Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00031
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2016
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 NORTH DAKOTA ST 1416
Project: Meadow Creek Apartments Subdivision: None Lot: None
Project Description: Unit 1416,Replace fire damaged roof trusses,fire restoration.
Contractor: JR JOHNSON INC Owner: BEL PORTLAND HOLDINGS LLC
PO BOX 17196 BY EATON VANCE MANAGEMENT
PORTLAND, OR 97217 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-240-3388 PHONE:
FAX: 503-240-3424
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/18/2016 $2,048.19
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 02/18/2016 $245.78
Dwelling Units: 0 Plan Review 02/18/2016 $1,331.32
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/18/2016 $819.28
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/18/2016 $10.00
Value: $255,053 11x17)
Metro Const.Excise Tax 02/18/2016 $306.06
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,760.63
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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. : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-s'1-0010 through OA- •52- -00 0. Y• may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I- ued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection .
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 A lic -+
Bu E pp 1 -,� \� �
Commercial . 1.0R()FIR I I s1.. Oil l
City of TigardReceived �y�
qq �C 6 1 Date/ : / t &Permit No.: P//r ) C/3/
13125 SW Hall Blvd.,Tigard,ORS Ma 7 / Plan Revie
: 111 il Phone: 503.718.2439 Fax: 503.598.1960 �y DaB : f; m� Other Permit:
T I c. \I.t) Inspection Line: 503.639.417 i i i 4 1. i,l 1,Attu Date ReadyB•: Jude:�� H See Page 2 for
Internet: www.tigard-or.gov , Notified/Method:, 1�' Suppkmental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
pirAddition/alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
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: $
Number of bedrooms:
y�
❑Accessory building Yom'Multi-family 4.pA t2T M c NTS
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I z_5-05 511 1,401z-04 D,m_oTA STR Et.---r New dwelling area: square feet
City/State/ZIP: -T-I&,,A,R i 0 f__- Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Coveredporch area: square feet
/�1� NEADpt� C�.t=E1� ATS. q
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this anlication.
RE'PLAcE FIg-E -DAfrkA(E� g-c.O Te- J SES, Valuation:ZY��O 2 $ • _ p� �°
l
n e E R c -A T t p Existing building area: 1,40 square feet
New building area:C-tAk CSE square feet
PROPERTY OWNER 0 TENANT Number of stories: -
Name: 5EL PoR-TLPND 1-bt1.)C,S,LLL 70 Leg(Apt STONE Type of construction: ---
Address:
Address: EATo FAG.MT1 z, i,3T 41A-(t0Nii-�. PL l 150S7oN Occupancy groups: (ZZ_
City/State/ZIP: O sTo N 1 t-i.A 02-1 14:::: Existing: j
Phone:(503) 590. O9 7 CJ Fax:( )
New: c 1-k AIJCa€
/gL APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Ec Ec---- Structural plan review fee(or deposit):
Contact name: ED CR.A gA U£ '1-4
Address: ((CAD 14E 2-5744 A v E 41z t 2 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: pc g r LA ND c.
Amount received: _...---f91----
Phone:(9:3) 106 ' -1-360 Fax: :( )
E-mail: ed @ ed c rel 60, Co PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRAef OR roof-top mounted PhotoVoltaic Solar Panel System.
(N(_ Submit two(2)sets of roof plan with connection details
Business name: 3 i _ J D14./....)...c O
i and fire department access,along with the 2010 Oregon
Address: 9 425 N . 5o e--.Cu . is-kiE Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
ty Po�T LAN i� 0�— and administrative fees): $180.00
Phone:(9;5) 24-0 , 33s o Fax:( )
State surcharge(12%of permit fee): $21.60
CCB tic.: (b2 61 b
Total fee due upon application: $201.60
Authorized signatur-• • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: _�� Da. ' f Z * Fee methodology set by Tri County Building Industry
E r--cit i Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12505 SW NORTH DAKOTA ST 1416, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00031
Chip Barnett
Violation Summary:
Inspector Contractor