Permit •
�,r CITY OF TIGARD BUILDING PERMIT
i. PERMIT #: BUP2007 -00220
`'1 :: , COMMUNITY DEVELOPMENT DATE ISSUED: 4/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 133CA -01200
SITE ADDRESS: 11401 SW 135TH AVE UNITS 155 -165 ZONING: R -25
SUBDIVISION: SUNFLOWER APARTMENTS LOT: JURISDICTION: TIG
PROJECT: SUNFLOWER APPARTMENTS
Project Description: Re - roof.
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: 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: $ 8,648.00
Owner: Contractor:
PFI SUNFLOWER LIMITED INC GIBSON ROOFING
BY LNR AFFORDABLE HOUSING INC PO BOX 86
PACIFIC FIRST CENTER BUILDING CLACKAMAS, OR 97015
PORTLAND, OR 97204
Contact #: PRI 503 - 558 - 1740
Phone: FAX 503 - 558 -1073
Reg #: LIC 151114
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/26/2007 $129.70
[TAX] 8% State Surcha 4/26/2007 $10.38
Total $140.08
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 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these r - ordirect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued y: , Ail _ /) JV A A i Permittee Sig : . . e _`�,',
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.
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0 New construction
Demolition
III
XI Addition/alteration/replacement Other
Total number of floors:
New dwelling area: square feet
❑ Commercial/mdustrial
■ 1- and 2- family dwelling
❑ Accessory building
0 Multi - family
❑ Master builder
0 Other
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Job site address: ,11_y-0 ( ,sue 13 S" Pest -
City/State/ZIP: Tt16. - v
Suite/bldgJapt no_: I Project name: 5c P lot.ut� Q part -+w
Cross strect/directions to job. site:
Occupancy groups:
Existing:
Subdivision_ Lot no.:
Tax map/parxl no.:
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Name: --- C' Cm 'Q,eso.,,rccs-5
• Addtass: \ \ c LI 1 Sw c -4 "` Alec -
city/statc/ZTP; -r , v(+- 91 7-1
Phone: (163 y - S51 % Fax: (5b3) S V4 - e (0 tl "7
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Business name: t7'
Contact name: — (',M `
Address: '0- ► 3er/e $(p
City/State/ZIP: C (ellen out 5 Co .- 9 bI S
Phone: (S)3 ) 576 - 1147
J Fax: : (Sb3 ) 5S$ - /01
. E-mail: hl ) t 11,i CO hof- r I. cos,` .
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Business name: 6 nr
Address: 11) e0A 96
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Phone: (yb3 ) 5R- 1110
I Fax: ( SU3) SzA5 - 1073
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' Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the neatest dollar) of all
equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
Valuation: s
Number of bedroom.:
Number of bathrooms:
Total number of floors:
New dwelling area: square feet
Garage/carport area: square feet
Covered porch area: square feet
Deck a square feet
Other structure area: square feet
,< *D tcoM I V$m C11E s[ rcrr:
Permit fees* are based on the value ofthc work performed.
Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
Valuation, 81 if
Existing building area: .4. square feet
New building area: square feet
Number of stories: 01
Type of construction: 4.earv4 ! ft fan $
Occupancy groups:
Existing:
New
• ' `....I.
All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
applicant is exempt from licensing. the following reasons
apply:
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Structural plan review fee (or dePosit):
/c:•6 . 20
FLS plan review fox (if applicable):
Total fees due upon application:
/0. 1
Amount received:
/c../.0, r
Aly
Building Permit Application
Re -Roof
Authorized signature:
City of Tigard APR 1 8 2007
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1' r ITY OF TIGARD
Inspection Line: 503.639.4175 BUILDING DIVISION
Internet www.tigard-or.gov
Print names — CA(
unuadisonmiiimooF -rvmitApp.eoc 0926/0
TOOI(j
RECEIVED
Dec 1 01 2/07
a iv0I,L 30 AID
1,012 r ?!i (i1; t i; ONl.\
44Od613T(1 UO2.c0M,W®)
This permit application tip Its if a permit is not O
within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Surlding Industry
Service Board.
096'0362COS %Vd TO: gT LOOZ /TT /li0