Permit BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2006 -00120
i, '• J16 DEVEL ICES -639 -4171 DATE ISSUED: 4/7/2006 Al
PARCEL: 2S110AC-00400
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG
Project Description: UNITS 1 - FIRE REPAIR
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP 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: $ 135,500.00
Owner: Contractor:
TIMBERLINE APARTMENTS LLC KENNEDY RESTORATION
BY WPL ASSOCIATES 315 SE 7TH AVE
522 NW 23RD AVE PORTLAND, OR 97214
PORTLAND, OR 97210
Phone: Contact #: PRI 234 - 0509
Reg #: LIC 3402
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/7/2006 $884.70
[TAX] 8% State Surcha 4/7/2006 $70.78
[FLS] FLS Pln Rv 4/7/2006 $353.88
[BUPPLN] Pin Rv 4/7/2006 $575.06
Total $1,884.42
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.
/
-- 7- - 27.----Ly. vi
Issued By: .:, i� Permittee 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.
. --, -
Building Permit Appa-
i'irnENED FOR OFFICE USE ONLY
City of Tigard Received
Permit No
Date/By: 7 06 • 1 - 4,1Y - P
13125 SW Hall Blvd., Tigard, OR 97223 APR 7 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ' Avrotoolt Date/B - # 85.0 Other Permit:
Inspection Line: 503.639.4175 Date Ready/: y: lun7--z," 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: /1 Supplemental Information
BUILDING DIVISION
- ;iilitoriiiiiik ' ''. -- i'-'T - ' ' 1 'Ari42iViiii
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
['Addition/alteration/replacement Other: Pi g.a. izepA. I iz... equipment, materials, labor, overhead, and the profit for the
'''IS''S Ckirebiti; 'Oi : , ' , m '''!"' - "
,,,,„4=1.14 work indicated on this application.
Valuation: ' $ ,
EI I- and 2-family dwelling ['Commercial/industrial . ,
Number of bedrooms:
[I] Accessory building AMulti-family
Number of bathrooms:
0 Master builder III Other:
:J4)1i*, SITE 1 -:,,, : . ,,,, Total number of floors:
Job site address: i 474.. 5 t.e..) 1 091 "1/4/-6 New dwelling area: square feet
City/State/ZIP: Tt c., tet,ia- b 1 07-- cl 7 Garage/carport area: square feet
Suite/bldg./apt. no.: I - 3 Project name: 7? /-ii; C"-- "/ e A-P Covered porch area: square feet
Cross street/direction:_ - ., site: Deck area: square feet
Other structure area: square feet
10 , 44 4 W 76ki1 C:
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
1KRIPTIoN:cw.twcTicoo';; , ,, work indicated on this application.
a- 6" 1> Are 8- izo o 1= Trzaj‘ s E---s Valuation: pepAi rz_s 4..4..2.--rer7
c i r De
4- V I , c-.4c-.4._ - r 0 '-' / Pi x, r 4.' 12-CS 4 Ff....)1514 Existing building area: / ) 5, uare feet
q
A-T Or•-) ii I a 4, 4 . New building area: square feet
: ' alliki-: , :',:.,,,. , ,tj , iiii■i:,64'' . '-',';i4612F:4 Number of stories: 2.--
w,- ',--,--- 1,4 :' ',". 'ARM.: - `' 12 -j;- , ,i;VV:',:'''' ' ' ''*"', ',,,,„ Z • • , ' ' ' 6 0 : t -
Name: Type of construction: V5
Address: Occupancy groups: A - 2 —
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
."'$.4iiiitteksiie,.;.r;04,; i„,:,,, NT,4:6.47iiiiitgaq::,.,; ,,,..,-;,: .-.,„:, ; „ , ‘ ,,,,„ i o f f , „ , Aw.x. ,,,
; . ..,,,,., 4 ' -,•..„,.,., - ,3a.t.,„ ‘: ',.:,,, a, ' '''. -", N911,C.Fj.,„;;,-;,,,,,z,m:-,!Z.-n:a':
Business name: M 4. eta L.-L. C_ All contractors and subcontractors are required to be
Contact name: R.
/
licensed with the Oregon Construction Contractors Board
t A V NA. 1> A L._
under ORS 701 and may be required to be licensed in the
Address: po 5 0 )C - I lc 4 30 jurisdiction in which work is being performed. If the
City/State/ZIP: 0 R- 72.-R -
applicant is exempt from licensing, the following reasons
e re...T1-.4-rft, 0 ci
/ apply:
Phone: ( ) 7 7 - C=. Fax: : ( ) 777 - 5 00
E-mail:
iRAe;f*.ger.
-abab,.:1
Business name: IL. ..i....1 1.1, 'st
Address: 5 I c, 55 - 7131 . Ark-) 6 -
Please refer to fee schedule.
City/State/ZIP: ? e.1 ./ 72-14
Fees due upon application
Phone: ( ) 23 4 - 05.09 Fax: ( ) 'LS 4 -4471
Amount received 14 .2_1.,
CCB lie.: 31,---
Date received: 4 //7/d ,
Authorized signature: -?,7...-42 . 7..../.. This permit application expires if a per it is not obtained
within 180 days after it has been accepted as complete.
