Permit d ^4 CITY OF TIGARD BUILDING PERMIT
PERMIT #:
° COMMUNITY DEVELOPMENT DATE ISSUED: 4/26 2007
TIGA 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133CD-00100
SITE ADDRESS: 11583 SW 135TH AVE 013 ZONING: R - 25
SUBDIVISION: SUNFLOWER APARTMENTS LOT: JURISDICTION: TIG
PROJECT: SUNFLOWER APTS.
Project Description: Re - roof.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf 'N: S: E: W:
OCCUPANCY GRP: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,600.00
Owner: Contractor:
PFI SUNFLOWER LIMITED INC GIBSON ROOFING
BY LNR AFFORDABLE HOUSING INC PO BOX 86
PACIFIC FIRST CENTER BUILDING CLACKAMAS, OR 97015
PORTLAND, OR 97204
Contact #: PRI 503 - 558 - 1740
Phone: FAX 503 - 558 -1073
Reg #: LIC 151114
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/26/2007 $120.10
[TAX] 8% State Surcha 4/26/2007 $9.61
Total $129.71 •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. By: . ' _■ &-ru .1 A J Permittee Signatur
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. , . • Tporlli
Building Permit ApplicatioriE
Re -Roof 1 1•U1e OI i•lc'I•: I -41ON1.\
City of Tigard APR 1 8 2007 4 Al ; � .,/ , —kV i
I II Phoon 5503. 411471' Tigard, 5033.s I Y OF TIGARI) a . other Permit
r R.; ,. e a Inspection Line: 503.639.4175 ING DIVISION tow odonH y sap 2 r. formation
Internet www.tigard -oe v
o New construction ❑ Demolition • Permit fees' are based on thc Value ofthe work performed.
Indicate the value (founded to the nearest dollar) of all
,i Addition/alteration/replacement D Other equipment, materials, labor, overhead. and the profit for the
CA Ry or .00NS ' l 4. i• • , 0 .a • Y . ,r r' work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation S
(13 Accessory building ® Multi - family Number of bedrooms:
❑ Master builder 0 Other: Number. of bathrooms:
•;.•: ::-::. :PF4. : "PVz Y, Total number of floors -
....;'�� i •. ,JOBS .c'
... , ; 9l'ir$•�,1a+>gY38MA'>L�ON �AgID: LOC.tITIQhI �' . °� � "'• .. •.. • • �
Job site address: 11 SIC 'S 5t..j 13 S'' ' Prvt.. New dwelling area square fat
City /State/ZIP: - T 'D f>_ Garage/carport arca: square feet
Suite/bldg/apt. no.: I Project name: $,,, n F No . J(J r1- ww...+s Covered porch area square feet
Cross street/directions to job site; Deck ens , square feet
• Other structure area: square fact
Subdivision: I Lot no.: Permit fees' are based on the value ofthc work performed
Indicate the value (roounded to the nearest dollar) of all
Tax map/parcel no equipment, materials, labor, overhead, and the profit for the
- . Dk011ON OF W0R1C. :. • ;:err work indicated on this application.
,{ 4 PO (if clf OC t 6 1 C ems/ fi� Valuation; Sfit 06
llA�
ce 0706). Existing building area: 4.• square feet
New building area: _____.--- "square feet
gi1001 3iiil ::bvl91 I, • :!•- i'7.1. ,' ,:r_. ;: ',.:'' ►'.. Number of stories: A
Name: -- L'Ce1 Mesesw+c11.5 _ Type of construction: 4ecre. - (caw/
• Address: lit; L4) sw OS ' Avt..- OeeuPsney groups:
City/Statc/ZTP: -c e.,4 , eft- 9'12. L 3 Existing:
Phone: ( 563) $211 - . . Fax: (D3) c Zy - ) ( o 4 New:
. A10.1:1 N . . :.l. •14663194 : , N ,.
. Business name: c . , - , , , 0 „ f`N All contractors and subcontractors are required w be
licensed with the Oregon Conatructioa Contractors Board
Contact name: )
9`iir. �C h( under ORS 701 and may be required to be licensed in thc
jurisdiction in which work is being performed. If the
Address: ao� applicant is exempt from licensing, the following reasons
City/State/ZtP: C(gata ot, 91/C apply-
Phone: (3)3 ) 55 1"7 1 Fax: - (gc3 ) Ste' - io7 3 p, r /0, 1u
E -mail: 6J�1 P Ick( 6,) hcF ten; ( Love.‘ q. �o
... .. QQ �� / 4:024C91.4.)**.
