10455 SW GREENLEAF TERRACE J
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10455 SW GREENLEAF TERR
CITY OF TIGARD 24-Hou,
BUILDING Inspection Li'^2(503) 639-4175
INSPECTIOi'I DIVISION Business Lute: (503)639-4171 MST
Received - _ S Date Requester_ y " AV—_ PM 8UP
Location ,(�) S �U Y_�D 5i`- � Suite— MEC
o s
Cor.t� -�ct Person ,.�.T ^._.,Z��1����Ft�-_.�11'jJ 1W Z<2 PLM
Contractor �iL41&1
-- Ph SWR
BUILDING � Tenant/Owner ��wvt � ��i� � �-� _..___ ELC
Footing ELC -
Foundation ---- -- -- --
Access:
Fig Drain ELR
Crawl Drain
Slab Inspection SIT
Post$Beam
Shear Anchors - - --- - —
Ext Sheath/Shear
Int Sh^ath/Shear _ �-
Framing
Insulation
Drywall Nailing �- - —-- -- ----
Fu owall
Fire Sprinkler -- - -
Fire Alai
Susp'd Ceiling
Roof
O;her: _
Ff
PART FAIL, /
PL MBINQ_
Post&Beam
Under Slab 00/
Rough-In /
Water Service -- ---
Sanitary Sewer _
Rain Drains
Catch Basin/Manhole
Storm Drain --
Shower PAn
Other --- --
Final
PASS PARTFAIL_
MECHANICAL_
Post&Beim
Rough-In --
Gas Line
Smoke Dampers - - - --- - —
Final
PASS PART FAIL - - —- --
ELECTRICAL -
Service -�- ---- -
Rough-In
UG/Slab - - ---- ---
Low Volta le
Fire Alarn
Final Reinspection fee of _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS P.kRT FAIL
SITE G Please call for reinspection RE. � Unable to inspect-no access
Fire Supply Line ,
Yl -_ �.
ADproech/Sidewdik Data � _.� � Irwapectar �- �~ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job it,
PASS Pe.RT FAIL
CITYOF T I GA R® - BUILDING PERMIT
PERiAIT #: BUP2004-00122
DEVELOPMENT SERVICES DATE ISSUED: 3/22/04
13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 2S110DD-07500
SITE ADDRESS: 10455 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: 239 JURISDIUTION: TIG
REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS_?
'TYPE OF CONST: sf N: S: __ E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE PET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEF. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD_ SETF3ACKS REQUIRED_ _
FLOOR LOAD: psf LEFT: ft VGHT: ft FIR SPKL_ laMOK DE_T:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : 14NDICP ACC:
BEDRMS: BATHS: IMP SURFACE- PRO CORR: PARKING:
VALUE: $ 25,957.00
Remarks: Reroof Building#11, 10455, 10465, 10475, 10485
Owner: Contra^tor:
JARMIN, MARILYN A TRUSTEE JBC ROOFING
10455 SW GREENLEAF TERR 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARG, OR 97223
Phone:
Phone: ,03-968-1135
Reg #: LIC P,9295
_ FEES _ REQUIRED INSIDE_C_TIONS _
Description Date Amount _ Final Inspection
IlIt'II I)I I'rrnik Fee 3/22/04 $139.30
TAXI ti"„tit❑te Surrh;ui 3/22104 $11.14
Total $150.44
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 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332--2344
issued Cv: �
Pry nnitte:
Signature:
Call 6394175 by 7 p.m, for an inspection the next business day
owl
Re-Roof /
BwHinp. Permit Application � 0 2
Ilcceived
City of Tigard d�t�-/y��� r � llnrc/ll7 permitN 1
13125 5W Hall Blvd.,Tigard,OR 9 Y plan Review
Phone: 503.639.4171 Fax: 503.599.1960 Date/B other pern,ir.
Inspection Linc: 503.639.4175 �00� Date Ready/By: Jw'I� BJ see pa;e i for
Internet- www.ei.tigard.or.us MAR NotifiedlNk ethod: Supplemental Information
FT REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction euro ition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
- 5
❑ I-and 2-family dwelling ❑Commercial/industrial Valuation:
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder Other: 7. �o0 0/-+}0�r 5 Number of bathrooms: —
JOB SITE INFORMATION AND LOCATION Total number of floors.
Job site address: /tV l�/..,(—C__��)-� �. jX 'A 5� �A/= ( New dwelling area square feet
City/Stale/ZIP: ~/'�4e¢�f C--W, -7"-P4 Garage/carport area: square feet
SuitelbidgJapt.no.: roject name jay"fit,[&,�/jam Covered porch area: square feet
Cross street/directions to job site: C_b*_ ,AirDeck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: lot no.: Pen-.ii(fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and lite profit for the
DESCRIPTION OF WORK work indicated on this applicatioP.
p✓h 2--, 4AYf_eR-f S 41 AJQ a4eS -t-AeL-r- PA PM
Valuation:
f%F_�7.4 A-ce teec,T 7�+7'� w Existing building area: square feet
Yoe. 4 1 /:�G AtTe f4 C PAt.x- jti{i� Ca A� New building area: square ft,-t
PROPERTY OWNER ❑ TENANT Number of stories:
Name:WN i7'A)E yr Al AIC Aj Type of construction:
Address: 1094X-1— � Occupancy groups:
Existing:
Phone:( ) ^r Fax. ) New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: _ All contractors and subcontractors are required to be
Contact name: k�57e_SV Nlicensed with the Oregon Construction Contractors Board
_— — under CRS 701 and may be r^rluil W to be licens-d in the
Address: jurisdiction in which work is being performed.If the
- applicant is exempt from licensing,the following r0sons
CitylStalc'ZfP: apply, ---ll
Phone:(, l , 6'jp.� () Fax::7 13
( ) --
E-mail: _
CONTRACTOR,
Business name: yIJ4 G,[, C BUILDING PERMIT PEES*
Address: SI LV. c_1Q"-d_r A-)65 �f r"e Please refer ra fee schedule
C'ly/Stete/ZIP: q7X-9— Fees due upon application
Phone:
Amount received
CCB tic.: — --
rate received:
Authorized sign — �.�� his permit oppln ecs
{catloxph If a permit is not obtainedithin 180 days after it has been accepted as complete.
Print name: ^�Date� • Fee methodology set by Tri-County Building Industry
Service Board.
ItBuitdin#TermiWa00F•PermltAppdoc IM 440.4513T(11102/COWNVER)
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL(One-&Two-Family Dwelling) ~
❑ REPAIR(major)plan review requirod by mans examiner:
Building permit is required when stkuctural changes are made or the space sheathing
is removed or replaced.
SUBMIT TWO(2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall he
located in the upper 1/3 of the roof. Providc I sq. ft. for each 300 sq. ft. when
eave and att,c venting is provided.
Note: No permit is required for residential re-roof if not more than two (2) layers of
roofing will exist upon completion of file re-roofing.
COMMERCIAL(includes multi-family and condominiums)
RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Please
make an ,,,.p ointment by c 411iniz the inspection line at(503) 639-4175.__ _
❑� PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be
require to address any non-conforming items.
VALUATION OF OF PROJECT: $
sq. ftpof roof area
Permit Fee based on valuation: $
(see Building Perrrut Fees chart
S% State Surcharge: $____�v _
65% Plan Review Fee: $
–- -----—
(Required for mayor repairs of residential and
_special purpose ro-fing ofcommercialprojects.)
TOTAL: $
iskBuiidinglPorms\Re-Roofr'heckfist.doc 12/24/03