Permit • ‘ h
4t- ' CITY OF TIGARD BUILDING PERMIT
IN
RMIT #: BUP2007 -00323
COMMUNITY DEVELOPMENT DATE P I 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 K,J.
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, State of pec Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will ex.' e if work is not s ed within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requ es you to follow the ru -s adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 throug OAR 952 -001 -0100. Yo 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:, irek,
_8(4,11
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.
Bfiildiiie Permit A o1i tion P - y - FOR OFFICE USE 0NL \'
Ci of Ti and ' t_i a, Receiv i
`1 g Date . � Permit No.: ; p. 0 12 /V) 5/
}�,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie L( /„ "` ✓
Phone: 503.639.4171 Fax: 503.598.1960„ i I 2001 " ' ''" , ` t ('liri� � , ';;jl Date/B . Other Permit:
Inspection Line: 503.639.4175 / J 1 ' _ Date Ready/By: Juris El See Attached Checklist for
Internet: www.ci.tigard.or.us CITY O1- TIGARD Notified/Method: f Supplemental Information
BUILDING DIVISION
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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
1 4 4 %_ �- f= = �' : �`" d = ^ t 4 € :p work indicated on this application.
A CATEGORY " UF CONSTRIJCTI a � AL
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❑ 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $
1:1 Accessory building El Multi-family Number of bedrooms:
❑ Master builder '.Other: Number of bathrooms:
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it :.XW41-*r;*UiRrgq-PRtKtii',M-MPT
' ° Total number of floors:
Job site address: // 2 b Q n G 12,e (3 11,8 G p p New dwelling area: square feet
City /State /ZIP: — c AR. 6 , R , 72 '2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ,Lx.,.) Project name: 4 t' 1A710. �f 0 jiK �l $ A r S Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
I< / Other structure area: - square feet
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REQiJaiiV i1irebsMMERCIAI USEreffe LiIST ry
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 a.
equipment, materials, labor, overhead, and the profit for the
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�" �7 � in � hall tiS0N+ OF WORK ltatag � tal
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Pi TGf 60 V/=Lii % Valuation: $
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Existing building area: square feet
MegiAki;ALAI A 7YA cite / (J FLATA261s. , Pi milled ARedt -Lt /5'i43
6 A- 454 6:-.5 t) e� TS 4/J0 Gqf 30 2 ,ef New building area: square feet
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t L PROPER° _Y �QWNER = 2 3�� t ~— �� ®tTENANT � ;; .0 Number of stories:
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Name: A L 7 - s' C S Type of construction:
Address: (/ 6 p 5 1n.1 GP, 56(\ $ 14-a 6 eR 0 Occupancy groups:
City /State /ZIP: T/ 6 A re 0 / d `17 '2 3 Existing:
Phone: ( 5 6 3 ) '/ / . 5/ 2 ( Fax: ( ) New:
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Business name: J /j -7 5
��p- � /4 G All contractors and subcontractors are required to be
Contact name: 0 (� is O tzar L A S licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /5 6 S 5 I,--1 'Z / /-7-7-7 A, 4/ E - jurisdiction in which work is being performed. If the
City /State /ZIP: 7 R rL A,V p f O 2, 91 2 �!
applicant is exempt from licensing, the following reasons
apply: ,
Phone: (jb3) 6 e4/- 5f / / Fax: : (56.3) i 3 P- 30S4, /Y- 2-V
E -mail: -----/q/ /�
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Business name: /A) r Q 7 -- G ;-_
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' , BUILDING .,PERMIT 'FEES. :. : . w ..: z
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Address: / 5 ) 6, .S S („1 41 A V" ' Please refer to fee schedule.
City /State /ZIP: /..2d 1, 7-2-, „, „ L 0 e e '7 2 'f Fees due upon application
Phone: (5x3) 6 ? 564( F (SO3) In 3 g= 3 0 5 4
CCB lie.: 5 5 Li s Amount received
! / Date received:
Authorized si ature: �,�,
V Vi This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4 Q t-. f 5 OR/lit A S Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\BUP -TI- PennitApp.doc 12/03 440- 4613T(l1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUR2007 -00323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2007
Phone: (503) 639 -4171 I � �19jt
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,....4w-
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 45
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 K,J.
OWNER: AUTUMN OAK APTS., PHONE #: 503-421-5121
CONTRACTOR: 1441TIPMCIVIVOMIG PHONE #: 503 -684 -5611
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 053935-05 503-593-6578 N
Corrections /Comments /Instructions:
t4PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL % CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
7 —
Inspector: — • —....m....- Date: / 0 Phone #: (503) 718 - 7-C W' 4,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: • BUP20(17 -60323
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &18/2007
Phone: (503) 639-4171 'Dope �i
Inspection Requests (24 Hrs.): (503) 639-4175 _3 F:..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 65
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 K,J.
OWNER: AUTUMN OAK APTS., PHONE #: 503- 421 -5121
CONTRACTOR: 1103140111AX I,IG PHONE #: 503- 684 -55611
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # sage
250 Roof nailing 052675.02 503 - 593.6578 Y
•
Corrections /Co ments /Instructions:
,v,„--_,(----<,
_ ___,,,,----- ,,,
„,„, A ____...,'
,,
❑ PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL , LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _ �.� i - Date: v Phone #: (503) 718 -
lib