Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00173
DEVELOPMENT SERVICES DATE ISSUED: 5/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AC - 00500
SITE ADDRESS: 14775 SW 109TH AVE 1 - ZONING: R -12
SUBDIVISION: TIMBERLINE APT. LOT: JURISDICTION: TIG
Project Description: Deck repairs for (3) units.
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: 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: $ 1,650.00
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
522 NW 23RD AVE
PORTLAND, OR 97210
Phone: Phone: 503 - 475 -3180
FEES Reg #:
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/10/2005 $62.50
[TAX] 8% State Surcha 5/10/2005 $5.00
[BUPPLN] Pln Rv 5/10/2005 $40.63
Total $108.13
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: /72 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 Application , FOR OFFICE USE ONLY
Cit of Ti and ". ` � E
Received _ )) n
Y gx ' Datc/B : / � J a P ermit No.g ^ ! 00 / /3
13125 SW Hall Blvd., Tigard, OR?;97223 plan Review /�
Phone: 503.639.4171 Fax: 503.598.1960 r, hiip; µ i Date/B : • S . / Other Permit:
Inspection Line: 503.639.4175 nO 21 2 QO5 x ,11,1,• Date Ready/By: H See Attached Checklist for
Internet: www.Ci.tigard.or.us t It Notified/Method: Supplemental Information
'IGA
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El New construction 1 J h• ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Additio • teratio s eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
-� ,'; W " k -,is• work indicated on this application.
. ` 4=4 atan Tt r1i. --.. ® , 9 _ � ' O ash 9 � ' Tf s r
❑ 1- and 2-family dwelling ❑ Commercial/industrial Valuation: S
❑ Accessory building %Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' 1 ` 'k'' ' ""''' `'' N` '..., Total number of floors:
Job site address: Ji -P7 /5 / 0 Q 7`h___ (# ? New dwelling area: square feet
City/State/ZIP: Ty
a 17 I aC , Garage/carport area: square feet
Suite/bldg. /apt. no.: Pro ject name: Tip ✓li lie 47)13 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a -r I .:; "tires r ='`v- 'cc;� - k °z
not*, .fi w
Subdivision: l Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
3
"O ' t work indicated on this application.
/ >•- rtia -t i--_, Valuation: $ 4j , rQ
Existing building area: square feet
New building area: square feet
. _ ®.aa . 1.1::..„#41s,,,_=:,„ K Number of stories:
Name: / / ' . u2L d A t5--, Type of construction:
Address: 1 i_nGJq c514/ �.�t jj �l Occupancy groups:
City/ State/ZIP: / G ' Existing:
Phone: ( ) L — 0/ Fax: ( L L/ . 1 U 5L New:
Business name: All contractors and subcontractors are required to be
Contact name: . u)----- n-y►n � licensed with the Oregon Construction Contractors Board
ail r under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
Phone: ( ) 40 Z 1 I Fax:: ( ) apply:
E -mail: /
Business name:
o �. t . =gip � to
Address: " -.. . , '
Please refer to fee schedule.
City/State/ZIP:
Phone: ( ) Fax: ( )
Fees due upon application
CCB lic.: Amount received
Date received:
Authorized signature
n /1 // This permit application expires if a permit is not obtained
• Iin G r "i c � v ( / within 180 days after it has been accepted as complete.
Print name: Dat'� -`)
(� Fee methodology set by Tri-County Building Industry
Service Board.
.` i:\ Building \Permits \BLIP PcrmitApp,doc. 12/03 - _. - • . 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00173
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005 Phone: (503) 639 -4171 � 1ii ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :Q3AM - PAGE: 59
SITE ADDRESS: 14775 SW 109TH AVE 1-4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Deck repairs for (3) units.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 03386E41 503 -968 -8800 N
Corrections /Comments /Instructions:
'`
P SS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAI ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
Illete Date: 7 /2\ -7 / 0 6° Phone #: (503) 718- I V '