Permit • CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00176
At DEVELOPMENT SERVICES DATE ISSUED: 5/16/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15437 SW 114TH CT G 92 -94 PARCEL: 2S110DB -90922
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 092 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF 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: $ 1,324.00
Remarks: Re -roof a 3 -unit garage building (units 92, 93 & 94).
Owner: Contractor:
FOUNTAINS AT SUMMERFIELD JBC ROOFING
15480 SW 114TH CT 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD, OR 97223
Phone: 503- 670 -1929 Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT CTR 5/16/01 $62.50 27200100000
5PCT CTR 5/16/01 $5.00 27200100000
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) 2 • • ° • or 1- 800 - 332 -2344.
Pe mi ittee ...40 A hli...... 10
Signature: -4*
Issued By: � �� � ir -,
Call 639 -4175 by 7 p.m. for an inspection the next business day
I
Paulding Permit Application •. .r :
,,
` ° +r c 3 11^ City o f Tigard Date received: 5� /S 0 / Per no.: , X00 /gy / r
X11 1 /1^ Y g , : •
Address: 13125 SW Hall Blvd Tigard, OR 97223 Project /appl.no.: Expire date:
City of Tigard
M Phone: (503) 639 -4171 Date issued: ' eceipt n o.:
Fax: (503) 598 -1960 Case file no.: Payment type: ` 5
•
Land use approval: I &2 family: Simple Complex: ' `; _
TYPE OF PERMIT ,
0 1 & 2. family dwelling or accessory O Commercial/industrial O Multi- family O New construction 0 Demolition
O Addition/alteration /replacement 0 Tenant improvement ' Fire sprinkler /alarm 0 Other: •
JOB SITE INFORMATION
Job address: -I'S .3'7: ,S ; //y /1 ' ci = _ • I 7. Bldg. no Suite no.:G ?o?-9y . • Lot: 1 Block: Subdivision: Tax map /tax lot/account no.:.z5 / /d ,6S -70 9 : f;
Project name: t O U I� 7 INS /-V SO lvlNl E Sl F 1 E L 1) CO N DC r
Description and location of work on premises/special conditions: T 0 CD t" / C QE Q 1-14 (-? ,
S 9A, Fs, 9, .
OWNER FOR SPECIAL INFORMATION,, USE CHECKLIST
Name: FOV hC _ t t .t v '�'tln'rl eV 'i•e. ( Floodplain , septic capacity, Solar, etc,)
Mailing address• "j 1 -{ ->(.) S l.c.) i (`-i ti ll CS • _ 1 & 2 family dwelling: ;*
City: 1 State 00 c777,._.2,_-7' y Valuation of work $ /3.2v, 9'
Phone: 1Fax: E -mail: No. of bedrooms/baths
Owner's representative: mace / //-,. v.SG i'J Total number of floors
• Phone: Fax: F -mail: New dwelling area (sq. ft.)
• APPLICANT ' . G aragc/caqort area (sq. ft.)
Name.: JFC cra�I 1 t -,_ L Covered porch area (sq. ft.)
�-.- "- J r� ' � N►S Na- vet •
Mailing address: 7 15 f ? (...) ) Deck area (sq. ft.)
City: T i 5 a L 8 StatrO(', ZIP: l'i22 / Other structure area (sq. ft.)
Phone: Fax: E - mail: Commercial /industrial /multi family:
CONTRACTOR Valuation of work $
J B GY',� t IV��_ � LC
Existing bldg. area (sq. ft.)
_ _ Business name:
Address: 1 fit; Cr Vc?vlfi 4-u -- New bldg. area (sq. fl.)
City: ri 4' , 6 StateOt\ ZIP: C' t22(. Number of stories
•
p3 I -CO �.- f �u /1t;- •- - Type of construction
S' 6� 11. 5' Fax E- rn .. . Cur
. ; 0 .
Phone:
CCB no.: c ji . 8 2 J Occupancy group(s): Existing:
New:
City /metro lie. no �7�0 _ Notice: All contractors and subcontractors are required to be •
•
. ,. .__ ARCIIIT E CTIDESIGNER ,..
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 1ZlP: - - exempt from licensing, the followi reason applies .
Contact person: Plan no.:
Phone: Fax: ' E -mail:
ENGINEER :;
Name: Contact person: Fees due upon application $ 6 7, SO
Address: ___ - - -- - -__., --- --
Date received:
—
City: __ State: ZIP: Amount received $
Phone: Fax: — 1-
-
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.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied N. , ti tether specified herein 01 not. Credit card number: __ / J
Expires
Authorized signature: _ / _ Date: Date: __ Name of cardholder as shown on credit card
rn
Print name: �t/ /la—IL/ ca Z1 ier signature $ Amount
Notice: This permit application expires if a permit is not obtained within 1 80 days after it has been accepted as complete. 440 (6A01COM) '•
•
... .. .„„,,, ,....,_..,u;.uu,i.. >,fr . iw«" t,pr411l44
RE- ROOFING PERMIT CHECK LIST = .
RESIDENTIAL ONLY - Class of Work: Alteration rt. I • ❑ REPAIR (MAJOR) (plan review required by plans examiner) f: I
Building permit is required when spaced sheathing is covered by solid sheathing and /or "4,
changes are made to roof line. : : �
SUBMIT TWO (2) SETS OF PLANS SPECIFYING: , ' •tiy:''.
A. Roof area and nearest street. . : �'«v °''F :. 1, }fa
�:�� <�'`�"
�
B. Attic vents: Provide 1 sq. ft, for each 150 sq. ft. of attic space. Vents shall be located in : . ,tj
; f e, f, 1
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic - . , i
venting is provided. r.
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 • , • • a,.;r1 ; 5 •
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied)
COMMERCIAL ONLY - Class of Work: Repair `;s :` t •°
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 • i
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 ERCIAL ONLY - Class of Work: Repair "; ' _ `:;! ;-V;`` y,_ ;, '
STEP 2: NEW ROOFING ASSEMBLY st.''`' , "r
Material Documentation (UBC Appendix 15) . ../:2,;,-,..,..,,,,
Please fill out applicable section and attach copy of roofing specifications.
ted Assembly (Circle and complete A, B or C): ` '
A.) 1. Specification #:
2. Manufacturer: ►—
3a. UL Classification: C' t1l-'S A =n
Listed UL Building Materials Directory Page #:
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page #: . •
`COPY OF ASSEMBLY REQUIRED --
B. ICBO Research #: ' Li ' �G� .}
Date '
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES . `" ` .
(Review required by plans examiner.)
VALUATION OF PROJECT: $ 41 `f .
/ sq. ft. of roof area f ! •
Permit Fee based on valuation: ,
/ •
(see Building Permit Fees chart) $ t ' ' , Se
8% State Surcharge: $ -
•
65% Plan Review Fee: $ ':f.r •:
(Required for major repairs of Residential or
Assembly item "C" above. // • ,{
TOTAL: $ (O 7 V
i . ,
i:dsts \forms \roofchecklist.doc 10/05/00 - ; ei{' ; _?
1.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP) l DZY /7c.,
Date Requested F-13 AM PM BLD
Location / �,�, / f L . £ - i Suite MEC
Contact Person 54 J Ph q 40/ - �.3$ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /J
Slab � — o � (/ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceilin•
Roof
Misc:
ma
PASS PART FAIL
PLOMBING -
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
_ 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 Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.