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Permit CITY TIGARD BUILDING PERMIT ,- ,; DEVELOPMENT SERVICES DATE ISSUED: 5/10/2005 "� PERMIT #: BUP2005 -00188 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S1 10AC -00500 SITE ADDRESS: 14777 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APT. LOT: JURISDICTION: TIG Project Description: Deck repair for (3) units. 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: 5N : sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft 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: $ 1,650.00 Owner: Contractor: TIMBERLINE APARTMENTS LLC OWNER BY WPL ASSOCIATES 522 NW 23RD AVE PORTLAND, OR 97210 Phone: Phone: 503 - 475 - 3180 FEES Reg #: Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 5/10/2005 $62.50 [TAX] 8% State Surcha 5/10/2005 $5.00 [BUPPLN] Pln Rv 5/10/2005 $40.63 Total $108.13 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: `� 7 t Permittee Signature: . 4 I/ ^ S 1 Call 503 - 639 -4175 by 7:00 a.m. for an inspection t at 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. B Permit Application F OR OFFICE USE ONLY , City of Tigard j Received �G� permitNo.: �,6,f� 13125 SW Hall Blvd., Tigard, © �22 - '" Plan RerieW G � �� E Phone: 503.639.4171 Fax: 50359,8.:19 0 A h k �' t�' \ �� Other Permit � Inspection Line: 503.639.4175' . el II Da R Date ReadyBy: 0 See Attached Checklist for Internet: www.Ci.tigazd.or.us �^ f9 '� TO O(� d � Notified/Method: Supplemental Information 1 (� . * 1 . _ g ,, f e y , 0 � : � L - , ❑ New construction �' S. . � e 1 &Demolition Permit fees* are based on the value of the work performed. -- _ TYT i Y��= E] Additio • teratio eplacement t �- ❑Other: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the - � O .- - . : 4-41,2 .1": - ..1,17.,-W1 work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ,'Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: � a$ t� ®_^ . 'e` '' : Total number of floors: Job site address: / 77`7 J /,/ ,? New dwelling area: square feet City/ State/ZIP: '/ 7 4 £ - / - ' /2___. Garage/carport area: square feet Suite/bldg. /apt. no.: (_/ I Project name: 77/7 , !C,L, fie„ 472,13 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 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 ���- "` , " ' ,,0 3 - ® g . a .. �, - - work indicated on this application. 0c repaii7 ys„, Valuation: $ / .K Existing building area: square feet New building area: square feet , a f� v/ / t N um b er of stories Name: - I , Type of construction: Address: J 41J7C,q (314/ If) � ' L Occupancy groups: City/ State/ZIP: 6t,/-4 rte` / / • Existing: Phone: ` ( ) / 0 Fax: ( `f2 L/ 'ID 5/ New k as a ),: �� a e. _ ® ® ire A x, T - -rte is Business name: All contractors and subcontractors are required to be Contact name: - /� r— licensed with the Oregon Construction Contractors Board bp in � 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 _ �- q �- apply: Phone: ( ) �t v (/ U z)) I Fax:: ( ) • E- mail: ' ® �. .• TATR Business name: Address: � s 1rt7e I 9, * t#,'" ^z:= �.. - • Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie.: Amount received n Date received: Authorized signature: JV7�� � „ �� � This permit application expires if a permit is not obtained Print name: ( ( ( t i ) f O f� within 180 days after it has been accepted as complete. `J lJ M" if ` � / - J * Fee methodology set by Tri-County Building Industry Service Board. .i:\ Building \ Permits \BURPannitApp.doc 12/03 - ' - - - 440- 4613T(11 /02/COM/WEB) - - - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005 Phone: (503) 639 -4171 .Ab p� Inspection Requests (24 Hrs.): (503) 639 -4175 J. INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7 :01AM PAGE: 86 SITE ADDRESS: 14777 SW 109TH AVE 1 -4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Deck repair for (3) units. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: OWNER PHONE #: 503-475-3180 Inspection Request Scheduled For: Date: 9/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 015853 -02 503-968-8800 N Corrections /Comments /Instructions: at I - 7 wavy 1 1 ASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 FAIL n CALL FOR INSPECTION ❑ ADDIT NAL FEES ASSESSED -I, Inspector: ' Date: q R 65-- Phone #: (503) 718 - _ 1 i