11015 SW SUMMERFIELD DRIVE STE 5 r
11015 SW Summerfield Drive #5
CITY �� .' ����� BUILDING PERMIT ._
PERMIT#: E3UP2�002-00307
DEVELOPME1I
J�' SERVICES DAT` ISSUED: 8/5/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) G39-4171 PARCEL: 2S110DD-00109
;ITE ADDRESS: 1 1015 SVS SUMMERFIELD DR 5 '
SUBDIVISION: SUMMEKFIEI_D APT./WILLOW BROOK ZONING: R-25 1
BLOCK: LOT: 013 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ _ EXTEPIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: s'. N- S E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sl N: S: E: W:�
OCCUPANCY GRP: TOTAL_ AREA: 0.00 sf ROOF CONST. FIRE RET?
OCCUPAN;Y LOAD: BASEMENT: %f AREA SEP. K!l TED:
STOR: HT: ft GARAGE. sf OCCU SEP. RATED:
BSMT?: MEZZ_?: _ REOD SETBACKS ___ REQUIRED
FLOOR LOAD: psf LEFT: —fl RGH'F: It FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: It REAR. ft FIR ALRM : HNUICP ACC:
BEDFRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,400.00
Remarks: Remove and replace balconies for(4)units.
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC YORKE + CURTIS
BY SUMMET REAL ESTATE MANAGEME 4480 SW 101ST AVE
53pp20 SW MACARRDAM AVE BEAVERTON, OR 97005
PPPone N�idt�h a��rPation Phone: 646-2123
Reg #: LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt naming Insp
PLCK CTR 7/16/02 $71.83 27200200000 I Final Inspection
PRMT CTR 8/5/02 1110.50 27200200000
SPCT CTR 0/5/02 $8.84 27200200000
Total $191.17
I�
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 yc.- to follu.v the rules adopted by the Oregon Ud Ity Notification Center. T,i.;se rules ar" et 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.
Permittee
Signature:
Issued By:
Call 639-4175 t,y 7 p.tn f,)r an inspection the next bus:,,ess day
Building Permit Application lvaijil MM
Date received: tit r�_
City of Tigard
City of Tigard
Address: 13125 SW Hail Blvd,Tigard,OR 97223 Pmject/appl.no.: date:
Phone: (503) 631 4171 Date issued: y Receipt no.:
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval:_ l, z cunily: Simple CCmplex•
U l &2 family dwelling oracccssor, UCommercial/industrial RWulti-family U New construction U Dcmolitinn -
U A. ition/alteration/replacenient U Tenant improvement U Fire sprinklerialarm U Other:
ENEW111M I I VMS KU RUT Fill 114
Job address: C' I i -
l U �" _NiNI!✓1.---- (" C l �— Bldg.no.:.— Suite lo. ( 2
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name
Description and location of work on premises/special conditions:
OWNFIR FOlt SPECIAL INFORMAT ION, USE CHECKLIST
Mailing ad rens: 1 S 2 family dwelling:
City: State•' ZIP: Valuation of work ......................................... $ _
Phone: Fax: E-mat : No,of bedrooms/baths..............
...............
Owner's representative: Total number of floors ..................................
Phone: Fax: IF-mail: New dwelling area(sq.fl.)............................
WNEl Garage/carport area(sq.fl.).......................... _
Name: —~ , " �j Covered porch area(sq.ft.) ..........................
Mailing address: L l 14, v = Deck area(sq.ft.).......................................... _
City: Other structure area(sq.ft.)
Phone: ?'1 Fax Y J.4,,2[A F.-ma Commercial/industrial/multi-fancily: _
CONTRACIUR Valuation of work $
Iq �, - Existing bldg.area(sq.ft.)............................
Business name: New bldg.area(sq. ft.)
Address: t ) _. � ,_ ..................................
City: -' �� State:; ZiP: t �, -I
Number ofstories.......................................... ._
Phone: ":c Fax: F.-mail: -- Type of construction ..................................... CfA ,
_ >:
CCB no.: �� % — — Occupancy group(s): Existing: _��
t --- —_ New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
r licensed with the Oregon Construction Contractors Board under
Li provisions of ORS 701 and may be tequired to be licensed in the
Address: R jurisdiction where work is being performed.If the applicant is
city: State: )' Zig: exempt from licensing,the following reason applies:
Contact person: ;71 ,= - Plan no.: --
Phone: Z ' ' " Fax: ..=( ' ,7
J N—atncc—:—_ contact person Fees due upon application.............................S _2ATft `
Adl dress: Date received: — 7I 83
rite: State. ZiP: _ Amount received......................... .................S
i
Ph ane: __l1Fux: TE-mail: Please refer to i've schedule.
I lacreby certify I have rend and examined this application and the Note I I)uric diet ions accept credit Care,pod Ae Can Inrtsdie I inn for mare In intone I inn.
attached checklist.All provisions of laws and ordinances governing this U visa 0 MasterCard
work will be complied with,whethe�,51"`CCified herein or not. Credo card mtmbet: ---- 1 L
— r ^ — Expires
Authorized signature: F1 ^ Date: � :+ Name pf i holder as shown on credit earl
Print name: ►1ti-1 ' L 1 _� Cudhalder xltmon.rc Amount
Notice:This pennit application expires if a permit is not ohtained within 180 days after it has been accepted as complete. e4(IA611(hff"COMI
ia`t/ NtV `t'l1• �� �
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISIONbusiness Line; (503)639-4171 � ,��, MST
BLIP
Received _ Date Requested_ �— AM_ PM —__ BUP
d r ,
Location ���J 1 S__.edl��v►��fy1 -.1le _4Suite ,, _ MEC
Contact Person �,� Qom. »jjPh(_ ) iJ '— ( ?. PLM _
Contractor Ph( ) SWR
BUILDING Tenant/Owner ELC __—
Footing ELC
Foundation Access: ----"
Ftg Drain ELR
Crawl Drain — _
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/She�� - -
Insulation
Drywall Nailing --- ---- ----- ----- ----------
Firewall
Fire Sprinkler --- -------- -_ _
Fire Alarm
Susp'd Ceiling -- - --------- -
Roof ,
i Mna
&MBING PART FAIL
Past 8 Beam -- ----_-_--._--_—._-___-_ - -_.-_,-- • -�-- �` ,�
Under Slab
Rough-In ,
Wader Service -------- ------ - _ __--------
Sanitary Sewer
Rain Drains ------. ---- -- - -- ---- -- ------- —
Catch Basin/Manhole
Storm Drain -------- -
Shower Pan
Other: —
Final --- --------
PASS PART FAIL_ -
MECHANICALT V
Pose& Beam
Rough-In
Gas Line -_-----
Smoke Dampers
Final
PASS PART FAIL ---- - - -- - - -- ---
ELECTRICAL
Service _� -- --- - -- -- ---- ----- --
Rough-In _
UG/Slab ~- -
Low\foliage
Fire Alarm ------ — --
Final 0 Reinspection fee of$__-- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
[] Please call for reinspection RE: _ _ Unable to inspect-no access
Fire S-jpply Line
ADA 9/1 / JZ--
Approach/Sidewalk Date — Inapeailot
Other:
Find --- l- DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
YYP+GA L Decr- l i'
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