Permit V. w�'��� �� V BUILDING PERMIT
P ERMIT #: BUP2007 -00206
COMM UNITY DEVELOPMENT DATE ISSUED: 4/12/2007
;TI v., Tigard, OR 97223 503.639.4171
"'9 13125 SW Hall Bld Ti = g PARCEL: 1S133CD-00100
SITE ADDRESS: 11587 SW 135TH AVE ZONING: R -
SUBDIVISION: SUNFLOWER APARTMENTS LOT: JURISDICTION: TIG
PROJECT: SUNFLOWER APARTMENTS
Project Description: REROOF - tear -off and replace with 1 layer of composition type roofing.
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: $ 11,066.00
Owner: Contractor:
ICM RESOURCES GIBSON ROOFING
11547 SW 135TH AVE PO BOX 86
TIGARD, OR 97223 CLACKAMAS, OR 97015
Contact #: PRI 503 - 558 - 1740
Phone: 503 - 524 -5511 FAX 503 - 558 -1073
Reg #: LIC 151114
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/12/2007 $158.50
[TAX] 8% State Surcha 4/12/2007 $12.68
Total $171.18
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon U ' ' . •. ' ' - -tion Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of the - rules or direct . e- o • to • UNC by calling 503.246.6699 or 1.800.332.2344.
Issu1 By: - / /j k _/ i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit plicali
Re -Roof L... ' t ; j . -� 1,01z r. :n r t ;l 1: l l : O.l .,
City of Tigard Received Y /, d Permit No.: , 6i ♦ i� /.
:i ° 13125 SW Hall Blvd., Tigt a • l 97111
&1st Plan Review
Phone: 503.639.4171 F ic,5 &1 00 � DatdB Other PenniC
1 . i �: ,, i, t) Inspection Liner 503.639.4175 vale itealynty: B See Page x for
Internet www.tiga>' Ur j1U 1t(I) Naified/Mcthod: =1L 1 SoPUleatantat Informa
I3 irr TI*Tri TNTI
, �T J T � .. ,, 4. ,.. .: is , -
❑ New construction 0-Demo- lition ' Permit fees* are based on the value of•the work performed.
Indicate the value (rounded to the nearest dollar) of all
,120 Addition/alteration/replacement D Other equipment, materials, labor, overhead, and the profit for the
,C CO Off' 170PIS7$�JC'1 :�•t.' '• • f rr a ;,.,,:. . .l. work indicated on this application.
: Valuation: S
❑ 1 -and 2- family dwelling CI Commercial/industrial
❑ Accessory building El Multi - family Number of bedrooms:
❑ Master builder ❑ Outer Number of bathrooms:
' :.,, _ •.
M tl . : : 7: ,
; Total number of floors:
..: , t. • . .. . , SE'itg� : Y'fON AND: LOC,�►TkOl�i . :
� �' .. ; • . ... .. �.
Job site address: 1 / 517 St,J 13 S"''` Arm_. New dwelling area: square fat
City /State/ZIP: —j' cv , ,. , v R... Garage/carport arca: square feet
Suite/bldgJapt no.: ( Project name: $,,„ P lovCr A po..rM.wAz Covered porch area square feet
Cross strect/diredions to job site: Deck area , square feet
• Other structure area: square feet
., ilfoi z000 0A,L 41 CHI'?''
Subdivision: I Lot no.: Permit few' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
a on this
�/ : A>ES IUNi O A'ORi ' . ... :; i ,; sic indicated application.
IIA( c'4 I''. ( e, (00C 0C t tdi2 i cc" 26;1476,, Valuation: s 1 066
• k Q� (� Existing building arcs: A. 4/100 square feet
New building area: ______- - -- 'e feet
.... . 0 'IiRiOpsti.i'li :Aa9111o. : , . L : , ' .. ' :1 " .. :.1;.:P41•41.'0 . , ii ?.;: '. Ninnber of stories: A
Name: - j(,eyl 'Q4ssow•c..,94 Type of construction: 4e fC./ao
r
• Address: i/ sr, _ Su.) ill * `. t`1 -ve., Oeeupan y groups.
City /Statc/ZTP: Thad , pit— 11 Z L 3 Existing:
Phone: (153) ,� 1% :(f73). Z New
?y'
. .. - • , :' e e , ,jam'•` •: •. . •., - :. ,. :., • -.- ...., t...: . ;•; 1 , . • "
Business name: '1bson inc, All contractors and subcontractors are required to be
^ ) licensed with the Oregon Construction Contractors Board
Contact name:
filiv. i C vl4 under ORS 701 and may be required to be licensed in the
Address: W. ►3opc Vo T jurisdiction in which work is being performed. lithe
applicant is exempt from licensing, the following reasons
City/State/ZIP: C (gCkanvA5, pR. q I/S apply:
Phone: (9.3 ) 5515 - 114,9 I Fax:: (585 ) SS$ - /01
-
Email: b / .1 C (I.1 C J hol- rviqil . wv■
Business Haire: F` I,. - »
ytJ" "'K/ :; : rreaae'asle:tvlee
Address: 'a, ( 86 1
Structural plan review fee (or deposit): —
City/Statc/ZIP: C j avt a5 fL 1- b/c
/ Q FLS plan review fcc (if applicable):
cable):
Phone: ( S) 59? i�{p I- Fax:( Ctr) ) b - ior _
"� Taal fees due upon application:
CCB A'
lie.: • 1SJiiy
Amount received:
Authorized signature: - Thip permit application expires if permit is not obtained
within 180 days after it has been accepted as complete.
Print name: j CVt( I Date : t(/1 Zr0 _ • Fee methodology set by Tri County )3utlding Industry
Service Board.
innumingPPamiw.\R O - raniapulcC O&2&06 460- 4613T(11/02/COM/Wfia)
TOO 0 (LIIVDI.L 30 UID 096T865COS IV3 TO.ZT LOOZ /TT /1'0
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: BUP2007 -00206
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 11587 SW 135TH AVE CLASS OF WORK:
SUBDIVISION: SUNFLOWER APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: SUNFLOWER APARTMENTS
DESCRIPTION: REROOF - tear -off and replace with 1 layer of composition type roofing.
OWNER: ICM RESOURCES, PHONE #: 503524 -5511
CONTRACTOR: GIl3SON ROOFING PHONE #: 503 -558 -1740
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 046805 -01 503-710-0040 N
Corrections /Comments/ Instructions:
tii
n PASS Q� AR ' L APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL T d CALL OR INSPECTION ❑ ADDITI• AL EES ASSESSED
Inspector: Date: 11 Phone #: (503) 718 -