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Permit IN ., Pt TY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00324 COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135CA-00600 SITE ADDRESS: 11200 SW GREENBURG RD ZONING: R -12 SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG PROJECT: AUTUMN OAKS APTS Project Description: RE -ROOF Buildings: H,I. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 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: $ 13,894.00 Owner: Contractor: AUTUMN OAK APTS. INTERSTATE ROOFING 7327 SW BARNES RD #122 15065 SW 74TH AVE PORTLAND, OR 97225 TIGARD, OR 97223 Contact #: PRI 503 - 684 -5611 Phone: 503-421-5121 FAX 503 - 639 -3056 Reg #: LIC 55485 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/18/2007 $177.70 [TAX] 8% State Surcha 6/18/2007 $14.22 Total $191.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, St.. e of OR. Specialty Code. and all other applicable law. All work will be done in accordance with approved plans. This permit wil expire if work is not started ithin 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law r: quires you to follow the rules . dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 - 0010 thro igh OAR 95 '101 - 0100. You ay obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. i I i Issued By. . fig g Permittee Signature: 1� V!�� i 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. 4 . ... Building Permit Annli P J V E 0 FOR OFFICE USE ONLY -- Rece City of Tigard 1=ji Bved v 1 9/ , Permit No.: I 2077 05 13125 SW Hall Blvd., Tigard, OR 97223 . , I I i . 2007 , Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /ar Other Permit: I ' ' Date /B . Inspection Line: 503.639.4175 CITY OF TIGAE4— - 1J- DateReadyBy: ®See Attached ChecWistfor Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: Supplemental Information 5 " '%; . - c,n -;: { : ° 9th +, v',� "` - '* a�(' N =n 3?::. A, ° ":r.`r.'� ��.,e+:,,�tz;:.piu3._ - t-� w:.:- -.rod, v^_. y ^- - _ sm.:ta-.;,'� � .�; ir. -u. S.,.,.. , . s.?" - »^«-.5 sut.'+sam+s• -,. - �< ...;� S:- :`i ,.roa�.,R4 Wr .i i.'"'a t f : 'k q .q . 7 - :='� V - q ; =° ' ., . TYPE OF, WORK• ; 4. . ,.= v ., '_ C -„ REQUII2E , iDATA. +1r: FAMII:Y' DWELLI, 2-1 , : �'± t:�'fe�b`? ; - .'��a� �«� «= w'i(::� r��•° ��'^, �S - . '` r- �.*„��u.� ":� �., as? zh �; ��� ,c'ztr...�t'��A- ;.� '�.- - � .:. af ��"x.S%" -. 3:.° nw- mva�.. s. �.•r:-- a. ::. >- .M,a.�.�.<_,. abi.�ae: �.: �.��s�-r�sr �- .�,rs :. =�..:, ['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 _ '¢ ` r4 rag r a t ",,` •, ,' � °, r wo indicated on this a lioation. ; � } „GAT -EGORY F• CONSTRUCTION'" ' � , ? ,, t PP ;� ', t,. ,t�. , L- � .,n.^� :;�es�au� �::: �. •..;:: k.- v.: n�. � ar',d,- u;. �� „� ,�� � �� # ;.;,....- "4ra.,.3. .t -r El 1- and 2 -family dwelling El Commercial /industrial Valuation: S 1:1 Accessory building 12 Multi-family Number of bedrooms: El builder Other: Number of bathrooms: MP.. ,,J , , JOB;SI E INFORI TON A LOCATIOIV .a Total number of floors: t aw r:. Job site address: // 2 b D st G rZ, J13tA.2 G p p New dwelling area: square feet City /State /ZIP: 77 ‘ ARD )R 7 . 2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: BLDG_ j Project name: i to - J1 0A A p r s Covered porch area: square feet Cross street/directions to job site: Deck area: . square feet A i L Other structure area: square feet xra 'v* nMarrr °y, 'a�axYsxjr.rz'•,d 4 REQUIRED lLZ'T tC011'IMERCIALcUSE,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 m ,.. Mxk,_f ,.: F e ry 6 14a &w r L, z _ u ", r teitg -t r S n DESGRII'TION AF WORK,- k "l`e' work indicated on this application a Nifty i. '�. z_' ;,:, . , s ia.. _ ”„ .;,. c am ++,.. h • - + "z..it ✓ E � PP P/T4tf� r % y Valuation: $ e Li QEMOttc' A t-L C)/d) /Zt 2d� ro v -cKe Leii/ P�1,1 zo -Ld4sr 90i14 1 r y NecI/A�U/cALLy R 77AC// o+J Fl�IrAize4s, , , rrs/e© ime.4 s --Lily /s' /a Existing building area: square feet f FC.� 5N /� C.- llen r-s AAj0 6141 .3o A2 T /ML3G�/Ltr All°. New building area: square feet y _� t "iii a .