Permit t A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00463
Ph?' DEVELOPMENT SERVICES DATE ISSUED: 11/14/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC 90151
SITE ADDRESS: 15605 SW 114TH CT 15
' SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 015 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf - N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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: e(pti6
Remarks: Ro! roof of a 8 -unit condominium building (units 15, 16, 17, 18, 19, 20, 21 & 22).
Owner: Contractor:
SUMMERFIELD CONDOMINIUMS JBC ROOFING
REP: MACE FULKERSON 12155 SW GRANT AVE STE C
15480 SW 114TH CT TIGARD, OR 97223
TI OR 97224 Phone: 503 -968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/200C $139.30 27200000000 Final Inspection
5PCT CTR 11/14/200C $11.14 27200000000
Total $150.44
•
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe nn itee 1
Signature: ■— •
Issued By: At r < - • '
Call 639 -4175 by 7 p.m. for an inspection the next business day
i
.. . . • • ,
A , Building Permit Application
Datereceived: // /y /op Permit no.:Bll� '004
:a.. s:Iy" 'City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projcct/appl.no.: Expire date;
City ofTigard Date issued: By: )• ' r `
Phone: (503) 639 -4171 r Receiptno.: tT f..
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
• TYPE OF PERMITT
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial • Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement 0 Tenant improvement ❑ Fire sprinkler /alarm 0 Other: • 'lit
JOB SITE INFORMATION
Job address: Tin 5 /1 ' ti' Coo r ,F(- Bldg. no.: Suite no.:
Lot: Block: Subdivision: ® Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: O v-e v 0-4 i `)
c_c't=
OWNER ' ' . " FOR SPECIAL.INFORMATION, USE CIHECKLIST r
Name: ounl 14.5 ow) e. —r-el 4. cove AIM \v3low; ( Floodplain ,septiccapacit�,solar,etc.)
Mailing address: 5 •. S W .1 L ‘\ h C T 1& 2 family dwelling:
City: T , • State: Ora_ ZIP: ?722 z- Valuation of work $ •
Phone: Fax: E - mail: No. of bedrooms/baths
Owner's representative: M ACE 1 L \ F 0 So k) Total number of floors
Phone:5b3 - -6 O - 1929 Fax: E - mail: New dwelling area (sq. ft.) s
APPLICANT' ' - Garage/carport area (sq, ft.)
Name: It •o o 1 NL - L LC Covered porch area (sq. ft.)
Mailing address: \ 2.15" S t.,J G 2owT A.>-Q- S u ire C_ Deck area (sq. ft.)
City: 1 IG.4(zp State:p(Z ZIP: '.22 Other structure area (sq. ft.)
Phone:S- 63 -p'8 -1235 Fax '- E fjf{ptxcs;yc • Commercial /industrial/multi- family:
CONTRACTOR' Valuation of work $ ,,
Business name: C p10 j51l 7G- L,(�C Existing bldg. area (sq. ft.)
Address: 12 5 - s,,,.. G•QC 4 J1 - Av) So t'I•• -_
C New bldg. area (sq. ft.) •
City: T'l3 -4217 ZIP: ?223 Number of stories t
Phone:5)3- , - 1235 Fax:6o3 ?' E- mail:dRRizQS t` c,c Type of construction •
Occupancy group(s): Existing:
CCB no.: _ New:';
City /metro lie, no. LILI'�" Notice: All contractors and subcontractors are required to be
- - ARCIIITECFIDESIGNER ' licensed with the Oregon Construction Contractors Board under
•
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E-mail:
' ENGINEER
Name: Contact person: Fees due upon application $ /-SO 9V
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E - mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the ' Na all jurisdictions accept credit cards, please call jurisdiction for more information'
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard .-t
work will be complied with, th. ller specified herein or not. _ card number: I I 1
U p
Authorized si atllre Da te: ire:
� � Name of ca u s oa cre card
Print name: JD /C)' A • C'1 -115 i-1 0 L- S
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6A000M)
RE- ROOFING PERMIT CHECK LIST .,
RESIDENTIAL ONLY - Class of Work: Alteration
❑ REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and /or
changes are made to roof line.
• r.;
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re -roof if, (1) not more than three layers of
roofing will exist upon completion of the re- roofing or, (2) sheathing is not being applied over • "°
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied).
COMMERCIAL ONLY - Class of Work: Repair
:-STEP 1:
ili— RE -ROOF (circle A, B or C):
A. Existing built -up roof covering to be REMOVED and deck repaired. ; :,,
B. Existing built -up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp) of the
/ architect or engineer licensed in Oregon.
( (C. Asphalt or wood shingle /shake. (PROCEED TO STEP 2)
• COM RCIAL ONLY = .Class of Work: Repair
S 2 NEW ROOFING ASSEMBLY • .
Material Documentation (UBC Appendix 15)
Please fill out applicable section and attach copy of roofing specifications.;,.
Listed Assembly (Circle and complete A, B or C): .. ,.... ..6;r ;;' :
A. 1. Specification #:
2. Manufacturer: - A •
3a. UL Classification: C (-VI SS A — C-'aSS€S u1-99 g- LA.) iwp T � s t
. Listed UL Building Materials Directory Page #:
OR
3b. Warnock Hersey: i.
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans examiner.)
i„.
V ALUATION OF PROJECT: $ / 2.0 : Af
sq, ft.690(� of roof area 9, 6
Permit Fee based on valuation: $
q v
(see Building Permit Fees chart) 1
8% State Surcharge: $ ` I�
65% Plan Review Fee: $ °' ",
(Required for major repairs of Residential or
Assembly item "C" above. LL{{
TOTAL: $ 15b y am '
f x i
';. I:dsts \forms \roofchecklist.doc 10/05/00
•r'.,
r
1
BUP - - Building Permit - z-le / 4 ELC - Electrical Permit
Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing -4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation f�
Final inspection /Z-// / 4 1
a PLM - Plumbing Permit
-4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
_ Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4' Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY OF TIGARD ,�,, DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #: BUP2000 -00463
� DATE ISSUED: 11/14/2000
^-- W. 13125 SW Hall _Blvd., Tigard OR 97223 (503) 639 -4171
SITE ADDRESS: 105 56 SW 114TH' CT 1.5 SITE 2S110DC 90151
SUBDIVISION: FOUNTAINS S AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 015 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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:
Remarks: Re -roof of a 8 -unit condominium building (units 15, 16, 17, 18, 19, 20, 21 & 22).
Owner: Contractor:
SUMMERFIELD CONDOMINIUMS JBC ROOFING
REP: MACE FULKERSON 12155 SW GRANT AVE STE C
15480 SW 114TH CT TIGARD, OR 97223
TI onD, OR 97224 Phone: 503 -968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/200C $139.30 27200000000 Final Inspection
5PCT CTR 11/14/200C $11.14 27200000000
Total $150.44
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee / ' il lk Signature: .466......_ .
:
k iihh _
Issued By: i / - '
Call 639 -4175 by 7 p.m. for an inspection the next business day
W
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