Permit v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00399
-- COMMUNITY DEVELOPMENT DATE ISSUED: 1/13/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135CA-00600
SITE ADDRESS: 11200 SW GREENBURG RD OFC ZONING: R -12
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG
PROJECT: AUTUMN OAKS PROPERTIES LLC
Project Description: Community /Laundry Room
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: 1 HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 50,000.00
Owner: Contractor:
AUTUMN OAKS PROPERTIES LLC SHANNON CONTRACTING LLC
6036 SW MADISON ST 2065 NW MILLER RD #415
PORTLAND, OR 97201 PORTLAND, OR 97229
Contact #: PRI 503 - 913 -1339
Phone: FAX 503 - 690 -5868
Reg #: LIC 159498
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUPPLN] Pin Rv 12/30/200E $238.36
[FLS] FLS Pin Rv 12/30/200E $146.68
[BUILD] Permit Fee 1/12/2009 $366.70
[TAX] 12% State Surcha 1/12/2009 $44.00
Total $795.74
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 e Oregon Utilit Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of t se rules ord -. questions to OUNC by
calling .246.6 99 or 1.800.332.2344.
e
Iss ed By: i �Qyrt%� PermitteeSignature: �C S
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.
\ .
;)T ) O- ( I zc: tea) ( 2
Building Permit Application
Commercial RECEIVED - FO R OFFICE USE,ONLY
City of Tigard Received '.—s2 �d ^ O8 Permit No.: gl��Zo08 3( 399
,. ° 13125 SW Hall Blvd., Tigard, OR 97223 DEC 3 0 2008 y vie�
Plan Re
z.-,... Phone: 503.639.4171 Fax: 503.598.1960 Date /By: ( �' L 45/
Other Permit.
TI Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready y: luris: Supplemental See Page 2 for
Internet: www.tigard- or.gov BUILDING DNISIO Not ethod: �/� r O q� j E Supplemental Information
TYPE OF WORK r V y'' .REQLI9RED ATA: 1- 2- FAMILY DWELLING .
❑ New nstruction El Demolition / Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I- and 2- family dwelling ❑ Commercial /industrial Valuation: $
1=1 Accessory building R ulti - family Number of bedrooms:
CI Master builder I=1 Other:
Number of bathrooms:
'JOB SITE INFORMATION AND, LOCATION ` . : • Total number of floors:
Job site address: % ' r /�J New dwelling area: square feet
City /State /ZIP: ;1 r -1 9,..9r,A,i 012 s � ;-.72.2-9 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name (41-76: t +� 1,) �tl 4 !s t it ce Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
r
Valuation: $ 6 J, ,
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER . .❑ .TENANT . Number of stories:
Name: 4 4 .,1 eln Y +S aC Type of construction:
Address: r� Occupancy groups:
//goo ` -.gt1� f� �= �.r,;�r �- (' p Y
City/State /ZIP: ' to a e ( , eg �-7/?�� i Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT • ❑ CONTACT PERSON _ NOTICE ..
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
. . CONTRACTOR '
Business name: t •
i�, /�7r✓ �rj lL �i ?', �� ? l B UIL DIN G PERMIT FEES �` _., 0'4'14-6" j " e 1 (Please refer to fee schedule) 2 p 3 0 -2/.4.) Address: - !
City /State /ZIP: �-_�` nom. , , t q77/2-4- Structural plan review fee (or deposit): —
Phone: (sj��) 3 <.^ Fax ( ) FLS plan review fee (if applicable): ' l.{ . 6 0
r/ —� 3 Total fees due upon application: 3 S5. OH
CCB lie.: /5-949 1
Amount received:
Authorized signature:
f ,L:11 This permit application expires if a permit is not obtained
/' within 180 days after it has been accepted as complete.
Print name: /''\ i i tq #0, A / vJ / Date: I �J �, / * Fee methodology set by Tri -County Building Industry
/ '` Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
L \Building \ Permits \BUP -COM PernutApp.doc 06/25/08
CITY OF TIGARD , - -_
BUILDING DIVISION PERMIT #: BUP2006 -00399
13125 SW Hall Blvd., Tigard, OR 97223 K1DATE ,3 /2009
Phone: (503) 639 4171 X 41111
Inspection Requests (24 Hrs.): (503) 639 -4175 -�±i �)))
INSPECTION WORKSHEET FOR DATE: 1020/2009 TIME: 7 PAGE: 2
SITE ADDRESS: 11200 SW GREENDURt3 RD OFC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS APARTMENTS
DESCRIPTION: Community /Laundry Room
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC _ PHONE #: 503 - 413
Inspection Request Scheduled For: Date: 1/7.0/:009 t Pour Time:
1 _ ,t
Code # Inspection Description Confirm # Contact # Mes /. . 'J _ ,A
05 503-913-1339
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orrectrons /Comments /Instructions:
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: \( C� � V Date: 1 v b Phone #: (503) 718- �_/
CITY � OF TIGARD : -.
BUILDING DIVISION PERMIT #: t l.�p 008.0C13g9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: if13/2008
Phone: (503) 639 -4171 vdut i r,
Inspection Requests (24 Hrs.): (503) 639 -4175 , �i
INSPECTION WORKSHEET FOR DATE: in 6/2009 TIME: 7 :01AM PAGE: 21
SITE ADDRESS: 11200 SW GREENBURG RD OFC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001' TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Community /l..aundry Room
OWNER: AUTUMN OAKS PROPERTIES IES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503-913-1339
Inspection Request Scheduled For: Date: 2 .9 Pour Time: 444t 1)0 �
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Code # Ir�,spection Description Confirm # Contact # Mes ge `
1 \' i f rarr ing 07ci759 01 503-913-1339
Corrections /Comments/ Instructions:
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Inspector: `' (�` Date: 1/ b Phone #: (503) 718- 2 .2
CITY OF TIGARD .
