, 97223 June 13, 2017 at 1 :26:33 PM
Record Type: Record ID:
Commercial - Building BUP2015-00185
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor