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Permit -A . il ... BUILDING PERMIT Clef TIGARD °RD PERMIT #: BU -00319 COMMUNITY ITY 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 - SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG PROJECT: AUTUMN OAKS APTS Project Description: Re -roof Buildings A,B,C,D. 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: $ 27,788.00 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 $305.80 [TAX] 8% State Surcha 6/18/2007 $24.46 Total $330.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, S : e of OR. Spec' Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wi expire if work is not rted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law r-quires you to follow the les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 95, 011 -0100. u may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344 Issued By: Permittee Signature: w S� t . f 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. • • . ._,_ ' rte. REce J . Building Permit Application FOR OFFICE USE ONLY 1 1i.':•l Received City of Tigard ?QQj Dae/B /v a - 7 6 Permit Nii d _ , _ , /cf. 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF T'GAIRF Plan Revi Phone: 503.639.4171 Fax 503.598.1 b'L® !' *t �; /�; l "` Date /B : Other Permit: • Inspection Line: 503.639.4175 ��C DIVIs„ `'_ Date Ready/By: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: ilin' Supplemental Information TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S 1:1 Accessory building CI Multi-family Number of bedrooms: ❑ Master builder '�Qther: Number of bathrooms: JOB SITE INFORMATION AND 'LOCATION Total number of floors: Job site address: `/ 2. ('D 5W G 2EC A J Otk2 6 pc) New dwelling area: square feet City /State /ZIP: Tl ‘ 4/? ,) vR - ? 7 2. 2 3 Garage /carport area: square feet Suite/bldg./apt. no ti-1 4 AN Project name: M- p/Ai OA// , p � Covered porch area: square feet Cross street /directions to job site: � Deck area: square feet A - I 4 ' ` L 1 p Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I 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 DESCRIPTION OF WORK work indicated on this application. • Pi-row 1 F % Valuation: $- QF fi f AL-1.- ©t_.o R d4- Tv D Fck. LA/ Owe() -L45T Y0/lud j �f ¶3 Ne4>(RA)�A «r Al 77A / Ctrl FLAT Aze - 95, .. A ro/80 A2ArF s -- LAY' /576 Existing building area: square feet /e e 4 7, - C44,5*/A) G-5 t.eJ TS IAW O 6 A 3 orAR 77M113e/24/A1e New building area square feet R(PROPER'Y OWNER U TENANT Number of stories: Name: p [_, T6 !J CS © p m p i z e k..., Type of construction: Address: 0 C5 ‘,J �ii� S 1 e_-, LC (2 r!s A O Occupancy groups: City /State /ZIP: 7' G /-� 2 0/ O R q 7 •2 3 7 3.17 5W t a/3 - existing: Phone: (Y y� / - 5/ 2 ( Fax: ( ) Tp,t aJ "TAP.-5 New: 5r`t APPLICANT ❑ CONTACT PERSON NOTICE Business name: HIV 7ER S / 7} D ��p- F /ti( i All contractors and subcontractors are required to be Contact name: B LC /S rZ�/L S licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /5 6 s• S LJ 7 // / A-4/E- jurisdiction in which work is being performed. If the City /State /ZIP: /1.7G R 7L,q ND Q /Z, a applicant is exempt from licensing, the following reasons apply: .ht" S. 9, Phone: 663 ) (c, gy 5 la // Fax: : ( 3 ?- 3 0.54. aq. tile, E -mail: 330•zb CONTRACTOR ' Business name: N TE`2sTAT-- le enze - -/)G BUILDING PERMIT FEES* Address: ISO 6, ,S 1C . � 7-� / Please refer to fee schedule. City /State /ZIP: / - LA � / D 6 i7 2 2 Y / Fees due upon application Phone: (568) 6 if 5/0« Fax: (SO.) In 3 • 3 0 5 /' 56 Amount received CCB lic.: Date received: . Authorized signature: � This permit application expires if a permit is not obtained _ within 180 days after it has been accepted as complete. Print name: 4 Q (-C 1 3 ©, ',t/ L.. A S Date: * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP -T1- PermitApp.doc 12/03 440- 46t3T( I 1 /021COM/WEB) • Building Division Plan Submittal Requirement Matrix -� Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) • Site Work -2 \, (must include location of all accessible parking) Plumbing (site utilities) 2 • Building ,1* • Fire Protection System 3 ** Mechanical - • 2 • •t Plumbing (buildin fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed 'application and plans. After plan review approval, the Plans Examiner will contact the applicant to request - additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) • • * For over - the - counter commercial tenant improvements, su 2 sets of plans. ** "New" fire protection systems require that plans bear the original'seal of an ' Oregon licensed fire suppression engineer, or NICET level "3" technicians. i Building \Permits\BUP- T1- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB) CITY OF TIGARD - • • BUILDING DIVISION PERMIT #: BUP2007- 00319 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1812007 Phone: (503) 639-4171 . 39 -4171 u��pu�i;py tb Inspection Requests (24 Hrs.): (503) 639 -4175 J .. INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 48 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 A,B,C,D. OWNER: AUTUMN OAK APTS., PHONE #: 603- 421 -5121 CONTRACTOR: II A !}1G PHONE #: 503-6845611 Inspection Request Scheduled For: Date: 8/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053935-03 503 - 593-6578 N Corrections /Comments /Instructions: 16 PASS PARTIAL APPROVAL r_1 CANCEL I I NO ACCESS Ar FAIL % /, CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V / a 7 / Inspector: Date: Phone #: (503) 718- �