Permit , +CITY OF TIGARD BUILDING PERMIT
c
PERMIT #: BUP2004 -00476
, # DEVELOPMENT SERVICES DATE ISSUED: 10/15/2004
R 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S110AC -00500
SITE ADDRESS: 14767 SW 109TH AVE 1 -12
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: $ 6,600.00
Remarks: Deck repairs to 12 units. 10/05/04, adding stair repair to project.
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
14799 SW 109TH AVE #1
Tlone`.OR 9Z22.4 563 =624 -7044
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 10/5/2004 $110.50 Final Inspection
[TAX] 8% State Surchari 10/5/2004 $8.84
[BUPPLN] Pln Rv 10/5/2004 $71.83
[BUILD] Permit Fee 10/6/2004 $9.60
(additional fees not listed here)
Total $207.78
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 CS ) 246 -6." or 1- 800 - 332 -2344.
Issued L � / . . 1' 4
•
Permittee
Signature: 41111p i (41 _4_,
Call 639 -4175 by 7 p.m. for an inspection the next business day
.....„6, ,,,),--, fr 6 ' ,. , ., .�1
Building Permit Application'. FOR OFFICE USE ONLY
City of Tigard � �‘ 0
Received /0 i
O 2 ' Permit No.:
13125 SW Hall Blvd., Tigard, OR °. Date/By: 1' , �� / + /Q
Plan Review �/'��
Phone: 503.639.4171 Fax: 503.59',1 ° .0 < G-O ' PQ A�mad"Np 111 i DateB : `°Arai.. Other Permit:
Inspection Line: 503.639.4175 O� 4� Date Ready/By:
ll S See Attached Checklist for
Internet: www.ci.tigard.or.us \.` O`ro�0 \" Notified/Method: h," �� Supplementallnformation
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27 ? , n ° V f " ',' -T1YP 9 +. O RK l 4 ., 7g ,, I 1 ?AND2 A IVIILYDWEL L I N G:-
x ` �5 M. ' i'41 ...n W-_,,:. as ,t ,,.a,>,.. �r, -.17, -,4.. , ,,..r. NM. ,.... Q . ,.,. .._ ,,. ..`,`c.;.�.,.x,="4. �,..�. 'asr t.- aS ...,h, 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
1 g Addition/alteration /replacement ['Other: equipment, materials, labor, overhead, and the profit for the
ar i CAREGbRYOE COF S` w RLTC .a a O .� , ? work indicated on this application.
g! N. .€ ,i : � _
1 . °. , ,anotz ,a. .: N I, _ "'sp ;
Valuation: $
II 1- and 2- family dwelling El Commercial/industrial
❑ Accessory building ],Multi- family Number of bedrooms:
❑ Master builder 1=I Other: Number of bathrooms:
�: s�:a^= ;,�.sxE. 4:,r*,'h.EF'' - °`. s._i: » �a�;t'r;^v'; r� „ =' ,.;r .'Z;�. �.s. � .as " ;� ::§wpc;.E <� '"= -u ,..s k �',.`�::: : ;�,<: E < ;,
., I =t�d „1ITE�I ® RIYIATION IND Ls O ATION � �� �” Total number of floors:
:; "' .'.�S..'.. n ... , r, .t.,r® ' �� . .. . *.., . ..i 7,-e,., .tomw,�; :i..,'N:> . . , t` :€3 . , ' `' '�
Job site address: 1 Lill V, Sw (v n New dwelling area: square feet
City/State/ZIP: • . Y , ` ' /i 2 Z (.f Garage /carport area: square feet
Suite/bldg. /apt. no.: / /.2_ Project name: I ! 15, 4, Ai5 A pf ‘ (L- Covered porch area: square feet
Cross street/directions to job site: VV U`41 0 LIZ Deck area: square feet
Other structure area: square feet
c` REQU:IREA DATA CQMIVIERCIAL7JSEq.CI3ECKLIST
Subdivision: 1 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 h
�u , g . � cw"a. sT% L:T. .D SCRIPTIQN , OW
R ORK tt `� . i
�" ePk-inditttded on t s application.
R .� , n.., a5° � w $. s ... .z ..x1,ry S. � � - # .a. ,.
