Permit •
Yl.. CITY OF TIGARD BUILDING PERMIT
11 PERMIT #:
COMMUNITY DEVELOPMENT DATEISSUED: 9/9/2008 BUP2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
• PARCEL: 1 S 135CA -00600
SITE ADDRESS: 11200 SW GREENBURG RD 45 ZONING: R - 12
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG
PROJECT: AUTUMN OAKS APARTMENTS
Project Description: Replace all existing decks for units 45 through 60.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: ME SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 18,000.00
Owner: Contractor:
AUTUMN OAKS PROPERTIES LLC SHANNON CONTRACTING LLC
6036 SW MADISON ST 2065 NW MILLER RD #415
PORTLAND, OR 97201 PORTLAND, OR 97229
Phone: Contact #: PRI 503 913 - 1339
FAX 503 - 690 -5868
Reg #: LIC 159498
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/9/2008 $176.90
[TAX] 12% State Surch 9/9/2008 $21.23
[BUPPLN] Pin Rv 9/9/2008 $114.99
[FLS] FLS Pln Rv 9/9/2008 $70.76
Total $383.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a.. -II other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not starte • n 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you . folio e r,; - adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA7i'•52 -00 -0100/ -. may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. A
Issued By: �ermittee Signature: y / ��,'� ___41110_ g Jam/ ��
40•41. MI
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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Buil Permit A plicatio
. Commercial R EC E I V ED / I �R orr lc r usl_: oN i :Y
City of Tigard Date /By: ya l ° r Permit No.. 40,, PaQ 8 - 6 0 0 O
• 13125 SW Hall Blvd., Tigard, OR 97223 e� P lan Revie
Phone: 503.639.4171 Fax: 503.598.1960 AUG G 2 w g 2 08 ( V Other Permit.
Date /Bv:
I I( ARI) inspection Line: 503.639.4175 Date Ready /By Juns: 0 See Page 2 for
Internet: www.tigard or.gov CITY OFTIGARD Notified /Nlet�. /1 ,, 0. Supplemental Information
BUILDING DIVISION L Y
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
❑ AdditiorL /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
Valuation: $ 18,000.00
❑ I - and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building El Multi-family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11200 SW GreenBurg RD New dwelling area: square feet
City /State /ZIP: Tigard , Oregon 97223 Garage /carport area: square feet
Suite /bldg. /apt. no.: b ktlyTEg 3 Project name: Autumn Oaks deck project Covered porch area: square feet
Cross street /directions to job site: Intersection of Greenburg Rd & North Dakota St Deck area: 240 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 application.
4/5-- Valuation: $
r3 Rebuilding decks t.tiot 6,
Existing building area: square feet
New building area: square feet
/11 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Autumn Oaks LLC Type of construction:
Address: 6036 SW Madison St Occupancy groups:
City /State /ZIP: Portland , Oregon 97201 Existing: x
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Shannon Contracting LLC All contractors and subcontractors are required to be
Contact name: Kevin Shannon licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2065 NW Miller Rd # 415 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland , oregon 97229 apply:
Phone: ( 503 ) 913 -1339 F ax: - ( 503) 690 -5868
E -mail: kshancont @msn.com
CONTRACTOR
Business name: Shannon Contracting LLC BUILDING PERMIT FEES*
Address: 2065 NW Miller Rd # 415 (pkase refer to fee scheduk)
Structural plan review fee (or deposit):
City/State /ZIP: Portland , Oregon 97229
Phone: ( 503) 913 -1339 , • ( 'I13) 690 -5868 FLS plan review fee (if applicable):
CCB lie.: 159498 Total fees due upon application:
Amount received:
Authorized signature: ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kevin Shannon Date: 8 / 26 /08 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I 1/02 /COM/WEB)
• CITY OF TIGARD
BUILDING DIVISION PERM #: CUp00 0('t3C;
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/9/)008
Phone: (503) 639 -4171 ni ��' i i 4
Inspection Requests (24 Hrs.): (503) 639 -4175' ••••
INSPECTION WORKSHEET FOR DATE: 16/2009 TIME: amAM PAGE: 2
SITE ADDRESS: 11200 SW GREENBURG PD `i`.a CLASS OF WORK:
. SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS APARTMENTS
DESCRIPTION: Replace all existing decks for units 45 through 60.
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503-913_1339
Inspection Request Scheduled For: Date: 1/6//2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
29 Final inspection 07937404 503-913-1339 N
Corrections /Comments/ Instructions:
...------- - ,,
EP ..11111Mie7
�� PASS n PARTIAL APPROVAL fI CANCEL 1 1 NO ACCESS
n FAIL ._ n CALL FOR INSPECTION El ADDIT ONA- FEES ASSESSED
r
Inspector: / Date: Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E 1 ,JP 008-1 !7: c` f:,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/9 /2008
Phone: (503) 639 -4171 f � l
Inspection Requests (24 Hrs.): (503) 639 -4175 �.�2 "'
INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7 :01AM PAGE: 3
SITE ADDRESS: 11200 SW GPELNE3URG Pr) 33 CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS APARTMENTS
MENTS
DESCRIPTION: Replace all exiaing decks for units 33 through 44.
OWNER: AUTUMN OAKS PROPE.F 11E S LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503..913..1339
Inspection Request Scheduled For: Date: 1EE42009 Pour Time:
Code # Inspection Description Confirm # , Contact # Message
"` 9 079374-03 503-91'3-1339
f�4t Hurd inr�.pe�ti��an N
Corrections /Comments /Instructions:
•
_,
II ARMS/1i'
,,,, "w-- %P - .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL CALL FOR INSPECTION ADDIT ONA FEES ASSESSED
- : s k ..)
. Inspector: Date: L i i (,..) Phone #: (503) 718- '': ' --A7
18- 1