Permit /}
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00478
rr,l6, DEVELOPMENT SERVICES DATE ISSUED: 10/15/2004
, �I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14749 SW 109TH AVE 1 -4 PARCEL: 2S110AC -00500
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
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: $ 3,200.00
Remarks: Repair stair and decks for 4 units
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
14799 SW 109 AVE #1
TI ARD OR 563=624 -7044
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 10/6/2004 $81.70 Final Inspection
[TAX] 8% State Surchari 10/6/2004 $6.54
[BUPPLN] Pin Rv 10/6/2004 $53.11
Total $141.35
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 B : � ' , 0
Permittee�-
Signature: C'�1 -(' c)-i
Call 639 -4175 by 7 p.m. for an inspection the next business day
r.,
Building Permit Ap ; i I -Ai 1 i d1 l �oo > • FOR'OFFIC_E;USE ONLY ` '
Cit of Tl and 4 Received �� 2 j/ Q
y g DateBy: d'Nar ) Permit 1 1 �� —I,/ T 7 0
13125 SW Hall Blvd., Tigard, OR 97223 Ot Plan Review t i
Phone: 503.639.4171 Fax: 503.598.1960 RD - .��h' I I Date/B / / " %�� Other Pe
rmit. Inspection Line: 503.639.4175 F''; ► - c:. c . Date Ready/By � a See Attached Checklist for
Internet: www.ci.tigard,or.us O '1 ••• S Notified/Method: a s7 ..r Supplemental Information
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❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
7 6 ,4 . 51clition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
" ° r . 4 l t =� X 'rte o work indicated on this application.
a a , a 4 C EGOR 4 OF COI STItUCTION '3,' k :,`.;, ' *"'�'
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
El Accessory building Multi- family Number of bedrooms:
❑ Master builder 1=I Other:
Number of bathrooms:
i < "e7 " ",±.`g;`ym;. - ;`:.?;$» °:� �;`3,u- - �.%: =i, ^:.'.t.>� „3 ^ ^p >'e�:.ga'�' +;X:C':,'(:.``' ^'".'=a's- .:ne
m.= 1 ` • .� y'°'.r Total number of floors:
' r4. `,,. , , JOB SITE INEORrVI, , AND” LOCATION . i`< . ''.
Job site address: /f'i M e k/ 16 cat New dwelling area: square feet
T
City/State /ZIP: TiCfU,h'bt ! 0/4 9./.2,2"44 Garage /carport area: square feet
Suite/bldg. /apt. no.: ✓ ,. Project name: Covered porch area: square feet
Cross street/directions to job site: S (, / /094 h Deck area: square feet
Other structure area: square feet
REsQ TIRED iAT.bt COfiMtI C�''�IAtL= USE° = CHECKL
Subdivision: I 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
�t
4rt - kg diaitt61p 44S- : : :4 1 ry n- .;L:4 work indicated on this application.
A- t Q c -� ...-0_.1g-‘ V i l_ t o _ — _ �� t , �, _ - Valuation: $ �� 9O 0
C.V' Existing building area: square feet
New building area: square feet
s„ t , a PRO$E iro v ER t �� ` +' E � ,.., . iNPi lli- iA
„,,L aw :»ciza ivg. ,:44 • ,. ,4,..ii .,. ;.14 _?tse. i'4 . r �2t,__, ^' Number of stories:
Name: IA/ Pi Type of construction:
Address: tgi $ fit! IOc V Occupancy groups:
City/State /ZIP: %i ci 4- / 0JZ ¶72-Z t ( Existing:
Phone: 1 ' • ; , 3' ) (o )_(.1— -- 7t7 ./C.( Fax: ( ) New:
"$:,: �5" ays�'..�. > fv"' �l' � � ,n°.u°r iu. �;`:�' : e: YS: S pT-,j ' 'h' ,$.� ..: p , '"`
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r � `� ._°� ��� ``,.,s"�w ,�:1'r�` s� ��^r= a�r.:r�x,; �� � ., �';tisarr, :
Business name: 0 ,,,,,,,, t A- N Or e3 0 ( p All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
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
apply:
Phone: 3) (� 7— / Fax:: ( )
E -mail:
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Business name: r , . ._ .. ,.z-. -
.ter �. a � �
x ..� .11, : &- n :: BTJII:DIN PE RIYI' IT J E ES* ig_ . ,. ,
Address:
Please refer to fee schedule.