Print name: f1 /41244 T . ,J ) .4t Date: .4/7/0 G, * Fee methodology set by Tr-County Building Industry
Service Board.
t: \Elul Idols \ Permds \ BUP-Permit App doe 12/03 440-4613T(11/02/COM/WEB)
CITY -OF TIGARD 1,7 1111.
BUILDING DIVISION PERMIT #: BUP2006-00120
13125 SW Hall Blvd., Tigard, OR 97223
411% DATE ISSUED: 4/7/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639- 4175.,
INSPECTION WORKSHEET FOR DATE: 7/20/2005 TIME: 7:a4AM PAGE: 48
SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: I1 NIBERLI NE APARTMENTS
DESCRIPTION: UNITS 1 -3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LL.C, PHONE #:
CONTRACTOR: KENNEDY Z STORATION PHONE #: 234-0509
Inspection Request Scheduled For: Date: 7/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 033387 -01 503-572-1757 N
•
Corrections /Comments/ Instructions:
A i!
Lrill
r
•
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITI•NAL FE. ASSESSED
i
Inspector: 4 //S Date: 4 hone #: (503) 718 - Za
I '
CITY .OF TIGARD , . ;-
BUILDING DIVISION PERMIT #: BUP2006 00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639 -4171 2y �l�" � '�
Inspection Requests (24 Hrs.): (503) 639 -4175 "'' I
INSPECTION WORKSHEET FOR DATE: &22/2006 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 14741 SW 109TH AVE 1 - 4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNI'T'S 1 -3. ifLRE_R.Eflaf..
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: KENNEDY RESTORATION &A c-.7? .. j -7 6 7 PHONE #: 2340609
Inspection Request Scheduled For: Date: 6/22/2006 Pour Ti -: / 4.eff
Code # Inspection Description Confirm # Contact # ! -ssage 0 4 157
299 Final inspection 032166 -01 503-793-6857 Y
Corrections /Comments /Instructions:
Le ) k-- LL,.< 0 -e-c..+4 c—eJL__ Q Q--- - ‘ WLS .
AtO - ,_5 CA—clZv e-----P t - I 5 RT IL.4)---1
7C ..
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: U le Phone #: (503) 718-
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00120
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639 -4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 612//2006 TIME: 7:07AM PAGE: FA
SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNITS 1 -3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LL.C, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234- 0609
Inspection Request Scheduled For: Date: 6121/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032015.01 603.572 -1767 Y
Corrections /Comments /Instructions: (.'2 #37 kik:0
�
U 1 , AT
( ' IF4
•
I I PASS I ARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL . n CA L FOR INSPECTION n ADDIT ONA , FEES ASSESSED
— ,,,,,
Inspector: r Date: Phone #: (503) 718- 2`-�'3
•
C•IT .OF TIGARD .
BUILDING DIVISION PERMIT #: 13UP200&00120
� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639 -4171 A
l�ii� l
Inspection Requests (24 Hrs.): (503) 639 -4175 _�
INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7:15AM PAGE: 25
SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMi3ERL.INE APARTMENTS
DESCRIPTION: UNITS 1 -3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LW, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234-0503
Inspection Request Scheduled For: Date: 5/30 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message Am
265 Drywall nailing 03075?-01 503-816.1162 Y
Corrections /Comments /Instructions:
�1
I I l �
IPASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
ia
Inspector: Date: I' 3 % Phone #: (503) 718 -
CITY .0E'TIGARD
BUILDING DIVISION PERMIT #: I t�M 20ts 0 120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4fl /2O s6
Phone: (503) 639- 4171N @�ifl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5125/2006 TIME: 7 :0 AM PAGE: 49
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNITS 1 -3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234.0509
Inspection Request Scheduled For: Date: 5/25 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
246 Ferman 030582 - 02 503
Corrections /Comments /Instructions:
CA `r ►� ®o"� Gc, f °✓ !� c T� P1-1
1 t C 1 to � bo X 5 C(G pc( 4 give y
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t;," A SS Z ❑ CANCEL n NO ACCESS
• FAIL a CALL FOR INSPECTION I ADDITIO AL FE, S ASSESSED
Inspector: J Date: " ` Phone #: (503) 718 -" -7 --
CIT (..QF TIGARD
BUILDING DIVISION PERMIT #: BUP200 00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639 -4171 raiiViu�iiulf If
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/25/200t TIME: 7:03AM PAGE: 50
SITE ADDRESS: 14741 SW 109TH AVE 'i -41 CLASS OF WORK:
SUBDIVISION: 'TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNITS 1 -3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LLB", PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234-0509
Inspection Request Scheduled For: • Date: 5/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
200 In ;uh tion 03058 01 503 V J
N Ipw 1✓L O r' CCt 1 kt " c ( i ct. 4(
Corrections /Comments /Instructions: 11 ,�
e.Vkev- (�oL1Ced
4F ../ OP
41[0, 1 ..
