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10515 SW GREENLEAF TORR
BUILDING PERMIT
CITY OF TgGARID PERMI' #: RUP2004-00113
DEVELOPMENT SERVICES DATE 'SStIED. 3/'22/04
,3125 SW Hall Blvd., Ticiarl:, OR 97223 (503) 63z)-4171 PARCEL: 2S110DD-061900
SITE ADDRESS: 105115 SW GREENLEAF TERR
SUBDIVISION: SUMMER.FIELD N0.5 ZONING: R 2
BLOCK: LOT' 294 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS _ _ _ EXTERIOiZ_WALL CONSTIRUC:TION
G�..ASS OF WORK: OTR FIRST: y sf N: �4 S E: W:
TYPE OF USE: SFA SECOND. sf __ PROJECT OPENINGS?
TYPE OF CONST: sf N -� S: —E: W:
OCCUPANCY GHt-. TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANC'r L.OAD: BASEMENT: sf AREA SEP. RATED.
STOR: HT: ft GARAGE: sf CCCU SEP. RATED:
BSMT?: MEZ7_?: REQD SETBACKS REQUIRED
-- -- -- --- — --- _ . -----------
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELL INC UNITS: FRNT: ft REAR: ft FIR ALRM : HNr,1i%, ACC:
BEDRMS: BATHS: IMr' SURFACE: PRO CORR: PARKING:
VALUE: a 251,957.00
Remarks: Reroo', Building#1, 1051:; 10525, 10535
Owner: Contractor:
CONAN, CAROL TRUSTEE JBG ROOFING
10515 SVV GREENLEAF TER 12155 SW GRANT AVE STE C
TICARD. CR 97224 TIGARD, OR 97223
Phone:
Phone: 503-968-1235
Reg #: LIC 98255
FEES -` REQUIRED INSPECTIONS
Description — Date-- Amount Final Inspection
I I'AX) 8"„State Sureharl 3/22/04 -- $1114
�131'll.f)� Permit I'ee 3/22/04 $139.30
Total $150.44
I
This Permit is ;sued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all offer applicable law All work will be done in accordance with approved plans This permit will expire if work is
not started within 189 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow the rules adootF,.j by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001 0100 You may obtain d ropy of these rules or direct questions to OUNC by
calling (503)2.46-6699 or 1-800-332-2.x44
Issued By.
Pe nnittee
Signature: --
Call 639-4175 by 7 p.m. for an inspection the next bUSir1r,s day
Re-(tour v'
Kui'dinLi Permit Application
"ECE�VE�� Received
�.Ifiy Ot�Tigard C C J I'ennn
b batc/B��
1312 i SW I lull Blvd.,Tigard,OR 972 3 Ilan%ev w
Phone: 503.639.4171 Fax: 503.598.1960 Date/B Other Permit:
Inspection Line: 503.639.4175 �tllAR 1 k; ?0�'� Date Ready/By, Jura 0 See Pa,e 2 for
Internet: www.ci.tigard,or,us Notified/Metho : Supplemental informallun
CIT ni: LIG-A-A13 --
E"MIRP #ION - REQUIRED DATA:I•AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate ll•:value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONST.kUCTION work indicated on this application.
❑ I-and 2-family dwelling
Valuation: $
—�[]Comrner..ial/industrial
❑Accessory building -�-❑Multi-family Number of bedrooms:
❑Master builder ,�Other: Q a)4)/-f o U o Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:/�-r /.C�-/C7 3 -J.ufi< �&,4j=' .Erie New dwelling area: square feet
City/State/ZIP: 4 R-W &0/Q, Garage/carport area: square feet
Suite/bldg./apt.no.: Project nname:SU/4(/Vf i�iQ/�/F Covered porch area: square feet
Crass street/directions to job site: i— Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)o'all
Tax map/para;no.: equipment,materials,labor,overhead,and the profit fc;the
DESCPIPTION OF WORK work indicated on Ibis application
Valuation:
AC�C- L � � F-C`� t>�P� Il'el r. Existi-;building area: square feet
5 /•}�C �f1/`(/�'_ `541�bi LAS New building area: square feet
B PROPER'T'Y OWNER ❑ TENANT Number of stories:
Name: <ro AIP-,'J -"t)E 4g Y. w L DS"TPr/Af, Type of construction:
Address: /IpS/ /OS�Yj' /E'r9'� Occupancy groups:
City itate/ZIP: _ Existing-
Phone:( ) _ Fax:( ) New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name. _ All contractors and subcontractors are required to be
Contact name: P�L S n N licensed with the Oregon Construction Contractors Board
_ under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If lire
applicant is exempt from licensing,the followittr reasons
City/State/ZIP: apply:
Phone:( 670 - p Fax
J E-mail:.003
T CONTRACTOR
Business name: C—_ NIfILDtNG PERMIT FEES*
Address: /Z ! y,�r{�(/T� CAP'Tr
Please refer to fee schedule.
