Permit 1 -': CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00294
COMMUNITY DEVELOPMENT DATE ISSUED: 9/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135CA-00600
SITE ADDRESS: 11200 SW GREENBURG RD 17 ZONING: R -12
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT: 001 JURISDICTION: TIG
PROJECT: AUTUMN OAKS APARTMENTS
Project Description: Replace all existing decks for units 17 thru 32.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 55,000.00
Owner: Contractor:
AUTUMN OAKS PROPERTIES LLC SHANNON CONTRACTING LLC
6036 SW MADISON ST 2065 NW MILLER RD #415
PORTLAND, OR 97201 PORTLAND, OR 97229
Phone: Contact #: PRI 503 - 913 - 1339
FAX 503 - 690 -5868
Reg #: LIC 159498
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/9/2008 $390.70
[TAX] 12% State Surch 9/9/2008 $46.88
[BUPPLN] Pin Rv 9/9/2008 $253.96
[FLS] FLS Pin Rv 9/9/2008 $156.28
Total $847,82
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules - .: pted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR • : - 001 -01011. • • ' -y obtain a copy
of these rules or direct questions to OUNC b calling 503.246.6699 or 1.800.332.2344.
Issued B -,` ` -�`� __` Permittee Signature: i JAti %'t ' - - .
'' ■--- •■••,.�
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.
tkoTU M 0 6Pr‘«s 1<s 11 cc) (0C,1=EIQ Bo !S-
'Suir ing Permit Application
• Commercial RECE1\ I' R OF ICL US1= :.ONL.I'
Recei �j
City of Tigard t 1G � � O 48 D ate /B ved i/00 /` \ / Permit No : u 0 � (����'
• 13125 SW Hall Blvd., Tigard, OR 97223 A 'Ian Revi
• Phone: 503.639.4171 Fax: 503.598.1960 c T ' G,A� . :/B A 6( ��Q 4 x �V Other Permit:
TIi; RI) inspection Line: 503.639.4175 011 ® 1 1 ` ' 1 e •,x: Read ∎• /Bv 0 See Page 2 far •
Internet: www.tigard-or.gov d� w`U` 1 � ' otified /Nlethod el i /r 'J �� Su pplemental 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
❑ AdditiorL /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
Valuation: $ 55,000.00
❑ I - and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ® Multi- family Number of bedrooms:
• Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site,address: 11200 SW GreenBurg RD New dwelling area: square feet
City /State /ZIP: Tigard , Oregon 97223 Garage /carport area: square feet
Suite /bldg. /pt. no.: b Project name: Autumn Oaks deck project Covered porch area: square feet
Cross street /directions to job site: Intersection of Greenburg Rd & North Dakota St Deck area: 900 square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
■
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rebuilding decks 14. 0 1Ts /7— 2\ Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Autumn Oaks LLC Type of construction:
Address: 6036 SW Madison St — '..t)....4,..0_,. Occupancy groups:
City/State /ZIP: Portland , Oregon 97201 Existing: x
Phone: OQ3) 739 ` ( Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Shannon Contracting LLC All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Kevin Shannon under ORS 701 and may be required to be licensed in the
Address: 2065 NW Miller Rd # 415 jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
ty Portland , Oregon 97229 apply:
Phone. ( 503) 913 -1339 Fax - ( 503) 690 -5868
E -mail: kshancont @msn.com
CONTRACTOR
Business name: Shannon Contracting LLC BUILDING PERMIT FEES* •
(pkase refer to fee scheduk)
Address: 2065 NW Miller Rd # 415
Structural plan review fee (or deposit):
City/State /ZIP: Portland , Oregon 97229
Phone: ( 503) 913 -1339 • .x � ) 690 -5868 FLS plan review fee (if applicable):
i Total fees due upon application:
CCB lic.: 159498 ipr
Amount 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: Kevin Shannon Date: 8 / 26 /08 * Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I l /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BLIP200 - c;0294
13125 SW Blvd., Tigard, OR 97223 DATE ISSUED: 9/9f-2008
Phone: (503) 639 -4171 "°
�'1
Inspection Requests (24 Hrs.): (503) 639 -4175 ■
INSPECTION WORKSHEET FOR DATE: 1/ Y20W TIME: 7 :01AM PAGE: 4
SITE ADDRESS: 11200 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: AU FUI IN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS APARTMENTS
DESCRIPTION: Replace all existing docks for units 17 thin 32.
OWNER: AUTUMN OAKS PROPERTIE S LLC, PHONE #:
CONTRACTOR: SHANNON CONTRACTING LLC PHONE #: 6603- 913.1339
Inspection Request Scheduled For: Date: 1/EJ2t)09 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 079374 -02 503. 913 -1339 Y
Corrections /Comments/ Instructions:
------ I (f 72 L €z
ASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
I I FAIL , I CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
--- t) Inspector: U ` Date: C 13 cr Phone #: (503) 718 -5"°