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ff .------- . at MOP f 'WI Nillir 4 IF
V. ' . .. - -
•
P ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL OR INSPECTION ❑ ADDITI • NAL F ES ASSESSED
Inspector: ! Date: Z--" Phone #: (503) 718 - -t3
•
CITY:OF TIGARD
BUILDING DIVISION PERMIT #: BUP200€;-00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE:, 5/23/2006 TIME: 7:03Atvl PAGE: 76
SITE ADDRESS: 141741 SW 109TH AVE:1 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:'
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNITS 1-3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234-0509
Inspection Request Scheduled For: Date: 5/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
245 Firma!! 030399-01 503-5711767
j„c44 oX C - I e. 4
Corrections/Comments/Instructions:
b e_ 0•4 i e-- P lc-
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C eceo a e b e fbe
-1-A61r) spro5i4 1° 5 id e s o //
pr• _
D - Z J "F Ciattcur
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I I Pi :S 7 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
FAIL n CA L FONNSPECTION 0 ADDITIONAL FEES ASSESSED
7 °
Inspector:, 410 Date: 5/23/6 6 Phone #: (503) 718-a?
law
_ _
• CITY/OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/7/20C)6
Phone: (503) 639-4171 ,.„. *01iyp i l
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:03AM PAGE: 77
•
SITE ADDRESS: 14741 SW 109TH AVE 1 - 4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: UNITS 1-3. FIRE REPAIR
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: KENNEDY RESTORATION PHONE #: 234-0g/9
Inspection Request Scheduled For: • Date: 5/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 03039B-01 503-572-1767
ALA - 11,0 1„, r - Le a +- I•vt e_
Corrections/Comments/Instructions:
wr'fr
- •
PAss fl PARTIAL APPROVAL LI CANCEL El NO ACCESS
I I FAIL • CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED
Inspector: • Date: 5j (23 0 co Phone #: (503) 718- ,)?--/ 3
.
M
Inspections Required for: L3 UP A-. a O !z o
✓ Code I Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
_ 410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
• 205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage _
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final _
240 Exterior sheathing
245 Firewall .
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final — 1
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line __
615 Mechanical rough -in
287 Suspended ceiling – —
295 Misc. inspection: 620 Hydronic piping ___
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
..]<, 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab ___J
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
•
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer _
405 Excavation 345 Culvert/catch basin _
410 Fill 350 Septic tank 1
415 Grading 395 Misc. inspection: _1
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit _ _
495 Misc. inspection: 505 Sanitary sewer 1
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1: \Buildingunspection Cards\Forms\AOP- InspCard - Blank.doc 12/09/2005
CITY T'IGARD �� , BUILDING PERMIT
DEVELOPMENT SERVICES
0
PERMIT #: BUP2006 0012
I II. : DATE ISSUED:
s "" '' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 4/7/2006
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 PARCEL: R- 110AC 00400
SUBDIVISION: TIMBERLINE APARTMENTS ZONING: R -12
Project Description: UNITS 1 -3. FIRE REPAIR LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS
CLASS OF WORK: REP _ EXTERIOR WALL CONSTRUCTION —
TYPE OF US =: FIRST sf N:
MF , . SECOND: S E: W
TYPE OF CONST: 5N sf PROJECT OPENINGS?
OCCUPANCY GRP: R1 sf N: : E; W:
OCCUPANCY BASEMENT:
OCCUPANCY
LOAD: TOTAL AREA: 0 sf ROOF CONST: I
FIRE RET?
sf AREA SEP. RATED:
STOR: HT: ft - GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS
FLOOR LOAD: psf LEFT: REQUIRED DWELLING UNITS: ft RGHT: ft FIR SPKL: '
FRNT: ft REAR: SMOK DET:
BEDRMS: BATHS: IMP FIR ALRM : HNDICP ACC:
IMP SURFACE:
VALUE: PRO CORR: PARKING:
135,500.00
Owner:
•
TIMBERLINE APARTMENTS LLC Ccnractor:
BY WPL ASSOCIATES KENNEDY AVE RATION
522 NW 23RD AVE PORTLA AVE
11 ?
PORTLAND, OR 97210 PORTLAND, OR 97214
Phone:
Contact #: pPJ 234 -0509
r g
FE Reg #: LIC 3402
S
1 Description Date
I __� Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/7/2006 $884.70
[TAX] 8% State Surcha 4/7/2006
$70.78 '�
[FLS] FLS Pin Rv 4/7/2006
Pln Rv $353.88
[BUPPLN
] 4/7/2006 $575.06
Total $1 ___. 2
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. Ali work wii! be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or °f work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the ruies adopted by the
Oregon Utility Noti;ication Center. Those rules are set foilh in OAR 9 52 - 001 -0010 through OAR 95 2.001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 -246 -6899 or 1 -800- 332 -2344.
Issued By:
-- ---� = Permittee Signature: —7–.77----'4' 1 –. -. '.
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.