Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00414
Ail
DEVELOPMENT SERVICES DATE ISSUED: 7/17/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AA 00200
SITE ADDRESS: 14130 SW 105TH AVE 009
SUBDIVISION: CANTERBERRY TERRACE APTS. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: 41--rdW 41--rd FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: F 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: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: FIRE REPAIR
Owner: Contractor:
OHANESIAN, LEE + DONNA KENNEDY RESTORATION
c/o SKL PROPERTIES LLC 315 SE 7TH AVE
P 0 BOX 230703 PORTLAND, OR 97214
TIGARD, OR 97281
Phone:
Phone: 234 -0509
Reg #: MET 00001087
FEES LIC REQ INSPECTIONS
Description Date Amount Insulation Insp
[BUPPLN] Inn Rv 7/8/03 $121.25 Drywall nail /screw
[BUILD] Permit Fee 7/17/03 $187.30 Smoke Detector
Final Inspection
[TAX] 8% State Tax 7/17/03 $14.98
Total $323.53
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.
l >
Issued By: A� llir..C_. ,,
Pe rm ittee
Signature: 5 c� r
Call 639 -4175 by 7 p.m. for an inspection the next business day
/4430 51" /o6 4Vc
i, Building Permit Application OFFICE USE ONLY
Received L Per
mit n /� •
Date/By: � , $ D � '�j Permit No.TJUle ?43 '[,t' LI / i
City of Tigard Planning Approval Other
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review 1i o� /¢ Other
Tigard, Oregon 97223 Date/By: ti $$ Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 4 ryplNi�l' Post- Review Land Use
-- �� i �� � � Date/By: Case No.
Internet: www.ci.tigard.or.us °' Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information
., -,.�, �i W .:., __ � . < 4 .'� £;x ,,,p r : s-s �cu - .. �s a,�. +'l ��,; °.',.•r;;.'��,�".�;d }�^�3`�"° 19:a0
:nr TYPE O ,VORK : ° ".. i.. ; �, . ." :. � ' . _. . ' � , e, REQU DATA
❑ New construction 111 Demolition s f 2 FA DW ,
❑ Addition/alteration/replacement NI Other: Fire V
'' `;CATEGORY-OF� f : ram Note Permit fees* are based on the total value of the work performed. Indicate
S�[ .`: s,- •�* ur ,'. CONSTRUCTION ;'�.`,,; >`�`= .� .".� a ' " N
❑ 1 & 2- Family dwelling ❑ Commercial /Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, %\.
overhead and profit for the work indicated on this application.
❑ ry . g i- Family ( O " �
111 Master Other: Valuation $ W
Accesso Building Mu t
Master Bui Othe
`4:`. j;�� - :- 4JOB ". -SITE INFORMATIONaad "LOCATION' 'Tel,'.':- No of bedrooms: No of baths:
Job site address: /3a S Gsi 42± A low Total number o f floors
New dwelling area (sq. ft.) l
Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) ` -
/�'!I �� O N4 /� S "'�' 4
Project Name: 4C,ro��,� `7 ere Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
COS TA. A. y � — Other structure area (sq. ft.)
4" Va : , i :: ; m � i ti ` ,: i K:;-;= -off ' '�k is ; ' , z - .'s , 0 ;
'' , ; R . ��: RE g QUIRE D DA TA, : � , � �; , � �� , .N;,:-...7-4-'
4 ) Subdivision:
J �/ L ot #: COMMERCIAL US CHECKL�IST
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
i <;. .'';a r =fa 7.n ESCRIP IIO $ •- °°'� the value (rounded to the nearest dollar) of all equipment, materials, labor,
lYOF' WORKH .' . _ " „,' >:
.
t * A r . _._ overhead and profit for the work indicated on this application.
Pr�
S•r v G
W// CaLi G AVCvi Ate J...1
7 - 4/er., ea�
Valuation $ /� 6 oc) J
Existing building area (sq. ft.) N.11/4F
New building area (sq. ft.)
