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Permit IL a ti CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00491 • COMMUNITY DEVELOPMENT r DATE ISSUED: 9/18/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AC - 00400 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: Fire repair to units 1 & 2. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: ME SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 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: N SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 18,000.00 Owner: Contractor: TIMBERLINE APARTMENTS LLC KENNEDY RESTORATION BY WPL ASSOCIATES 315 SE 7TH AVE 522 NW 23RD AVE PORTLAND, OR 97214 PORTLAND, OR 97210 Phone: Contact #: PRI 503 - 234 - 0509 FAX 503 - 234 -4479 Reg #: LIC 3402 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 9/18/2007 $176.90 [BUPPLN] Pln Rv 9/18/2007 $114.99 [FLS] FLS Pln Rv 9/18/2007 $70.76 [TAX] 8% State Surchart 9/18/2007 $14.15 Total $376.80 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 r es are set o • in OA: • 52- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by call in 503.246.6699 or 1. ; x..332.2 , 6 • Issue y: - / / ) Permittee Signat re: i ' �i�, 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. Bu„Ain� permit Application i Commercial` _ ec Receiv � � , FOR OFFICE USE ONLY EcE \ Ei 1J ° ed !f 01 #�� III City of Tigard �_ Date/B � a Permit No.: yr/ - a 13125 SW Hall Blvd., Tigard, OR 97223 E P 007 Plan Revie Phone: 503.639.4171 Fax: 503.598.19605 � Date/B : 4 `�' / Other Permit: Inspection Line: 503.639 Y ®F' tIG D Date Rea: i : fan / ® See Page 2 for T IG A R D Internet: www.tigard- or.gov �i �� ® �� gl ka�� Notified/Method: (/r Supplemental Information TYPE OF'WORK " . i7 REQUIRED DATA: 1- 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 ❑ Addition /alteration/replacement 'NI Other: flr� GlGpa°r equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. • ❑ 1- and 2- family dwelling El Commercial/industrial Valuation: $ ❑ Accessory building Multi - family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION • Total number of floors: Job site address: ) .y/7 3 S zd� igl/ a f r 4 b New dwelling area: square feet City /State /ZIP: 1 / 472 Garage /carport area: square feet Suite/bldg. /apt. no.: ,__. Z Project name: 1 /7/we - Covered porch area: square feet Cross"streetldirections to job site: se l al Deck area: square feet Other structure area: square feet • REQUIRED DATA:' COMMERCIAL,' CHECKLIST Subdivision: Is_._ no.: Permit fees"% are based oil t ,c value of vork perfor°r. -. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. • crJ Valuation: $ 6 4 0 c// °� Rep alt /a air i -!.•Z Existing building area: square feet New building area: square feet • 5, PROPERTY OWNER ❑ TENANT Number of stories: Name: Ti erJ 119,71e%=74 /cf Type of construction: Address: / i 7Z 1 SGc- f0 g Occupancy groups: City /State /ZIP: T4F4rI Cyr Existing: . Phone: ( ) Fax: ( ) New: • • `� A PP L ICANT ❑ CONTACT PERSON. NOTICE Business name: / &yye arc s-7 ,e., kw All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Se., ;-,c+ S under ORS 701 and may be required to be licensed.in the Address: .1 jurisdiction in which work is being performed. If the City /State /ZIP: 6[7,),---y-/4,w1 applicant is exempt from licensing, the following reasons o a- - ,a ., apply: Phone: tr 1 1 3 ) Z3'7/ 17 S - O I Fax:: ( 3 Z3 Li ' y 7 7q E -mail: CONTRACTOR Business name: kF-4"-•' ee/ ire j-�L�� f- 1 BUILDING PERMIT FEES *" y -3 ' (Please refer to fee scbedale) Address: .31:c S 7� 4,7y Structural plan review fee (or deposit): City /State /ZIP: 0 J LJ1-„ Ore 0,,,, !?-)L) �j 7 Phone: �b3) 2 FLS plan review fee (if applicable): 3 �J- D So `l Fax: (9 z 3� / - 4N7q CCB lic.: 3 e:: , z Total fees due upon application: 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: s G O 71-7/-. 71-7/-. C, g L 4 ,..,,j - Date: 4— J 7_ Q 7 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(I l /02 /COM/WEB) IN q Building Division Accessibility: Barrier Removal Improvement Plan - TI GARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (I) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ l: \Boil ding \Permits \BUP -COM PermitApp.doc 02/23/07 , CITY OF TIGARD 4 / BUILDING DIVISION . .,• •,... PERMIT #: 6UP2007-00491 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91113/2007 Phone: (503) 639-4171 ohli VII' Inspection Requests (24 Hrs.): (503) 639-4175 ,_,. INSPECTION WORKSHEET FOR DATE: 1112R/2007 TIME: 7:00AM PAGE: 67 SITE ADDRESS: 14723 SW 109TH AVE 1-4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair to units 1 & 2. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503-234-0509 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 060419-01 503-572-6590 3 ir orrections/Comments/Instructions: PLM 2itt:90 —c.r__z__/7./ \I t Fivart- - ,-4--/-7 niz-Vo 7 tz/s/b (7i0) _,.• :. L e l , ill F III 1 I PASS El 'ARTIAL APPROVAL 7 CANCEL I NO ACCESS 5 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED r Inspector: _ Date:) Z-- / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 1JP200700491 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ail a/2007 Phone: (503) 639 -4171 " Inspect ion Requests (24 Hrs.): (503) 639 -4175 . . INSPECTION WORKSHEET FOR DATE: 10/24/2f107 TIME: 7:00AM PAGE: 68 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 • CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair to units 1 & 2. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503 -234 -099 Inspection Request Scheduled For: Date: 10124/2007 Pour Time: NI Code # Inspection Description Confirm # Contact # Messa•e 285 Drywall nailing 068214-01 503-G72-669B 4 g-4 Corrections /Comments /Instructions: "\ • A S ` n PARTIAL APPROVAL ID CANCEL I I NO ACCESS I FAIL (l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: I _ _ Date: /6 Z. y !? Phone #: (503) 718 6 W CITY OF TIGARD BUILDING DIVISION '' �' ,_,4. PERMIT #: BUP2007-00491 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007 Phone: (503) 639 -4171 44 : 11 1 , �i Inspection Requests (24 Hrs.): (503) 639 -4175 . •' I 1 INSPECTION WORKSHEET FOR DATE: 1011212007 TIME: 7 :01AM PAGE: 50 SITE ADDRESS: 14723 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair to units 1 & 2. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503 -234 -0509 Inspection Request Scheduled For: Date: 10/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message � 280 Insulation 057511 -01 503.572 -5598 SI6 1 Corrections /Comments /Instructions: P �. 0 o q Cs\- PAS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL /1111 CALL FOR INSPECTION I I ADDITI NAL FEES ASSESSED Inspector: Date: 10 1 Z Phone #: (503) 718- U . f .. . �R CITY OF TIGARD BUILDING DIVISION Ark PERMIT #: i3t)P2007- 00491 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007 Phone: (503) 639 -4171 �masryj Inspection Requests (24 Hrs.): (503) 639 -4175 !i- __ INSPECTION WORKSHEET FOR DATE: 10/11/2007 TIME: 7 :01AM PAGE: 49 SITE ADDRESS: 14723 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair to units 1 & 2. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: KENNEDY RESTORATION PHONE #: 503 -234 -0509 Inspection Request Scheduled For: Date: 10/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 057414 -01 503.572 -6590 ig. T �J `1 Corrections /Comments /Instructions: I . aff iki/ S( vR ioo ` Cam-' ❑ PASS rA RTIAL APPROVAL n CANCEL fiM, N` ACCES 4 FAI //ALL FOR INSPECTION ADDITIONAL FEES ASSESSED /' Inspector: • '-', -- Date: Phone #: (503) 718 - �/� ' CITY OF TIGARD BUILDING DIVISION , :.,K. PERMIT #: 13UP2007 -00401 � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9+107 Phone: (503) 639 -4171 47114 i 1\ Inspection Requests (24 Hrs.): (503) 639 -4175 AL INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 14723 SW 109TH AVE '1 - 4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Fire repair to units 1 8s 2. OWNER: TIMBERLINE APARTMENTS L.LC, PHONE #: CONTRACTOR: KENNEDY RESTOR PHONE #: 503- 234_OE0g Inspection Request Scheduled For: Date: •1mow Pour Time: Code # Inspection Description Confirm # Contact # Mess -t- ( 275 Framing 057131 -01 503 - 572 -5735 p Si Corrections/Comments/Instructions: i-- -R1/.�1�'"1 ) .T�k_ 'te� r a /rz- e 4 et 1 � ________. r PAS PARTIAL APPROVAL n CANCEL I I NO ACCESS f{ FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED / ( - Q, L Inspector: "'� \ J Date: / C/ 6 Phone #: (503) 718 - INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: . e7 REQUIRED ON GREEN INSPECTION CARD. I Code Inspection Description PASS Date 'By I Code Inspection Description PASS Date B BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover _ 210 Foundation walls _ 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation • 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 _ Electrical final 240 Exterior sheathing >e Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) „'275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical >< • Drywall nailing _ 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work x,198 Grading final 630 Fire damper , Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan fi 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 1 " CITY I ITY OF TIGARD ,,. BUILDING PERMIT T p„ PE RMIT #: BUP2007- 0049'1 COMMUNITY DEVELOPMENT'" '. DATE ISSUED: 9/18/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639:4171 PARCEL: 2S 110AC -00400 SITE ADDRESS: 14723 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT: JURISDICTION: TIG PROJECT: TIMBERLINE APARTMENTS Project Description: Fire repair to units 1 & 2. 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: 5N : sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 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: N SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 18,000.00 Owner: Contractor: TIMBERLINE APARTMENTS LLC KENNEDY RESTORATION BY WPL ASSOCIATES 315 SE 7TH AVE . 522 NW 23RD AVE PORTLAND, OR 97214 PORTLAND, OR 97210 b N Contact #: PRI 503 - 234 -0509 • I0 Phone: 0 FAX 503 - 234 -4479 Reg #: LIC 3402 `J FEES O RE fitS,AND4RERD12T*,,,.�,,, ,, Description Date Amount ..''''. Qr [BUILD] Permit Fee 9/18/2007 $176.90 el . [BUPPLN] Pin Rv 9/18/2007 $114.99 *AIRED f [FLS] FLS Pin Rv 9/18/2007 $70.76 • 0x •• . : / //// / jjj�� '! [TAX] 8% State Surchars 9/18/2007 $14.15 _ '4 }. j : • ..,. �6 ?i?i / "'R' ... b T/ �, r :• . Total $376.80 � :: -;.,. . _ . , • .... -, - -. .,,.„,,,, , :il' 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 r s are set o • in OA: • 52- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by callin 503.246.6699 or 1. ; e .332.2 6 /1„. , . Issue y: - I / ■.. ) Permittee Signat re: O. , ' � 4- ��_ 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. •