' . . • : - :. a313 r.'•� . I . � -°1 : 11
.
Business nwuc: 6 IIJSWI I�DUtI K/�
�' I!'�ea•e'iRld'icr�eC
Address: 7.0. et% 86 Structural plan review fee (or deposit):
City/State/ZIP: CA(tCk,pvhp5 / Oki lli) - FLS plan review fix (if applicable):
Phone: ( 5113 ) 59B - I"rio I Fax: ( 23) 556 - p73 —
Total fees due upon application:
CCBIie.: ' 1 cif I I
Amount received:
Authorized signature: - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: j,,, i„V1( 1 Date: tf JIZ /01 j • Fee methodology set by TA County Building industry
Service Board.
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Building Permit Application
Re -Roof 1'f11z°H' 1:f)
City of Tigard Permit 130.:
: 0 13125 SW Hall Blvd, Tigard, OR 97223 in Review Ott permit
Phone: 503.639.4171 Fax: 503.598.1960 Dare/B -
Ins Line: 503.639.4175 tree Re !Y /Y: !uric B See Page 2 for
i C n :
Intoner www.tigsrd•ocgov TNad6edIMethoct Sapokmentai Information
:.. r .:.\ dn . - ''..1 /w`' :R` ?,�
' :' : !ia�;• :li .1.:. ' " � 1 v,.. �1l�CIID 11^Al i,L!+z+! ± yw ��h :� .! - y��i'•"F�f1��#�iMIG ,
❑ New construction ❑ Demolition ' Permit fees* are based on the value ol '.., the work performed.
Indicate the value (rounded to the nearest dollar) of all
Al Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
:datOorty or iCONSmuoiltitR Z . «. ` r :�' . work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: S
Number of bedrooms:
0 Accessory building ® Multi- tbinily
❑ Master builder 0 Other: Number of bathrooms:
�;: sL!r..,seP :" r z' , : Total number of floors:
•' :' i. ,:': , dOB:; s�Jl: : I1�t3BASAIlUN 'A�: LOCA'170IeF ' . • ... � � . .
Job site address: New dwelling area: square fat
City/State/ZIP: Oarage/carport area square feet
Suite/bldgiapt. no.: I Project name: Covered porch area square feet
Cross stroct/diredions to job site: Deck a square feet
Other structure arca: square feet
Subdivision_ I Lot no.: Permit fees* are based on the value of the work performed.
- Indicate the value (rounded to the neatest dollar) of all
Tax map/parcel no equipment, materials, labor, overhead, and the profit for the
... . indicated on this Lion.
_ .. :,a : ,_, ;; work applip
lea( 4 p.4 (ef ( oG la e rr CompAth i valuation: s
-hc it `00 Existing building area: square feet
New building area: square feet
: itOP V ::off . , `1: .. :'' :'. ;' q •
:.ti . • -.i. ;:l i - Number of stories:
Name: Type of construction:
Address:' GPs:
City /Statc/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
iAieP.;dGA; ...... :::':"."-::"O'!"°.1"1 , *Ed'•`p)14 . , ... ... , ; ._. • ' .... .'1401rJCG'lc .
Business name: �bson inN All contractors and subcontractors are required to be
Contact name: ) licensed with the Oregon Construction Contractors Board
'n ?C till . under ORS 701 and may be required to be licensed in the
Address: 'Q aOpc fpj(0 jurisdiction in which work is being performed. If the
applicant is exempt from licensing the following reasons
City/State/ZIP: C(gCl2a^taS 4 � ! S _ apply:
Phone: (9,3 ) 552,_ fl'IO J Fax: : (5b ) 5S14 •- /O'7 3
-
E -mail: b /w1 e 1c k( Q hol- /►Aril I tour
Business name: 6 ;BUILDINGITE8 )PEE . , •
' fAlaaae'�f'vlsr'
Address: 7.0. ( 86 Structural plan review fee Or deposit):
City/State/ZIP: C14(katr a5 g- 17b1c - applicable)
:
I F LS plan review fee (if app )
• Phone: ( ) -- I I Fax: ( 933) 5i - p73 Total fits due upon application:
CCB lie.:
Amount received:
Authorized signature: S te ` .— - -- This permit application explres if* permit is not obtained
within 180 days after it bas been accepted as complete.
Print name: -j i � 1 Datc: t f /i2 /t77 _ • Fee methodology set by Tri - County Building Industry
/ Service Board.
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