Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00170
*mtlii&I 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: $ 9,646.00
Remarks: Re -roof a 8 unit condominium building (units 45, 46, 47, 48, 49, 50, 51, & 52)
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 $139.30 27200200000
5PCT CTR 5/13/02 $11.14 27200200000
Total $150.44
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (5 46 -6699 or 1- 800 - 332 -2344.
Pe mi ittee
Signature:
Issued By: , 4 ,.,,t, 4,4y6../.2
Call 639 -4175 by 7 p.m. for an inspection the next business day
I .
- . - P,uilding Permit App
Datereceived:Qg /6 1.- Permit no.: Ca'' 900 -19 re,' '
� j ", City of Tigard
z - Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd Titgar ,Z9R y � p
t no.:
Phone: (503) 639 -4171 L Date issued: B .. Recd
Fax: (503) 598 -1960 Case file no.: Payment type:
• rr"
Land use approval: IIM� / 1 &2 family: Simple Complex: ;?
' V f ar ., ' , "A. y ) ;,'..
TYPE OF ERMIT
e
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial X1 Multi- family 0 New construction 0 Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm 0 Other:
. JOB SITE INFORMATION .
Job address: I ` -2. sw 1114114 • .6 a _ • Bldg. no.: Suite no.:
Lot: Block: Subdivision: 5 Tax map /tax lot/account no.:
Project name: 0'0 t A 't' Su — 0-7..A. 1, C.i.5.i\l v F
Description and location of work on remis conditions: CO ' \ lJG—
ti Kit 1j^$ __- 4 s 6, LI 7- Ii 4 1 h O 1 5-ii 5-2 ___
\ " ` OWNER FOR SPECIAL INFORMATION, USE CIICCKLIST -
Name: Summerfield Condominiums • -'( Floodplain ,scpticcapacig;soiar,etc.)
Mailing address: ' 80 S n 1& 2 family dwelling: ' ~t
City: Ti • . • StateOR ZIP: 97224 Valuation of work $ •
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Mace Fulkerson 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: ran , ve B Deck area (sq. ft.) '`
City: Ti • and State:0R ZIP :9 7 2 2 3 Other structure area (sq. ft.)
Phone: Fax: E - mai l: Co mmerc i a l /i /multi- family:
503968123'
' CONTRACTOR
' - Valuation of work $ r I) 100
Business name: JBC ROOFING LLC
Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.) t
Address:l 215 5 SW Grant Ave STE B Number of stories :a
City: TIGARD State:OR ZIP:9 7223
Phone: 5 0 3 9 6 812 3 Fax: E -mail: Type of construction
CCB no.: 98255
Occupancy group(s): Existing:
New: •
City /metro lie, no.: 2357 3 5 7 Notice: All contractors and subcontractors are required to be
' ARCHI ''
` 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: LIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: _
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 0 Visa O MasterCard
work will be compli • . 'Us, w' - a er s citied herein or not. Credit card number: i /
Expires
Authorized signatu - • r -= Date: 5'6 Name of cardholder as shown on credit card
Print name: ill 11.) tS UOt_ v.t $
Cardholder s 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)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP — f 76
Received Date Requested AM PM BUP
Location / c`3 75 5-4 '3 // $ — C/t • Suite 4 MEC
Contact Person , Ph ( ) g6 "– / 2-3-S PLM
Contractor Ph ( ) SWR
.UIL Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: , i„ k :A 9 SIT
Post & Beam irt.c
Shear Anchors / "Yi Ext Sheath /Shear i t Li S - 46 7 q e r� I G
0 5 1
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall 57 , E Al--- hc
Fire Sprinkler
Fire Alarm r
0 Suso'd Ceiling 4 7// U/2 / C ' /7 /,L /c S r
IV psi l . l'--- j' 0/46 !6
Other:
Fina — \ d �® r
SS P RT FAIL \
G \
Post & Beam N
N.
Under Slab _
Rough In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan z rG l Cct> Co /t/°l'c-1 "\
Other:
Final ��/ci /2y/ 5 (77
PASS PART FAIL
MECHANICAL
Post & Beam /
Rough -In
Gas Line 1
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 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA ��‘ /Q' - �. Inspector Ext
Approach /Sidewalk Date � p
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL