Permit " BUILDING PERMIT
: C I TY OF TIGARD PERMIT #: BUP2002 -00172
DEVELOPMENT SERVICES DATE ISSUED: 5/13/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15522 SW 114TH CT 45 PARCEL: 2S110DC 90451
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 045 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: $ 1,764.00
Remarks: Re -roof garage building (units 49, 50, 51, 52)
Owner: Contractor:
FOUNTAINS AT SUMMERFIELD JBC ROOFING
15522 SW 114TH 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD, OR 97223
Phone: Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT CTR 5/13/02 $62.50 27200200000
SPOT CTR 5/13/02 $5.00 27200200000
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
46 -
calling (503) 26699 or 1- 800 - 332 -2344.
Permittee ,
Signature:
Issued By: , 1�� � if�..� " J
Call 639 -4175 by 7 p.m. for an inspection the next business day
1
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• ,- B.uildirig P mit, ` ,
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nip , �I �U U ( Date recei �/
4 bV Permitno.• ,) 0 -..-P, # r '
,p " City of Tigard A. C ,. ^'�� Project/appl. no.: Expire date:
CiryojTignrd Address: 13125 SW Hall l3lvd .g t,d, OR,-,97 t
Phone: (503) 639 -4171 / t • ' - Date issued: s s.� Receipt ;
Fax: (503) 598 1960 Cii If U •j &L Case file no.: Payment type: ,
Land use. approval: nD `J -"N I &2 family: Simple Complex: '.
TYPE OF PERMIT - --- ' -- . ' - ". - ' • ' • "' - - ,:
O 1 & 2 family dwelling or accessory O Commercial /industrial $1 Multi- family O New construction 0 Demolition ,r
O Addition/alteration /replacement O Tenant improvement 0 Fire sprinkler /alarm 0 Other: •` `
JOB SITE INFORMATION 4 •
I `n� -t!� �� YZ g
Job address: vI G' Bldg. no.: Suite no.: ,,.1:
Lot: — I 131tx k: __ l ubdivision_, - -`— -.- -- I Tax mapltax lot/account no.:
Project name: _ / "ii ��1_ l �� • ; -..,..1., Description and l ocation of w ork on premises/special conditions: t IC�r W G` . 0- 4 5 '..4 1 ,
-. . '.,
OWNER : ' ` . ? r ... , , FOR SPECIAL INFORMATION, USE CHECKLIST ! •
Name: Summ erfield Condominiums - (Floodplain, septic capacity, solar, etc.) ,
Mailing address: 1 SW 114th Ct 1 & 2 family dwelling;
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City: Tigard StatcOR ZIP: 972`24 Valuation of work $ 4 _
Phone: lax: E -mail: No, of bedrooms/baths
Owner's representative: Mace Fulkerson Total number of floors :..
• Phone.: Fax: IE.mail: New dwelling area (sq. ft.) x
' ' APPLICANT Garage/carport area (sq. ft.)
Covered porch area (sq. ft.) '�4
C
Name: JBC ROOFING LLC I' q )
Mailing address: 12155 SW Grant Ave STE B Deck area (sq. ft.) ;'
City: Tigard Statc:OR ZIP: 7 22 3 Other structure area (sq. ft.)
Phone:5 0 3 9 6 812 3' Fax: E - mail: Commercial /industrialimulti- family:
,, work $ /7(O Q0
C ONTRACTO R' . ' Valuation of rk
Business name: JBC ROOFING LLC Existing bldg. area (sq. ft
New bldg. area (sq. ft.)
Address:1'2 1 5 5 SW Grant Ave STE B �`
City: St ate: ZIP: 97 7 2 2 3 Number of stories . `y
Y T IGARD OR - -- Type of construction
Phone: 5 0 3 9 6 812 3 5 Fax: E- mail:
CCB no.: 98255 - -�— Occupancy group(s): Existing:
New:
City /metro l ic. no.: 2357 Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER . "• ' -I ` licensed with the Oregon Construction Contractors Board under '`
Name: provisions of ORS 701 and may be required to be licensed in the ';44
Address: jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies: .,.
City: State: ZIP: •
Contact person: Plan no.: -
Phone: 1 Fa,v: 1 E -mail: �—
ENGINEER .
Name: Contact person: Fees due upon application $ .
Address: Date received: 1 . ' 4 ,
City: ^, State: ZIP: _ _ Amount received $ ;
Phone: `I fax: E -mail: Please refer to fee schedule.
•
I hereby certify I have read and examined this application and the Not all jurisdictiom weep( credit cam, please calf jurisdiction to more information.
attached checklist. All provisions of laws and ordinances governing this O•Visa O MasterCard ,
work will be. complied with, whether specified herein or not. Credit card number: _ / /
Expire -j-
Authorized signature: Date: Name of cardholder u shown on credit card 4
Print name: _ Cardholder signature $ Amount 1' ,", "
Notice: This p unit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6.VOsVOM)
TN