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Permit - A CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00217 A DEVELOPMENT SERVICES DATE ISSUED: 6/21101' cal II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11053 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: n PARKING: VALUE: $ 8,800.00 Remarks: 11053, Unit #2, #3, #6 11055, Unit #7 Building #3 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 p N D , 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 • $129.70 27200100000 5PCT CTR 6/21/01 $10.38 27200100000 PLC2 CTR 6/21/01 $32.41 27200100000 (additional fees not listed here) Total $276.27 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 nn ittee ej 1 Signature: Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day fr a4 i �� Building Permit Application � ..F City of Tigard I .1t. Date received: , — _p I Pe / — e o a •> 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) 5984960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: • TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 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: 1 L „I! •• 5 p all . al Bl d Bl dg. no.: Suite no.: Lot: Block: Subdivision: ax map /tax lot/account no.: Project name: 111 Iv oe — (. ' .Itz) D . Z� � , . AI '''. 1 Description and 1 lion of work on r remises/special conditions: . 1/ 1 / �: IPA! ∎� 1 #- 1v.#1 -1 r -2 r :2G :OWNER, - FOR SPECIAL INFORMATION,.USE CHECKLIST Name: a C. ,12....g, ( Floodplain ,septic.capacity,. solar ,etc:) Mailing address: gip ` 1 & 2 family dwelling: L! / 111 M E EWA I EZ _r/' Valuation of work $ Phone: Mri/ Fax: E -mail: No. of bedrooms/baths ii i jl Owner's representative: . Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) • - - - - , -... .. . - Garage/carport area (sq. ft.) �' �.� J ��' Covered porch area (sq. ft.) address: - '` Deck area (sq. ft.) Mailing .,�� 1 � r _ . - City: �.�_..��C ttI'!�. n�� riw'. Other structure area (sq. ft.) Phone: , _i j I Commercial/industrial /multi - family: p, ,�y�� CONTRACTOR Valuation of work $ t/ &W . Existing bldg. area (sq. ft.) Address: ��j AM a IMI New bldg. area (sq. ft.) Number of stories City: ` _ .1tr 7. �-t �m r • Type of construction Phone: ejIMMUZI ilsi Occupancy group(s): Existing: CCB no.: (p ♦ New: City/metro tic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: e (-H' '' G. 01._ r� provisions of ORS 701 and may be required to be licensed in the A. dress: 'tl��Cr✓ �� J jurisdiction where work is being performed. If the applicant is I , �utiii a�_tii � r r 4 4 ZIP: ,A!<♦7 exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: 5 4,301 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 laws and ordinances governing 's Q V 0 MasterCard work will be complied . whethe s 'fled he in or no Credit card number: � ; / c p p Authorized si a • - : w �.t>/ r • e: i Name of cardholder as shown on credit card Print name: II f Mr__ �/ Cardholder signature $ Amount Notice: This permit application expires if a permit is not ob.ained within 180 days after it has been accepted as complete. 440 -4613 (6ro0/COM) 6y `Vr 1 110 Vr lea Ir C/A v--1-1:s . 60f ill f �LIv S - �- -. s��I.Qt C 3 � � CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP o 2/ 7 - Date Requested � — y AM PM BUD Location f/O Sw S0h9417,(r / 9 Suite MEC Contact Person p ✓'f Ph tO1 / ? ZU PLM Contractor Ph SWR gUiCII 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 6 ��r,cL.-0 1 ..45 - 3 v(rS - 3 — — 7 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ASS 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 t 7 Date I Dae /`�/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUPc Jo -oval 7 Date Requested - 7 - ( AM PM BLD / ; Location 53 .• _ _ L 1/! ,_ . / Suite MEC Contact Person Ot.cr-e_ / Ph F0 - 17 2-6) PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation 3 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ` `�! SIT Post & Beam Ext Sheath /Shear ii d S 2. ?j Int Sheath /Shear Framing /) 6 �5 7 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof , j1a2 11► by PART FAIL BING _ • st 8, 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 , Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.