Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00338
All DEVELOPMENT SERVICES DATE ISSUED: 8/2/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AC 00500
SITE ADDRESS: 14763 SW 109TH AVE 1 -4
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: t FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 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
PQRT 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 Surchart 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: AP
Permittee /;-
Signature: < 4W
Call 639 -4175 by 7 p.m. for an inspection the next business day
P■
. -•
Bijilding Permit Appliectrin-IVEr) . FOR OFFICE USE ONLY
'
City of Tigard Received 0 7=illpMellff oot ;3 '. .5 ' .--
i 3 ! 25 SW Hall Blvd., Tigard, OR 972 21 1 /1. 1 6 2
A0
Phone 503 639.4171 Fax: 503.598 1960
4111p446114410 P Y le w
Date/By Other Permit !nspecnon Line: 503.639 4175 CITy 0
_ l '.....4 Date Ready/By.
...2 I El See :Attached Chr..,:wat I Or
In W ternet www ci.tigard or 8/ ,,, U...D F T 'QARD NonfiecVMethod
Supplementat Information
WG
D/ViSfor
1 . . ',: Ni ..15V.TialOik:Z4reliittili:Lt:.**-- grarti*:"65:74(tteti5.4.3i ' P, 1: DWELL INC
0 New construction 0 Demolition Permit fees* are based on the value of the work perfc.
Indicate the value (rounded to the nearest dollar) of a::
gakddition/alteration/replacement 0 Other:
equipment, materials, labor, overhead, and the pron.. -..o:- the
-41 --; 6:-,t,)`6„;.,- ,; ,17 1 : , a,„ ,1 :.I.:=: „. uj i .i y. :, . work indicated on this application.
, : i-:. '-w"Af,' .-. x's ' '. ' ; „,.. ..W .; 1 ,,, i . ,
'' .f.44.:E •.P.
--1
Valuation: S o lkov , ov
I- and 2-family dwelling 0 Commercial/industrial
0 Accessory building ELMulti-family Number of bedrooms.
Master builder 0 Other: Number of bathrooms-
110B ''SITZ\ W P ORIV 1 4 10 ;' , 411) . '4 0 2'10 1 tV''''' , :..- • . '. : - . ' Total number of floors
Job site address: /r_/7 6 - 3 s -- 0 toe; A
/ New dwelling area square fee:
C:r\ State ---- .-
Garage/carport area square feet
S_,:e bldg .apt no. k.-J ] Project name: 1---- yr , A e n c Covered porch area square fee:
Cross street:directions to job site I r , q ..-1-t, ;. /41 „ c i o ( l c
Deck area square fee: 60
Other structure area S,..;....:7;
REQQMED DA'I': comNTERcIAL-usE CHECKLIST
o
Lot no. Permit fees" are based on the value of the %%06: perfo:
Indicate the value (rounded to the nearest dollar; of a::
Ta \ map !parcel no.
equipment, matenals, labor, overhead, and the prof:: fot
'. .e .- )).6c..,1404:2 ' i Tfc*zf. ii4Lf :. ..... .,. work indicated on this application.
Valuation
gefcc_ir clerk s
Existing building area square :et::
New building area square fee:
'-';...;.: :...!.1 f%ik:TISiii:M*O .:'-iii*,::. P..;;;-- :. Number of stones
\ ' ( . ; f C. A-5 5r- (--; ,,-l-r. c- Type of construction.
dress Pi q e i 5 0 / (7 cl /7Z..e Tr- / Occupancy groups-
Cr. State:ZIP --- •
rd 0 k 2:242-Y T y xisting
Phone ( _ Lfti 62_
New
1... '.:P '1.`?..;,:: 1 , .! . ..:7„.11,1, 7 ' .l : : ,NOTICE . -
Bustness name i p k At
It 56e r; a - 1 - e'S All contractors and subcontractors are required :o I
licensed with the Oregon Construction Contractors Bo.r.7.
Contact name
PIA. 11 ri c_ 1 g ki ir
under ORS 701 and may be required to be license.: -:- :'....-:
ress / 7/1 SC /C 7 7 t - / junsdiction in which work is being performec V :ne
applicant is exempt from licensing, the follo%+1:
Clr. State ZIP ---
r5eLr4 f op ? 72 171 aPPI:
Phone ( ) 6. K - >o/Pri I Fax
E-mail
. .... , . . , . .... ...
* ,,- r_ v.t -,..! ••• 1.1 r**- .c.ONTRA - 01: . tpi■:: , ,. .-• -,.: ,,.,
Baseness name i f L 4-55ac _5 , -..•• .,, .,, • • • .
P-i '' .:', " ''BULLNG . PZR,Iillr
-\
dress L .... y s„..5 ., 5 1 7 Acre. -4 *-/ .660(
Please refer to fee schedule.
C r, State:ZIP ,---
f
__I I r d , nk ( 7'242 5'
Fees due upon application
Phone 15-cl) — - 70 LP/ i Fax. (5 )C2 q....7 c-cj
Amount received
CCB lic
1 Date received.
k ... Author:zed signature f
ti A KTIMM...'" This permit application expires if a permit is not obtained
Date i within 180 days after it has been accepted a, compiete
- -. -..- - Fee methodology set b■ Trt-Count\ Kilc.r. :::c..s:•
Service Board
?1---ruu 3: ..7 . •?,7"4:A;." :oc :,3
440-1613T( 11 /02/CQM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business 'ne: ( 3) 639 -4171 MST
BU – fib 33er
Received Date Requested /0 S % PM BUP
Location `✓/ / � 1 Suite / — MEC
Contact Person i�7aN lO Ph ( ) it
7—e00/ PLM
Contra tor Ph ( ) SWR
qBUILDIN Tenant/Owner / t /e____ / ELC
Footing
Foundation ELC
Acce
Ftg Drain ELR
Crawl Drain
Slab Inspect, otes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int u -ath/Shear
4 ing
nsu a ion
Drywall Nailing k�
Firewall In
Fire Sprinkler Oc
Fire Alarm U
Susp'd Ceiling
Roof
- , I 1101
PART FAIL
- , BING /
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 -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please cal or reinsp: tion RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
ID Approach/Sidewalk Date I nspecto I Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL