Permit iM
V CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00321
c :-. COMMUNITY DEVELOPMENT DATE ISSUED: 6/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135CA -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 E,F,G.
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: $ 20,841.00
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 $244.90
[TAX] 8% State Surcha 6/18/2007 $19.59
Total $264.49
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of O: ty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expi -• if work is not . rted within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requi -s you to follow the . les adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. .0 may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ,� yy -- Permittee Signature: i f/ 5 716
Call 503.639.4175 by 7:00 a.m. for an inspection that business d: y.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,.. . .
Bui Permit App acti i IV D FOR OFFICE USE ONLY
City of Tigard Received t Date/13 . -' /0' d Permit N... .... /.,/ %, .,20 1
13125 SW Hall Blvd., Tigard, OR 97223 jt. i I 1 2007 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 ki vf l. Date . Other Permit:
■ . i,
Inspection Line: 503.639.4175 CI OF TtGAF;F_ U.. 1 i J DateReadyBy: ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: • Supplemental Information
' '�.°' _;} ,�_ .. ..., ; :S..r•:'ch::£:dffi"n..•`c5 "F"r`,.T.'t':inY% h:F' S:?$e: :=k» Y�.9`Fa..Y':`3.K _ , eA<.. 3 , w - - . :.'t`;+u.`.ova.",tMn�tviR'i : " "Cd:u. tim�6"�S"y:pi iY:: Y`$»'Cei::Y.Y:'Cr e'lAiiOF.-.'3k`. '«� ».- ds'^
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.- . � _ -, . u eJ , v,T1EE OF . je h: :` " ,tN " €° `'',:�•> RE • UIItED }DAT DWELLING . �w
a,.' .,-- -W- G»�x;f, ., **�`A• --- �,1,-,P_• €: t.' ter. a�-n " '§. .. --k,^� '-.. ^1. JA% ..a,� xt: Q :r; ; ..a`;:: '- .-, ,, t , w :..!,5
❑ 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
" °� - - .,, ,." „ .'s: Why r'r ti <. r `'' gy< work indicated on this a h anon.
H r**M a R .�C' irdaY re13NSTRUCTIat*WW ::� PP
❑ I- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ..Other: Number of bathrooms: .
a F;;f =_ - >:�o-< ; ,R; a> , :r. ° ^,,y
Al '" I , JOB SITE lIVFORMalkiiV isflon CATION t ' r c ' £ 1 Total number of floors:
Job site address: ii 7 (' D S (4 G 2r 6\1O tA.2 G a D New dwelling area: square feet
City /State /ZIP: --- AR, p e)R , ? 72 "2 3 • Garage /carport area: square feet
Suite/bldg. /apt. no.: t Project name: 4 f ,A -�(Jf0 O AS n A S Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
'--f F I 4 Other structure area: square feet
iREQUIRED`DATA i'COMMERC USE'CHEGKLIST
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 .
,
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equipment, materials, labor, overhead, and the profit for the
E, � 1 ;t DESCR „. W , t . � work indicated on this application
PI F L 4 Valuation: $
reFMQ4tc /aLL c .1.0 c o fi/�ll ! O O k - p Ley OuAo -L4.sr � 0nALL, �� �
McCNA� iCAL�y A 7774 CeJ FLAT 11'1645., f i raed I'Ze.4 S —LAY' /57.2) Existing building area: square feet
BELT CL q Syria' G-s iUeni T - 5 41J0 6Af 3a si2 T tit4e/24/Ate. New building area: square feet
.p f ', y , X - ' R R " v."$' ECikY,..",F '.'r, l"!'d4yAes:2° »:tG+: k 'zi tr i. T� t ^ � P k: 3.:t,°,...+p S F.t) - >.:.v� }>r
q t.A ere b ot. ihi :? "'° N 'cM8' '' .. e * y 6k
�� . > .P.ROP.ER OWNER "t,= `- : r,*s . s* ® 4: T t - � � Number of stories:
N
�aa,:rrrs�,a�a.�,.�si�'E�a„va+z ..� �,�, i� ��..c_,m ,.��(` TENAN ,�.£s,i� g-?. -,
Name: A L, f' !.l dr 5 Type of construction:
Address: 0 6 p 5 VJ GR Eli 2. u..,2 6 i, D Occupancy groups:
•
City /State /ZIP: / 6 (2 Q / D R 7 3 Existing:
Phone: (s63) 1 -. 5 / 2 ( Fax: ( ) New:
? �..'er.R = =?iv£t. +: ,'�, -.,.. � V:.::*. 1! �.,�zr�}>taK`r„Ht"d*gm,8zae;;t; �e °:;: ; M„.216,14 Gu;!+�w^.-z:.,tr., %h�.nsfi -:acs e -�nry -ar, � ,ws-,r ,�„kA�^:4 _
� .P. ` = =r`A`P.PLIC T ireaTA r„,,iiRSONV` . 1 ,110 - --.. �tsE �` , m r ,i „w ,;.�-..o. � Misr a ei � , _w - -IP
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Business name: //)-7-E—K siii 7 /.o a/=in! G All contractors and subcontractors are required to be
Contact name: 40 (.t l 5 O t ? ,dL ,-- 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 I,i 7 V f' A-tI.6 - jurisdiction in which work is being performed. If the
City /State /ZIP: pc R7 ND f OA, ?7 2 y appl ant is exempt from licensing, the following reasons
apply:
Phone: (563 ) (o gy 5 la // Fax: : (j 63 ? 3 O S 4, O1 / 4 - 0
E -mail: j____5:1---------
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;�• x „ r” `' a iz�"CONTRACTOR ' ...:: - > �..
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• Business name: 4 *^ rr—p7 o /i'11 K - ,... < s : ,,' ' x - 77 ,
_ � ,.„ t„ `BUILDING PERMIT- 'FEES..su. ,,,t -,, ` , `
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Address:
/so (a 5 5 w `7 4{T� A. V'c . Please refer to fee schedule.
City /State /ZIP: ,7 Lz TLS AID D c '7 2 2 Fees due upon application
Phone: (5oa) (a icy 56,/( Fax: (5193) (, 3 <= 3 0 5 t.
Amount received
CCB lic.: / t
A / Date received:
Authorized si ature:
� V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L; O � f S (/Z J_ 4 L .A S Date: 7 • Fee methodology set by Tri- County Building Industry
Service Board.
i :\ Building \Permits\BUP- TI- PermitApp.doc 12103 440- 46I3T(11 /02/COM/WEB)
{ CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP 007 -aa 21
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18 /2007
Phone: (503) 639 -4171 e
Inspection Requests (24 Hrs.): (503) 639 -4175 '�� '' I ..
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 74
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 E,F,G.
OWNER: AUTUMN OAK APTS., PHONE #: 503. 421••5121
CONTRACTOR: .1 ARTMl)JG PHONE #: 503- 684 -5611
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
250 Roof nailing 052094 -01 503 - 593 -7874 N
Corrections /Com Instructions:
. IL)k—
•
❑ PASS `t+ RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL I I r r !' '•" CTION n ADDITION FEE ASSESSED
t.
....w .7 i 7 0
•z______afy
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2007 -00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U18/2007 Phone: (503) 639- 4171 lhjil'�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 49
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 E,F,G.
OWNER: AUTUMN OAK APTS., r PHONE #: 503-421-5121
CONTRACTOR: 1U:4 N,1G PHONE #: 503
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 053935 -02 503 - 593 -0 N
Corrections /Comments /Instructions:
B PASS ' • ' 'TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL 17 . ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8/4/7) Phone #: (503) 718 -