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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2000 -00462 1 DEVELOPMENT SERVICES DATE ISSUED: 11/14/2000 A II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15565 SW 114TH CT G 23 -26 PARCEL: 2S110DC 90231 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 023 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: / 7(p 7 Remarks: Rd -roof of a 4 -car garage building. • Owner: Contractor: SUMMERFIELD CONDOMINIUMS JBC ROOFING REP: MACE FULKERSON 12155 SW GRANT AVE STE C 15480 SW 114TH CT TIGARD, OR 97223 TIA OR 97224 Phone: 503-968-1235 Reg #: LIC 98255 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT CTR 11/14/200C $62.50 27200000000 Final Inspection 5PCT CTR 11/14/200C $5.00 27200000000 Total $67.50 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 OUNC by calling (503) 246 -1987. Perrnitee Signature: Issued By: /�� %-7M._ !� Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application • Alk ' — 7-7-7.1 .. .1j.��14" C ity of Ti gar d Datereceived: / / / j / � Permit no . : ,Q� { ' -00 f � City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Project/appl.no.: Expiredate: Phone: (503) 639 -4171 Date issued: By:. Receipt no.: ''':Y: Fax: (503) 598 -1960 Case file no.: Payment type: "'` Land use approval: I &2 family: Simple Complex: TYPE OF PERMIT . . A . O 1 & 2 family dwelling or accessory U Commercial /industrial . Multi - family ❑ New construction O Demolition 0 Addition/alteration /replacement U Tenant improvement U Fire sprinkler /alarm U Other: JOB SITE INFORMATION . Job address: /5 C, c Sw //C Ceoi. - `G - "2'3 u 2 5 26 . Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: i 2 v I la-- Y ! c-C4zZ . OWNER ` • • ' FOR SPECIAL INFORMATION, USE CHECKLIST Name: ounf 143 j . -,-e.t Ccv% .yv\\✓]tuu^ {Floodplain,septiccapacity , solar,ctc.) Mailing address: 5 •. 5UJ . \ \ L \ 1 C T 1& 2 family dwelling: City: t ✓to ' State: c)t ZIP: 7722 L Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: � AC Ia -u L_ \c IT 0 So Nj Total number of floors • Ft NI ;1, Phone:5b3 - -(7 70 -C 92`-j Fax: E -mail: New dwelling area (sq. ft.) ;:: . ' : ' A PPLICANT i_i - ,-- Garage/carport area (sq. ft.) Name: It ' y ( NC... C. LC. Covered porch area (sq. ft.) Mailing address: 1 21 S S (,J G rtowT 40-Q- u ,Te. C, Deck area (sq. ft.) • ' City: T(G.vllZp StateCR ZIP: .2..2 Other structure area (sq. ft.) Phone: ,3 -778 -1235 Fax:6c,3 -yFS E-mail: 1Nox (?.St3cRgr,,•.� Commercial/industrial/multi-family: CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft.) ' t ' Business name: c ROo 1t0G- L-L -C New bldg. area (sq. ft.) Address: t 5 — s - u ,...) G.Q11K t AJ SuCi . L Number of stones City: T1 G 4'21J iMEE7 ZIP: 2 Z3 Phone:- , - (23S - Fax: ( , o 3 - ` r 6 E -mail: drtQ Q,st .Fur Type of construction CCB no.: . New: _ ." Occupancy group(s): Existing: City /metro lie. no.: .7 y L l '�- New: .ir Notice: All contractors and subcontractors are required to be ARCIIITECT/DESIGNER ' : `' licensed with the Oregon Construction Contractors. Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: , jurisdiction where work is being performed. If the applicant is City: l State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E-mail: ENGINEER ' c.• - Name: Contact person: Fees due upon application $ (a 2 • •5 0 Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions weep credit cards, please call jurisdiction roc more inrotmatioo. attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard a , - m work will be cop re' with, yaficilie specified hers in or not. Creel t card numtxr: / / :11'. Authorized / tom Expires Authorized signat> . Date: / f" I Name of cardholder as shown on credit cud Print name: `To 0 A • CN 1 ,5 i-I D L. w) $ Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. 4404613 moic'om) r o r ^ 'S ! q� 4 ' RE- ROOFING PERMIT CHECK LIST 4i RESIDENTIAL ONLY - Class of Work: Alteration �• 0 REPAIR (MAJOR) (plan review required by plans examiner) ;,: > Building permit is required when spaced sheathing is covered by solid sheathing and /or changes are made to roof line. SUBMIT TWO (2) SETS OF PLANS SPECIFYING: ;.,1,:',, A. Roof area and nearest street. B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. 