City/State/ZIP: 'j�,*�-,��, Pte'
Fees due upon application
Phone:,) Fax;
Amount received
CCB tic.: —'-'—
bate received:
Authorized sign e+Cf•t/eC This permit application expires If a permit is not obtained
within IAO days after It has been accepted as complete.
Print namey - Date: Picthodology set by Fri-County Building Industry
/erf � AL-_,d_Sam Service Board.
i\9uildina\PevnnnROOF-PennuAppdn Ib,t e10•IalI7(IIro2/COMnV'EB)
RE-ROOFING PERMIT CHECK LIST
RESIDENTW, One-&Two-Family Dwelling)
REPAIR (major)plan review required by plans examine,-:
Building permit is required when structural 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. fl. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
cave and attic venting is provided.
Nute: No permit is required for residential re-roof if not more than two (2) layers of
roofing wiil exist upon completion of the re-roofing.
COMMERCIAL(Includes multi-family and condominiums)
I)ARE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Please
make an appointment by calling the inspection line at(503 6Z 3G-4175.
PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be
required to address any non-conforming items.
VALUATION OF PROJECT: $ y�
sq,ft. _ of roof area s
Permit Fee based on valuation: $
see Building Permit Fees chart
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.
TOTAL: $
i.\Building\Forms\Rc RmiWheckhst.doc 12/24103
CITY OF TIGARD 24-Hour
,JILDINC ( Inspection Line: (503)639-4175 f
INSPECTION DIVISION Business Line: (503)639-4171 c�/�. MST
SUPS 4/— �)6 J3
=) J
Received - .`� �� Date Requested J AMPM -– BUP —
location ___ - l L� Jr/ J f��5?Suite �`���C� MEC
Contact Person , .« t til e Ph(__) _— _ PLM
Contractor __-_ Ph( ) _ SWR
WILDING Tenant/Owrer ELC
-Footing EL.0 _'t.^-------'�
Foundation Access:
Fig Drain ELR
Crawl Drain 4sc'�� —
Slab Inspection Notes. SST --- _---- —
Post& Beam -- ---- - --
Shear Anchors - - - --_--
Ext Sheath/Shear —
int Sheath/Shear /
Framing
Insulation f✓
Drywall Nailing --
Firewall
Fire Sprinkler - - ----
Fire Alarm
Stusspd Ceiling — ----- �� — �- —
Other - - --- —
Fi I 1.✓
S,�PART FAIL -
BING-- _
Post& Beam 411 i
Under Slab I -_ _ -_ _ _--
Rough-In
Water Service - — ---
Sanitary Sewer
Rain Drains - - -- - --
Cat.-.h Basin/Manhole
Storm Drein - -- ---
Shower Pan
Other:_
F nal
_?A_SS PART_ FAIL.
MECHANICAL
Post& Beart ---- ---
Rvugn-I„ ----. - ----- --
Gas Line
Smoke Dampers -- -
Final
PASS PART FAIL - - - -- ----- — —
ELEz TRICAL
Service
Rough-In
UG/Slag
Low Voltage --- - -- ---- —�._------
Fire Alann
Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection FiE:_ -_ _ __ . Unable Io inspect-no access
Fire SupP v Line
ADA ?
Approach/Sdewalk Data_ �_ Inspector _ _ - Ext
Other:
Fina' DO NOT RLNOVE this Inspection record from the job site.
PASS PART FAIL