City/State /ZIP: •
Fees due upon application
Phone: ( ) Fax: ( )
CCB lie.: Amount received •
Date received:
Authorized signature: i0,. This permit application expires if permit is not obtained
��IQL/ within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PemdtApp doe 12/03 440- 4613T(I I /02 /COM/WEB)
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE. ONLY
City •of"Tiga n • Received Permit No.:
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 Associated permits:
Phone: 503.639.4171 Fax: 503.598.1960 �yy 11 ii�' ❑ El e ctrical ❑Pl Mechanical
Plumbing ❑Mechanica
24- Hour Inspection Line: 503.639.4175 • I j
Internet: www.ci.tigard.or.us
-- ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR.PLAN REVIEW Yes. . No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat /lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state , ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly' portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations." •
19 Beam calculations. Provide two sets of calculations using current code design values for all,beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load. , . ,
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the project under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
• Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ _
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
•
i:\Building\Permits \One - Two - FamilyChecklist.doc 12/03
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Preliminary Drawing
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. This drawing has been done by the
draw team prior to station review. It is
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i LAST UPDATE' 3/01 1 , -... :..:.:::::. , . From Station
-
CITY OF TIGARD
B
4,--
UILDING DIVISION PERMIT #: BUP2004 -00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2004
Phone: (503) 639 -4171 " �'?
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' '' I
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: fi
SITE ADDRESS: 14749 SW 109TH AVE 1 -4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APT. LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Repair stair and decks for 4 units
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: 5503 -624 -7044
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 005679-04 503. 968 -8800 N
Corrections/Comments/Instructions:
D ° e
l
d •PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L
Inspector: Date: / one #: (503) 718-
r
r
CITY OF TIGARD
BUILDING DIVISION G �.- PERMIT #: B� p 2 00 0478
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i�,,,, u IP ' �
Inspection Requests (24 Hrs.): (503) 639 -4175 '`'f �..
INSPECTION WORKSHEET FOR DATE: 512J2005 TIME: 7:10AM PAGE: 96
SITE ADDRESS: 14749 SW 109TH AVE 1 -4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APT. LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Repair stair and decks for 4 units
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: 503 -624 -7044
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 5/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 005679 -03 503- 968 -8000 N
Corrections /Comments /Instructions:
• i
fi l l:' S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , + JZ______.-- Date: Phone #: (503) 718-
BUP - Building Permit ELC - Electrical Permit
Al Inspection Description Date Passed By Ai Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab _ Electrical service
Crawl drain _ Electrical final _
Underfloor insulation
Post /beam structural
Shear walls /anchors
•
ELR - Restricted Energy Permit
Roof nailing ,I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Suspended ceiling Post/beam mechanical
Engineered soils Gas line
_ Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Bolting Lab Final Duct work
Structural observation _Smoke detector
•
Fireproofing Lab Final Mechanical final
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection System Permit
Inspection Description Date Passed By
Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab — —
Sprinkler rough -in Post/beam plumbing
Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert /catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/01
CITY OF TIGARD PERMIT
PERMIT #: BUP2004 -00478
4 ' D EVELOPMENT SERVICES D ATE ISSUED: 10/15/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AC -00500
SITE ADDRESS: 14749 SW 109TH AVE 1 -4
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
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: $ 3,200.00
Remarks: Repair stair and decks for 4 units _
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
14799 SW 109TH AVE #1
TI ARD : 5 - b 3 24 -7044
i
one
Phone:
Reg #: b
FEES REQUIRED INSPECTIONS
rit Description Date Amount Framing Insp --
[BUILD] Permit Fee 10/6/2004 $81.70 Final Inspection
al $
[TAX] 8% State Surchari 10/6/2004 $6.54
[BUPPLN] Pln Rv 10/6/2004 $53.11
Total $141.35 0
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 B 1� / i 0 A l r
Permittee��
Signature: t D: s c?�- ---._
Call 639 -4175 by 7 p.m. for an inspection the next business day