Permit , ' CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2001 -00223
4 %44rn DEVELOPMENT SERVICES DATE ISSUED: 6/21/01
'�" "' I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11255 SUMMERFIELD 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: $ 4,400.00
Remarks: Building #390 11255, Unit #1 11265, Unit #5
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
PPhone 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 $91.30 27200100000
5PCT CTR 6/21/01 $7.30 27200100000
PLC2 - CTR 6/21/01 $7.45 27200100000
(additional fees not listed here)
Total $194.47
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 mi ittee f _.ipi
Signature: 11ilt
Issued, By:
I .
Call 639 -4175 by 7 p.m. for an inspection the next business day
yeLeA. 8. 4 . /C/Le,z., AM-g-- i tgen./risce fr-t, /MiLe4) 4-,ed4....e-___,,,t-e.----'
s . 1 . _ g Per t App . -
` r , Date received: (o—/7....— O i Per — 002_2,3
��., ,� r City ®f 'Tigalyd
'' -: . Project/appl. no.: Expire date:
CiryofTigard 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:
Tl P.E OF PERMIT - :;
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other.
„ JOB: SITE:IN FORAIATION
Job address: r. L 7•' S p - • .• i. J I'.' Bldg. no.: . # Suite no.:
Lot: Block: Subdivision: ax map /tax lot/account no.:
Project name: 4 Tt iv - 1.yi1 i *1 ' •• ' 0 �
Description and location of wo k ogpremises/special conditions: r 1/ i _ +� �� ' J �..
/ = OWNER .' _ _ FOR SPECIAL. INFOR%IATION,':. USE ;CIIECtiLIST
IIIMMEOR . (Hood plain; septic:capacity. solar., )
ile=112211 hits 1 li I& 2 family dwelling:
i ll_NIIIIIIIEIMITI E:2 r2_' Valuation of work $
Phone: i t,,PiWall Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
:.:.= APPL'ICANT' Garage/carport area (sq. ft.)
Name:. Y 1l ' 4' YCN ��' Covered porch area (sq. ft.)
Mailing address: �L - tt _ ,rism� t! Deck area (sq. ft.)
�41i.: ,► �l Other structure area (sq. ft)
Phone: . ., A—APIARalreiMoiliZEZIMIIIIIIII Commercial/'mdlostrial / multi- family:
' CONTRACTOR Valuation of work $ 1
Business name: l5 Li� le.11, �� Existing bldg. area (sq. ft.)
New bldg. area (sq. ft)
Address:
�J��A�����tis Number of stories
City: G _Ai ' �—)- ) I I IA ZIP.' CD Type of construction
Phone:
CCB no.: IO Occupancy group(s): Existing:
�
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
.• n(IIITECT /DESIGNER'.. licensed with the Oregon Construction Contractors Board under
Name: CA-I G provisions of ORS 701 and may be required to be licensed in the
Address: s C,✓ a -4211MINIIIIIINI jurisdiction where work is being performed. If the applicant is
�- t , ' Mi,:' ��� /= , —' exempt from licensing, the following reason applies:
� ZIP: °.
Contact person: Plan no.:
Phone: - rj 40501 Fax: E -mail:
_ ENGIiNEFR. `'•- . •
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 O Visa Cl MasterCard
work will be complied ' whether cified herein or not / Credit card numbs . Expires
Authorized signature: Date: U 7 Name of cardholder as shown on credit card
Print name: Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 13 (6ro0/COM)
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s ^.ITY OF TIGARD BUILDING INSPECTION DIVISION MST
i 24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171 �
Date ` Requested AM
Q - a' � PM �� BLD
Location .�.� Suite �6vt� MEC
Contact Person Ed Ph g4 7 /733 PLM
Contractor Ph SWR , /
BUILDING : .1 Tenant/Owner ELC �
MIN
Retaining Wall • ELR
Footing Access:
Foundation FPS
Ftg Drain •
• Crawl Drain Inspection Notes: ' / SGN
Slab �•I �i� i /L_��,, _ , 41/ � SIT -
Post & Beam /
Ext Sheath/Shear
Int Sheath/Shear
Framing
/ Z U 1 _ . / O.
Insulation /��
Drywall Nailing � / C - _ �
Firewall A _ _ i t � i
Fire Sprinkler •4 . 44. j = __ 4 / ` i I
Fire Alarm
Susp'd Ceiling
Roof �✓)
Misc:
111125. •
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final .
PASS PART FAIL
MECHANICAL / 1
Post & Beam
Rough sLi
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 [ .] Please call for reinspection RE: • • [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk w 3 ( 9
k Vi \
Other Date • Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
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CITY OF TIGARD BUILDING INSPECTION DIVISION - •
24 -Hour Inspection Line: '639 -4175 Business Line: 639 -4171 MST-
BUP .2001 -6D2 Z 3
Date Requested AM PM BLD
Location /1 Z55 5Ai S m aag Suite MEC
Contact Person Ph 7 /1 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
nsu ation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi .
inal
PAS = PART FAIL
P , MBING
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 fo reins •ection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date - U Inspector ' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.