Permit r_
BUILDING PERMIT ��
PERMIT #....... : BUP93-0035
NN �� TIRD / ��w � NN ' � ��'��� � ��'� ��OF WARD
COMMUNITY DEVELOPMENT ~ ~ 71 DATE ISSUED: 03/02/93
�`���/��p� o���n�� � ~� ~�
RTTF ADDRFSq ' ' : 10E+50 SW qi|MMFRFTF| D DR ~ ^ pO9rF| • Pq i 1mnD
SUBDIVISION • SUMMERFIELD ZONING: R-7
BLOCK : LOT ^B
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:REP FIRST ~20000 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: sf PROTECT OPENINGS? ---
TYPE OF CONST.:5N THIRD • sf N: S: E: W:
OCCUPANCY GRP.:A3 TOTAL : 20000 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOR.:2 HT.:30 ft GARAGE...: sf OCCU SEP. RATED:
BSMT?:Y MEZZ?:N REQD SETBACKS- REQUIRED
FLOOR LOAD •100 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET..:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE'$: 35000
Remarks: Tear off shakes to clear sheathing, add 30-lb felt & Class A Comp roof:
ng.
Owner: - FEES
SUUMERFIELD CIVIC ASSOCIATION type amount by date recpt
10650 SW SUMMERFIELD DRIVE PRMT $ 215.50 JLH 02/26/93 93-237196
SPOT $ 10.78 JLH 02/26/93 93-237196 .
TIGARD OR 97223
Phone #: 620-0131
Contractor:
INTERSTATE ROOFING
15065 S.W. 74TH AVENUE
TIGARD OR 97223
Phone #: 684-5611 4 -^��� $ 226 28 TOTAL
-�- ' . ` '
Reg #..: 55485 -
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Roof nailng Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
.
Perm ittee Signature:
-
Issued By
L/ _ �
Call for inspection - 639-4175
1312s sw tea nwa , PLNCIVRECT # _ . P
CITY OF TIG PERMIT ���� �o
COMMUNITY DEVELOPMENT DEPARTMENT T ' Ore ' '' �'`
(503) -4171 DATE ISSUED
•
JOB ADDRESS: /0 ,Sw 61?n2n�i11 /sGv 012 TAX MAP /LOT
SUB: 4:/rjv 44? LOT: LAND USE:
VALUATION: , i 4L35) �a u
OWNER SPECIAL NOTES
NAME: �,/7.172 ,'j //?v 72w/c REISSUE OF:
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: 6,(!.)- 0/3/ . SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: JAfr / 1771 Rea:vi= //Let:- /A/ . PLANNING:
ADDRESS: /522&.5 S Ste) 7%' /90i: ENGINEERING:
P X 722 % FIRE DEPT:
PHONE: L G// OTHER:
CONTR. BOARD #: .5`/85 EXP DATE: 4 i/ 6 73
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX: •
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: ��7 6 I
COMMENTS:
APPLICAN SIGNATURE
Received By: 7—' Date Received:�—��
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE'`
10 -432 00 Building Permit Fees / 5, SU
' r
•_... 10 -431 00 Plumbing Permit Fees - ,v., -
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %)
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee / (J , 7 g
Building
Plumbing
Mechanical
10 -230 06 Fire
30 -202 00 Sewer Connection
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System 0ev Charge (POC)
31 -450 00 Storm Drainage Syst Oev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL C4 „
nm /3587P.WPF
i
i 73- 0299BUILDER 4.4.4... 0 .
a. VALUE :slG f, uod FEE ?go .98 DATE // .
,
.
.
LOCATI ON /o'- ro m , 0,,,,„),„41,6e, �� OWNER 11..,,,_,L2 i� d.
