Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00340
dits, DEVELOPMENT SERVICES DATE ISSUED: 7/21/2004
AIL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AC 00500
SITE ADDRESS: 14729 SW 109TH AVE 1 -4
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: l FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AL r v FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: 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 repairs
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORT LAND, OR 97210
o
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 7/16/2004 $72.10 Final Inspection
[TAX] 8% State Surcharl 7/16/2004 $5.77
[BUPPLN] Pln Rv 7/16/2004 $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 -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: 41110/ / v a—
Permittee
Signature: " /' I
Call 639 -4175 by 7 p.m. for an inspection the next business day
.
4 B uil,ding Permit Application
FOR OFFICE USE ONLY . ..
City of Tigard it ii....
Received
Date/B : Mo flio-ME11111IIM,...,,
13:25 SW Hall Blvd., Tigard, OR 97223 ' A
Plan Review
Phone 503.639.4171 Fax: 503.598. It
Date/By: Other Permit
Inspection Line: 503.639.4175 1 6 2004 _sArtYllt Date Ready/By: hal I &I See Attached Chcc'nlit Or
Internet w‘vw.ci.tigard.or.us
NotifiecVmethod.
Supplemental Ink/rill:mon
CITY OF TIGARD
c. r •• = , ..,...,,, t -, : • • In" 1• •
i . - .: T.',";'1`... ::SY.•'•`:`'. •-.'", ' :•%,..i'.:-, t ,4 ` . ..V.1 , 1.N•tii4g,a.itt1 Ve,i3:24RRIMPaiR. 1 rvd*Nb•••i=?',w4:y DwELLINC
New construction E Demolition Permit fees • are based on the value of the work perfot
, Indicate the value (rounded to the nearest dollar) of all
KAddition/alteration/replacement El Other:
equipment, matenals, labor, overhead, and the profit c.lr :he
..A `l'- 4 ''') .-i, :.;°.0.91.4,"'-x bAl • ..• work indicated on this application.
Valuation :
0 1- and 2-family dwelling 0 Commercial/industrial Va 5 lj 9LfrO , CV
0 Accessory building Multi-family Number of bedrooms.
0 Master builder 0 Other: Number of bathrooms
i,t:000- k4445.R:Wg'iqi*itek7%';'.:::7":-.:: Total number of floors
Job site address: isi7% s LI tog fi_ri_c__, New dwelling area square feet
City State/ZIP: --; - ... 0 19. 9 9
Garage/carport area: square feet
S .:ite bldg :apt. no. .I Project name: 1---f c Covered porch area square fee:
/3
Cross street/directions to job site: i 0 q'+ t /11 j elc Deck area square feet 601
Other structure area sq;:are ft::
REQUIRED DAtX: COMMERCIAL-USE CHECKLIST
...odivision
Lot no
Permit fees are based on the value of the " ork perfo.rmez
Indicate the value (rounded to the nearest dollar) of all
T. rnap no.
equipment, matenals, labor, overhead, and the profit for :nc
. '._ .. • • ,,,4- ,:; .-1 ;:' -i to4'.. -- „ .. ):).ES - C4Picki,,Olk - y - 011' . A;H 'I ,.....'.- work indicated on this application.
Valuation: $
Ikefa_Ii- CfPrk
Existing building area. square :eei
New building area square tee:
• : ."AELP-12.0i,tli l c- li :: 't. •' '.'1.• 1 .t , 7r::At1 1 4 -4, • , •1415E1•1•ANT'' - Irft. Number of stones
"c..t-rie 1./ ? A e4r. 5. Type of construction.
dress / 1 1 '7 gel 5 1,5 I (7 cifrilte 14- i Occupancy groups:
CT. State'ZIP: "--- i r9R c7425( ixisting:
P hone 1 5 CA - 20 titi _ Fax: cf..9 0 c - cf
New
,..., - ',-.' =:.EFICONTA:CTREE t -,-, ""'e••.' -- ,'"> 7:: i t • . . "
• -, . ....:7Ar••, .:-..1 -- • •-•••, ' 4...' . 0i- .., • '• '• . ., .. -v., : • ^.- , • - ..:. . • . `'" ' 't .?..."' 0' .,'),,,:. ',.` .■ •.i .NOTICE, .. .
Business name i k i 4 0 r
All contractors and subcontractors are required to r.
licensed with the Oregon Construction Contractors B017::
Contact name: au
- under ORS 701 and may be required to be license..! ii :le.
.\dclress it/ 7t- 7, t r I 0 1 fh
/ junsdiction in which work is being performec 1:•ine
applicant is exempt from licensing, the follo.. in
i.".•:7. State/Z1P• ----- f f 0 p 77
apply.
Phone (9 1 ) 6 t _ - q 1 Fax (st3 )c it _7 y
E-mail
• ,- i ,,,1.71:-.7 -,. it.t.leAt ...- , c•Et....,.:.: .-. ,•. • , ;. ,, : ,,A
Business name: tj IP t, 4-550C, 0 t f l
i
.fi,`:#,.,,,•' '::::. ...,Bt:J
i
Address / ll - 7 I I S 0 I 11— Arre, •
Please refer to fee schedule.
CIT'. State-1TP __ , r i Of,. cr
Fees due upon application •
Phone ("5-01) ---- Lit/ I Fax: (i3) C2 ct- - 7 s-ci
Amount received
CCB lic
Date received:
Authonzed signarure• ... Li.) N
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete
name " Li 1+12."" 0 . 1 Date - Fee methodology set by Tr-County Building ln,:.
Service Board
_ : ,g ?r 31.7-hrrn.n.App toc :::,03
44 0-4613T( I 1/02(COM/WEB)
CITY OF TIGARD 24 -Hour
BUILeJING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 00 y-60
Received t Date Requested Ff / Z AM PM BUP
Location I 'i - 9 �- Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
„40, G Tenant/Owner ELC
ou .ation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation `
Drywall Nailing dir/111 A /i 4 4r,2/1
Firewall � A,S `WW A ,12;
Fire Sprinkler ''! _ ' . i ce / ��C � , '
Fire Alarm J
Susp'd Ceiling
Ro.
Fialr `L ASO
PASS PART FAIL Iv
BING
WI/ — •
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
Rough ■���
UG /Slab A g�� _
Low Voltage
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: El 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