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11445 SW SUMMERFIELD DRIVE STE 5 11445 SW Summerfield CITY OF TIGAsRD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-1171 MST - BUP -oy 3 70 Received _Date Requested - _. AM - __ PM SUP - Location 1J!V &L Suite- :AEC Contact Person —_� __.. — Ph(—. —) _&70j 7 L 6 PLM Contractor — _ Ph( ) SWR BUILDING _ TenantlOwner - ELC Footing Fc:..idation ACCess: ---� FLC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing /-�- - - ---/,-- __- - Insulation Drywall Drywall Nailing - --- / �1� fo� - - Firewall / Fire Sprinkler /*�/` - __�l� /• - - Fire Alarm - ,;� -----— ------, _- ._-� ----- Susp,i Celling -- 00 1-' W cam - P ��AfJe 0000•rr.. Final PASS PART FAIL ��' -- --- -- -- - PLUMBING Post&Beam __- Under Slab Rough-In •-------------------- Water Service --- -- Sanitary Sewer Rain Drains - - -- ------ - ------------- - - Catch Basin/Manhole Storm Drain -- -�.. --------------- -------- Shower Pan Other: -- - - -- - ---- -- -- Final — PASS PART FAIL --- - ` --------- MECHANICAL _ - - - --- ----- - - - --- -- - Post& Beam Rough-In - Gas Line Smoke Dampers Final PASS PART FAIL - - ELECTRICAL Service - - - -- Rough-In UQ/Slab ------ Low Voltage Fire Alarm -- - -�-- --------- - Final ❑ Reinspection fee of$ -_required before next inspectiv Pay at City Hall, 13125 SW Hall Blvd PASS PART _FAIL SITE Ej Please call for reinspection Pc: - _ _ L� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date !'. Inspector _- Ext __- Other: Final - OO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL r c City of Tigard Building Department 13125 SW Hall Blvd., Tigard, Cf, 37223 Phone. (503) 639-4171 Re-Roof Pr.a-Inspection Report Form Requested by ,V i't /�1 Telephone '�� 1 0 � 7 / .Y Job Address _ 5� Permit#: Roof Access Location : -d& Date Requested— Iq Time Requested Type of Existing Roof 3— —� 1. Slope of roof deck r��1 2. Roof/Penetrations/General Conditions air ❑ Poor 3. Are there blisters? ❑Yes �o 4. Are there cracks? ❑Yes ETVo_ 5. Is there evidence of water ponding? ❑Yes No 6. Is moisture present under roofing(leak)? ❑Yes ` <O� 7 Is roof insulation existing? ❑Yes Qi41t '- 8. Is roof insulation wet? ❑Yes 9. Property line setbacks on all sides> 10 feet ❑Yes Leo 10. Building size E_<_3_006 sq.ft. ❑f,6000 sq.ft ❑>6000 sq.ft. 11. Building height [7-Stories ❑ >2 Stories 12. Class of roof required on-rated D A. ❑ B. ❑ C. 13. Type roof deck [,IGombustible ❑ Non-Combustible 14. Roof dr,-,ins ❑ Provided ❑ Required ❑Adequate 15. Overflow drains ❑ Provided ❑ Required ❑Adequate 16. ,Attic ventilation P-Provided ❑Required ❑Adequate 17. Roof listing �rovided ❑ Required 18, Installation Instructions ❑Provided ❑ Required To re-roof this structure the following conditions must be met: 17-1 The re-roof proposal is pproved for permit issuance If the conditions listed above are met.After obtaining your permit you must contact the Building Division for an Inspection when the roof deck is ready for the first inspection.The first inspection for a complete tear off is the deck Inspection. For a built-up roofing system(overlay),the first inspection is at the start of the job.After the re-root is complete,a final inspection is required. Inspector / r��'� '�' S `7C`/Z Ext. Date ne~-dN*,WxWnPAW FWM I�� ____ BUILDING PERMIT _ PERMIT #: BUP2002-00370 DEVELOPMENT SERVICES DATE ISSUED: 8/29/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DC-00500 SITE ADDRESS: 114,15 SW SUMMERFIEI_D SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK. L01: 017 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRIJCTION__ _ CLASS OF WORK: OTR FIRST: — – sf N: S: E: VV: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: sf N S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROO = CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZL?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRN'r: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,000.00 Remarks: Reroof, existing roof covering to be removed, sheathing to remr Owner: Contrac' )r: LUTON, ROBERT C STAY DRY ROOFING& REMODEL c/o KVERNLAND, ERIC B 9425 SW WILSHIRE ST 11445 SW SUMMERFIELD DR PORTLAND, OR 97225 ne TIkAoRD, OR 97224 Phone: 503-209-7918 Reg #: LIC 147514 - T FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 8/29/02 $81 10 27200200000 5PCT C-TR 8/29/02 $6.54 27200200000 Total $88,24 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 OU1`4'C by calling (503)246-6699 or 1-800-332-2344. Permittee Signature: _f ;�t�� 1��(�;•<< __� Issued By Call 639-4175 by 7 p.m. for a•i inspection the next business day Building Permit Amiieation Received Building 1 Date/Ei Permit No� . C-'�003 70 City of TigardForm Planning A proval Other 7,e S i i`�;o r m Date/BX: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us Contact Juris.: se:Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ Su I,!mental Information _ TYPE OF WORK v — REQUIRED DATA: �] New constructionmolition 1 &2 FAMILY DWELLING ddition/alteration/re lacement Other. -- - — _ CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indican Ll 1 & 2-Family dwelling ommcrcial/Industrial the value(rounded to the neurcat dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building Multi-Family Valuation......................................... ............... Master Builder Other: JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: ---_ Job site address: f(.J „J,i fj�,,y ,�, Total number floors..................................... �� a— New dwelling arca(sq.ft.).............................. Suite M Bldg./Apt.