Permit T
t ' A OF TIGARD
PERMIT #: BUP2002 -00171
titteilff 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 a 4 -unit garage building (units 45, 46, 47, 48)
Owner: Contractor:
METZGER, ELNA L TRUSTEE JBC ROOFING
15522 SW 114TH CT #45 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
5PCT 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 00_tOthrough OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246- 669• or 1 - 81 I - 2 - 2344.
Pe rm ittee
Signature: V
��j / 9
,,
Issued By: `16(,(il,, efi_it_r i
Call 639 -4175 by 7 p.m. for an inspection the next business day
r
� r, Building Permit Application .. :
�• t h -" = r� , _ , 6 - .: Expire date: '
City ojTignrd Address: 13125 SW Hall Blvd Tigard, OR 97223
� Date issued: B tjg Receipt no,:
Phone: (503) 639 -4171 NAY IR 7)9 2 Y.
Fax: (503) 598 -1960 Case file no.: Payment type: ` '
tSpp gg @y �_ +9 8 y d 3s g? ; Fwtiir H � &�
Land use approval: __Buy rii c: tgIItyi li1l_ I& 2 far y Sn 1 Cot l ex
t
n� n
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TYPE`OF PERI111T • Fz
0 1 & 2 family dwelling or accessory 0 Contmercialindustrial 81 Multi- family 0 New construction 0 Demolition ,��
0 Addition/alteration /replacement O Tenant improvement 0 Fire sprinkler /alarm 0 Other: `d' •
JOB S IN - t
Job address: r t tD i-\ \ - 11.6-6o
\) on � �y Bldg, no.: Suite no.: : -- •
Lot: I131ock ISutxlivision: —�. _ -- -_ — I Tax map /tax lot/account no.: ;q
Project name: •
Description and location of work on premises/special conditions._ _ 'C-1 ' ' — 4 'NV - `L,S +'IC ‘ • "%}
OWNER ` ' r ° . FOR SPECIAL INFORMATION, USE CHECKLIST :,,...
Name: Summerfield Condominiums ( Floodplain ,septiccapacity,solar,etc.) '
51-80 SW 114th Ct "'
Mailing address: 1 T 1 & 2 family dwelling:
City: Tigard S tate OR ZIP: 97224 Valuation of work $ • `
Phone: — I Fax: E -mail: No. of bedrooms/baths •
Owner's representative: Mace Fulkers _ 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.) .:''v-:
Mailing address: 12155 SW Grant Ave .(T-TE 8 Deck area (sq. ft.) fii
City: Tigard State:OR ZIP:97223 Other structure area (sq. ft.) .,
-- Commercfaliindustrial /multi -tamp y:
Phone:5 235 Fax: E -mail: �
V al u at i on o wor $ �/ 6 1, OO
` . CONTRACTOR -
Existing bldg. area (sq. ft.) >''
Business name: JBC ROOFING LLC New bldg. area (sq. ft.) h � ~
Address:1'215 5 SW Grant Ave STE B
Number of stories i fs
City: TIGARD State:OR ZIP:97223
•
Phone: 5039681235 Fax: E -mail: Type of construction
- - Occupancy group(s): Existing: r`.
CCB no.: 98255 __ New:
City /metro lie. no.: 2357 Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the '•
jurisdiction where work is being performed. If the applicant is : •
Address: _ f
City: i State.: ZIP exempt from licensing, the following reason applies: :i
Contact person: Plan no.:
Phone: I Fax: I E -mail:
.
ENGINEER
c
Name: Contact person: Fees due upon application $ a
Address: _ _ Date received: Jr
City: State: ZIP: �~ Amount received . $ • li
Phone: Fax: IE- m_til_ -- 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 jurtadicii00 tot mote iMonnaiioo.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard .
work will be contplic ith, 'huller specified herein or not. Credit card number: 1 1
f - � Expires . .,;
Authorized signatur f Date: ID -6 : -CZ C\\ Name of cardholder u shown oo credit card 0
Print name: �11&i - -L \iis $ :f +•,.
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 440 -4613 (6rWOCOM) 5
5 ,