Permit .; .' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00293
COMMUNITY DEVELOPMENT DATE ISSUED: 9/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135CA -00600
SITE ADDRESS: 11200 SW GREENBURG RD 61 ZONING: R -12
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG
PROJECT: AUTUMN OAKS APARTMENTS
Project Description: Replace existing deck.
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: 2 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: $ 5,500.00
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 $91.10
[TAX] 12% State Surch 9/9/2008 $10.93
[BUPPLN] Pln Rv 9/9/2008 $59.22
[FLS] FLS Pln Rv 9/9/2008 $36.44
Total $197.69
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 les adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through O' 952 - • :I. ou may obtain a copy
of these rules or direct questions to OUNC by callin• 503.246.6699 or 1.800.332.2344. /
Issued By: `� Li / J�< •ermittee Signature: `' , �,
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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&Jading Permit Application
- -Commercial FOR OFFICE USE ONLY •
City Tigard ENE Rece v a p Permit No.. — d
Y d g Date /B b ',/,, 4408 , q T.�
• 13125 SW Hall Blvd., Tigard, OR 972 3 Plan Re \
' Phone: 503.639.4171Fax:503.598.1960 AUG 2 2IOB Date /B.. I U de Other Permit.
TIGARD inspection Line: 503.639.4175 Date Rem:,: 0 See Page 2 for
Internet: www.tigard or.gov OF TIGARD Notified /Nlethod: = (� , ' Supplemental Information
TYPE OF QUILUDING DIVISION
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.
❑ [ -an 2-family dwelling Valuation: $ 5,500.00
y g ❑ Commercial /industrial
❑ Accessory building ® 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.: ee / 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: 80 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.
Rebuilding decks Valuation: $Z J S, oG
Existing building area: square feet
New building area: square feet
® 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 (ukase refer to fee scheduk)
City/State /ZIP: Portland , Oregon 97229 Structural plan review fee (or deposit):
Phone. ( 503 ) 913 -1339 F ( 503) 690 -5868 FLS plan review fee (if applicable):
Total fees due upon application:
CCB tic.: 159498
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 S annon Date: 8 / 26 /08 * Fee methodology set by Tri -County Building Industry
Service Board.
1. \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I 1/02 /COM/WEB)
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BUILDING DIVISION PERMIT ~~~~~~~~~"""~= ~�"°"~~"~~"° EKJP]DO�OO2A3
13125SVV Hall B�d.. Tigard, OR07223 D /�E|SSUED: 9/9i20()0
Phone: (503) 639-4171
Inspection Requests (24Hmj:(6O3) G3O'4175 ~ .�� a � ��
INSPECTION WORKSHEET FOR DATE: 1/62009 TIME: 7 PAGE: 5
SITE ADDRESS CLASS � 11�0�VY(��EENB �
SUBDIVISION: AUTUMN OAKS APAftrMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS APARTMENTS
DESCRIPTION: Replace existing deck.
OWNER: AUTUMN OAKS P9OPERTE6LLC^ PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503-913-1339
Inspection RequaStGohgdu|ed For: Date: 1E42009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.
299 Final inspection 079S74-01 603-913'1339 Y .
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Corrections/Comments/Instructions: ` ~ --- '"~'
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��PAGS El PARTIAL APPROVAL E CANCEL 0 NO ACCESS
0 FAIL ' IIIII C^LL FOR INSPECTION || ADDITI AL FEES ASSESSED
Inspector: 0��� Y �y ^�_/ Date: ( / 1 5 l� -/ � Phone #: (503) 718--*" ` � -^�
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