Permit 41 CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00177
6 '411 4 DEVELOPMENT SERVICES DATE ISSUED: 5/16/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15437 SW 114TH CT G 95 -99 PARCEL: 2S110D6 -90952
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 095 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: $ 2,204.00
Remarks: Re -roof a 5 -unit garage building (units 95, 96, 97, 98 & 99).
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 $72.10 27200100000
5PCT CTR 5/16/01 $5.77 27200100000
Total $77,87
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 rm ittee
Signature: 'di;
Issued By: ZA)W
Call 639 -4175 by 7 p.m. for an inspection the next business day
1 uulding Permit Application > .
, jiii ...
Date received: /s d J Permit no ",200/—J,6 ,i) `
71%11/1" City of Tigard . :
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 ProjecUappl.no Ex date:
Phone: (503) 639 -4171 Date issued: 12M Receiptno.: • •
Fax: (503) 598 -1960 Case file no.: Payment type:
*,` r?
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction Cl Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: - •
JOB SITE INFORMATION
Job address: ._ /. 5!`` .'7. $ - %/ "9 ` _ e'_ ir $ , - Y_ -
^ - ° ,"` Bldg. no.: Suite no.: G $�S — j`3 .
Lot: Block: Subdivision: / r
r Tax map /tax lot/account no.: /OA8' `10 95 ` "_
Project name: 1_ O U IV — I 1 S III& U IY N E. - I E L I "G , o ..,
Description and location of work on premises/special conditions: I C) r / GU t Q L ,
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST •
Name: F O U ht a ‘ t'15 k 7 A t U - _ _ \., 'i M' (FIoodpiain, septic capacity, solar, etc.)
5 t.
Mailing address: i �•j1 -{ �(j I :
'� i'1 LS_ • 1 & 2 family dwelling: '
City: 1 \Z‘) State C'j(Z ZIP: 7.722 4 :1/ Valuation of work $ ..?-.2.09. /� , ,
Phone: 1Fax: TE-mail: No. of bedrooms/baths
Owner's representative: /vlac:e /L1_, //- --,€„. c..o 4 Total number-of floors
Phone: Fax: E -mail- New dwelling area (sq. ft.)
APPLICANT' • . Garage/carport area (sq. ft.) '
. Name: L TFC Az( \ t ... L (_ - Covered porch area (sq. fl.) t
Mailing address: 1 7 j'j Sc.):...) tJ I Deck are (sq. ft.) • U:
'� � =►- . to . ..'
City: - T - i 5 a y d State•( ZIP: 0 2.-2_44 Other structure area (sq. ft.)
Phone: Fax: E Commerciallindustrialimulti family: -
_ CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.) •
Business name: 3 B Ra_,(I )e.
1� l j _ LC
Address: ( i 5 �,�' tx G• V C?t•lfi a -e — ~ -- New bldg. area (s ft.)
Number of stories
City: 1 4 - ;„ State:CA\ ZlP: 22
Phone: rp3 � • -/23S Fax . ..6'03.-7X/ ! ' Type of construction
6
X03 - 7X 504k
CCB no.: �- R 2 J Occupancy group(s): Exiting.
City /metro tic. no c;')C3 0 (, ` Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: T _ 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: >: — exempt from licensing, the following r eason applies: °
y: state: !ZIP: ,,.�! "
Contact person: Plan no.:
Phone: Fax: .. E -mail: •
ENGINEER R ` t . ,
Name: ^ -- —.— Contact person: Fees due upon application $ 29. f7
Address: — ..._.__-_--- Date received: __
City: ^� State:__ LII': — Amount received
Phone: Fax: [ 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 0 MasterCard
work will be complied , whether speci red liereiii or not. Credit card number / /
/ 4— _
Expires
Authorized tl1rC: Dit
_ lc: 4 `t Name or cardholder as shown on credit card
Print Wae: — _ - �* K 35 � S
rn
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 (610000M)
•
1 ll'
RE- ROOFING PERMIT CHECK LIST : 'z,' ` N-'
•
RESIDENTIAL ONLY - Class of Work: Alteration ..
❑ REPAIR (MAJOR) (plan review required by plans examiner) I
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
A. Roof area and nearest street. . ;; � °'�.„; :_ I
B. Attic vents: Provide 1 sq, ft. for each 150 sq. ft. of attic space. Vents shall be located in - . .. "` } 4 ,
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic 1
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 - ;, :t + }. 'rr
•
ST - 1: .. .' .
r 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.
i C) Asphalt or wood shingle /shake. (PROCEED TO STEP 2) :v
COM ERCIAL ONLY - Class of Work: Repair ,( :7; ` ` '� 0,i
STEP 2: NEW ROOFING ASSEMBLY ,,, ..
a .`r�"`
Material Documentation (UBC Appendix 15) ••,, w� ". ,
Please fill out a. plicable section and attach copy of roofing specifications. .
' ted Assembl Circle and com•lete A B or C): :„ • •
' A. ) 1. Specification #: _ .
2. Manufacturer: &-A f— _
•
3a. UL Classification: C LIDS• A.
• Listed UL Building Materials Directory Page #: •f
OR
3b. Warnock Hersey: •
Listed Warnock Hersey Directory Page #:
'COPY OF ASSEMBLY REQUIRED - .
B. ICBO Research #:_ ` - 4.. �GIE. y C
Da ' #,�
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES 4.
Review required b plans examiner.
VALUATION OF PROJECT: :;''. •
`
sq. ft. of roof area $ .. i L A ' L J
Permit Fee based•on valuation: - 7 ;
(see Building Permit Fees chart)_ $ / , /0 . .;,l
• 8% State Surcharge: $ 6 , /7 2 . .
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item "C" above.
TOTAL: $ 7 - 2 , F2
—
„ t "
i:dsts \forms \roofchecklist.doc 10/05/00 b
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP _ �CS7> l — d a
Date Requested '�) T j AM PM BLD
Location /S , f3 Suite / MEC
Contact Person �� Ph �6,Q - 1 Z..3 ( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post ���' �� Q /`<� ost &Beam
Ext Sheath /Shear Q\ 9 �, �� v 1
Int Sheath /Shear
Framing
Insulation
. Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
• Misc:
ASS 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`
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 thejob site.