Permit 4 . _f „ CITY OF TIGAR r BUILDING PERMIT
COMMUNITY DEVELOPMENT DATE SSUIE ;n2 2/20007 00312
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AC -00500
SITE ADDRESS: 14783 SW 109TH AVE 1 -12 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: TIMBERLINE APARTMENTS
Project Description: Replace damaged stair stringers.
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: R3 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: $ 999.00
Owner: Contractor:
TIMBERLINE APARTMENTS LLC J R JOHNSON INC
BY WPL ASSOCIATES PO BOX 17196
522 NW 23RD AVE PORTLAND, OR 97217
PORTLAND, OR 97210
Contact #: PRI 503 - 240 -3388
Phone: FAX 503 - 240 -3424
Reg #: LIC 102676
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUPPLN] Pln Rv 6/13/2007 $40.63
[FLS] FLS Pln Rv 6/13/2007 $25.00
[BUILD] Permit Fee 7/2/2007 $62.50
[TAX] 8% State Surcha 7/2/2007 $5.00
Total $133.13
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. �--�
Issue.
'/ P ermittee Signature: _ ` 1 —
=Y: /// J// .! /.—_:., g
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.
1'-7 a -E'er I O9
v ..ED
Building Permit Applicatrdr� . FOR OFFICE USE ONLY
CI Of Tigard Received . : ` Q �1 a� f/
'I 13125 SW Hall Blvd., Tigard, OR 972JUN 13 1007 Date/By: ��3` 7 Permit No l�/ �t/ / wQ ��
.1 g Plan Review
Phone: 503.639.4171 Fax: 503 1960., ^ ��� Date/By: w�q �/ 6 — ,c .-D Other Permit:
Ti .G A.R D Inspection Line: 503.639.417; T u r i lutuu.i Date Rea yd By: r Juris ® See Attached Checklist for
Internet: www.tigard -or.g Notified/Method' , /L t � Supplemental Information
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: : :: '' TYP O F;,W ORK `' ' . : _t: :,p � /
IItEDDATAs AND -2 FAMILY =DWELLING ,
•,� m� S� ...... •: '_'''., >. ....x�,'...,,.°?i::.. .., ,._ ,..., .. .<.a�.�' <...�:- 'a" "....,. ,., ,, s., .,.>,.. �.... A. ......:. L' �A:.... ;�:: =..y.;d',s.=:3v....... -:Sa%n`3'.omm`,.
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
a ' , ` ' work indicated on this application.
_ ° ;, ,'d' >,:. ,.. ;;:CA'TEGORY .
� O F =: ;_
ONSTR[JC'I'ION ; =; �.
❑ I- and 2- family dwelling El Commercial /industrial Valuation: $
111 Accessory building ®•Multi- family Number of bedrooms:
I=1 Master builder El Other:
Number of bathrooms:
EJOB iSITE.INFORMATION A OC
Ni LATION li1i; Total number of floors:
n,. , ; __,. _ .•, _ W.< ra, yap.
Job site address: 4 7 g 3 S. . /0c �` A New dwelling area: square feet
City /State /ZIP „ -ts., 0 (\---14 4 Garage /carport area: square feet
Suite/bldg. /apt. no.: X 1= 7 Pro name: V ,+ t `3b, Ac,A Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S L- Other structure area: square feet
REQUIREDrDAT. COMMERCIAL -USI CHECKLIST, y
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
.r ,:_. ,, and the profit for the
W equipment, materials, s, a r, overhead, o a an e o
r
' ; - -,., ,.,. '' DESCRIPTION•. =QF, ,40, ;;', work indicated on this application.
Valuation: 99 .°° $
`
Existing building area: square feet
New building area: square feet
i 33 ®
4�
F;,S,iK
of stories:
`� TY OWNER ,;� %; >TENANT° s•
OPER ':y _,',. '4� � t, � �� Numbero
Name: N,, ,.... e : sv A. T LL(...,.. (oV. /. �� Z p . p c \ Type of construction:
Address: i y 1 c s9 S /`� i 1 b- Occupancy groups:
City /State /ZIP: 1 ac i C A —1 ? - '1 Existing:
Phone: 3 )6 Da•t' .7604 Fax: rb3 )!a 44 ;,--7t.,50 New:
I N T
z.
