Permit t' ' C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00232
' r 1 DEVELOPMENT SERVICES DATE ISSUED: 6/1/2005
A•41- 4 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DC-02000
SITE ADDRESS: 11865 SW 91ST AVE * ** BLDG 3 ZONING: R - 7
SUBDIVISION: VILLA LA PAZ LOT: JURISDICTION: TIG
Project Description: Includes address 11878 SW 91st Ave Bldg 3. T.I. - exterior sheathing & window replacement.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: $ 217,000.00
Owner: Contractor:
VILLA LA PAZ LIMTED PARTNERSHIP LMC, INC
BY COMMUNITY PARTNERS FOR 4915 SW GRIFFITH DR #301
AFFORDABLE HOUSING INC BEAVERTON, OR 97005
TIGARD, OR 97281
Phone: Phone: 503 - 646 - 0521
Reg #: LIC 161282
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/1/2005 $1,200.60
[TAX] 8% State Surcha 6/1/2005 $96.05
[BUPPLN] Pln Rv 6/1/2005 $780.39
[FLS] FLS Pln Rv 6/1/2005 $480.24
Total $2,557.28
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: Aipv - Permittee Signature:�L
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application MF '. "` "0 i S
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City of Tigard V Received 1 , DateB �7 %:1? /''' �' I ) Permit No j �' < „ ,!,vr 5 — 6) v 2..
13125 SW Hall Blvd., Tigard, OR 97223 - - PIanReviev/ i
Phone: 503.639,4171 Fax: 503.598,1960 ' - ' ' ' `' /' f�l���) hov +1� , Date/By: Other Permit:
� Q� �� • Inspection Line: 503.639,4175 c� , '`' Date Read B y: j s: /My See Attached Checklist for
�, �_ ; �
Internet: www.ci.tigard.or.us Notifiedethod: . /( F Supplemental Information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
•
g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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r .-.v. - r'" ?' •X °s•. work indicated on this application.
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❑ 1- and 2- family dwelling ❑ Commercial /industrial
Valuation: $
❑ Accessory building ► ∎ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
rr'K" `'' Total of ^J number o floors:
O.B` �' aITE "IN:Fs'O � 'CIO D;,'�
: 7 ,6 , . Ro c ° � t "T . .:. ,�.I OGATIQIV
Job site address: s t - 9 (5T „d&EHvE. New dwelling area: square feet
City/State/ZIP: '-/- 1 p12, Er..p1•1 Garage /carport area: square feet
Suite/bldg. /apt. no.:134,C6. .3 Project name: QRG,E,MSVR OAKS Covered porch area: square feet
Cross street/directions to job site: O1.1 9 (ra r AYE(.(ut. sc.-)c' TH Deck area: square feet
c3F-t°- , Ra.E14 gV (Z.0 R aA d Other structure area: square feet
4-2._EQII RE1)35A.TAilC.OlVlS/ E;4,; 44 CHECKLIST.
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: d 7 C �
fmp map/parcel i '; , *m , ;, „ u * . equipment, materials, labor, overhead, and the profit for the
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Valuation: $ 2, ('7 c?aC
5[DIN� Rep LAc —amOwr 4 DF-CR 12,APAI1Z. /
Existing building area:2 / square feet
New building area: NG> < 14 Aprof square feet
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Name: <o MM v i PAMTN ERZ Fo R AF�FcP.Dl4 B Fiol1S /KG yP
T e of construction: .rype_ Y CNE_{ - (1 2 .
Address: 14=: S8 ®. S K! M oC gALD $T 1Z , 5c.) lTE /c1' 2. Occupancy groups:
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City/State /ZIP: T(AR.D r QRE 0 772.24 Existing: R -2. C2oc'3 ( 0)
Phone: ( o3) Qom— 2721 Fax: s'c3) 59 89"1.3
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Business name: GAR./-•I~ -(-oN HAR.T Ap.GH/ T—E‹ All contractors and subcontractors are required to be
Contact name:
j p I� Ke licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: '322 iiii IA.1 8"1"N AY E uE. jurisdiction in which work is being performed. If the
City/State /ZIP: p ® g- r f® o E� e 2,pe� applicant exempt from licensing, the following reasons
apply: \ ) /la .;,t /') !
Phone: (S r 2 3 - -2,,s,5-1_, 3
I Fax :: ( ) 2 3 - 3/. c / 5 i- "7 5'
E -mail: bradsttN a GheZ pc.C c'
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Business name: L/1/44 I h(G . 0 ��
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Address: .4' j I S '�j b�c( ,( FR i ri-i PR, S u f re 7c' ?; •..,.. . .-- ,.:..•:,, _ refe .�::•. ^m:,,-:: =�;. -.:3,, , - .
City/State/ZIP: Please refer to fee schedule.
Fees due upon application
Phone: (5 (0 4(0 - oS 24 Fax: (5 Flo - 0082
CCB lic.: C ( 2..e2_,.
Amount received
Date received:
Authorized signature: �....c.A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 612 5 (M4../ p*,(5 Date: 51g,,7/Cs S * Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
CITY TIGARD
.. . , .
BUILDING DIVISION
PERMIT #: BUP200S-00232
13125 SW Hall Blvd., Tigard, OR 97223
A
DATE ISSUED: 6/1/2005
Phone: (503) 639-4171 tito,11
Inspection Requests (24 Hrs.): (503) 639-4175 ..„---, -..
INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 27
SITE ADDRESS: 11865 SW 91ST AVE *41' BLDG 3 CLASS OF WORK:
SUBDIVISION: GREENBURO OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Includes address 11878 SW 91st Ave Bldg 3. T.I. - exterior sheathing & window replacement.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: LMC, INC PHONE #: 503-64&0521
Inspection Request Scheduled For: Date: 6/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032067-01 5039693279 N
Corrections /Comments/ Instructions:
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I PASS — PARTIAL APPROVAL fl CANCEL NO ACCESS
i FAIL n CALL FOR INSPECTION pi ADDIT NAL EES ASSESSED
Inspector: gr./4f Date:
24 r) Phone #: (503) 718- I -