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 eave and attic venting is provided. 'M1 if M . Note: No permit is required for residential re -roof if, (1) not more than three layers of roofing will exist upon completion of the re- roofing or, (2) sheathing is not being applied over `` spaced sheathing (spaced sheathing usually exists when wood shingles were initially . io _ applied). • COMMERCIAL ONLY - Class of Work: Repair °" • :STEP 1: .,..,.; Cil -ROOF (circle A, B or C): A. Existing built -up roof covering to be REMOVED and deck repaired. B. Existing built -up roof covering to REMAIN. Note: Applicant must submit an engineer's �'` review of the roof structural elements. Review shall bear the seal (or stamp) of the architect or engineer licensed in Oregon. Asphalt or wood shingle /shake. (PROCEED TO STEP 2) COM RCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation (UBC Appendix 15) : 1 Please fill out applicable section and attach copy of roofing specifications. pk Listed Assembly (Circle and complete A, B or C): •. ... v,pH;t: Si: ' A. 1, Specification #: 2. Manufacturer: CS- A . 3a. UL Classification: ( L . SS A - n(:1SseS ' 0 t-94 - Lu , wt. i r i . Listed UL Building Materials Directory Page #: OR .- - ',k 3b. Warnock Hersey: Listed Warnock Hersey Directory Page #: ,`h :� *COPY OF ASSEMBLY REQUIRED „ 3 B. ICBO Research #: : ,y- Dated: . ':.-, \ C. SPECIAL PURPOSE ROOFING: WOOD SHAKES' . ' ... (Review required by plans examiner.) .,, ;E�" VALUATION OF PROJECT: $ = sq. ft. / 57JC) of roof area � '7 T [ I ' , . Permit Fee based on valuation: $ . 62 S 1 (see Building Permit Fees chart) (� 8% State Surcharge: $ 5----Q--- '• ,. 65% Plan Review Fee: $ (Required for major repairs of Residential or 14117, Assembly item "C" above. ''x I TOTAL: $ b y; v' I :dsts \forms \roofchecklist.doc 10/05/00 YV 4: ' V N I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP - 11Z) Date Requested / - b AM PM BLD Location / �G s 5 / / -- 6 Z3 — 2,k Suite MEC Contact Person Ph so3 -fil y- Z r 0..3 PLM Contractor Ph SWR �BUILDI Tenant/Owner ELC R t Thing Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation • Drywall Nailing Firewall Fire Sprinkler Fire Alarm ' Sus Ceiling oo> NI • • PART FAIL PLUMBING - ° Post & Beam Under Slab Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers • Final PASS PART FAIL ELECTRICAL- Service Rough In UG /Slab , Low Voltage Fire Alarm Final PASS PART FAIL SITE ;_ y •,. Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspe tion RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 1 71/{ 0 I nspector ' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BU Z- Building Permit ELC - Electrical Permit + '` Inspection Description Date Passed By - 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection / 2 1/ 51/4 0 zti PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By _ Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SW R - Sewer Permit Engineered soils '4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR ELC, ELR, MEC SIT PERMITS CITY OF TIGARD BUILDING PE2IVT., PERMIT #: BUP2000 - Aveo � � . DEVELOPMENT SERVICES DATE ISSUED: 11/14/2000 '`j'` � - 13125 SW Hall Blvd., Tiga_r_d, OR - 97223 (503) 639 -4171 i- — ____ -- . PARCEL: 2S110DC -90231 SITE ADDRESS: 1 5565 SW '114TH CT G 23 -26 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 023 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Re -roof of a 4 -car garage building. Owner: Contractor: SUMMERFIELD CONDOMINIUMS JBC ROOFING REP: MACE FULKERSON 12155 SW GRANT AVE STE C 15480 SW 114TH CT TIGARD, OR 97223 TIRA 97224 Phone: 503 - 968 -1235 Reg #: LIC 98255 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT CTR 11/14/200C $62.50 27200000000 Final Inspection 5PCT CTR 11/14/200C $5.00 27200000000 Total $67.50 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. e This permit will expire if work is not started within 180 days of issuance, or if work is suspended for morMIS 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 OUNC by calling (503) 246 -1987. Permitee r --. 111 Signature: 9 0 r Issued By: / ∎ • , . .' t Call 639 -4175 by 7 p.m. for an inspection the next business day INF