Permit '" ,,, BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2005 -00311
(-/ lr DEVELOPMENT PMENT -639 -4171 DATE ISSUED: 8/4/2005
•ALL PARCEL: 1S135DC-02000
SITE ADDRESS: 11865 SW 91ST AVE IsagEWEI ZONING: R -7
SUBDIVISION: GREENBURG OAKS APARTMENTS , LOT: JURISDICTION: TIG
Project Description: / S. scj. ,r,. 4 4. ...,..„,,,
( l' Q
REISSUE: 1 FLOOR AREA v EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: A.:9 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: S2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 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: $ 10,000.00
Owner: Contractor:
VILLA LA PAZ LIMTED PARTNERSHIP LMC, INC
BY COMMUNITY PARTNERS FOR 4915 SW GRIFFITH DR #301
AFFORDABLE HOUSING INC BEAVERTON, OR 97005
T 0 503- . 1 2724
Phone: 503 - 646 -0521
FEES Reg #: LIC 161282
Description Date Amount REQUIRED ITEMS AND REPORTS
•
• [BUILD] Permit Fee 8/4/2005 $139.30 Special inspection (see pla
[TAX] 8% State Surcharl 8/4/2005 $11.14
[BUPPLN] Pln Rv 8/4/2005 $90.55
[FLS] FLS Pln Rv 8/4/2005 $55.72
Total $296.71
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 -246- 99 r 1- 800 -332- 344.. Ocd-Cto;
Issued By: Permittee Signatur
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
a
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Building Permit Application � G ' r ^43 bwf � FoRoi =usr ONLY ' •
City of Tigard f CE V � Date a'7 i I Permit No.: G PLO • O
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 / +r y ?) _ Date/B : • / / Other Permit:
Inspection Line: 503.639.4175
JUN �y L U " . •i I , 'ate • ea. y : : H See Attached Checklist for
Inte 1,..1.k, v /vtai ti ..� � '
a a t t51 , , � I -
• _, , - Notified/Method: j 6 Supplemental Information
tGARD 1 x--2.5 Q-, t$.-Y( -C)a -.J\
1 ? s Vi t om . 4 a�a�xy ` Y P:Mit, '' '' i .7 i) - .rx ziit TA ti AND2 F eilii ING
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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
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
fl - 2".g�. ir: * '- -•,e"�"" "'m' - '• mice...a+smrrs�•<ti°�v;.,s.'t • tA'r'_ '3." M.
: '. � 7.e BYa_OF � ' ' t` 1 work indicated on this application.
0 ❑ 1- and 2- family dwelling )'Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
/ Number of bathrooms:
,, ❑ Master builder /_ /-t'3 ❑ Other:
X � q xx zc.. a u� wa a z a'F r
3 ` ` . '` 11,166..W. k �� f`_ T otal number f
. ' 4i � JOB SITE INFORMAT � : f ,` 4, ..• , ,�•, of floors:
rsx{z: h•�'$« s , � ffi.' ` sa.:>.: m �Ss�: a�. sa: �Pr+ ta' s Qara. w �, �: �cr; r= a > ^ �'��' � : ` *� 2 s=a J'�
oil Job site address: / (8_,-.5".3""---
j.5 - 51,(( 9 (lT ,AVNVE New dwelling area: square feet
4 City / State/ZIP: T A17-,p op Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: j`(e:;‘)17. OA, Covered porch area: square feet
Cross street/directions to job site: , .9 i $T ,gyac^/lJ 77-1 Deck area: square feet
cf c• E:g g, ve,c_. o 4 p Other structure area: square feet
I REQUIItED `DATA•iCUMM .7.t r.
Subdivision: - Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 s 1 O'T Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
i " -' 1 . 4 . - 1
�' � ;� ' w :. °�DESGRIPTION O F�W ORK _` s� -:. °` r.:' work i ndicated on this application application.
t • Vim! Valuation: $ / ppp
I t • aric:R . App./ - T 7 Y l
e - t `..®(Nl‘=* h j �� e) AI/ e, J Existing building area: /(po,2 square feet
• 0 �v! J New building area: 1 7 .g i t, square feet
II) w/ y' tt i fn_ '.Y:"tuS. SS.., F;„y ?„,,^ Y y V err` r...
