Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00175
I ° 4 DEVELOPMENT SERVICES DATE ISSUED: 5/13/02
1
�f� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15514 SW 114TH CT 61 PARCEL: 2S110DC -90611
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 061 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: $ 3,528.00
Remarks: Re -roof a 8 unit garage building (units 57, 58, 59, 60, 61, 62, 63, 64).
Owner: Contractor:
FOUNTAINS AT SUMMERFIELD JBC ROOFING
15480 SW 114TH CT 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 $91.30 27200200000
5PCT CTR 5/13/02 $7.30 27200200000
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 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 ( 03)246 -66•• •r -:'s- 332 -2344.
Pe rm itte -
Signature:
Issued By: 4 y . JL
Call 639 -4175 by 7 p.m. for an inspection the next business day
r
J;. r. t " B j ..(.iing Permit Application
Date received: C J 07, Permit no.: , ( � P� O?-. — D 17 , , F
""" Bill ' City of Tigard
• 4 ^`.. Project/appl.no.: Expire date:
City oj Tibu,yl Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By•. Receipt no,:
Fax: (503) 598 -1960 Case file no.: Payment type: ; ry .
Land use approval: I &2 family: Simple Complex: • S ,
TYPE OF'PERMIT ."
❑ I & 2 family dwelling or accessory ❑ Commercial/industrial $I Multi - family ❑ New construction ❑ Demolition F •
❑ Addition /alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other:
• JOB SITE INFORMATION -.,.:V,,-,:
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Job address: /. J Li j / Tj7 on: — G�n 1 Bldg. no.: Suite no.: ". ;`-
Lot: Block Sutxlivisi Tax map /tax lot/account no.:
Project name: ., ��
Description and location of work on premises/special conditions: GCJ 6;0. '..' `F ' -_ S --S -'
-. OWNER . ;FOIL SPECIAL INFORMATION, USE CHECKLIST • J A { .
Y
Name: Summerfield Condominiums ( Floodplain ,septic capacity, solar,etc.) ., : : .
!
Mailing address: 154: ^ _ 1 & 2 family dwelling: ``
City: Tigard StatcOR IZIP: 97224 Valuation of work .
$ . -
Phone: Tax: E -mail: No. of bedroorns/baths • Owner's representative: Mace Fulker Total number of floors .
Phone: IFax: E-mail: New dwelling area (sq. ft.) ^:
- APPLICANT ' " Garage/carport area (sq. ft.) y{
Name: JBC ROOFING LLC. Covered porch area (sq. ft.)
.i
Mailing address: 12155 SW Grant Ave STE 13 Deck area (sq. ft.) :_
City: Tigard I State:OR I ZIP;,9 7 2 2 3
Other structure area (sq. ft.)
Phone:5 0 3 9 6 812 3 Fax: E -mail Commercial/industrial / multi- family:
- CONTRACTOR f .
Valuation of work $ . - 3V • 00
Business name: JBC ROOFING LLC Existing bldg. area (sq. ft.)
Address:12155 SW Grant Ave STE B New bldg. area (sq. ft.)
Number of stories ,.. r
City: TIGARD I State:OR I ZIP: 9 7 2 2 3 Type of construction
• :`fish
Phone: 5 0 3 9 6 812 3 pax: E Occupancy group(s): Existing:
CCB no.: 98255
New: •
City/metro lie. no : 2357 Notice: All contractors and subcontractors are required to be
' ARCIUTECT/!)ESIGNER, ' r ` "�' `-` licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the .._
a
Address: jurisdiction where work is being performed. If the applicant is
- exempt from licensing, the following reason applies: =
City: ( state: ZIP:
Contact person: l Plait no.:
Phone: Fax: 1E-mail:
-.'i ENGINEER a : r fi 3 - , - .
Name: Contact person: __ Fees due upon application $ :4j
Address: Date received: ..'
City: State: ZIP: Amount received $ , 40.;
Phone: I 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 to more informatioo.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard .
work will be- cornplie4,,t, w ether spccilied herein or not Credit card number: I /
Expires --
Authorized signature: Date: � . Name or cardholder as shown on credit card ie
y
Print name: , ----4/t/ CI c1-1-0---- $
Cardholder signature Amount i
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 (6a)0K)OM) • :.�"
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