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Permit
14 f v ��. Y OF TIGARD BUILDING PERMIT lii PERMIT #: BUP2007 -00322 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: L,M,N,O. 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 i • Contact #: PR1 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 $330.26 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State a OR. Specialty ■ ides and all other applicable law. All work will be done in accordance with approved plans. This permit will ex lire if work is not sta -d within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requ' es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yo may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. i Issued By: ,L/ Permittee Signature: !��" ?�► Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . , ... Building Permit Application 1 OFF1C1. USE, ONLY .. , �, City of Tigard E I D Re eiv a D i +�► �� i /� agill 13125 SW Hall Blvd., Tigard, OR 9R Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Oxi » :' I ' Other Permit: I ' � Date/B . Inspection Line: 503.639.4175 t I t, ■ _ Date Ready/By: turis. ® See Attached Checklist for Internet: www.ci.tigard.or.us } i 7 I LUU I � � Notified/Method: • Supplemental Information ,. -. ; era- .,^ ,- . ea „ tss ' ` .. �"'.- ., -p . rr (Try y O F T i A A D ':ri;, w _ _ E= �. _ c,-.'; zr : •i„a r :: < =n,. .. - v ° .y: mss*:,. : q h. �, �* _ostY„ o• y ' ; r- e .FR s ` l rlir , .�`- _ a� > , E x yam . - 3fu ., ; ,. .4'4., �'- .- ,`o: -� ; it ' ,„_, , U j As, }' s , :'_ , � : - -1 •fie REQiJI R�ED�DA T ...1,:A ;; tom$:,. sit'' �._.....`,' ,'�.�M- �.� ..ae - .,,.�:s„-..5.: -� 2X:l ut` ; Tl,t �� ' . kC t> Gir.,r . .._ � ; _ ,.... . r .-: k-._ �� '.kZ'5��'=...�k�..�..�'�:..,.. [ �Y�a:: u..,;.' c�.: �;. x..: w: ��. a��{ y,., ���.;, �.._. ��., �1„ �-; a._, a-, tts., �au�+s.:. ❑ 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 Wit'. �,��- z t � ��= �� � =",�; w � ;�• x:�� �� li ` work indicated on this a ®ation. v _ m. yCATEGORYo vl_` p %'�`i' � =s� =�� . k�a,.':nFea�'a��w.�.,z:�cr�:, - ��- ���r�. �' �s�s` �a, �waa, �� .Hxc�s'�^.- e �w'�.k£a��1� El 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ 1:1 Accessory building ❑ Multi- family Number of bedrooms: �-ro Master builder '.other: Number of bathrooms: i �5.4.h;S eT+Na*'k;` >,''.. f ,. �a�lid ° {r °.'`F'...eC.^.z. jk'v;aril'itle'. ski§ one:,.°. a?._:? Tii4Rfn 'vi7, :E'E+&. n'^°3Nu; 3?3, ,x- k a.'hos "e 'F a,:N , ; eg t' E =INFORMATION ANIMA @AT'IQ . 7' .; _ » ; ''' I t Total number of floors: �r,S.�.'i"t'S ..'std'. "°5isi,��s. Ty�.Y'!�i�i34i3av,�,^e CTd "tiTli:���MR' >�Nfv+d,:� kf' .4T:�.S(1'G�3!vsl:'A.4t- �i'�'x- ._.' �'k�:t1!^�.c+d Job site address: /1245 D 5. v ..) GQC�1/3tit26 p New dwelling area: square feet City /State /ZIP: - ‘ AR .D / CjR R . ? 7 2 2 3 Garage /carport area: square feet Suite/bldg. /apt. no.: 8 Project name:11.� - ()RK$ , p T s Covered porch area: square feet Cross street /directions to job site: �I s ' f Deck area: square feet Z --) ill 'V / 0 Other structure area: . square feet nsti:': o=. r« e" z'". I::MC"�'x,�',�,':;aaF+,,,:, -�.' _a.: a�+:a',rr,.:N <r.;�.,,.,;;: r {4- �aREQUmED'DATA�,CUIVIMERCIAI USEtdnEGKLISb Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the Indicate the value (rounded to the nearest dollar) of all b .ir h -x,xr , ',,,, ,.� „ c . t x o=. ,A,.', ,,AI , ITA , A,SWg4s + -I.ZP.,e, 4.,.¢alri .;e-;kr c, ,:' ter eM.;s, - ,, , ;,Rt; 4 ,w, ' - y' ^ ;,., - ... " iA � .ti* ;Vs, „,s omDESCRIPTION.=, g „, ,l.. work indicated on this application. Pi 770-W 11 r "+ / Valuation: $ 0 1 R re FMatfc AaL ra[.D /24 - cl - ■■1‘ Tv 0 FCka I- tl °Lac -L4ST 'D/a Mecirame4 -y A ► , al �=LArAzFgs. , P, 7 � A,28AS —1-Ay /576 Existing building area: square feet r New building area: square feet �E`T, FLT 5,6rAJGS aJ en1T-5 Aar . G- AT ,rAR. 77plae,/2.4/Ai ., ,%'„y'S'.Fa.:�w; u-,: cnr: as xL�,_ e ..�,:a:.a::,r- '',�,`,t9t` ':;t % 3u ','�.:s` a -* s 'hrrr. ;,� .�.Fr::-.zia ":«..xs s n b� .sx z g P ROP,ER`1 * Y O WNER* ,�la° ; °,, y.�-•:TENANT SI Number of stories: 5 ?..:;� ��aUrs+r,&:.n�•. x- *n =: <.: a.� w, .tea'. ..n.z ,e3t'��a�;�aso�rs s��. �€ ��.`.�°, -."�,. Name: A 1._, T a f .( e- S Type of construction: Address: 0/ a c 5 i . 4 GP, c'Eli /3 LI 4 G AA, 0 Occupancy groups: City /State /ZIP: —p 6 A 2 0 / a 2 4 7 " 3 Existing: Phone: (.7 4/2/, 5 / 2 ( Fax: ( ) New: z s �� -� "J��?�E:3 -s .x wx `mss' z� +a'`• tic �, �, _. .s^.•r-�:su�,=r:.,,.a :��r - e 8 :n^i �. 4 .�.., ..r.. -. �.:�rs�rctna.< a;n ,s ' r W. ry illi k x` ®COIVTziailERSON ` ' ° ,.•, b� ,,b . x.�, s . _, ^: t �.vtai .5�?,,,,, ,s%+rt.�� .k,r �..:..� s, , x 4 .- A'F; " -,, g a ' , wr IL'E a fat tg : . '= ; ? Business name: JlJ - TAR 5 Q - f/A 6. All contractors and subcontractors are required to be Contact name: 0 (,�/ - U ,�//L L 5 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: DSO 6 5 5 1r 7 V77/ A- 41 g - jurisdiction in which work is being performed. If the City /State /ZIP: / 7L.AALO p A q7 a Y al applicant is exempt from licensing, the following reasons apply: Phone: (503 ) Lev_ 5 4 1/ Fax: : (563 L.3 Q - 3 0,5.6 E-mail: 30G. 20 �4,?'t�.x� ��`- ,=�x�, `t=om" �- _ <a�., �?�.... -:-� ".- ys.,.,;�.,: _.. �-' ..u.�. .,�.... ' x r-,: 'Ji • ;f li ' ,.., %,i . .i.y.�SC'- CONTRACTOR i li t "r`' *.�'~ ' ii . 3... st �lP... 4.��:S;1;a•�.�.�.:?�- .....:h�._ far.- ���. M,:.. k��- �...',.., n: �>- �„ wz.._ a:. �<: �: �. 3v�'.-.,., �_» �,...,. �'. x' �.. �:. 2., � '���'i }t*':��"�''- .���"�•�^.`'w 44 Business name: �j , �:,� � -;.�; �-;_�� �,<,cE,, �� TE6�cS �.�Z�C � t / C CS Zlt� /� '. , g:'' - Bit7LDING` `,PERM,,ia : FEES *; w 4 ' Address: /so 6, S s W 7 7 T� A i/4-- . - ;�;:��;` g�.,i�'�sq':�a�...:.::.v., � >�r ,.�s^�x, -� �.�_.�::.m.aw�� " �9 «.:.: >�,:_.� Please refer to fee schedule. / City /State /ZIP: /t7d 4Z TLA p , d c -7 2_ 2 Fees due upon application Phone: (5e3) to er 564( Fax: (503) . 6, 3 !- 3 0 5 t Amount received CCB 1ic.: 5 Authorized signature: �D 0 //' Date received: nature: ' w A g V �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4 O Li— / 5 ©' L. A S Date: * Fee methodology set by Tri- County Building Industry Service Board. is \BuildingWermits\BUP -T1- PermitApp.doc 12/03 440- 4613T(I1l02/COMJWES) CITY OF TIGARD BUILDING DIVISION PERMIT #: E3UP2007 -00322 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/18/2007 Phone: (503) 639- 4171wwif +f Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 11200 SW CREENBURG RD CLASS OF WORK: SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE: PROJECT NAME: AUTUMN OAKS APTS DESCRIPTION: RE ROOF Buildings: L,M,N,O. OWNER: AUTUMN OAK APTS., PHONE #: 503- 421 -5121 CONTRACTOR: •'' ` iCrAKROZTEING PHONE #: 503 - 684.5611 Inspection Request Scheduled For: Date: 8/14 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 053935 -01 503- 593 -6578 N Corrections /Comments /Instructions: • • /a 'ASS PARTIAL APPROVAL (i CANCEL NO ACCESS ❑ FAIL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: & 1 / Phone #: 503 718- 6 • �� z y r 3 _ CITY OF TIGARD BUILDING DIVISION ' PERMIT #: BUP2007 -00322 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6118/2007 Phone: (503) 639 -4171 /o`0itp '�I Inspection Requests (24 Hrs.): (503) 639 -4175 : J A_.. INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 64 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: L,M,N,O. OWNER: AUTUMN OAK APTS., PHONE #: 503. 421-5121 CONTRACTOR: MITAINIKT ' i}lfa PHONE #: 503 -684 -5611 Inspection Request Scheduled For: Date: 8/1 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 250 Roof nailing 053101 -01 503-593 -6570 N Corrections /Comments/ Instructions: • PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: 010 Phone #: (503) 718 - L