#: Garage/carport area(sq.ft.)............................ Project Name: Covered porch arca(sq. tl.)............................. — —_ Cross street/Dircetions to job site: Deck area(sq. ft.)............................................ Other structure area(sq.ft.)............................ —_ REQUIRED DATA: _ COMMERCIAL-USE CHECKLIST Subdivision: - Lot#: - Tax map/parcel #: Note: Permit fees*arc based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, ---— - --- overhead and profit for the work indicated on this application. V_r iose.i JValuation......................................................... $ —'— Existing building area(sq.ft. New building area(sq.ft.)............................... _ Number of stories............................................ El PROPERTY OWNER 'TENANT —� Type of construction....................................... _ Namc: Occupancy group(s): Existing: r� �..------- New: Address:City /State/Zip: ---.----.—_-- phorte Fax: NOTICE: All contractors and subcontractors arc required to be �APPLICAN I CONTACT PERSON provisions with the Oregon Construction Contractors Board under provisions of URS 701 and may be required to be licensed in the Business Name: �� jurisdiction where work is being performed. If the applicant is exempt onlact Name: 6t1j Q!1./ ;4e4M --_ from licensing,the following reason applies: Address:City/State/Zip: x ft ` 7 ' _ - — - --- — Phone: G_rLf 9 i BUILDING PERMIT FEES* -- E-mail:Sr,� }d,�ir►�,:U C. 14;�'a_ar e —` _l Please refer to fee schedule. CONTRACTOR --• ------ — —_—�_ Business Namc: I Fres due upon application........ . .... ... .. ...... 5 Address: City/State/Zi -- -- Amount received................................ .......... 5_ Phone: Fax: _ Date received:____ CCB Lic. M �y7T,Y __ --,^.-- - _- ----- - Notice: This permit opplicstlan expires If a permit I,not obtain-d v.1thin Authorized IRO days after It has been accepted as complete. Signature: '��7 ��/� _._.__ Date: fir' } *Fee methodology set by Trl•lounly Building;Industry Service Board. -- (Please print name) Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building �* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescu0 *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plar;s bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1ld%t9\forms\C0M-ma1rix.doc 9/24/01 �wirr City of Tigard Building Department 13125 S1N HallBlvd., Tigard, OR 97223 Phone: 1503) 639-4179 Re-Roof Pre-Inspection Report Form r. Requested by !, i Hr ' Telephone(�, _1.Q64_7�� / Job Address t Permit M _ Roof Access Location Date Requested CF 'oZ 4 -v Z —Time Requested _— Type of Existing Roof 1. Slope of roof deck Z--- 2. Roof/Penetrations/General Condilic,is air ❑ Poor 3. Are there blisters? ❑Yes ro 4. Are there cracks? ❑Yes ff 50,- 5. Is there evidence of water ponding? ❑Yes f 7T No 6. Is moisture present under roofing!':ak)? ❑Yes L`7ro 7. Is roof insulation existing? ❑Yes E}hlG� 8. Is roof insulation wet? ❑Yes L 9. Property line setbacks on all sides> 10 feet ❑Yes 10. Building size ffo< 3000 sq.ft. ❑ <6000 sq.ft ❑>6000 sq.ft. 11. Building height r _ Stodes ❑ > 2 Stories 12. Class of roof required on rated ❑A. ❑ B. ❑ C. 13. Type roof deck combustible ❑ Non-Combustible 14. Roof drains ❑ Provided ❑ Required ❑ Adequate 15. Overflow drains ❑Provided ❑ Required ❑Adequate 16. Attic ventilation [-Provided ❑ Required ❑Adequate 17. Roof listing rovided ❑ Required 18. Installation Instructions ❑ Provided ❑Required To re-roof this structure the following conditions must be m)t: AW The re-roof proposal is pproved for permit issuance If the conditions listed above are met.After obtaining your permit you must contact the Building Division for an inspection vfien the roof deck is ready for the first inspection.The first inspection for a complete tear off is the deck Inspection, For a built-up roofing system(overlay),the first inspection is at the start of the Job.After the re-roof is complete,a final inspection Is required. Inspector / (/ �'� �� C�� Ext. Date j*41?LS-r1de 1: eed r ej �- ool T.� � lc'onr r:�s.,�ti- ��✓ �c++.r�r.;,... 3�yc ,�,:.4 I , ,D�--, C V