Permit ` ° BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00230
. DEVELOPMENT SERVICES DATE ISSUED: 6/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DC-02000
SITE ADDRESS: 11905 SW 91ST AVE * ** BLDG 1 ZONING: R - 7
SUBDIVISION: VILLA LA PAZ LOT: JURISDICTION: TIG
Project Description: T.I. exterior sheathing & window replacement.
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: 5 - HR 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: $ 105,000.00
Owner: Contractor:
VILLA LA PAZ LIMTED PARTNERSHIP LMC, INC
BY COMMUNITY PARTNERS FOR 4915 SW GRIFFITH DR #301
AFFORDABLE HOUSING INC BEAVERTON, OR 97005
TIGARD, OR 97281
Phone: Phone: 503 - 646 - 0521
Reg #: LIC 161282
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/1/2005 $763.80
[TAX] 8% State Surcha 6/1/2005 $61.10
[FLS] FLS Pin Rv 6/1/2005 $305.52
[BUPPLN] Pln Rv 6/1/2005 $496.47
Total $1,626.89
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: - 1 Permittee Signature: �t �
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.
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Building Permit Applica'tion , -; , . , z-r . : + - t FOR OFFICE USE O NLY , ; #x i J . ,
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City of Tigard Received Date/By: 5 /�'7 JF AiiIS Permit No.:)��i : "� ' — 6„∎ n
13 SW Hall Blvd., Tigard, OR 97223 "' Plan Review/ / t'
Phone: 503.639.4171 Fax: 503.598.1960 TIOF Alii111 Date/By: Other Permit:
Inspection Line: 503.639.4175 A I i jr Date Ready/By: Jute El See Attached Checklist for
Internet: www.ci.tigard.or.us -. . ; Notified/Method: ( / ( 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
g Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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._ r�tfi ; �;, ! , _w::�;�.:�s?;;;4�1b�,`�•' _ �Y. -.•... work indicated on this application.
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❑ 1- and 2- family dwelling Valuation: $
❑ Commercial /industrial
.❑ Accessory building 1 Multi- family Number of bedrooms:
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El Master builder ❑ Other: Number of bathrooms:
+; `, " +t�a:S- a•r'.i�:c 'i�.raa# =e r�. ^; ;:4',t- -rs".. J,�;t�� :, - .. . Total number of floors: • '. _� �;•; r"
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Job site address: S \At 9 I .sr ,4syaHv New dwelling area: square feet
City /State /ZIP: -- (e ., 6 Rp pRE_c,c,ik Garage/carport area: square feet
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Suite/bldg. /apt. no.: p j j,�... Project name: R6 snAFGS Covered porch area: square feet
Cross street/directions to job site: pN 9 AVENUE_ 5®c-- TJ4 Deck area: square feet
(=F•I- OP '' R5..S1-I F RpA j7 Other structure area: square feet
?4R:EQ JIRKED:p TA: c9MME:RciomSE.,:co ;CKLIST. •
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
7 C a, Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: i S 1
equipment, materials, labor, overhead, and the profit for the
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Valuation: $ 2.2 S Oao
S lD IN42 REPL ,c -kMamr 4 DF--c p,E ;P4frt
Existing building area: ZZ /752. square feet
New building area: fib CJf ,,,,gE square feet
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Name: VILLA 'PAS. 161v � [
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Address: (,=, 5,13.=, S t' M STA., 5ulTE Ie2 Occupancy groups: .
City/State /ZIP: TI G- 'AI D , , E CCE c A/ C r 7 2.24 Existing: R- 2 (Soca 3 I I3 C )
Phone: (S° ,) ctec€, - 232,1 Fax: (503) 3"9 - 89 22., , New: S•artit •
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Business name: < Af 2 -LF T t / (-05, (2,-r App H / 7 K All contractors and subcontractors are required to be
Contact name: I R. 5 I/uMa /vS licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 3 4l V' e,TN AvEf-I UE. jurisdiction in which work is being performed. If the
IP: ® ® a applicanoos exempt from licensing, the following reasons
City/State /Z
P ELT'LAe O ( (_�c �'7 �. 9 apply: ' 1 I z .1. 8u
Phone: (503) 2.4, 3 - 2'2.52_ I Fax: : (5-4=.3) 24 3 - 32 Ccp - tic 01 8 . s Y
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Business name: LM C. I i .
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Add ress: 9I - ',:a. ,. . ; .•.,,,, , • , ...,.- i,.... :'
5 w .R,I F i TH DR., S u t r-E 5c I Please refer to fee schedule,
City/State /ZIP: N/gI2 =4,1 o Fa e 9 7� °S'
/ Fees due upon application
Phone: (503) Co4c .. ®S 24 Fax: (51=>3 �Co - (
Amount received
CCB lic.: 1 (p 1 S 2. -
Date 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: gi?,4,9 Si A4 stor cst-5 Date: 5 / 2 7/° g' * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02JCOM/WEB)
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: BUP2005 OU230
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6f1/00'
Phone: (503) 639 -4171 ::iiNvitiii i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:'
INSPECTION WORKSHEET FOR DATE: 7/6/2005 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 11805 SW 91ST AVE ""' BLDG 1 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: T.I. - exterior sheathing & window replacement.
OWNER: VILLA LA PAZ LIMTEL) PARTNERSHIP, PHONE #:
CONTRACTOR: LMC, INC PHONE #: 503.6116-0521
Inspection Request Scheduled For: Date: 7/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032734 -01 503- 968.3278 Y
Corrections /Comments /Instructions:
— - r r - - - - - - tO ! 6—
( ) CO 7, ., . ' / '
F PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL CALL FOR INSPECTION ❑ ADDITI'N L FEES ASSESSED
Inspector: / t , Date: Phone #: (503) 718 -
L
CITY:. QF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 41
SITE ADDRESS: 11905 SW 91ST AVE BLDG 1 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: T.I.-exterior sheathing & window replacement.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: LIMMC, INC PHONE #: 503 - 646.0521
Inspection Request Scheduled For: Date: 11/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
240 Exterior sheathing 020231 -01 503.694 -5066 Y'
Corrections /Comments /Instructions:
- .
AV
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
00 Inspector: Date: t(( Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: BUP2005.00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2005
Phone: (503) 639 -4171 :NI el
Inspection Requests (24 Hrs.): (503) 639 -4175 _.W
INSPECTION WORKSHEET FOR DATE: 713/2006 TIME: 7:03AM PAGE: 36
SITE ADDRESS: 11905 SW 91ST AVE t' BLDG 1 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS
DESCRIPTION: T.I. - exterior sheathing & wind placement.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: LMC, INC PHONE #: 503-646 -0521
Inspection Request Scheduled For: Date: 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 032573-01 503. 969-3279' N
Corrections /Comments /Instructions:
fJ d Gam. 5 . IC �
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
/NIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: W3/ 2 -N Phone #: (503) 718-