Permit . BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2000 -00461
i4 DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC -90231
SITE ADDRESS: 15565 SW 114TH CT 23
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 023 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: 0 0,5--
Re marks: Re /roof of a 4 -unit condominium building (units 23, 24, 25 & 26). -
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 11/14/00 $91.30 27200000000 Final Inspection
5PCT CTR 11/14/00 $7.30 27200000000
Total $98.60
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
Signatur-. , e
Issued =y: (A
,......._ r (
/ d .
- Call 639 75 by 7 p.m. for an inspection the next business day
. . e... I;u•RH� •'a,• .. +r r.riF'm.:�rr.wrr <+H. GJ�',•i PRA'
Building Permit Application
Date received:// /y , Permit no i U Pa000 -0 Y< o /
..
/ . thit �'jl �" City of Tigard N.
" igar Project/appl. no.: Expire date: ".
CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 R l ' * `
Phone: (503) 639 -4171 Date issued: By:. Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type: N'
Land use approval: l &2 family: Simple Complex:
- TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial Multi - family O New construction CI Demolition .1, =,
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: •
- - -- 'JOB SITE INFORMATION
Job address: 1 5 6 Sup 7 '1 C 6 Uv T -f T Bldg. no.: Suite no.:
Lot: Block: Subdivision: - ,e (o ' Tax map /tax lot/account no.:
P•wt •t - O (J N rt;t1Q
Description and location of work on premises/special conditions: ova r2 I 4 t. ( 1 00�I WC.- P P P� .
OWNER I FOR,SPECIAL.INFORMATION, USE CHECKLIST
Name: o ' y 0 t-e Covi..wi‘✓11v ( Floodplain ,septiccapacity,solar,etc.)
Mailing address: 5 . • Si..) .11 y T h C i- 1& 2 family dwelling:
City: I Aftt, State: Utz ZIP: X 7722 4— Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths ;j;
Owner's representative: M paC S Fu L \t 0 So tV Total number of floors '43,:
Phone:563- 670 -1 ?29 Fax: E -mail: New dwelling area (sq. ft.) 4'
APPLICANT . Garage/carport area (sq. ft.)
Covered porch area (sq. ft.) •
Mailing address: 1 21 SS S W G rrowT 4.1-a. S u ITe. C. Deck area (sq. ft.) .
City: 71 G -14.( S tate:CQZ ZIP: 92,2 Other structure area (sq. ft.) r,
Commercial/industrial/multi-family: '` •`'`
Phone: -1235 Fax:(,03 -c )% Email: $R pDCQ317C (tac� Y� K
CONTRACTOR . . - Valuation of work $ «.",
Existing bldg. area (sq. ft) ...o
Business name: �C -Rapti` itu CLC
Address: t2(5 — Sw G. Q410 AJE- Sot1� C New bldg. area (sq. ft
City: T1e, -i .Q() State: Q ZIP: ' 2 Z3 Number of stories
Phone: 5b3- , -1235 Fax:6o. - E- mail:6r?Qt sts�t�
Q,s c Type of construction
-
Occupancy group(s): Existing: i.
CCB no.: ! - �'�r�. -,- __ � New: t:
Notice: All contractors and subcontractors are required to be '
ARCHITECT/DESIGNER - licensed w ith 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: 1=1111111110111111111 hr,
ENGINEER
Name: Contact person: Fees due upon application $ ?P' , !o 0
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 Not all jurisdictions accept credit cards, please call jurisdiction for more information. • c1:.
attached checklist. All provisions of laws and ordinances governing this t7 Visa ❑ MasterCard i
work will be comp • vi with, i gligat specified herein or not. F
Credit card rumba:
Expires
Authorized signal ` Dat / F � 3 �� Name of cardholder as shown on credit card
Print name: �a /-) C� l >� B L w 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. 44o -4613 (6vOK.'OM)
,y
j
RE- ROO = - ING }HERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration F
❑ 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.
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.
S•Y
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 . , 'r
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied). '
COMMERCIAL .ON Y:: - :C s o. •:Work: :Re air : a`A• 1H ,t .
�;,,�. ;" ., �;�
r' .:,. r `'r . ' ,� aSr' ,,_ 4 .... r .�,.�;.� a ��ros -„ �I; " » >..�E��� %�•"rv�<
s ' r.• '4 �x�.. nor �i��.r,:� -Hx: 7.'...,.a:. !- �`3ws.
f RE -ROOF (circle A, B or C):
A. Existing built -up roof covering to be REMOVED and deck repaired. h
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)
i. L;d•5 }( ;n: ':7j YS '3.; ae i,;.: r,'Ir is
O ..f CIAL = -, Glass of .W. O k°: =�Re +air..: - : ` ° � ., : r ;� : w. ', ���•:.,.,., ��.r ,;z°,y, �;_;,:, : x
'�� .:.I: " : .P. ; -S` • � 7i:' ._rlj "s,;��: .a. � `"' ;'bs^%"�.'s"�; ;sir ' .'y.� {{;S•I��A �S•,'N4s, { ,ybx�r`•`',�� �s
45 Y *; `;;y4•� a,.�I ,El .' ",F �.� 7. ,
STEP 2: NE1N „ROO FING ASSEMBLY ; r ., !., , ,�,.., - ., .., . .: •, '
Material Documentation (UBC Appendix 15) ._ _ ='': ;; 1:4-
Please fill out applicable section and attach copy of roofing specifications.
t 4s� 7:tii > .. ,._ .,� ^, :. .n.,ra; ,,si...� „ f; o , o
Listed'Asse"mbly '(Circle "and complete A,: B'or`C): ;, � ,; `, • :: ai, Y ` '-' , ,:, a g$
A. 1. Specification #:
2. Manufacturer: G - A c ,
3a. UL Classification: C (-1o. SS A — - Pia seS u t-99 f- LA5 Iwo rcs r •
Listed UL Building Materials Directory Page #:
OR
3b. Warnock Hersey: - . .
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated: '
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans examiner.)
VALUATION OF PROJECT: $ f , —
sq. ft. 7 of roof area — t y S
Permit Fee based on valuation: $ 9/ 3 •
(see Building Permit Fees chart)
8% State Surcharge: $ ' 3 '- :
A
65% Plan Review Fee:
(Required for major repairs of Residential or
Assembly item "C" above.
4 -0
TOTAL: $ c7if .
A
• j
i:dsts \forms \roofchecklist.doc 10/05/00
BUP - Building Permit Zk y ' / ELC - Electrical Permit
Inspection Description Date Passed By 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 I 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 � 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
Final inspection
�/IaJ 4,14411 e' A --Ar61 l4, 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 / 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 BUILDING PERMIT
PERMIT #: BUP2000 -00461
a �•11 1 .
DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: .15565 SW 114TH CT 23 PARCEL: 2S110DC -90231
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 023 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 4 -unit condominium building (units 23, 24, 25 & 26).
Owner: Contractor:
SUMMERFIELD CONDOMINIUMS JBC ROOFING
REP: MACE FULKERSON 12155 SW GRANT AVE STE C
15480 SW 114TH CT TIGARD, OR 97223
Ilk/nap, OR 97224 Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/00 $91.30 27200000000 Final Inspection
5PCT CTR 11/14/00 $7.30 27200000000
Total $98.60
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. V
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. c
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mor
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.
li
Pe rm itee
Signatur-. - --_„ _e „ '
. ' 0 i --- " Issued : y: o f ti
(Z OL44/1
< ( ,
lib,
Call 639 - 75 by 7 p.m. for an inspection the next business day