Permit "' BUILDING PERMIT
CITY OF T I GA R D PERMIT #: BUP2004 -00299
v DEVELOPMENT SERVICES DATE ISSUED: 7/19/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14733 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: $ 2,200.00
Remarks: Deck repair Apts. 1 -2 -3 -4
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORTLAND, OR 97210
one:
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 6/23/2004 $72.10 Final Inspection
[TAX] 8% State Surcharl 6/23/2004 $5.77
[BUPPLN] Pln Rv 6/23/2004 $46.87
Total $124.74
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 -00 I • ough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling .03) 246 -66" or 1- 800 - 332 -2344.
■
Issues \v L •
Permittee
Signature: CL -- t t ��
Call 639 -4175 by 7 p.m. for an inspection the next business day
iiuildin Permit A li a 'i FOR OFFICE USE ONLY
City of Tigard aC — Received ,M / ; ,/ n //
_ � -�/
13125 SW Hall Blvd., Tigard, OR 97223 ,\ ,. 3 20 Plan R
P / . LI
a L Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 t '. /` .,. i Date/B Permit: : Other Permit:
Inspection Line: 503.639.4175 of - - - 'if '- Date Read y/
By: See Attached Checklist fr
Internet: www.ci.tigard.or.us a - ' —a Y * ` Notified/Method: Supplemental Information
CITY OF T19ARY5Wr � i
(-) :. 4 :' 7,1x! ;i rt + ^,tfii w
r' t:m &A : 3 �t 3 . �+a ®" t, .. z:: o .4 � � �„ y o U� � "1 3 :. Y'DWELLING •
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
:' � t , 4 4;: ' a®
b''' `,, :r ;I: ` Nt, work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $2 ,Z • Cf-C,
❑ Accessory building [Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
-er -. 4 t ? 'wes -'+ f
" Total number of floors:
Job site address: /if i 3 ' c I, ) j a c tL fl-u- New dwelling area: square feet
City/State /ZIP: j i c /./ , r A t n p p 7 y Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: ) f \ t>1 �, e f' I n t° Covered porch area: square feet
�5 .
Cross street/directions to job site: Deck area: square feet
ikPtS , " g. 3 - Other structure area: square feet
RLrQ,,, t EDfA' I` A. COMMER -USE CHECKLIST
Subdivision: 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
° =; r i ,- " 5�, tiiik 1tii #;''` , ' work indicated on this application.
I ` ---P Q G i (' (1 e C k Valuation: $
1 Existing building area: square feet
New building area: square feet
'; c Ik.'''' s 'i " " " i!''4";',7';'7;4'5 " 4. . 1 a ... -'. Number of stories:
Name: (..! 9 k 14 S SdCi �r
p Type of construction:
c
Address: / c/ 7 7 5 S Li i r, - ( Occupancy groups:
City/State/ZIP: j r, c r d ) ( u 5 7 1 Z. V ;� Existing:
Phone (SU ).Y!r z L ) p c/,/ li Fax (5c� / �L' t, New
k '* sJ t * s r?� e rq �t Ry� ; o- tro� �av
4 3'f�, k . ... � Ri,h' i i ,4 AS :r4 i 'i�O ' ? ,Xa W,',:1;.,',1.! x Y4SN i .l�t' Y1F
Business name: l j i D 11_5 S 0 C'i t; _fry All contractors and subcontractors are required to be
Contact name: ni c T 1 , /� licensed with the Oregon Construction Contractors Board r
under ORS 701 and may be required to be licensed in the
Address: r �/ S G f 14 S ( jurisdiction in which work is being performed. If the
City/ State/ZIP: l c c ( 72 Z y applicant is exempt from licensing, the following reasons
J Fri , 1 a l j7
Phone: (S 0) `2 - ?t1 tit/ Fax: : ( 5�3 ) C 1. ` 7 b . ty . J _ , 81 •
E -mail: /Y
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tf k ,, .' " � ,''';:::''1' } . g E 6 °W 1111 t*.;, 4 '*� !` ,2 -:,,,, X Yk , - � :'' % z
Business name: A v : ,
/� »
Address: r/ 4 0, i . ?zliiill I�(:` E $'
Y ) ' C i S Please refer to fee schedule.
City/State/ZIP: ------- j C ? 2
1 Fees due upon application
Phone: (S' 5) ‘ it _7 64/ 4/ Fax: ( 5 - 6 , 3 ) 62 L / 7G,47
Amount received
CCB lic.:
1
Date received:
Authorized signature:
` 11. - C. C t N z �� This permit application expires if a permit is not obtained
I
i within 180 days after it has been accepted as complete.
Print name:
�Y1 i r , t, f, � (1 i r'ino Date: / 2 _ 9 , * Fee methodology set by Tri- County Building Industry
Service Board.
■ , Bwlding\Permns\BUP- PernutApp. doc 12/03 440- 4613T(I t/02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUPo? ( 1
Received Date Requested – 7 — AM PM BUP
Location Suite I Z/ 4 7 1 MEC
Contact Person Ph ( ) PLM
Ph ( ) C Da 7d Li f SWR
BUILDING Tenant/Owner 2 .%r ELC _
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / Ald4
Susp'd Ceiling / Ij _ iW , WL
ART auz,e, G
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service `!1 11111WM1- /-
Rough-In Low Voltage .I,
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL