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Permit • CITY TIGARD , BUILDING PERMIT PERMIT #: BUP2001 -00219 SSUED: 6/21/01 �,�1� DEVELOPMENT SERVICES DATE I „� �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11210 SW SUMMERFIELD DR 1 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: $ 2,200.00 Remarks: Building #360 Remove and replace deck Owner: Contractor: SUMMERFIELD ASSOCIATES, LLC YORKE + CURTIS BY SUMMET REAL ESTATE MANAGEME 4480 SW 101ST AVE 5320 SW MACADAM AVE BEAVERTON, OR 97005 KIRoneND, OR 97201 Phone: 646 -2123 Reg #: LIC 55644 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing lnsp PLCK CTR 6/12/01 $51.90 27200100000 Final Inspection 5PCT CTR . 6/21/01 $5.77 27200100000 FIR2 CTR 6/21/01 $28.84 27200100000 PRMT CTR 6/21/01 $72.10 27200100000 Total $158.61 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. Per tutee Signature: ( l Issued By: /—P...--21/ Call 639 -4175 by 7 p.m. for an inspection the next business day i 4 . (, ' , t , i =':_ , - / i / / � , i� ` r.�i% Ae / y i/ 1- � ✓ / L ,� . n 1 • Building Permit Application 4 r y�U I City of Tigard Date received: ( o -(Z -O ( P e r � t t i T n d . : avo / - o 2. - : _ .. Project/appl. no.: Expire date: Ciry 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: l&2 family: Simple Complex: • .. TYPE OF PERMIT 0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi- family 0 New construction 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other. . JOB SITE INFORMATION . Job address: Q L a..... • A i o j Ja. I" Bldg. no.: r-"I Suite no.: Lot: Block: Subdivision: ax map /tax lot/account no.: Project name: SLR N or -- I - . ' CC Jt 7 b ts 0tJ Description aid ocation of work on premises/special conditions: ' 1/ to/ ''.:1._ �PALi�� i I * - > >.., :OW ER:• - :. FOR SPECIAL INFORMATION, USE CHECKLIST, Name: a (, � , ( Floodplain ,septic Mailing address: / fp 1 s 1& 2 family dwelling: _� rf `�__RN�I' 11Mi/' Valuation of work $ Phone: AA M Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) - APPLICANT ..- - , • - Garage/carport area (sq. ft.) reiriMMIS V.M i �III f ll'LJ)• �� Covered porch area (sq. ft.) Mailing address: -41J '` Deck area (sq. ft.) g a������J��I�L city: 4/7 _ ��C Other structure area (sq. ft.) [ ,► �l rim Phone: i / ��'3�ys2 Commercial/industrial/multi- family: ,�,� CONTRACTOR • Valuation of work $ Z�I�J" Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: LifiodOMBIRM� Number of stories City: (� _�':' -�$� �T� T of construction Phone: i�„J1W�r�'-j'i, Occupancy group(s): Existing: CCB no.: LO 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 (.....1-tAier) G.01, j� provisions of ORS 701 and may be required to be licensed in the Address: coop (251 . jurisdiction where work is being performed. If the applicant is Mlu �.. exempt from licensing, the following reason applies: t77'_ ' ! %' I��I ZIP: J � Contact person: Plan no.: Phone: - rj 40501 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 jurisdiction 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 wi wheth c r herein or not. i i credit card number Expires ' Da Authorized signature: Date: v I Name of c ardholder as shown on credit card Print name: I l ( . Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6n0/CCOM) 12. 10 4 C l icr" t K 1,0 ycrl afr C„ v S . vim p �. 4 14611 \�.�'` p : �'7 CI- Y OF TIGARD BUILDING INSPECTION DIVISION ' 24 -Hour Inspection Line: 6394175 Business Line: 6394171 ST Date Requested /Z) - 2 ) AM PM BLD Location -7, Suite MEC Contact Person Ph 84 7 /733 PLM Contractor Ph SVVR //// BUILDING . Tenant/Owner ELC MA W Retaining Wall ELR iti' Footing Access: VW Foundation FPS Ftg Drain Crawl Drain Inspection Notes: '— -- - - SGN Slab ∎ 40 JAL _Zit! A _ ?d .I O / ice ■ SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear ` T Framing / Z 0 J ' .. Insulation 4 �'� Drywall Nailing I Z i� / Firewall _�� �� _ Fire Sprinkler - '_ -u �iL �/ '' Fire Alarm Susp'd Ceiling Roof Misc: - mar S PART FAIL "PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL C)14 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ •] Please call for reinspection RE: • [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date k. 6 / 2 1/ 6 \ Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . TSA thScaDE=OHQ 1D:1 -506 -(61 -Ulbb ULI _.I.t3 Ul ID •U'J 04u .UU.I. r; .w. , •- , /-7'0-1( f:::-.:4-X F-74)( 1---01i-i1( / ArS.'701 . . . . . • . _ . . . .. . FeGifi.L_..5P.-4.1,441ecei.eix-- ‘7 _. .. . ._.. .... , .. . _.._. .._&vp _ . . t ; e2a to426- c,‘..cf-7. --- . _ . . - ... • ....I__7 2450z_ 4519/1 ZO _ . • . . • ri• . ....•_• - 8 ofvo-L7- i• - MS) 41_31.4ifora • . - -4 , 40 -0(22.20_ . //Z60 i( • • . Buil , _241-.04).2.2. . /tag, . •'‚ • ,..n...zto OW .. It ii34e .24017 - °e'- . t.11-15-- i f .____. . . . _ . 4 7■Cr-. a .: C ?. -22-5 .... /i ITT ..._ _.._ 1 1 :3(5 . ,130 -24ta-- e ._ . il • . .. __. .1 Iiiout.D___Lii- 7z, ,e5e.wm)t.a..5.- /N6-1-1 /t/04) 4,o cdezmiec .. La- ci 0 I ___. • 113=7::: il -0 7-6:2, $. e'z',44 33 _- . . . .. . . ______ . . • _ . . . . • .ffler,7O 76 . . 1 i - . , A 3 i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Insp cUion Line: 639 -4175 Business Line: 639 -4171 BUP ZG 6 /-6 U Date Requested 7- Z 5 AM PM BLD Location // Z /(J Sty hi r ( L Suite MEC Contact Person v -Q Ph So 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 rams 7risDiation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PART FAIL • 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 for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Inspector Ext Other Date p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.