: ' -y „ , �7p , ' , PR OP E R =T4P OWN i �y.1lyx l . ' t ,.. _ ,,TENANT , - _ Number of stories: ki E
'k: ?,i�:t?x �z. ��r � - * =a ±s, . ,�. , s`r.:,.�3.�. �.. -� �vu °a�_-- d °.a.fadaJa ° � � w� - �..�. �..ov'c%..4..�a ";..?Y' O
Name: Y 1 L . 4 44 pIAZ tKvL$ (- g.5 L <14" T e of construction: v 1 GoMMue4n-Y PARTKC/L5 Ps w=42. Aor■°RO4.81-e. /icivtK'.
V Address: (pSS,p 5 W M' pq r cl4, p srg. , , 5(J( ric (c 2• Occupancy groups:
City /State/ZIP: 7(A(Z.D c 9 7 2ZS E xisting: A. 5 ( 5Z
Phone: (51a3) 9Yo"<r3 2 Fax: (6 3 5
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AE LCAN ;, :.9i p t N-4,-'4‘,:;;;T:. - : -. o » ., ,
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l _ . . . rx r,^ _. ,,,t ,�. -zi.. 2;: ..: .u_.. -:,,5 .... _ :°.X��. v3. ..., ... �'..= .`.""�::.l..s:� .. ry _ .•:.. r ;.
�e ox, - :s m's t- e s ���s rxeM r2, ,,.�.�"f� �..;.,::.
Business name: r ° 7/ („ fART r •Ff(7"A---7 - -.,etc All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
S(titA4cyv 4 under ORS 701 and may be required to be licensed in the
Address: 'SS g7'6I A. V • jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt fro licens
�(
licensing, the following reasons
} � p /. o tom► 9`72 o 9 • apply: /: • &
P Phone: ( 7 x1 2/1t' = - 2.2 5-7_. Fax:: ( t..,29 ..z4 3 - � .z.� ( �a . 55
r E -mail: h / ... a t 5i Apt q C Aat„,,•Gcit..> LL'
A�' 3 ' :�; c h.-X •"s Vie. -�•., .ue. r.,e• ar :.,�zu� °1T.F'zk":ci='�:r..c- ria r�.....,.. / / / , /T
4:toi: t _y 4 : %ItS :wli GUNTRACTUR t P' ^ w: ' ,4. r4 _£;•- ` l / /// � *I , - ,11, :.�' `G`Yo%.,7 ;:`,-,,,.. ,e hz .. >`.�✓,, `t l i.,, -# Fy S 7' l»i- ?'k^ Busine V �* / c_ ss name: �-1V( l�Cl� ,
? .=?; .:� "- BIIII D GCE vx S ai ..•, '`-, A %t - e-t �. ` z, - . --:xz+ ::: IN ERM,,, ,,,,At •. -:4 . . Address: 4 Su! �¢Z.tFIF biz . 5 3 ° 1 s-;- •. . •_�.� j .•. ._ .Ffr =_�'`
( Please refer to fee schedule.
U City/ State/ZIP• 664••107 C) R. '9 `7�oS
/ Fees due upon application
Phone: (5o3 Co046:* 052 ( Fax: (5ea3) Co 44:. - G 7. s 2 �J
CCB lic.: ( Co ( S 2.., Amount received
Date received:
Authorized signature: i& �ly This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: &R,.A 5,4,4 Date: Co • ' .' -c::.- * Fee methodology set by Tri County Building Industry
Service Board.
i:\ Buildingwermits \BUP- PertnitApp.doc 12/03 440-4613T(11/02/COM/WEB)
CITY OF TIGARD 6-
BUILDING DIVISION PERMIT #: c 5 00 3 /)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 r�4pl�iil�'�II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / / (2 f ?/ - /61---11.`-e--- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: e� � ��El, , d
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: Alt) PHONE #:
— ki I " eire Irhi
Inspection Request Scheduled For: Date: 6 -.71-4 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6
q q S4D6 r ./A-‘ttf - 6,q - 3 7 q
Corrections /Comments /Instructions:
s i All
\ jt ®e
V
•
PASS I I PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
n FAIL I I CALL OR INSPECTION ❑ ADDIT ' EES ASSESSED
Inspector: L Date: 0 Ph one # : (503) 718 - 2 4-0
1
P OI
( )
CITY-6F TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 134120(X)
Phone: (503) 639 -4171 r +l�91 i
Inspection Requests (24 Hrs.): (503) 639 -4175 '�L.
INSPECTION WORKSHEET FOR DATE: 612312006 TIME: 7:16AIMt PAGE: 53
SITE ADDRESS: 11365 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: 182 sq.ft. storage addition to community building
OWNER: VILLA LA PAZ UNITED PARTNERSHIP PHONE #: 503 -9€ 8 -2724
CONTRACTOR: LMC, INC PHONE #: 503 -696 -0521
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032230 -01 503 -969 -3279 N
Corrections /Comments /Instructions:
MA/L 2006, .-- COc?(_,
Etc -zcc - Ioa
— b 1 1/4) EC--b A s y e__, PepAA/1( F(' 04 c _ I . 44%- - t:
I ) - d ' Ss
PA I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED •
•
Inspector: /■ Date: Phone #: (503) 718-
CITY °O TIGARD .
li BUILDING DIVISION PERMIT #: BUP200S-00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2006
Phone: (503) 639 -4171 � ��gmn���iiq��l j�l��
Inspection Requests (24 Hrs.): (503) 639 -4175 ....._�
INSPECTION WORKSHEET FOR DATE: 11 //812005 TIME: 7:17AM PAGE: 60
SITE ADDRESS: 11665 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: 182 sq.ft. storage addition to community building
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: 603- 968 -2724
CONTRACTOR: LMC, INC PHONE #: 503-646 -0521
Inspection Request Scheduled For: Date: 11/18/2005 Pour Time: 10 :00
Code # Inspection Description Confirm # Contact # Message
805 MFG- Structure grading/footing 021860 -01 503-969-3279 N
Corrections /Comments /Instructions:
( ----`
. A i / ' 1 }
OOFA 1 ' . liaMagi "& - ---' FrA74
1U0 Ft v
ASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
__
Inspector: ��, Date: t(Fp2/ C Phone #: (503) 718 -
CITY-0,f. TIGARD '
BUILDING DIVISION PERMIT #: BUP200S' -00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503) 639 -4171 40 i
Inspection Requests (24 Hrs.): (503) 639 -4175 �. ' ' J.
INSPECTION WORKSHEET FOR DATE: 11/2212005 TIME: 7:02AM PAGE: 96
SITE ADDRESS: 11865 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: pR:EENBURG OAKS
DESCRIPTION: 182 sq.ft. storage addition to community building
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #: 503-968-2724
CONTRACTOR: LMC, INC PHONE #: 503 - 6460521
Inspection Request Scheduled For: Date: 11/22/2005 Pour Time: 10:01
Code # Inspection Description Confirm # Contact # Message
210 Foundation walls 022186 -01 503 - 969.3279 N
Corrections/Comments/Instructions:
51 [4 6.3 trizteT
•
•
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 1 FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 1 l ` -Z:Z di 'hone #: (503) 718-
CITY -OF TIGARD .
BUILDING DIVISION
PERMIT #: BUP2005-00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2006
Phone: (503) 639-4171 . 4 , 0101t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4120/3006 TIME: 7: (klAM PAGE: 76
SITE ADDRESS: 111365 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: 182 sq.ft. storage addition to community building
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #: 503-968-2724
CONTRACTOR: i-MC, INC PHONE #: 503-646-0521
Inspection Request Scheduled For: Date: 4/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
375 Framing 028339-01 503-9693279
Corrections/Comments/Instructions: 4 -1- '' o i■ G ry
if isle
4 f
41111
II
PASS I I PARTIAL APPROVAL fl CANCEL n NO ACCESS
FAIL n CALL FO* INSPECTION n ADDITIONAL FE S ASSESSED
Inspector:
Date: -212) reetone•#: (503) 718sL\--z3
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005
Phone: (503)- 639- 4171 a�lpa � ���1 " � +�
Inspection Requests (24 Hrs.): (503) 639 -4175 : .!. "' I ..
INSPECTION WORKSHEET FOR DATE: 6/2012006 TIME: 7 :01AM PAGE: 47
SITE ADDRESS: 11865 SW 91ST AVE MAINT ROOM CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: 182 sq.ft. storage addition to community building
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: 503 -968- 2.724
CONTRACTOR: LMC, INC PHONE #: 503. 646 -0521
Inspection Request Scheduled For: Date: &2012006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031988 -01 503 - 969.3279 Y
Corrections /Comments /Instructions: 66N1P t Rv
- 1 Lit ,' _ { �-( A �` .adl a , " —
1%
1 •- ' 1, 1-4.,- V ' ir, , ' A
" n P ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDIT.r4NAL F ES ASSESSED
►14
E�;
Inspector: Orr J Date: 411 aw Phone #: (503) 718 - 7"