JOB # MAP # LOT TYPE '
PLUMBER - n '' . 5 P*�• .,
�a � #�,° aUf `t F� `I -1 Y -P FEE Ili "^
SEWER PERMIT , U (1 t � MECRANICAL PERMIT # ' /h 02 - ua
• DATE D. - I
I �Y
EXCAVATION /FILL AIR CONDITIONING f c
FOOTINGS /FOUNDATIONI VENTILATION r
FORMS SPRINKLER SYSTEM u
SLABS
REINFORCING STEEL • MA,SO1�iY F'I'3 i I c
FIRS DOORS /EXITS i
i STRUCTURAL, STEEL GARAGE FLOOR
k
gWi PLUMBING R.I. 1.6 DRIVEWAY
/ I ROOF/FLAMING , SEWER
5%..21-7V FRAME STORM DRAIN b
LATH /WALLBOARD PARKING
HEATING FENCE /SCREEN n
WATER HEATER
_ FINAL _��_. - - ZoWL. :. 44. /-. /k Il i i a • r
S WAINI � J COOK
I .
7ell `1e/- 10 - ei • Lo rlQ• - pp —
C CyG o�t nira► 0, Ud'D 6!
• - 1°es - P" - r crL3 /` 8 1.- 7 ■C 743
•
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O-Pho e): 639 -4175 Business Phone: 639 -4171
Inspection: / e c 02
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: 3 _ g / 1 3 r Time: AM PM
Address: /0 6 5 j ) S,/ [/M/176 / m it t: ` �
Builder: nViVelZ9g / /0 (7 4 737 - L r� i 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ql/ c /A7G'/Fr- .
Inspector: Date: 3 -9-93
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
APPLICATION - STREET IMPROVEMENT /EXCAVATION ..aa, COPY TO:
ORDINANCE NO. 74 -14 ® (WHITE) - FILE
® (YELLOW) - INSP.
•
- OTHER
(INSTRUCTIONS ON SEPARATE SHEET) L (PIN APPLICANT NCYbldg.
•
APPROVED N APPLICATION NO.: 5 9 j
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.: $ 33.00
PENDING FE PMT. ❑ CITY HALL RECEIPT NO: • 9 -3 ' + 13 D I
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY A/'' DATE "1 / i'? /13
PENDING AGENCY "OK" ❑ Application and Progress Record
NCE
PENDING INFORMATION ❑
FOR STREET IMPROVEMENT /EXCAVATION MAI AS RED D #
ANNUAL 0
PENDING VARIANCE ❑ EXPIRATION DATE: /
•
PERMIT NO.: . S 4 ` 3 , DATE ISSUED: ' / / ,--; , BY: i 1 4 — - - 7 '=" °°-
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL CONDUIT `BORING/ IRRIGATION PIPE
SLEEVE STREET CROSSING AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Summerfield Civic .Assn. 10650 SW Summerfield Dr. Tigard, OR 97224 620 -0402
NAME ADDRESS CITY PHONE
CONTRACTOR Brothers Construction 775 NW Travis Ct. Sherwood, OR 97140 625 -5134
NAME ADDRESS CITY PHONE
PLANS BY - per City Standards & Specifications
NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 825.00
DOLLARS
FOR (2) EXCAVATION DATA: 004 X $ OFFICE 8 = g 33.00 CMIN.
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS /TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
_ •
STREET
OPENED
Summerfield Drive (sae below) R TION
E
Q
U .
ESTIMATED STREET OPENING DATE: / / S
ESTIMATED STREET CLOSING DATE: / / E
D
(3) SECURITY NO. SECURITY AMT.: 825 STREET CLOSED
SURETY CO.: _ FINAL
GQRW4.R�B$ CHECK CASH 0 BOND r_ 1NSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify City Inspector Letha
It " Thomas ( #639 -4171) 24 hrs before
1 I BORE
1 11 I starting work.
I WORK AREA 1
1 I � I 2. ORS 757.541 -571 applies (re:
_44..] CURB - 1 ' ` � _ _ _ _ _ _ _ _ _ 6 _ _ � , . y 1 � Utility Co.'s prenotification, etc
I — — 3. The roadway shall not be closed
SW SUNiMERFIELD DR. I _
to through traffic at any time.
I
-CURB / _ _ _ _ _. _ _ ..
7 1
I -
I I 1 I
I 8 ) 1 1 ____
1 III Z�. 140 I I
(5) NOTE: THE CITY OF TIGARD DOES NOT. HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT -OF -WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPEC).FICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINS ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
1 )
APPLICANTS SIGNATURE:
t:: 1 DATE 1 1 / T -