` CO. � E SO
s., #N. �$`.,. , ... i x, a .... , , ,�,... a= ._.,," �w..�,..�P.xt .r: ,. ... >...»x. „. 1sn; .. �,.�;3.�., . =.
33. � u�NQTIC =:;; 3:. ,
Business name: -- : - ) . .. , cj__ . — 75,_ a , L t.r5 vti,. -a . tom, • All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact nameTo;,,'” S (t, ('r
under ORS 701 and may be required to be licensed in the
Address ® c. )( (- 'qt jurisdiction in which work is being performed. If the
City/State/ZIP: �. A . I r
O -L - -61,t --) applicant is exempt from licensing, the following reasons
apply:
Phone: 6- ) ac{,, • 3 3 � ft Fax:: (5t3) a�`{ a .3'041
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, E-mail: i ,,,,. ..;.,� .4 , ,,., ;,, ` ., F,
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3''3 CONTRACTOR.
.��s.3'a..:'� `.. _ ,.., . hti .-,:. .:,:, ^�,�ad .,�. �v_. . "13 ..=..'q�,- _ .,���§'s�a � =, ��':..,�'�., - aA��
. ,''...A "•,
Business name: -� 4 c 1 ._ UILDIN P R T: EE
ti .,
d��� � \ � �p:v �;� <i'' �`ag„ G, E MI F S *»
'_ �; , . '3• Ple a eito ` eesc tierlule = , ` =w . ' a ;
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Address: � '�
Structural plan review fee (or deposit): 'j , 6,3
City/State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): 2 5,
CCB lie.: 1 0 c ''1 (s Total fees due upon application: 1 .--, 6
Amount received:
Authorized signature: r~ ✓" "` Y'v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complet .
Print name: �.�_ -- Date: 6/ I jt,-7 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\BUP- PermitApp.doe 03/21/06 440- 4613T(1 I /02 /COMIWEB)
' -- ----- ----- _________
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. LI , NE APARTMENTS
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4703 -14799 SW 109 Avenue
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f..... JUN 13 2007 FMZ 6188B
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11111 \>L! — -- -- —
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.,' NOTE: Apartments 1 & 3 located - C\
on Lower Floor. Apartments 2 &
/ I 9 9 E : ��:-- ':���'� 4 located on Upper Floor.
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This drawing has been done by the
Preliminary Drawing / �/” . [ %� if / �p j,� , Y, r /„:70.4,1;,,....,,,,, •
/ /i % % /� 4i // �' ./... / '' ./' , . / _
draw team prior to station review. It is / �� / / // / ° '' 1 i /
not complete and should be reviewed, "/ '
%" f: / S ./ ' i / :.. ' 14711
necessary information added and ,
returned to the DT for final completio ', 14725 ,. "; 147
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, •, /ii , , / LAST UPDATE: 3/01 % ij a / j „ // , / , / • / ,s From Station
'/'/ �'j,7 ; STATION: 3 j.y'ir /� / i / % % 6i //� /// i” % / / ' • , ' /r /!
' AUTHOR: ERIK /,.. / ;.- , i / , -, i ./ z. i ''' ' ii % ez 4.
• SAVED AS 14703 �// / /� /�/ i /'/r / /r
O • ,-:,::• F COPY
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00312
13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 7/2/2007
Phone: (503) 639 -4171 !�� ��1r, Ii�l i
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!- {'
i
INSPECTION WORKSHEET FOR DATE: 7/512007 TIME;t 7 :03AM PAGE: 70
SITE ADDRESS: 14783 SW 109TH AVE 1 -12 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APART LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Replace damaged stair stringers.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: J R JOHNSON INC PHONE #: 503 - 240 - 3388
Inspection Request Scheduled For: Date: 7/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 051416-01 503 -913 -1167 Y
Corrections /C ments /Instructions:
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r4 ''ASS PARTIAL APPROVAL ❑ CANCEL I 1 NO ACCESS '
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I nspector: L Date: / / v / Phone #: (503) 718- 2 '1 I