. ;;r 4. , .'� � � /� _ O �-
TL 9$�Gti'f1 -1 fJ C... v1 QA -` ( /4w ■ r ELF .,y� C,
— "�1� bC Valuation: /J - ( /_L / ^p./1[ ,/ l Existing building area: square leer
New building area: square feet
:'S' :, _ . r�- ,�<iyv '�kkt, a r ^ �, s _ ra= <,,«,.,, Y
irtr > a PROEERTYF;OF NER1 Vol. t.:. a . a * . - s ° :i`
TENANT s Number of stories:
: �.,y.�;l; �: n ._ :, `.. .'e, . ;�, d �. , �....a.'. -`.�. � �. ..gab- •�.. �. ��. _ . `� , �'
Name: ( QL ASspLt Type of construction:
Address: 14 -1clot ,51..., t n tlh - 4 / Occupancy groups:
City/State /ZIP: 1.-- fj � ] (n,r A 041*, 9, J 2 2 4 Existing:
Phone: ( 5 ii)) !, 1.' 10 1 4 LI Fax: (6.0") G-2,4 — iO 9 New:
., , i 1 .. 7awT�i;•. 'i : : F,. 1,:•,hi . �;" v,`?..= i r:` _
,,.#�.��, ,,: �, - , AEPLI C AN , T ' e �., ,_g .l � �.r » �.�GONs �TA `I�PERSON �. r .� . , :� :.. r`� > ��:,,,;;.r'..;,• -
.:w �5�:,,k r= :.,:.r.. ,., . ».,.. ..,. N OTI C E
Business name: 0 W t ,. j \ L A 1 d 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: (3b5 ,_ 07 - c ool Fax: : ( )
E -mail:
;' R:'': o- { s :: y %. 3azs' "T, u t ; • ;` ,>•k.: ''" i; . ..;. r g ,' ' s >" .:,, W
, , u .. s° ` ' �:_ CO NTR�1C'TOR - •�r'; r� ° -7 a` : e :;
..a =, . - —ti t, ,r I m1a max.. Y #rya
Business name: ol.A 1._) e (2- 41 ,= - : -
, ,. 1 1A L DING PE TES . + .
Address:
Please refer to fee schedule.
City/State /ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
CCB lic.: Amount received
Date received:
Authorized Signatute: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: b AQL 011-0 Date: Vi 0 V * Fee methodology set by Tri- County Building Industry
Service Board. //D , "s0
i:\ Building \Permits \BUP- PerrrutApp.doc 12/03 440- 4613T(I I /02 /COM/WEB) 7I i3 ! /9/, / 7
One- and Two - Family Dwelling
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received, Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223
Date/By Associated permits
Phone: 503.639.4171 Fax: 503.598.1960 • *4, ,1
24- Hour Inspection Line: 503.639.4175 j �_� ❑ Electrical ❑ Plumbing ❑ Mechanical •
Internet: www.ci.tigard.or.us c' ❑ Other:
THE FOLLOWING. ITEMS.ARE REQUIRED FORPLAN 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 construdtion, 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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: on Lower Floor. Apartments 2 &
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4 located on Upper Floor.
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Preliminary Drawing
•
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•:. draw team prior to station review. It is .
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: necessary information added and : : ' '''. ': ''''''' 1 ' . '''.:
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LAST UPDATE: 3/01 1 : ' :: ::: ::: , : From Station
-- - -
CITY OF TIGARD ` ,
B
ei .. " -----
UILDING DIVISION PERMIT #: BUP2004 -00476
I I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2004
Phone: (503) 639 - 4171 °i n �iiiiii iiipGl"
Inspection Requests (24 Hrs.): (503) 639 -4175 ', I
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7 :10AM PAGE: 92
SITE ADDRESS: 14767 SW 109TH AVE 1 -12 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APT. LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Deck repairs to 12 units. 10105/04, adding stair repair to project.
• 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
299 Final inspection 005679-06 503 - 968-8800 N
Corrections /Comments/ Instructions:
, V i
/L- --} \ U
lig - . S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED S
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20t-00476
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/2004
Phone: (503) 639 -4171 s lz ji pl 4 ! i
Inspection Requests (24 Hrs.): (503) 639 -4175 . Jul. s -_—
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 97
SITE ADDRESS: 14767 SW 109TH AVE 1 -12 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APT. LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Deck repairs to 12 units. 10/05/04, adding stair repair to project.
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 -01 603- 968 -8800 N
Corrections /Comments/ Instructions:
•
E RASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date / ( v Phone #: (503) 718-
•
A h`t
1-
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By ,J 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 _ 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 Inspection Description Date Passed By
Suspended ceiling Post/beam mechanical
_ Gas line
Engineered soils Mechanical rough -in
Welding Lab Final
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
4 Inspection Description Date Passed By Plumbing underslab
Sprinkler underfloor /slab Crawl drain
Sprinkler rough -in Post/beam plumbing
Sprinkler final Plumbing top -out
Fire alarm final RP /backflow preventer
• 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
L
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/01
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00476
. DEVELOPMENT SERVICES DATE ISSUED: 10/15/2004
`' All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14767 SW 109TH AVE 1 -12 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: $ 6,600.00
Remarks: Deck repairs to 12 units. 10/05/04, adding stair repair to project.
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
14799 SW 109TH AVE #1
TI onD:OR 2326424 -7044
Phone:
CP
Reg #:
FEES REQUIRED INSPECTIONS S
Description Date Amount Framing Insp
[BUILD] Permit Fee 10/5/2004 $110.50 Final Inspection ki
[TAX] 8% State Surcharl 10/5/2004 $8.84 d
[BUPPLN] Pin Rv 10/5/2004 $71.83
[BUILD] Permit Fee 10/6/2004 $9.60
(additional fees not listed here) O
Total $207.78 0
I SI
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 6\
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 ) 246 -6.'t or 1-800-332-2344.
� ? if
Issued y: L - r •
Permittee _
r
Signature: ,.p el—■
Call 639 -4175 by 7 p.m. for an inspection the next business day