Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00310
401 DEVELOPMENT SERVICES DATE ISSUED: 6/3/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DB 90411
SITE ADDRESS: 15483 SW 114TH CT 41
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 041 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 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: $ 4,524.00
Remarks: Re -roof a 4 -unit condominium building (units 40, 41, 42 & 43).
Owner: Contractor:
PHILLIPS, WILLIAM & PHYLLIS JBC ROOFING
15483 SW 114TH CT., #41 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD, OR 97223
Phone:
Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 6/3/03 $91.30
[TAX] 8% State Tax 6/3/03 $7.30
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) • . 699 or 1- 800 - 332 -2344.
Issued By: ,4 k' ' ' i Of 6.444jajoa
Perm it tee i
Signature: ____
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application IIIIIIIIIIIIIIIIIIIIIEIIEIII
_. g PP
Date received: S �9
y , 3 Permit no. g4 4 003 -00g / O
,y Cit of Tiga . - gEdV ED J
City of Tigard
Address: 13125 SW H: 1 : vd T igard, OR 97223 oject/appl . no.: Expire date:
Phone: (503) 639 -4171 p '] Date issued: By. Receipt no.:
N
Fax: (503) 598 -1960 R �/ 2.9 200 J —Case file no.: Payment type:
Land use approval: CITY OF TIGARD ,l /6 &2 family: Simple Complex:
UIL I G
• , TYPE OF PERMIT. • ... �..
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction CI Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement CI Fire sprinkler /alarm 0 Other: ROOF OVER
+ : ` . JOB SITE INFORMATION '';. ;.:
Job address: I SL{ 1 S) /11.1 11 1 cT 'L EX ' 40 41 4 2 4 Bldg. no.: Suite no.:
Lot: Block: Subdivision: Fountains At S u u - , ap /tax lot/account no.: •
Project name: aS //0 AB -Fe y// . ?O Y„?/ ?O 5/3.2 got rra2..
Description and location of work on prenuses/special conditions:
- OWVNER .. FOR SPECIAL INFORMATION, USECHECKLIST
Name: SUMMERFIELD CONDOMINIUMS ( Floodplainsepticcapacitysolarete )
Mailing address: 154 SW 114th Ct. 1& 2 family dwelling:
City: TIGARD State: OR ZIP: 97224 Valuation of work $
Phone: 1-63"- 2 Fax: E -mail: No. of bedrooms/baths
Owner's representative: Lo (v'cy16L Total number of floors
Phone: Fax: E-mail: New dwelling area (sq. ft.)
''',•:','. . .,'APPLICANT .. Garage/carport area (sq. ft)
Name: JBC ROOFING LLC Covered porch area (sq. ft.)
Mailing address: 12155 SW Grant Ave Deck area (sq. ft.)
City: Tigard State: OR ZIP: 97223 Other structure area (sq. ft.)
Phone: 968 Fax: 603 rf mail: Commercial/industriallmulti- family:
CONTRACTOR
- Valuation of work $
Existing bldg. area (sq. ft.)
Business name: JBC ROOFING LL New bldg. area (sq. ft.)
Address: - 12155 SW Grant Ave
ZIP: Number of stories
City: Ti •and State:
OR 9 7 2 2 3 Type of construction
Phone: 968 - 1235 Fax:603 — • • • I2
CCB no.: • � Occupancy group(s): Existing:
New:
City /metro lic. no.: 2357 Notice: All contractors and subcontractors are required to be
_ - , - ARCHITECTIDESIGNER - . 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 $
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.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether specified herein or not. Credit card number: Jul
Authorized signature: Date: Name of cardholder as shown on credit card
$
Print name: 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 (6/00/COM)
RE- ROOFING PERMIT CHECK LIST
RESIDENTIAL :ONLY =: °Class of Workr 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.
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. .. _�,s... .
❑ 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)
COMMERCIAL;ONLY of,Work::Repalrr w _
STEP 2� NEW ROOFINGASSEMBLY �''.
Material D ocumentation (UBG :Appendix 1:5,) ti ��� �_� �� >.'
Please fill out applicable section and attach copy of roofing specifications.
Listed Asserrtbly ;:(CircleandcompletexA, BorC) U "f :•::n`:"
A. 1. Specification #: CSA Al23,5—M90 and CSA Al23,5-98
2. Manufacturer: GAF
3a. UL Classification: CLASS A
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: $ 2. 8$ _
sq. ft. • - of roof area ) J
Permit Fee based on valuation: $ ['j I 0
(see Building Permit Fees chart) J
8% State Surcharge: $ 3�
65% Plan Review Fee: $
(Required for major repairs of Residential or �V
Assembly item "C" above.
•
TOTAL:
i:dsts \forms \roofchecklist.doc 10/05/00
CITY OF TIGARD 24 -Hour �..
BUILDING Inspection Line: (5!) 639 -4175
INSPECTION DIVISION Business Line: ('' -4171 MST
BUP 3 Joo 3/ D
Received Date Requested 7 AM PM BUP
Location / S g / / L/ Suite L i/ MEC
Contact Person Ph ( -) PLM
Contractor Ph ( ) SWR
BUILDING ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: L / SIT
Post & Beam �``°�
Shear Anchors ls
Ext Sheath/Shear 7 7' / • 7 J T
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
•ooh
ether
4430 • PART FAIL
i MBING
Post & Beam
Under Slab /;- !
Rough -In
Water Service
Sanitary Sewer / I r -� } f
Rain Drains iyj
Catch Basin / Manhole ei
Storm Drain
Shower Pan
Other:_ 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect— no access
Fire Supply Line
ADA `'� t
Approach/Sidewalk Date r ��� Inspector i Ext
Other:
Final DO NOY REMOVE this Inspection record from the job. site.
PASS PART FAIL