Permit `� � BUILDING PERMIT
CITY OF T I GA R D PERMIT #: BUP2001.002, 6
SSUED: 6/21/01
;� J DEVELOPMENT H O BMEN � 639 -4171 DATE I
SITE ADDRESS: 11061 SUMMERFIELD DR PARCEL: 2S110DD -00109
SUBDIVISION: SUMMERFIELD APT./WILLOW BROOK ZONING: R -25
BLOCK: LOT: 013 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: 0.00 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 : $ 13,200.00
Remarks: 11061, Units #1, #2 11063, Units 5, #6 11065, Units #4, #10
Building #2 Remove and replace decks
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC • YORKE + CURTIS
BY SUMMET REAL ESTATE MANAGEME 4480 SW 101ST AVE
5320 SW MACADAM AVE BEAVERTON, OR 97005
P Phone ND, OR 97201 Phone: 646 -2123
Reg #: LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK .. CTR 6/12/01 $51.90 27200100000 Final Inspection
PRMT CTR 6/21/01 $177.70 27200100000
5PCT . = CTR 6/21/01 $14.22 27200100000
PLC2 CTR 6/21/01 $63.61 27200100000
(additional fees not listed here)
Total $378.51
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 (503) 246 -6699 or 1- 800 - 332 -2344.
Pe mt ittee '. ,
Signature: • •
Issued By: T
Call 639 -4175 by 7 p.m. for an inspection the next business day
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// I
Building Permit Application
4 / -�
�i City of Tigard Daterec Z -fll no�/ -pal; / �
-- Project/appl. no.: Expire date:
City ofTigard 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:
Land use approval: 1&2 family: Simple Complex:
• TYPE OF PERMIT •
O 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
O Addition/alteration /replacement 0 Tenant improvement O Fire sprntlder /alarm ❑ Other.
JOB SITE. INFORMATION -
Job address: UO(A I ' , V ' 0! 5 p rj i Bldg. no.: 2. Suite no.: '
Lot: Block: Subdivision: ax map /tax lot/account no.:
Project name: Sui 011 _ i' • or d g jal Eiar
Description . d location of work on !remises/spec' conditions: f / •
. 1'.. —�� ‘111.0.—...:,..16 , 1 •
h a I1 L / �I I ° � • , ., D,4
OWNER -. . . FOR SPECIAL INFORMATION, USE. CHECKLIST
Name: (, (Floodplain, septic capacity, solar, etc.) . •
• Mailing address: // 1 s 1 & 2 family dwelling:
EITEMI11123111MIIIIEEMENEIEWIONIM Valuation of work $ •
Phone:V> MM Fax: E -mail: No. of bedrooms/baths
Owner's representative: . Total number of floors -
Phone: Fax: E -mail: New dwelling area (sq. ft.)
. ) . APPLICANT Garagelcarport area (sq. ft.)
Mir i y LiEM n MIrM,��' Covered porch area (sq. ft.)
address: � '` a � � Deck area (sq. ft.)
Mailing �..�il�fi��jl�� L.
r Other structure area (sq. ft.)
city: ���'�C [ � � � s. � �:� .— �.� -�7 � �I• rit�'�
Phone: - rii.t, 1EPL CommerciaUindustriallmulti- family:
CONTRACTOR Valuation of work $ t3/2 0
Existing bldg. area (sq. ft.)
Business name: • � New bldg. area (sq. ft.)
Address: �ntart TS'�T
�� -- Number of stories
City: g. -- ∎:!,: -- -t C rl 41 ; ! � � ZIP.' CO Type of construction
Phone: i��� f���� r� Occupancy group(s): Existing:
CCB no.: (� i New:
City/metro lic. no.: • Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: e L}'vA1e.D G 0 1 ` i Jam provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
G� _
_si rg r i /r, ZIP: ,, o✓7 exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: ..- r5 (, 5c7i 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 la and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied 4 ig g whethe erein or n t. Credit card number Ex i /
P -
Authorized signature: . Date: � 14 Name of cardholder as shown on credit card • $
Print name: _ ■e i 11,- _ _ - .. Cardholder signature Amount
INII
Notice: This permit application expires if a permit is not obtai d within 180 days after it has been accepted as complete. 440-4613 (61O0/COM)
t1110 14 At.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP Q ) 2 / y
Date Requested AM PM BLD
Location // 06/ 5w Suite MEC
Contact Person G - P Ph 961-/7e) PLM
Contractor Ph SWR
=I'll ► r' Tenant/Owner TI•P4 C-4-‘/ ELC
Retaining Wall ELR
Footing Access:
, Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int eath /Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
AS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 7 - z - 0� Inspector E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MSS
BUP 60 / -66- zl(,
Date requested 7 3 ( AM PM BLD
Location //D -i4/111A/.4 Suite MEC
Contact Person )cut..)-e__ Ph 57 — (7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 7-- FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: c 2
Slab SIT
Post & Beam
Ext Sheath /Shear / / o 4'i r J ' Z
Int Sheath /Shear
Framing l J r 3 s / �P
Insulation
Drywall Nailing d 1p s /O
Firewall
Fire Sprinkler
Fire Alarm
Sus •': - -iling
R••f
S 'ART FAIL
•LUIJ = NG
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer •
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please II for reinspection RE: [ ] Unable to ' spect - no access
ADA
Approach /Sidewalk p
Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.