Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00168
1 1(
DEVELOPMENT H PMENg Tigard, 03 639 - 4171 DATE ISSUED: 5/10/2005
� PARCEL: 2S110AC -00500
SITE ADDRESS: 14785 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APT. LOT: JURISDICTION: TIG
Project Description: Deck repair for (2) 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:
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: $ 1,100.00
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORTLAND, OR 97210
Phone: Phone: 503 - 475 -3180
Reg #:
FEES
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: Y' Permittee Signature: iS 5
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 Applkation \ , FOR OFFICE USE ONLY
Cit Of TI and is ^ I Received
Y g t Permit Noi� (k aO O U ,
13125 SW Hall Blvd., Tigard, OR 97223 P ate/By: ,
Phone: 503.639.4171 Fax: 503.598.1960 dl i Plan Revi I)
�� � ,�t� Da R Other Permit.
/ua�,i
Inspection Line: 503.639.4175 1 20 r•' I I Date Ready/By: MI H See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF I . • ■ >r
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a' a � �� .�,- r.;;�: >.. ;W
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additio • teratio i eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
G® ®
,. work indicated on this application.
S 1f • e 4 � ` " ; 4: : PP
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building ,Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
A• � _ ,r o . w ® : ,' ,.: c .., Total number of floors:
Job site address: / 7, ivy'? ! / New dwelling area: square feet
City/State/ZIP: 1 t G
J C � G( /� r � . , 7I-A Garage/carport area: square feet
Suite/bldg. /apt. no.: J I Project name: 77/72 i L �i -- 1 /,�'LC�i, / 5 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
= ~ o a „PAM,. o �,. e ∎ 9 work indicated on this application.
l / c, f it.�A/G� i' �~--� Valuation: $ / l2 b
J Existing building area: / square feet
New building area: square feet
4,' = te a � . ; 47 ,, ., Number of stories:
u
Name: WI a ' if1/(,./ J j Type of construction:
Address: 7 7gq SW ' Occupancy groups:
City/State/ZIP: / C Existing:
i GL Z ��
// ''
Phone: ( ) G/
0/ Fax: ( - . Z./ le) 5 New:
iN- a - -. tsar 0 ti " > y..
Business name: All contractors and subcontractors are required to be
Contact name: 1 licensed with the Oregon Construction Contractors Board al under ORS 701 and maybe 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: ( ) 401-m i I Fax: : ( )
E -mail:
Business name:
Address: . .6 i,„ „�. T ` .....
City/ State/ZIP: Please refer to fee schedule
Phone: ( ) Fax: Fees due upon application
( )
CCB lic.: Amount received
Date received:
Authorized sign e:
This permit application expires if a permit is not obtained
i �� Da te: �� * within 180 days Seby after has been ty Building In as complete.
Pri name: f Fee methodology set by Tri -County uildi ildin Indust
Service Board.
is \Building\Pcmilts_s • . itApp.d (/ oc l�l■ . I '440- 4613T(i l /O2/COM/WEB) - - •4 ..
7
CITY OF TIGARD - 3 Z1
BUILDING DIVISION PERMIT #: BUIs2CI0 0i�'16Et
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/10/2005
Phone: (503) 639 -4171 / mn� iitl li
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27f2006 TIME: 7 :03AM PAGE: 51
SITE ADDRESS: 14786 SW 109TH AVE 1-4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: •
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Deck repair for (2) units.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/27/2006 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 033873-01 503 - 968 -800# N
Corrections /Comments /Instructions: 1
./ 7/-*7--'
1
PASS ❑ PARTIAL APPROVAL ❑CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION ( I ADDITIONAL FEES ASSESSED
Inspector: j°E Date: - 7/0 Phone #: (503) 718- 2 Wd