�, . : �.s .,.' ea iiL i §e: ?.re ^- �rr., . n a^, r,.^u'''' Hr:-«PRI z,., �r 3 v °,r, PR OPER1Y' OW NER R �r , � . fi . ® TENANT :1 -" Number of stories: �Tii'3#+�' .�*sits,.. >�.rar+ µ�«,y.k. u.;;,L+.�uerx:vnzs.4,3:xna x a��s. . m,.. a -a .f. _,..,'�. �. -.r .u' .v ..fiit'v.�,. 3a '+rs..�',e Name: A L_, Tc Id c' 5 Type of construction: Address: 0 Ci d 5'1i G R, L ElV •a ix-2. 6 •0 Occupancy groups: City /State /ZIP: "r` 61R2 Q / b 4 7 3 Existing: Phone: (s £ /.z / . 5/ 2 ( Fax: ( ) New: dI ,t "3.'f i;tPA. kti+. ^wr - , .]... j-;1' ;id,3 i r' 2.. ., ".'eik �'��iTJv.;..'. •. er�tap . "KL„ , e t i �„ - z =;"aar x ® iCONTAGT r e �e4+:' N _x ,, N o T t e z;, � ' ti -z ,wr ,,a, i�,t��.�,xi� - . �' �. �5! R: �; ��; ��, a«�,:.��a.�`s���•M�:�,�^�:��... }�:��,,<;- ;,, «�„ �P.- ESOIY��+'��,,� kd�;:_- � �. r ,�^,� � � ,.. >.. �s €: >', ''''''' ice:. '?t; - ;1 1 ,, NO "* % N 4P � 44i � '., r: ��.:« � ��a-•' �'.« �. "w;� ; a'� .`.. •;�.c. a�:. M: r•«; �".` �� .`�.;�Y; °.?�,�?i9r "t Business name: / /Jx S p ��p- �/, G All contractors and subcontractors are required to be Contact name: O L47 5 0 �z�c L A S licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /5'0 6 5 S f-,) 7 V77/ A ve - jurisdiction in which work is being performed. If the City /State /ZIP: �p R 7LA n/p O 1 , `1 2 / �! applicant is exempt from licensing, t the following reasons apply: Phone: (563 ) 6 gy /a fl Fax:: (5f:3 J P 0 5.6 I �. / E -mail: 'C - � ,�;. try` 't~�: "iRxa i':':tr�'•, ^.`�,,,�� :- i.`�bb'.'+�..'_,: '.+"�3�.'_C�,sgi_. ,.atc'��; .. - �:,�,. .t �..�s � a ..,.�. r # - 4d at ` CONTR eVtt jet. FV a 3r `l / •"/ / tl:r- Ms.1,:. ei: t �,,.°,, "tk.. _.0 -'r'" ", + ,.._.;r -, ,, i : ?i ? IA ,4,..' „_tl *`^.�e • " "tl! t Business name: aF • 7 N - eie 67717 e2 � / A) 1 11 - :; ' A d- . 31.x_ :4 na,.., 1. .cam , �";,t's BUILDING`:.,EERMIT � :FEES±%'.?;�;H� €: ��`,::�3 _ Y�9 -FIB:' . �:3'?.§.�S,..', k,'t;.+�.ru....�'w.:r._�x,t?:, sss� :v_Y „r...:,w.= :xx:.�4ai„3;.;�_ ... �8:�? �.:: °- ?� >...�'r Address: / ,5 6, S 5 IA 7 4/. - / 4 l/e. Please refer to fee schedule. City /State /ZIP: /'1z7 - 4 A / { L R 2 '7 2 2 `f Fees due upon application (6 Phone: ( ea eV 5/ / ( Fax: (.5 < o3) (, 3 3 o 6 6 P PP Amount received CCB lie.: , y j A Date received: Authorized si ature: ` ' This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name: 4 0 / S QR/V --_ LAS Date: * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- 11- Pem,itApp.doc 12/03 440- 4613T(11 /02/COM/WEB) CITY OF TIGARD .. .t- BUILDING DIVISION PERMIT #: BUP2007 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6//812007 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 ill � INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 11200 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE: PROJECT NAME: AUTUMN OAKS APTS DESCRIPTION: RE ROOF Buildings: H,I. OWNER: AUTUMN OAK APTS., PHONE #: 503421 -5121 CONTRACTOR: WWII NG PHONE #: 503 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053935-04 503 - 593.6578 N Corrections /Comments /Instructions: K PASS PARTIAL APPROVAL CANCEL (l NO ACCESS FAIL /rA CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: ■11.- Date: e / / 0 ? Phone #: (503) 718- 2.6y7 , , , ■ CITY OF TIGARD , BUILDING DIVISION PERMIT #: BUP2007 -00324 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18 /2007 Phone: (503) 639 -4171 i Av � r . Inspection Requests (24 Hrs.): (503) 639 -4175 `7"1.'°' . INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7 :02AM PAGE: 66 SITE ADDRESS: 11200 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE: PROJECT NAME: AUTUMN OAKS APTS DESCRIPTION: RE -ROOF Buildings: H,a. OWNER: AUTUMN OAK APTS., PHONE #: 503.421 -5121 CONTRACTOR: p#.121G PHONE #: 503 - 684 -6611 Inspection Request Scheduled For: Date: 7/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 250 Roof nailing 052675-01 503 -593 -6578 N Corrections /Co ents /Instructions: Lam --- 7 C—e7V —(9C_ n PASS ,%S1 PARTIAL APPROVAL n CANCEL NO ACCESS I FAIL , A LL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: �` Date: C '�' ® Phone #: (503) 718- L� II