Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00300
' 41/ei DEVELOPMENT O
SERVICES (503) 639 -4171 DATE ISSUED: 7/19/2004
- 13125 SW Hall B
SITE ADDRESS: 14731 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: 5: 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 for apts 1, 2, 3 & 4.
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PQRTLAone: ND, OR 97210
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 6/23/2004 $72.10 Final Inspection
[TAX] 8% State Surchari 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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (50. - • •- •9 or 1- 800 - 332 -2344.
i • —I ciic
Issue• =y: �y:_
� M
Permittee
Signature: igew A i ,IMParl ( _
Call 639 -4175 by 7 p.m. for an inspection the next business day
17nf3c... L.. 1'J C
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Received� >rim _ joov _ to 00
13125 SW Hall Blvd., Tigard, OR 97223 Pla a n /B / .A/
/k es \
Revie
Phone: 503.639.4171 Fax: 503.598.1960 � Date/By: Other Pernut:
Inspection Line: 503.639.4175
• �. r• I Date ReadyBy: 3 ' ® See Attached Checklist for
Internet. www.ci.tigard.or.us Notified/Method: / / / Supplemental Information
t � * � hsa* + , c t 4 -�f Ikl v a E r. / 11 ( 4
s , t . t° ._ SIT . 4 „_ 11; Vx `. , tr¢; - ,. 1 ,,i.. - �,. Y
❑ New construction ■ . Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
. &ddition/alteration/replacement ■ • equipment, materials, labor, overhead, and the profit for the
i „fie Valuation: $ .�2- UOtCro
l 'R � „ ". r � " , 1 +' _ work indicated on this application.
■ ■ Commercial/industrial
V I
■ building C Number of bedrooms:
■ ■ Number of bathrooms:
k , A "` jii to 0€"°`. d t _ " (i -. � fa;- k r" � � , Total number of floors.
Job site address: / ii 7 3 / s CJ (Q % `h- A. New dwelling area: square feet
City/State/ZIP: 0 r n • u Garage/carport area: square feet
Suit:..: apt. no.: al Project name: - -r--) Ai, 2aP 4_ Covered porch area: square feet
Cross street/directions to job site: Deck area square feet
per —z — 3 —�
• Other structure area: square feet
RE:QtJ b CO I IVIWIAL 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
cd "r - � rY� �
- > ..; , A '' , - e - a- .. a '' ' i .c� aw work indicated on this application.
P � Valuation: $
t_ P pet i f CI P r�._
Existing building area: square feet
New building area: square feet
-; per' z" �i Ts'a #:�` rx I}�.V
i:A ° F r ee :1i s ice. I n ''�t • ; .< � : Number of stories:
Name: (,j ? L f} SnC i c feS Type of construction:
Address: i - f 7 i 5 -. 5 GJ f, Y; L/ Occupancy groups:
City /State/ZIP:` - f c c.r r f op_ 9 72 Z y F
Phone: ( S C . ) . — D yc Fax: (S c, ) L _ , c New:
• • '.Y ' s t $ ' " .. .."' ' :,, E y�. . 5y ` ,' 7 �.• -� �, e "
Business name: `�i 4 ����� , t � ..�; .
W �' f R S S O C cd-r s All contractors and subcontractors are required to be
Contact name: m r ,� � licensed with the Oregon Construction Contractors Board
ter under ORS 701 and may be required to be licensed in the
Address: f cy 77 5. S [ I j • 5 ,-,-, 4F r jurisdiction in which work is being performed. If the
Ci /State/ZIP: S f--- / applicant is exempt f ;om li sing, the following reasons
ry I e, rd c 7 Z y apply: '1/4.i 4 � ( /v
Phone: (5e ) G 4 ti —"7!? G/tr j Fax: : (5-0 c 21(_7n5y ,< ,,• , U 7
E-mail:
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Business name: W p k li 55 0 ei r S
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Address: /tr ?q t 5 --- L , (0 7 ` r
$71,4 e _ .. 7II'D ..- MI1' I E -
Please refer to fee schedule.
City/State/ZIP: 7- r r (7 F c� 7 , y
C► Fees due upon application
Phone: ( 5D3 ) C2 y _ 20 to Fax: ( 5 - 0) ) l 2 / 7 0 s
Amount received
CCB lic.:
Date received: i
Authorized signature: T his permit application expires if a permit is not obtained
IA 1 etn� /� within 180 days after it has been accepted as complete.
Print name: ��t (C }t P f 1 t t d It / Date: _ , 23 _, y * Fee methodology set by Tri- County Building Industry
j r7 Y , Service Board.
i ' Building \Permits \Bt3P- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP--70 60306
Received Date Requested 7 — 8' AM PM BUP
Location 1 T 7 3 I /o? `'' Suite I 2 - 3 `/ MEC
Contact Person Ph ( ) lr e q - -70 4./1 PLM
Contract Ph ( ) SWR _
UILDING Tenant/Owner ELC _
o 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
Susp'd Ceiling
Roof
Roof / e
• S PART FAIL ` v
• = ING
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 ` , 1 -
Service '��II� �
Rough-In ■11MI:���___
u � / �
Low Voltage
IWAYAVIMIWArKA4W 141. 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: 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