Permit �j CI OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00479
— 13125 SW r, DEVEL r S o ER9 I 639 -4171 DATE ISSUED: 10/15/2004
SITE ADDRESS: 14759 SW 109TH AVE 1 -4 PARCEL: 2S110AC 00500
SUBDIVISION: TIMBERLINE APT. ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
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: $ 2,200.00
Remarks: Repair decks for 4 units.
Owner: Contractor:
TIMBERLINE APARTMENTS LLC OWNER
BY WPL ASSOCIATES
14799 SW 109TH AVE #1
TI onD:OR b232�324 -7044
Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 10/6/2004 $72.10 Final Inspection
[TAX] 8% State Surcharl 10/6/2004 $5.77
•
[BUPPLN] Pln Rv 10/6/2004 $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 _ _ .699 or 1- 800 - 332 -2344.
Issued B . - Caleilk-Ark
Permittee —
Signature: . °! "t <. i r c.
Call 639 -4175 by 7 p.m. for an inspection the next business day
4. t
Bui1 'Ink Permit Application FOR OFFICE USE ONLY
City Of Tigard Date/By: / eQr Permit No.: 0 D /77 J
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review u
Phone: 503.639.4171 Fax: 503.598.1960 /.„h rpi.'1'h\ Date/By: /0 / 67 I�/ Other Permit:
Inspection Line: 503.639.4175 ^W . Date Ready/By: /� Juris H See Attached Checklist for
Internet: www.ci.tigard.or.us Not d f / t/ t PP
l P Supplemental Information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
OfS, �ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
l ' ! tr tat ila ' ' �'` 1 work on this a
� " � -WC2t FG RIO r • '..7-.... RUC IOI�I k t1 � P k indicated thi
application.
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�.v'ss'A` -- � �.T'.cw. * �+',,'1.�
❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $
E) Accessory building • .;'Multi- family Number of bedrooms:
❑ Master - builder ❑ Other: Number of bathrooms:
.° :,.p : , ,".r'i.S i'i"'t y*^T .:�x'" 'd9h ! ._ k S1' GN: :' �S�:1i�.'F. ^E= ''x$ zL °'.'
. i i i ` 1N HtYI OL " rdigt �"` i Total number of floors:
r s 4 -�: . ». . ° ;zns �. _ _ w )W.11. &N•1v IsO, f%Afi (�N` ,,,,F s,
Job site address: /4 7 579 ' ski lc, Tat New dwelling area: square feet
City/State /ZIP: - r - -.. 41., r �t _ €f 9 - 1' t Garage/carport area: square feet
,ti Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: S fit! / a'T 't ,A d„,k Deck area: square feet
•
Other structure area: square feet
REAM —? cIAT.0 CM1kIlYI W li :C•SE ,• 194'. CIq IST
.w�.��.�s %<.., ,.. rim.,. ��.,: -�, .,:�....r ,
Subdivision: 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
... Ww a - _� A equipment, materials, labor, overhead, and the profit for the
, a : r J , 2_ ESCR Zp ` __R , `011i�O � ' ' ' work indicated on this application.
�@� t il' t 12--• — 1-00i7-5. Valuation: $ a 0 04D
Existing building area: square feet
New building area: square feet
t '' P $Rdt 1t'� R� -„ - 4 . ry sx ' T -._ , , Number of stories:
.^= "r- -=-: . ,. s , � :�•atr :. ��.,. �v�"^ -x� ;:`�.s4�.s�s:� s�'4 . "1�'�z;�w�'�� e;. " `r x�a� u.:4LS
Name: Lt/ f � Type of construction:
Address: ill - Z't 9 5 ;, ,'O IV' Occupancy groups:
City/State /ZIP: t j ` 6 •( a fL ' s( Existing:
Phone: t ra" ) la -ci -70q61 Fax: ( ) New
u
., ' PIJIG I ^F rM ONT4G R r�` OI� ' ; . _. +s„ � ,.r .. .:,;. n : : ..-,
'c• -. cv .. k(= ' ,tir4a"' �5• .Zr:.C. .r§FSa e. �"�'•�„ '. F .; .�:a W"'��'.x+a:. •; % ' �z�= *c,i?�`,�.,�'». � ".,'� ., � ' O s ,r"'' 14 t ._.
. l .,��,x .'y-� �., ;:r�. F� a�' Sr,,4t° ._�. s"�3s'�",.'mg3 �;�t;�"p;;.a ;
Business name: Otv-,,
` `ft 41�T0,t) (' All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
• 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
407 apply:
Phone: (5)5 .. Ce)C) I Fax:: ( )
E -mail:
` ' 'S " x . r; °'�.. -!'a V200: " : $yi i le . .�wt >, aF "^a <'a s.:. t �z z -* r "'.'- x,
CA3YfT f . -^ ,� _ -'„,,, •,.; r4.
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Business name : �_
C7 �t'- -& �``�������J'�ELn�l1'GP`�EIT�IiE *;€ �•�;E;:. •rk ^
Address: ca '`.a . s it 4` � w..- `"+:u 's.•:E.;'a,. , -.5,": "•: k! 4.1:- y =r'4 .. .
Please refer to fee schedule.
City/State /ZIP:
Fees due upon application
Phone: ( ) Fax: ( ) ,
C..---- Amount received
CCB lic.:
Date received:
Authorized signature: + /j
v �/ This permit application expires if a permit is not obtained
- __.. ,6
_.. ' within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri County Building Industry
Service Board.
i.\ Building \Permits \BUP- PernutApp doe 12/03 440- 4613T(11 /02 /COMN✓EB)
CITY OF 1°IGARD
BUILDING DIVISION PERMIT #: BUP2004- 0047 5
13125 SW Hall Blvd., Tigard, OR 97223 '
'DATE ISSUED: 10115/2004
r rr
Phone: (503) 639 -4171 i itil��11 ii
Inspection Requests (24 Hrs.): (503) 639 -4175 ..._,111- 1 ' _L.
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 88
SITE ADDRESS: 14759 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Repair decks for 4 units.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: 503 - 624 -7044
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm #. Contact # Message
2 Final inspection 060126 -01 503 -407 -0001 N
Corrections /Comments /Instructions:
1 111
PASS r P TIAL APPROVAL n CANCEL I I NO ACCESS
FAIL yL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
• Inspector: ��� Date: . �G Phone #: (503) 718- Z de.
'"'
CITY OF TIGARD f
•
BUILDING DIVISION PERMIT #: BUP2004 -00479
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/20014
Phone: (503) 639 -4171 d I Inspection Requests (24 Hrs.): (503) 639 -4175 _�
INSPECTION WORKSHEET FOR DATE: 9/16/2005 TIME: 7:01AM PAGE: 88
SITE ADDRESS: 14759 SW 109TH AVE 1 -4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: Repair decks for 4 units.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: 503 -624 -7044
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 015852 -01 503- 961 -8800 N
Corrections /Comments /Instructions:
1, -- Ika--/ I. 5 P ' 0.6 ... ) ,, ,
•
❑ PASS ❑ PARTIAL APPROVAL II CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITf NAL FEES ASSESSED
r Inspector: v � Date: Phone #: (503) 718 -