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BUILDING DIVISION PERMIT #: BUP2008-00399
13125 SW Half Blvd., Tigard, OR 97223 DATE ISSUED: in 30001)
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 '1
INSPECTION WORKSHEET FOR DATE: 1/16/2009 TIME: 7:01AM PAGE: i
SITE ADDRESS: 11200 SW GREENBURG RD ()Fe CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AurumN OAKS PROPERTIES LLC
DESCRIPTION: Community/Laundry Room
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 50'3
Inspection Request Scheduled For: Date: •/•60009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
235 Shear walls/anchors 079797 503 N
Corrections/Comments/Instructions:
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di' El PARTIAL APPROVAL 0 CANCEL NO ACCESS
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I I FAIL El CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: V i Date: 0 Phone #: (503) 718-
CITY OF TIGARD 4,.__ :_,,
BUILDING DIVISION . . • . / PERMIT #: BliP2006-00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13/2009
Phone: (503) 639-4171 644viiiiick
Inspection Requests (24 Hrs.): (503) 639-4175 ,144- rl.k.
INSPECTION WORKSHEET FOR DATE: 1/15/2009 TIME: 9 PAGE: 7
SITE ADDRESS: 11200 SW GREFNBURG RD OFC CLASS OF WORK:
SUBDIVISION: ALMJMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LL(
DESCRIPTION: Community/Laundry Room
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SFiANNON CONTRACTING LI_C PHONE #: 503-913- W9
Inspection Request Scheduled For: Date: 1/16/2009 Pour Time: Skl
Code # Inspection Description . Confirm # Contact # Mes I ---
275 Framing 079769-01 603-913-1339
Corrections/Comments/Instructions:
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Inspector: ( Date: I A C A ) 9 Phone #: (503) 718-
CITY OF TIGARD �.�
BUILDING DIVISION PERMIT #: BUP2O0t3.00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13/2009
Phone: (503) 639- 4171f�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 ":...
INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7 :01AM PAGE: 7
SITE ADDRESS: 11200 SW GREENBURG RD OFC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: q01 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Community /Laundiy Room
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC - PHONE #: 503.913 - 1339
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Inspection Request Scheduled For: Date: 1/14/`f009 / P our T. e:
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Code # Inspection Description Confirm # Contact # Mes- : g= �, q l ■ �� \
236 Shear walls anchors 079699 -04 503.913 Y C , 63
Corrections /Comments /Instructions: � Q r '4-: '' el
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Inspector: V() V V Dater i Phone #: (503) 718-
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BUILDING DIVISION � PERMIT ~�"°"~°"~~"° #: BDP2008'00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13y200)
Phone: (503) 639-4171 �
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INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 11200 GW8REENB(/R0NC)0FQ CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: OD1 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Commmunib/LmundryRwwm
OWNER: AUTUMN OAKS PROPERTIES [LC. PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 603-513-1339
lnspection Request Scheduled For: Date: 1/14/2009 Pour Time:
Code # ' n Description Confirm # Contact # Message
276 Framing 079695,06 503.913-1339 N
Corrections/ /|nat Umna:
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CITY OF '
��nu m m�'m� TIGARD `"~_ ..
BUILDING DIVISION ' PERMIT #: 8UP2038-00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/i30009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ��4■ .7 11.
INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: . 7 : 01Am PAGE: 8
SITE ADDRESS: 11231) SW GREEI9BURG RD (WC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Cw'nmunih/|-aun6/yRoum
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503-913-.1339
Inspection Request Scheduled For: Date: 1/14/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
240 E#1wrin/phesthing 079099'03 603-913-1339 N
Corrections/Comments/Instructions:
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Inspector: ^���� Date: ' ( / [}� Phone #� (503) 718- ���
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP:2008 -00399
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/13/2009
Phone: (503) 639 -4171 rt I�Il
Inspection Requests (24 Hrs.): (503) 639 -4175 • ,,,,
INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 112.00 Swf/ GREENBURG RD OFC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Community /Laundry Room •
OWNER: AUTUMN OAKS PROPERTIES IE, LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 503- 913 -1339
Inspection Request Scheduled For: Date: 1/14/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
225 Post/bearn structural 079699 -02 503.913 -1339 N
Corrections /Comments /Instructions:
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI • NAL FEES ASSESSED
Inspector: 41, .'l Date: 1 6 Phone #: (503) 718- 2 ' '
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-003f.49
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1312009
Phone: (503) 639-4171
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Inspection Requests (24 Hrs.): (503) 639-4175 --„_. ---
INSPECTION WORKSHEET FOR DATE: 1/14/2009 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 11200 SW GREENBURG RD OFC CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS PROPERTIES LLC
DESCRIPTION: Conimunity/Laundry Room
OWNER: AUTUMN OAKS PROPERTIES LI.C, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: fA3-. 913- 1339
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Inspection Request Scheduled For: Date: 1/1412009 Pour Time: 12:00
Code # Inspection Description Confirm # Contact # Mes -: 7 '
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Corrections/Comments/Instructions: --K■la. cv trh--:
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Inspector: Date: 1 1 11 ( -- ° Phone #: (503) 718-246
CITY OFTIGARD • BUILDING DIVISION PERMIT #: Z -cx:)'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 = :_,.
INSPECTION WORKSHEET FOR DATE: (-3 (en TIME: PAGE:
SITE ADDRESS: ( ( Zee �y 0 Pig, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: _A u` , ` oev....s
DESCRIPTION: jrCV l VMIo
OWNER: PHONE #:
CONTRACTOR: J t -bJR1® t o PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments / Instructions:
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