Permit A , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00339
Ail ek DEVELOPMENT SERVICES DATE ISSUED: 7/21/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AC 00500
SITE ADDRESS: 14797 SW 109TH AVE 1 -4
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AL FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: $ 2,200.00
Remarks: Deck repairs
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORTLAND OR 97210
o
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 7/16/2004 $72.10 Final Inspection
[TAX] 8% State Surcharl 7/16/2004 $5.77
[BUPPLN] Pln Rv 7/16/2004 $46.87
Total $124.74
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 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.
Issued By: 'a
Permittee
Signature: ( 7 fJ C ! @ r �\,y
Call 639 -4175 b y 7 p.m. for an inspection the next business day
Building Permit Applieallion' ' 2004
MR OFFICE USE ONLY
City of Tigard �; Received • %.
SW Hall Blvd., Tigard, OR 9th �Y Of= ni ✓1' DateB : Q ��- Ito Phont 503 639.4171 Fax: 503.598,196t�ING DI V I S ION Aptttlida Plan Review
Inspection Line: 503.639.4175 ! Re Date Date Other Perm(
www.ei.Iigard.or.us Altr � Ready/By: Jv• See AII2ehed Chnc ,lase for
Notified/Method. S ethod. I 0,• Supplemental Intorm�uon ■
i 7 te''1k ' K ,ka " t .FWN'i4 p '*`- ablifiy , tr , r �,n� '� t v Y •.�> a 1
-}+ k <:c w .., `i+i v f '9rttt. R I 4A I'A ;`
! 0 New Construction
❑ Demolition Permit fees' are based on the value of the work perto-rne„
K Addition/alteration/replacement
Indicate the value (rounded to the nearest dollar) of a::
❑Other:
equipment, :C ,h F rK f , CA. r 0 .0 ' t tr „.. ' r• work indicated t on this l a pp lica ionead, and the prori; 'or :he
0 1- and 2- family dwelling Valuation: 32 0>
❑ Commercial /industrial S
❑ Accessory building Multi - family Number of bedrooms:
0 Master builder
pother: Number of bathrooms:
t. �
' '�� D B ° $Iil'
•
• �'-`- -rt' �.. E '[LYTtOI G1 TUN A .r, ' : i Total number of floors
i Job site address: /Lf71 New dwelling area
----- YY ��P S U � /� t1G- g square :et:
Cif State/ZIP
t r G- r Cr �t 9 ?.ZZ y Garage /carport area square feet
S.itebidg :apt. no] z e Project name: r 1
I f NYh P.r/ i n Covered porch area:
1 t �. square fee:
Cross streeadtrecnons to job site: q . }� 1
t f X71 (At CIO rk Deck area 1 n
■
!! square feel
•
Other structure area square !ee:
REQ.CIZRED DATA: COMMERCIAL -USE CHECKLIST
.bdi•..islon I Lot no
Permit fees' are based on the value of the u ork per•'or:re.3
Tai nap parcel no. Indicate the value (rounded to the nearest dollar) of ail
S N DE ,.. equipment, matenals, labor, overhead. and the prori: fo•
. : ,i r%c+.4•w SORIP,' 144:op WOg z4 � •; i work indicated on this application.
lkFf�ir clerk
Valuation: 3
Existing building area square fr.:
- -_ 'S
New building area square feet `if
PROPERT WERL ` t E s yt ,� + �•
�-, .• � Number of stones II
� ,:ne p
J /4 -55e-Pi ".:-f-e.f Type of construction
y] Cress / i i ' 5 U Fri c;`t' - ri - cR_
Occupancy groups:
Cir. State'ZIP: r -
5 � , 2:742,y g
,xistin
Phone ( U
(C /�.y -�� C t. Fax (' ) ti.__. �� New
.. , ,, l kPP- I:I t • :� 7:re_ . l •• y , a
'. 1 :. W K - xis fi i':' CONT RE134,0N;''' .
Business name (.J J k 45c0cis a.
All contractors and subcontractors are required to :::z
Contact name € ) i licensed with the Oregon Construction Contractors Boat,:
l �rrt � l
address �L C e`er under ORS 701 and may be required to be licensed :° : ":e
l 71,9^ /^ S c f 10 ' ,I., ,,P / j unsdicnon in which work is being perfomrec 1::^;
Cr :. State'ZIP 7 . 5 , r 4 f o p 772_2_ y applicant is exempt from licensing, the folld -�i reas: r.
Phone (col ) (Z C( - 70c/ �` I
Fax
• ( ,3 )G.Zy -7U3 PP. Email
t.::: t • ,?`yi •" „.4.ONRTRACTOR t!-..... ,;41 .
Business name w I L *55oc,>.
address Y 7 9 _ `M il" - * ,, ,, , :03VILUING t.R
.MIT FEES'
5 sw s
C,r• StareZlP Please refer to fee schedule.
Phone (V - lc LP/ I Fax: (5 Gz q_-70 Fees due upon application
CCB Iic /� Amount received
Authorized signarure •
.4. // , Date received:
,,,v�/ iiiiC_ This permit application expires if a pertnit is not obtained
Print name within 180 days after it has been accepted as complete
of i Gr u liv..rm p"A l Date � - !6 _OLr I • Fee methodology set by Tri- County Build:ng :rt.:_sr
Service Board
- ..:. rig Pr—mu 81.7•Pe ra:App toe 1:,03
440 -4613T 11.0 ? /
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 ,
INSPECTION Business L' e: (503) 639 -4171 MST
Bu — Od 33 7
Received Date Requested ®� S AM PM BUP
Location p J 99 Suite MEC
Contact Person ( i O Ph ( )4-0.7- 0 ° 0 / PLM
Contractor Ph ( ) SWR
,�I�►� Tenant/Owner ELC
Footing
Foundation / ELC
Ftg Drain j :M r— � S ELR
Crawl Drain �[S >
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
r, ming
lnsu a ion �,I '
Drywall Nailing _ ,�
Firewall { gip Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
PART FAIL
B ING
Post & Beam ;Q /11■411/'
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL •
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final • Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE n Please cal or rei . pection RE: - � Unable to inspect — no access
Fire ADASupply Line �, �
Approach /Sidewalk Date _ Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL