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Permit R 1 BUILDING PERMIT CITY OF T I GA R D PERMIT #: BUP2005 -00171 _+ B f- ,, _II��I DEVELOPMENT R - 639 - 4171 DATE ISSUED: 5/10/2005 PARCEL: 2 S 110AC -00500 SITE ADDRESS: 14719 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APT. LOT: JURISDICTION: TIG Project Description: Deck repair for (2) 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: $ 1,100.00 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 - copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: ), Permittee Signature: U di 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. Building Permit Ap Rata '. ED FOR OFFICE 'USE ONLY City of Tigard Receive ', Permit No.: n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ��.� �� o ° (� / 1 P Phone: 503.639.4171 Fax: 503.598.199 t 2,1 200 ;dl„ 1 +h ceive DatefB : �y �� O Permit: Inspection Line: 503.639.4175 e Date Ready/By: El See Attached Checklist for Internet: www.ci.tigard.or.us ®F Ty f _ � JJ Notified/Method: Supplemental Information CITY _^ r.T /ICS N , � �' aT - 8 O tt w o iaitc I kali` ii 2 P.A y . � � . �; e - ate -av . - ..m' ,- :�. �" ' '� .... z w,..,r, uw r.:.. ;:_W .: a k'.zta1,.m •r ( �.v k :fi. - • - - . ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Additio teratiot eplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ` z E " `i ,f �� work indicated on this application. <. ; . c- `, ,1, 1TEGOR ? . OlYSq -4, 4 7 I AIg+ ' -', 5 ,, ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: A ', a ' �`° '' ¥, - > -mo t _ " v "� ,. kr ° , *� O 3S I FO A , i 'ION'DLQA j�OlN Total number of floors: Job site address: l s /a 771-_-- �a New dwelling area: square feet City/State/ZIP: l to -(' / . Garage/carport area: square feet Suite/bldg. /apt. no.: c j I Project name: 77 - J 2 -, , '�1° � Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet t a`LN3=IRED i� i 01 I2.cI ijSE ECI LIST. � �;� -ter • � .,, r .... w , Subdivision: I 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 ,. • ; ` :" -c' °w i6` s '"' ' �. "- s .fir .-i ° ,•. l9. s - %� tp 0 - O f Q T ` s 5e '� , work indicated on this application. I !� , J/ /� /A P �C Valuation: $ V r / UUI/ , ) Existing building area: square feet New building area: square feet w& x; xh g .. eAr .: E . xs. •4 :- -,.� . .. -aw- ls � �; ON R r F T Number of stories: Name: ri`) 1 Type of construction: Address: i yigq LV V 1 ,' se: Occupancy groups: City/State/ZIP: / C • Existing: Phone: ( ) ) 70 /. / Fa CJ% II 5 New: , • l'A` .: v • ' „. ` . - . ,,, ik ll- ,.: ': ' ; i ::' .: G . 41 i • 04 , -- O e• r • : .: :.. o' r. c ,. ^ 'z pritk Business name: All contractors and subcontractors are required to be ' :Yr s* . �_,. a•" ' LJ b h ni � CJ licensed with the Oregon Construction Contractors Board Contact name: / / I ,--i under ORS 701 and maybe required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZII': applicant is exempt from licensing, the following reasons � apply: Phone: ( ) 407 1/Uv ) Fax::( ) _ E -mail: Business name: 11VVOW a:n ..:. .. ,. T FFES.* r._, Address: : �sG . Please refer to fee schedule. City/State /ZIP: Phone: ( ) Fax: Fees due upon application ( ) CCB lic.: Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained �) ti } within 180 days after it has been accepted as complete. Print name: (�(/1� Date: �l �� — * Fee methodology set by Tri -County Building Industry `/ J / /�J Service Board. is \Building\Permits UP ermitApp.doc r4f03 440- 4613T(l l/02/COM/WEB) i CITY OF TIGARD _ BUILDING DIVISION PERMIT #: >t�D;:c��1, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/200 Phone: (503) 639- 4171 fi Inspection Requests (24 Hrs.): (503) 639 -4175 U . -__:. INSPECTION WORKSHEET FOR DATE: 1/5/2005 TIME: 7 :00AM PAGE: ELF • SITE ADDRESS: 11719 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMINFS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: Deck repair for (2) units. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: ' CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 024100 -02 503 - 624.7044 N Corrections /Comments /Instructions: 1 • / / Al i . An7c5 '..Ii' ..._-_____-) , ' . „ ... k, ri PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS FAIL ❑ CA , FOR INSPECTION n ADDITIONAL FEES ASSESSED / / / Inspector: ri7�.. Dat e: ` 1 0 Phone #: (503) 718-