Number of stories
a . PROPERTYsOWNER�`' TENANT' .zh, a,l4 f;;;;Iv Type of construction w o �,,-s(
Name: -7,v ;c/ 4v, t N PrePe>/'I'"/ e S Occupancy group(s): New
mg: I
Address: k�
City /State /Zip:
Phone: Fax NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
APPLI AN;T °'�' :'.0 . - "'a ;j ® :,CONTACT PERSON « . �, provisions of ORS 701 and may be required to be licensed in the
Business Name: /<<A,40 s 41 y 8 \ P...S tGt 4.1' i ea * jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ,.5'G Q - ev 4 ,,,f from licensing, the following reason applies:
Address: 3 / SE. - 7 Z!1. Ave.
City /State /Zip: 'f / jL o e 2/ 0
• Fax :Se) _ �.:S i -,'. w „ - ...`v,...i„ ,i `'f%'i` u ' : ' ,:, ,, ,-, : :, i';�„ ." ,,,,,i �:, :it ; „ap `^ ," ' te a ` ' xa
Phone:3�3e2.3� OS'>�� 303 -LA �/-l UI � ” °`
L`PW:f.., T'FEE* , �, • � ,,
°
E-mail: x k 4 c ..Please i to M • r,
'a;.:,�° ,,t�, "'.- t�t3�M� _ CONT .,��.r.�.. <<.,<.. ....:..t;* . _ ,.
Business Name: k --,, d , ge C # , r #i,st, Fees due upon application $
Address: 3/5" S £ 7'�” - re p
Cit /State /Zip: p-/-/If �iy q 7 ,Z / a Amount received $ / a / , �,� /9,
Phone: 7 -1 0,ar,4Ay Fax: 7,a ed.- e47 Date received: 6 n l g/b3
CCB Lic. #: 3 �a 7
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: � ee g2 9.._ - Date: ' % '4 3 180 days after it has been accepted as complete.
--CG 6 S S *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forms\B1dgPermitApp.doc 01/03
a ,. .. A N� , � Plan Submittal Requirement Matrix
•� I Commercial & Multi- Family
City of Tigard New, Additions or Alterations
' ,r � qq - i Y 'y 9 ns .
f2- s - , '1 $w � r R & _ • a" " , mod "
n I 'Ne w g e b a •
` LL AT
A
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over- the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
is \Building \Forms \PlanSubMatrix.doc 04/03
Permit Request
•
Job Name: CANTEBERRY TERRACE APTS
INFINITY PROPERTIES
Address: 14130k SW 105 AVE UNIT #9
TIGARD ORE 97233 ,.•. •
l21 ... • • •
• • •
• ..
• ..
• . •
Damage Type: FIRE • •
Area Damaged: INTERIOR SMOKE /WATER DAMAGE, NO STRUCTU2
•
VALUE:$ 15,000.00 •• .. •
•••• • •
• • •
•• •• • •
••••
DESCRIPTION :TEAROUT ALL WALL AN CEILING COVERINGS THIS INCLUDES WALL /CEILING INSULATION
INSULATE WALLS TO R -15 AND CEILINGS TO R -19.
5/8 DRYWALL ON ALL EXTERIOR WALLS AND CEILING PLUS PARTING WALLS, V2 ON INTERIOR
WALLS..
ALL WINDOWS WILL BE ALUMINUM INSULATED PRODUCTS TO EXISTING.
BEDROOM WINDOWS WILL BE ENLARGED TO MEET EGRESS. U VALUE= .42
ALL CABINETS AND WOOD DOORS AND TRIM WILL BE REPLACED WITH LIKE AND KIND
MATERIALS.
PLUMBING AND ELECTRICAL TO BE TO CODE
C ITY OF TIGARD .............:
Approved. l)
Conditio
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PERMS natN to: Folbw . ...... ....................:.... ( ).
gee Attach
Job AddressLetter :)
ey: �'
OFFICE COPY
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