Permit CITY OF TIGARD BUILDING PERMIT
t. PERMIT #: BUP2000 -00460
VIr DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC 90682 •
SITE ADDRESS: 15510 SW 114TH CT G 68 -70
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 068 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: / 3 2 q
Remarks: Re -roof of 3 -car garage building.
Owner: Contractor:
SUMMERFIELD CONDOMINIUMS JBC ROOFING
REP: MACE FULKERSON 12155 SW GRANT AVE STE C
15480 SW 114TH CT TIGARD, OR 97223
TI on OR 97224 Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/00 $62.50 27200000000 Final Inspection
5PCT CTR 11/14/00 $5.00 27200000000
Total $67.50
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
Signature:
Issued By: _y ■ j. ' /� _,ddA s A i
Call 639 -4175 by 7 p.m. for an inspection the next business day
A •, _ Building Pernut Application .
Datereceived: // iy crp Permit no.:6' '2000 009401
r "" ` g City of Tigard
.4.- Project/appl. no.: Expire date: '<'.-;
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City o f Tigard
Date issued: B
Phone: (503) 639 -4171 By:. Receipt no.:
• Fax: (503) 598 -1960 ,
Case file no.: Payment type:
Land use approval: l&2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial m Multi- family ❑ New construction ❑ Demolition
U Addition /alteration/replacement U Tenant improvement 0 Fire sprinkler /alarm 0 Other: r
• 1 - -SOB SITE INFORMATION - -
Job address: 15 10 //1/ 74 Cau v t" • •• Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: r (.✓. -A A •
n
Description and location of work on premises/special conditions: °li l�
4 1 c r ' <C.F
OWNER ' ' •'"." ., • FOR SPECIAL INFORMATION, USE CIIECKLIST ;_
Name: curl 145 -e.. - -e.1( Co v,.. vv� \ ✓l \ o un (Floodplain, sepfie capat;'it�, solar, etc.)
Mailing address: 5 • Std .1 i LA T h C - 1 - 1& 2 family dwelling:
City: 1 ,2p State:UtZ ZIP: ( 772 2 4- Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Ivi AC >: a 1. \ ; F: ( S o tom) Total number of floors K�.
• Phone: -- 670 - 1 92 9 ) F ax: I; mail: New dwelling area (sq. ft,) '
i
APPLICANT Garage/carport area (sq. ft.)
Name: lit 16 00V( J( L L C Covered porch area (sq. ft-)
Mailing address: \ 2■ S S W G rto\vT A u tie, C Deck area (sq. ft.)
City: 1 tG.AQp State:QQ ZIP: '2_2 Other structure area (sq. ft.) �
Phone: ,3 -n8 - 1235 Fax :6�,3 c1'i' 7. E-mail: 13 ,000c,ft?cRocr-, ,,a. . CommerclaUindustriaUmulti- family: i
CONTRACTOR;
', 1 Valuation of work $ ,ii l
Existing bldg. area (sq. ft.)
Business name: C. R OO 1~ I lk..7 G-• L. LC New bldg, area (sq. ft.)
Address: t2l 5 S W G- ROxYr Ao E- Su % C. ..
City: - Ft G 20 EOM ZIP: - 22
Number of stories
Phone: 5.)3 - , - 123S - Fax: 6o3 - 7 E -mail: bl2QIX Q jRc c
t� Type of construction
• �, Occupancy group(s): Existing:
CCB no.: f •
New: r
City /metro lic. no.: -., ti L Notice: All contractors and subcontractors are required to be
AR ' ` - ' r' licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be
Name: p y 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: F mail:
,
ENGINEER . . , 3 ,i oilitil •
Name: Contact person: Fees due upon application $ Co '7 ' 50
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Not all jurisdictions weep, credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this o Visa o MasterCard : "
work will be compjied with, i-ether specified herein or not. Credit card number: / / . f'
i r Expo
Authorized signatu ; 5� Date: / I - 1 - •c 6) Name of cardholder a shown on credit card
Print name: , 1D A - 1-1), 6a O L $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4 (6A0/COM)
IA
;1 r 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.
,i, 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: ,. ...
t RE -ROOF (circle A, B or C):
A. Existing built -up roof covering to be REMOVED and deck repaired. ;z;;
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
( C.) architect or engineer licensed in Oregon.
Asphalt or wood shingle /shake. (PROCEED TO STEP 2)
•COM RCIAL'ONLY' - Class of Work:. Repair
' STEP 2: NEW ROOFING ASSEMBLY ." Y.
Material Documentation (UBC Appendix 15) -
Please fill out applicable section and attach copy of roofing specifications. ,`',.
a Listed Assembly (Circle and complete A, B or C): . . , . ...';'
A. 1. Specification #:
2, Manufacturer: G- A C .
3a. UL Classification: C L.YQ. SS A - Passes uI -99'I- iwq 't r
. Listed UL Building Materials Directory Page #:
. OR
3b. Warnock Hersey:, a
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: $ 2 — L \ sq. ft. / /CV of roof area ,
Permit Fee based on valuation:
(see Building Permit Fees chart) 2 `���
8% State Surcharge: $ 5 U� . • •
rf 65% Plan Review Fee: $
(Required for major repairs of Residential or
i Assembly item "C" above.
TOTAL: $
6 -
, ` -
't i:dsts \forms \roofchecklist.doc 10/05/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
!�... BUP ` •Z"G�� — UG (16
t- Date Requested (Z /) AM PM BLD
Location / C - - 5 / 1 ) 5c-✓ // .f .f c G ' •— 7 Suite MEC
Contact Person Ph ..Sc' • - 8q f• -.25(3 PLM
Contractor Ph SWR
UILDII�G`� Tenant/Owner ELC
� Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
S d Ceiling
Roo
17iisc:
fr ig ". 0 PART FAIL
PLUMBING �.
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL =, -
Post & Beam
Rough In
Gas Line
Smoke Dampers •
Final
PASS PART FAIL
ELECTRICAL w , .-
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Zi / �0 r
Other Date t ` I nspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BLIP - Building Permit ELC - Electrical Permit 4 -
J 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
Final inspection jzf f 5794 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
'I 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 I 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 -00460
4.4 � DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
-`y" 13125 SW Hall Blvd.. Tigard. O R 97223 (503) 639 -4171 PARCEL: 2S110DC 90682
SITE ADDRESS: 7 155114TH_CT G -68 -70
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 068 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 3 -car garage building.
Owner: Contractor:
SUMMERFIELD CONDOMINIUMS JBC ROOFING
REP: MACE FULKERSON 12155 SW GRANT AVE STE C
15480 SW 114TH CT TIGARD, OR 97223
TI A e ), OR 97224 Phone: 503 - 968 -1235
one.
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/00 $62.50 27200000000 Final Inspection
5PCT CTR 11/14/00 $5.00 27200000000
•
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. VI)
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 mor C
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 (-
Signature: 1
I .
Issued By: 1 Ii. ' .J4 s 4 4! i
Call 639 -4175 by 7 p.m. for an inspection the next business day
V
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