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11165 SW SUMMERFIELD DRIVE STE 5 11165 SW Summerfield Drive #5 __ BUILDING PERMIT CITY OF TIOARD PERMIT#: BUP2002-00303 DEVE, OPMENT SERVICES DATE ISSUED: 8/5/02 13125 SW Hall Blvd., Tiqard, OR 9722.3 (50:3) 639-4171 PARCEL: 2S1'ODD-00109 SITE ADDRESS: 11165 SW SUMMERFIEI-D DR 5 SUBDIVISION: SUMMERFIELD APT/WILLOW BROOK ZONING: R-25 BLOCK: LOT: 013 JURISDICTION: TIG REISSUE: __ ^FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION l CLASS OF WORK: OTR F'RST: sf N: S. E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W' OCCUPANCY GRP: TOTAL AREA: 0 01, sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT- sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSM'r?: MEZZ?: _ REQD SETBACKS _ _ 1_tEQUIRED _ FLOOR LOAD: Psf LEFT: ft RGHT: ft FIR SPKL: `AMOK DET: DWELLING UNITS. FRN'r: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,400.00 Remarks: Remove and replace balconies to(4)units. Owner Contractor: SUP MERFIELD ASSOCIATES, LLC YORKE + CURTIS BY SUMMET REAL ESTATE MANAGEME 4480 SW 101 ST AVE 5320 SW MACADAM AVE BEAVERTON, OR 97005 P9pTLAND,OR 97201 Phone: 646-2123 one: Reg #: LIC 55644 FEES -----REQUIRED INSPECTIONS________ Type By Date Amount Receipt _ Framing Insp PLCK CTR 7/16102 $71.83 27200200000 Final Inspection PRMT CTR 8/5/02 $110.50 27200200000 5PCT CTR 8/5/02 $8.84 27200200000 Total $191.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Oodes and oll other applicable law. All work will be done in accordance with approved plans. This permit will expire it 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 quest ins to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee Signature: i Issued by: - ----- Cali 639-4175 by 7 p.m. for an Inspection the nex; business dray Building Permit Application Ago 0 111 City of Tigard Date received: 1 l(C 4'� Permit no.: ;75-o Address: 13125 SW Hall 'Ud,Tigard,OR 97223 Project/appl.no.: E date: City of Tigard phone: (503) 639.4171 Date issued: eceipt aa.: Fax: (503) 598.1960 Case file no.: Payment t)-pe: Land use approval:_ 1&2 family: simple Complex: U I &2 family uwclling or accessory LICommcrcial/industrial UWulti-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement J Fire sprinkler/alarm U Other: JOB S1119INFORMATION Job address: C i t �.- L J - `' i Bldg.no.: Suite no.: 1-7-IC5(y Lot: I Block: Subdivision: I Tax map/tax lot/account no.: Prgjectname: 51 N INI[:. �F_ :_,L-1 Description and location of work on premises/special conditions: Va C 44 FIC 111101111111 or)V.,I Tol Name: r' ✓ -1 �f U• Mailiugad rens: .,; C �, �, , , _ ,� 1 &2 family dwelling: City: ) r Statce' ZIP: Valuation of work ......................................... Phorc: Fax: E-mot: No.of bcdmonns/baths .................................. Owner's representali,t: Total number of floors .................................. Phone: If n E-rail: New dwelling arca(sq.fl.)............................ _ Garage/carport area(sq.it.) Covered porch area I%ft.) .......................... Mailing addres L• I Deck area(sq.ft.).......................................... _ City: _ �- Statc ZIP: Other structure area(sq.ft.)......................... — Phone: 1 ,'l Fax: 1 F ma f: Comnierciallindustriallmultl-fantlly: Valuation of'work ......................................... $ ., - , Existing bldg.area(sq.fl.)............................ Business lame: i" = L (, New bldg.area 1 sq.fl.) Address — ; — City: -Fax SIaIc�" ZIP: < Number of stories.......................................... Phone: 1 t Type of construction ..................................... 7_11N_ — Occupancy � CCB no.: E-mail: ccupancy group(s): Existing: — New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under 7Aiddicss:'V7,1' ne: r "t`f nf� �? }�! - .• ' provisions of ORS 701 and may be required to be licensed in the j ' , •, jurisdiction where work is being performed.If the applicant is State: > IT; exempt from licensing,the following reason apt,ties: Contact person: ,-1 1 Plan no.: --- Phone: t 7 Fax: sJ,t T F-1-11f!: -- - ti. 1 J Name: Contact person: _ Fees due upon application.............................S _ Address: _ Date received: City: State: ZIP: Amount received...........................................S _ Phone: Fax: E-mail: Please refer to fee schedule, 1 hereby certify I have read and examined this application and the Not on)urhdictiam accept credit arae,plane call Junhdicunn for more inrorrneUon. attached checklist.All provisions of laws and ordinances governing this 0 Vim O MasterCard work will be complied with,whethe�ified herein or not. Dodd corn number _ 1 7-, - ( :? -, Authorized signahlre:(, ^-�-'� Date: Nem,of rarr hold r a ihnwn on nedil et Print name: �t-I��4 L. I✓( ---� Cardholdtt npnuurc S Amouni Notice:This permit application expires if a permit Is tot obtained within 180 dnys after it has been accepted as cmnpteic. 140461)(hnxt/cnMt CIT%" OF TIGAR© 24-Hour BUILDING Inspection Line: (503)639.4175 INSPECTION DIVISION Business Line: (503)639-4171 1 MST BUP - ' 6) Received Date Re nested AM PM BUP Location // I � — �- _ - wife -_ MEC Contact Person —__ Ph( ) PLM Contractor—_ Ph(___ —) — SWR _.— BUILDING Tenant/Owner ELC Footing -- Foundation F L.0 F'tg Drain Access: ELR Cra;vl Drain Slab Inspection Notes: SIT Post.a Beam _-- - _-- Shear Anchors Ext Sheath/Shear Int Sheath/She nsu Fa Re n ' ��/ Drywall Nailing - - - - - --- ----- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Huof i Ot - S PART FAIL - -PWMBING _ f Post& Beam Under Slab Rough-In Water Servica - ------------- -- / — Sanitary Sewer Rain Drains — ---- --- -- -- - -- — --- --- Catch Basin/Manhole Storm Drain -- ------- --- --- - — - Shower Pan Other: - - -- ---- Final ---------- PASS PART FAIL -------------- ----------- --------- MECHANICAL Post&Beam Rough-In _ - W_-- ----- -- --- --- - - Gas Line Smok6 Dampers - ---_------- ---- -- --_-__. -_-- Final PASS PART FAIL --- -- - -- - ---- ------ .-. - ELECTRICAL Service _--- --`-- -- --- Rough-In _ UQ/Slab — Low Voltage Fire Alarm Final Reinspection fee of$ required before next Ins PASS PART FAIL C7 - q pecdon. Pay at City Hell, 13125 SW Hell Blvd. SITE_ i_ [� Please call for reinspection RE: — Ej Unable to inspect-no access Fire Supply Line ADA Date 9 � ' Approach/Sidewalk � Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL TYPICAL PECK nEE0 I A. tom. At utl iow A, 01CM PATINc3. DUE.-.. ACX_ 'RL-f w o_o c?of-R --- - _- SF� lADR � 'Ile \N Pt 4y f—AM_ � I -aAp '� \AA f _ Foci tNC� C�' Sc A'g ti-t��- ���Im `►i