Permit Er CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00106
COMMUNITY DEVELOPMENT DATE ISSUED: 2/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AC -00500
SITE ADDRESS: 14767 SW 109TH AVE 1 -12 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: TIMBERLINE APARTMENTS
Project Description: Repair (2) sets of stairs to Units 1, 2, 3 & 4.
REISSUE: 0 0._ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALA 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: $ 1,120.00
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORTLAND, OR 97210
Contact #:
Phone:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/26/2007 $62.50
[TAX] 8% State Surcha 2/26/2007 $5.00
[BUPPLN] Pin Rv 2/26/2007 $40.63
[FLS] FLS Pln Rv 2/26/2007 $25.00
Total $133.13
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
issuan - e ' work is suspended for more than 180 days. ATTENTION: Oregon law requires you t, follow-tile rules adopted by the
0 -gon Utility No I '..tion Cen - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 9. -001 -0 00. You may obtain a copy
of these rules or direct , - tio1 • •UNC by calling 503.246.6699 or 1.800.332.2344. ..
/
l- ued By: l . 4Z i P ermittee Signature: � `_��� j ��
Call 503.639.4175 by 7:00 a.m. for an inspection that b , siness day.
This permit card shall be kept in a conspicuous place on the job site til completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
FOR OFFICE USE ONL ' !d
City of Tigard Received � '/
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: ∎rt Q !% t Permit No.: � , �� � 0
Phone: 5 03.639.4171 Fax: 503.598.1960 ,,.,t' ., , . Plan Review / v
Inspection Line: 503.639.4175 lj�� f'I)� Date/B : Other Permit:
Internet: www.ciO3.639r.us == °^� e ..,. Date Ready/By: prA 0 a t e Attached Checklist for
Notified/Method: Air Sut,plementalInformation
❑ New construction El Demolition .. fees* are based on the value &.1 the work performed.
❑ Additio..t teratio. Indicate the value (rounded to the ne._rest dollar) of all
❑ Other:
x4 r �» equipment, materials, labor, overheat, and the profit for the
.' , _a 4 .' b Q r ' B d -.° r 5 ;a ; work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: /- ,?3. 0 -1- i 1 b 1 @i 11;.0
❑ Accessory building %Multi-family Number of bedrooms: /'
❑ Master builder
n , ❑ Other: Number of bathrooms.
1a '` �- ' e 3 4;.: » r :�,,„., Total number of floors
�"���u°.�- ,�`� . ® [��•�, -� � O � • �. : num fro
Job site address: a 1 , p�1- J e _ ,
�/ ! � - New dwelling area: square feet
City/State/ZIP: LA 0 t r- 1, a , 5N- i
Garage/carport area: square feet
Suite/bldgJapt. no.: I Project name: J 6
l. bel L2 AL.. J J ij .• ' Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
t -�K a^ 4 -':.. t : , : �x.. : "r:.::; - : y
Subdivision: =?'� ,
• I Lot no.: Permit fees* are based on the value ol'the work performed.
Tax map /parcel no Indicate the value (rounded to the ne rest dollar) of all
T ' m x�' ` 1,: �. . �-,"- �� equipment, materials, labor, overheaJ,.and the profit for the
--� ` - a ". work indicated on this application.
'a � - a I ' ' Lia-t 0 Valuation: $
Existing building area: square feet
& -�ti i v { New building area: square feet
t Number of stories:
Name: J -
Of` r - = t � 4 ♦ /� I = 2 -3,- Type of construction:
Address: St4/ 3 T h
City/State/ZIP: Occupancy groups:
Phone: ( ) 64Z/ _ . /Az/' Existing:
Fax ( G/ C)
�'�` „ �.. - � �� -1� "3-, -. ` ', • •_' - - _ . New:
'-...w• x s4a"t 1. ,; � ivR . 0 , y `s` F ,._ , mss• R ;'0 . s, '* . ter:E :g
Business name: �' r'�- r� e•tl t yd;. .�t..
MI contractors and subcontractors are required to be
Contact name: r . S♦ _A .1./ .a i licensed with the Oregon Construction Contractors Board
Address: / under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, t;:rc following reasons
Phone: ( ) C0 —7)) Fax: : ( ) • apply
E -mail:
4. �} = ,. mss a �� kt1 ta' � 3
`^ . t» *. •` ? } �-): ' •rte ` ,'-' '`mss` '
Business name:
Address: e� z ..
City/State/LIP. Please refer to fee ::,;hedule.
Phone: ( ) -- T due upon application T
1 I Fax: ( )
CCB tic.: ' Amount received
Authorized signature: r Date received:
/� /// This permit application expires if a permit is not obtained
Print name: ��� I within 180 days after it has been accepted as complete.
1 Date: * Fee methodology set by Tri- County Building lndusny
Service Board.
Building \Permits \B DP- PmnitApp -doc. 12/03
44 0-4613T(I I /02/COMNJEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2007
Phone: (503) 639 -4171 Atb �jl��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7 :02AM PAGE: 89
SITE ADDRESS: 14767 SW 109TH AVE 1 -12 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Repair (2) sets of stairs to Units 1, 2, 3 & 4.
OWNER: TIMBERLINE APARTMENTS LLC PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050124 -02 503- 407 -0001 N
Corrections /Comments /Instructions:
•
4
0 PASS I P• RTIAL APPROVAL CANCEL I I NO ACCESS
I I FAIL M' A L FOR INSPECTION n ADDITIONAL FEES ASSESSED
b
Inspector: Date: (l J /7Phone #: (503) 718- �V
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