Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00341
t DEVELOPMENT SERVICES DATE ISSUED: 7/21/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AC 00500
SITE ADDRESS: 14725 SW 109TH AVE 1 -4
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: $ 2,200.00
Remarks: Deck repairs
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORT LAND, OR 97210
o
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing lnsp
[BUILD] Permit Fee 7/16/2004 $72.10 Final Inspection
[TAX] 8% State Surchari 7/16/2004 $5.77
[BUPPLN] Pln Rv 7/16/2004 $46.87
Total $124.74
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 rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 7 (Z / rd,___
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application' 17 D FOR OFFICE USE ONLY
City of Tigard R Ram" •..463 /
13125 SW Hall Blvd., Tigard, OR 9ifif i 6 2004 Plan Review
Phone 503 639.4171 Fax' 503.5944460 Asv • ,
rrrut
Date/13y Other Pe
•
Inspection Line: 503.639.4175 adtilla Date Ready/By 1 ! 0 See Attached Ch,i',I■sc tor
Interne: www C I . tigard or us - ,1TY OF TIGARD Notified/Method:
I (a. Supplemental Inlorrn.mon
JILDING DIVISION
iZej,... :-?*4,Y DwEL L 1.N G
New construction 0 Demolition Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of .2:1
LKAddition/alteration/replacement 0 Other:
equipment, materials, labor, overhead, and the profit t'or the
.:it .i ....t ' - . 7 -:: ,. .z,..444;;:. work indicated on this application.
•*
1- and 2-family dwelling 0 Commercial/indu Valuation:
strial S
0 Accessory building EMulti-family Number of bedrooms:
E Master builder 0 Other: Number of bathrooms.
Total number of floors
Job site address: p.-177s* .- 0 c itl_u_c_. New dwelling area: square fee:
Ciry.State/HP: - -- - - C c .._ c-- , cri9 9 - 222_ 4 / Garage/carport area square feet
Suite bldg ;apt. no 1 k L i Project name: i--- ,,,,i,, t .„ I ....) ,. n c Covered porch area: square fee:
i
_
Cross street/directions to job site: 1 0 effi, f.f j, c i o („ic Deck area square feet 60
Other structure area square :',..e:
REQVERED DATA: COMMERCLkL CHECKLIST
o..bdivision
I Lot no. Remit fees* are based on the value of the " ork performed
Indicate the value (rounded to the nearest dollar) of all
Tax map no.:
- equipment, matenals, labor, overhead, and the profit for :he
14AV''.,:f , ,,,, .. work indicated on this application.
Valuation: s
Re 4 P r k
Existing building area square fee:
■
---
New building area square feel
. ,. k*N f:4,ii,-.-: Number of stones:
. .,.
. , ,.,•. • . .
. 4ri/e Li 17 Type of construction:
Andress / i f y 9'7 5 0 1 n e''-j-e */*' / Occupancy groups:
Cir.. StateIZIP: - c , R ci 744y xisong:
Phone ( 5 C,kty _20 !pi Fax: (5 ) 6 tf..._ 70 c cL
New
i :: :":" -*; \ - 1.1 1 1a74P 1 ) , ,I,4.! 1 .71';4; 4 ;:.; - ; ‘ . ,:=','-v- . . , -:" - • ''', e9 IT P; Sr,4.409r, 1 "'"' ''-`/ ii': . Z.; ! ' ...... 4::":: . 1:loti4 ..
Business name. tj p k i i.11 560 c s i ‘ a i
All contractors and subcontractors are required to t
licensed with the Oregon Construction Contractors Board
Contact name iy a. rr i c.,...
under ORS 70) and may be required to be licensed !it'
' 2" ' ress PI ee i 5 GI io 7 ih,-e- 7t 7 junsdiction in which work is being performed If :he
applicant is exempt from licensing, the follom reaso:s
State --- 1 . 544 _4 f op 772 v
apply
Phone (col ) 0 i _ -2 q I Fax: . (5.03 )62 70 5"
E -Mal I
• `. A 1 ,1;, - : - k 't ': ' .: : i. " 1 ;4 . .. : ;!:. •!; , X-ON TRA g
Business name I f L A- i_
Et x ::,,.:. . jiiBIBI.I.,E0 G- *WIT:TEES*
-\ ddress / 1'77 9 5 o 1 Acre. **--/ OU"
Please refer to fee schedule.
C;t:. State:ZIP. --- c .. , _ 4 AO f V
Fees due upon application
Phone (5-03) CA _ - 76 t Fax: (5-03) 62 q_ 70 5 ._ ei
Amount received
CCB lic
Date received:
A uthonzed signature. 4 t _
.
0 , 14 .0t42,14,-- This permit application expires if a permit is not obtained
e
within 180 days after it has been accepted as complete
Pnr.: name A i . t i t , f 01 . 1+ m _ I Date: --. _1. _ 1 - Fee methodology set by Tn.Count, Binlo.:ng :n:-
?a at. cot : :'...03
44 0- 4 613T( I 1/O2/COB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�+► BUP � bv 1
Received -7 Date equested / O - AM PM BUP
/
Location / `L d. L 0 7 (1--A-- Suite MEC
Contact Person .' Ph ( ) 6 a - 70 PLM
Contractor Ph ( SWR
:) Tena nt/Owner T ELC
.il ELC
• nda ion Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ,
Fire Alarm
Susp'd Ceiling if—
roar
PAS PART FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
•
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL le/
Service
Rough -In taw, 4 -
UG /Slab V/ \ , VW:4W_
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL