Permit li , ,
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00132
�I�� DEVELOPMENT SERVICES DATE ISSUED: 4/15/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10650 SW SUMMERFIELD DR PARCEL: 2S110DD -06600
SUBDIVISION: SUMMERFIELD NO.4 ZONING: R -7
BLOCK: LOT: F JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP FIRST: sf N: S: E: W:
TYPE OF USE: COM 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: $ 2,000.00
Remarks: Replace dryrot at various locations on outside of building.
Owner: Contractor:
SUMMERFIELD CIVIC MB CONTRACTOR
ASSOCIATION WILLIAM MORAN
10650 SW SUMMERFIELD DR 111 R N BRIDGETON RD STE E -4
TI oR OR 97224 P 9ho e N ibPA9 9 y
Reg #: LIC 144876
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
5PCT CTR 4/15/02 $5.00 27200200000 Final Inspection
PRMT CTR 4/15/02 $62.50 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- 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 -; # - :32 -2344.
Pe rm ittee /
•
Signatu :. a�!•�
. .
, .
. . _,
Issu -d By: / 0 _I / l _ 1(
Near -
Call 639 -4175 by 7 p.m. for an inspection the next business day
r .
Building Permit Application r f
, � I ` I" City of Tigard receive 6 ad s
O;L Permit no.: . _
''= Project/appl. no.: Expire date:
• CiryofTignrd 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
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction ❑ Demolition
0 Addition/alteration /replacement ❑ Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
`Job address: 1O6S0 S S ,,,,„,,,.....c,, 1A. 1772 Bldg. no.: Suite no.:
Lot: ( Block: (Subdivision: (Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: So rnrn EA F /eici 0 r v rc. Assoc. (Floodplain, septic capacity, solar, etc.)
Mailing address: / 06.6 s,, $ , ..•-.....r.- -41e VA.._ )- 1 & 2 family dwelling:
City: '1 fi r c, R C:i ( State: DJe- ( ZIP: 9722 '1 Valuation of work $
Phone: (Fax: E-mail: ( No. of bedrooms/baths
Owner's representative: , Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
Other structure area (s
City: (State: (ZIP: (sq. ft.)
Phone: Fax: E -mail: CommerciaUindustriaUmulti- family:
CONTRACTOR Valuation of work $ 2000
Existing bldg. area (sq. ft.)
Business name: f'43 Co Otgp.ff '
Address: 207 N P,e-I t9 , se - c, a -RA New bldg. area (sq. ft.)
City: 7 7Ii) (State:QK ( ZIP: 9 72 17 Number of stories
Phone: Type of construction
So3 9 %sac ( Fax: so 287 30x# E -mail: Occupancy group(s): Existing:
CCB no.: jyy876 New:
City /metro lic. no.: • Notice: All contractors and subcontractors are required to be
ARCIIITECI' /DESIGNER 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: ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail: •
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 0 MasterCard
work will be complied w' er specified herein or not. Credit card number: ex ; /
A signature: Date: y` /.J 02 Name of cardholder as shown on credit card
P
Print name: J E f A w) Cardholder signature $ Amount
Noti 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)
AO
I
!,L
, � ,a Commercial Plan Submittal
��lil Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\dsts \forms \COM- matrix.doc 9/24/01
CITY IGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 :
MMST
INSPECTION DIVISION , Business Line: (503) 639 -4171 C (� BUP v — (3
Received Date Requested (t � AM_________ M BUP
Location / 0 (' !— ��� %Ll.�_ _ —. /Suite �W� MEC
Contact Person • ( ) 7 _ �� �� PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
(9.,*
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Ot i = •
MirrI / 777777
PART FAIL
• ' BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan -
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: LI Unable to inspect — no access
Fire Supply Line `
ADA Approach/Sidewalk Date l I b Inspector Ext Zr
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
' FROM : MB CONTRACTING FAX NO. : 503 289 3077 Jun. 24 2002 09:43PM P3
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go - - -- LOC)1jF I.SM T1D
Strums ml EngIMevIng
' L = 4621 S.W. Corbett
Por C regun 97201
Phone Sc .224.6788
�� ��` Fax 503.224.5544
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TO: 3 e ft E NAP tLAht - DATE: 3 - % -102,
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PROJECT: 'Um PASO? MU" S0.41b WIC NO. OF PAGES TO FOLLOW:
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CITY pF TIGARD 24 -Hour
BUILDING # Inspection Line: (503) 639 -4175
INSPECTION DIVISION _ Business Line: (503) 639 -4171 MST
/ BUP
Received Date Requested Cl.2 AM PM BUP
Location / d 6 St p a, __ __ Suite `Kt. MEC
Contact Person C j & A_ C�1:. Ph ( ) q76 _ T ee 6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear /
Int Sheath/Shear S t.t (Au--‘74--e e> / r
Insulation L / • � 6 0 ' ( /
Drywall Nailing (� � / "� "
Firewall
Fire Sprinkler
Fire Alarm � � -S
Susp'd Ceiling `
Roof
Other: /
Final r /^
PASS PART ' A 400
PLUMBING
Post & Beam A o } — h n
t/ ` p
Under Slab ' fi L� �►�•.
Rough -In J r f 7` ``
Water Service c..�
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA ! � ,,
Approach/Sidewalk Date �C' / -2-- Inspector Ext 2
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
•-- \ — LOOI)ENGA LIMITED •
* Strawy- ' Engineering .toe
. ., - _ - 4621 S.....:orbett Merit
Portland, Oregon 91201 Job Na _ By
,, Pho ne 503.224.6 .6 ?88
Fax 503.224.5544 osta ahem No. _
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CITY.PF TIGARD 24-Hour _
EVLDWa Inspection Line: (503) 639 -4175
dv INSPECTION DIVISION - . Business Line: (503) 639 -4171 MST
Received J Date Requested L AM PM BUP
Location /0 ‘.o S7) — .. 4.4 /. _ C Suite 0 MEC
Contact Person �� -c_. -c ?. y ti, Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors ` •
Ext Sheath/Shear
Int Sheath/Shear , ` $
rams '1 , , .d . IP '� ∎W� �I/1 r�—y t o
"IngUllgon Cl
Drywall Nailing
Pc- L... &A (2/‘^S"..-+29-/ > k‘ULA
Firewall !
Fire Sprinkler - - s
Fire Alarm C\J2--1 • • _ C _
Susp'd Ceiling i d �C a I
Roof 6 j --_—
- 7a -0 S ' I'– Gnu
Other:
Final p 4 C�/V\ ✓1 ,a-L S A" _ e \ 10J2... _
PASS -0 FAIL 1
PLUMBIN 6C._ R- c IL- A K. 4. t Cr.
Post & Beam ` 6 , �� Q e r 1
Under Slab _ 1:77?.. -�` _ •
Rough In �'� V 1 N.1--e
-C „
Water Service f v � r'
Sanitary Sewer ' C <) CJO ( Y
4p a (
Rain Drains " �
Catch Basin /Manhole ` c �, -4- \� Lck.,
Storm Drain y
Shower Pan • J 1 I -....:..w 0 a / A. `
Other: ,� . ,
Final :l_ , 7 `'L ` A �� ,
PASS PART FAIL
MECHANICAL
Rout h -Beam H/Nj tiv ,e
6
� - c S 8L-e_ 0?
Gas Line r scQ - w C.' Q a----75 ^t
��/t `
Smoke Dampers
Final r V J _ * �) _ o `
PASS PART FAIL '" "�'' ` I v `� 5 L '' - % " . - 3 2 - ( fq ELECTRICAL
Service �,
4 Rough-In � NA c� l GL.o.9 -
L ow olt Voltage 1/4 --v� 4I Low ' — _ w t
Fire Alarm r , , ■) (° /y o k__ c ( RIM s�
Final Reinspection fee of $ require efore next inspection. Pay at City Hall, 13125 SW Hall Blvd. c
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA /IC a Approach/Sidewalk Date 7 ' / Inspector " lam
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL