Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00459
`1i DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110D6 -90411
SITE ADDRESS: 15483 SW 114TH CT G 41 -44
SUBDIVISION: FOUNTAINS AT SUMMERFIELD ZONING: R -25
BLOCK: LOT: 041 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: 11
Remarks: Rg -roof of 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
TIRon OR 97224 Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By .Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/00 $62.50 27200000000 Final Inspection
5PCT CTR 11/14/00 $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.
Pemiitee
Signat . .
Issu -d By: . / �'
Call 63• -4175 by 7 p.m. for an inspection the next business day
9 t
Building Permit Application
�� a 1 ; 3 Datereceived: /i/ /`/Ot Permit no.: ,(;/�jo2000- OOifs
e i!�;p�t City of Tigard
" - Projecdappl. no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 - 4171 Date issued: By:. Receipt no.: :::....,'
Fax: (503) 598 -1960 Case file no.: Payment type: Z °
I &2famil Simple Complex:
Land use approval: y p p
TYPE OF PERMIT
� ■ i
❑ I & 2 family dwelling or accessory O Commercial /industrial as Multi - family CI New construction ❑ Demolition tie".
O Addition/alteration /replacement ❑ Tenant improvement O Fire sprinkler /alarm O Other: , 3
' . „ , JOB SITE INFORMATION '
Job address: / 5 3 t 6- / • L, / 4 iLy i/4 — Cr--- Bldg. no.: Suite no.:
Lot: Block: ISubdrvr ' I Tax map /tax lot/account no.:
Project name: ,
Description and location of work on premises/special conditions: CZ//` ti L d`i RC/Cs
- —_ _
. ' ` " OWNER . t • ' ' ' FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: / wwr}Q....C-'r-e. Co\,18c3Ms✓DUu..,tS ( Fioo dplain ,septiccapacity,solar,etc.)
Mailing address: 15ti So sw . 1 \ ` - 1 T h CT 1 & 2 family dwelling:
City: TIG-4✓2c IState: Utz IZIP: q722 L/ Valuation of work $
Phone: [Fax: E -mail: No. of bedrooms/baths
Owner's representative: M AC i F L. \- Fa so N Total number of floors A
4
• Phone: 1.
3--870 - 1929 F ax: IE mail: New dwelling area (sq. ft.) a il,
' APPLICANT • Garage/carport area (sq, ft.) •
Name: J'RC `Ro0V l NC,- L LC. Covered porch area (sq. ft.)
Mailing address: \ 21 Sr, S W G 2owT A J-41- S u ITe C- Deck area (sq. ft.)
City: TT 6.v1Qo I State:Q fZ I ZIP: ct 32 Other structure area (sq. ft.)
Phone: S,3 - ? 8 - 1235 Fax: o3 - 5 Y .. I E - mail: k)p�ip,ygcR Commercial/industrial/multi
CONTRACTOR Valuation of work $ .;r •
Existing bldg. area (sq. ft.)
Business name: 7BC - R CYLYE lt�Gy C. LC
New bldg. area (sq. ft.)
Address: r2i b Sw G- G2Aw1r AO Su,st
City: - - MG -4OO I State: Go ZIP: 9223 Number of stories
Phone: 5U3 -9- -12 I Fax: 6o3 7 I E- mail: d2altQ isc. , Type of construction {
CCB no.: c —' > Occupancy group(s): Existing:
t`EcC. , e�l�'vZ �o New: ;
City /metro lic. no.: — 2 L;
l
� Notice: All contractors and subcontractors are required to be •.�
• . - ARCIIITECTIDESIGNER "• t i licensed with the Oregon Construction Contractors Board under '
Name: provisions of ORS 701 and may be required to be licensed in the M
Address: jurisdiction where work is being performed. If the applicant is
City: IState: IZIP: exempt from licensing, the following reason applies:
p g g
Contact person: Plan no.:
Phone: I Fax: I E -mail:
: ENGINEER:, '
Name: Contact rson: Fees due upon pon application $ , 7,' S 0
Address: Date received:
City: State: IZIP: Amount received $
Phone: Fax: I E -mail: _ Please refer to fee schedule. '
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing ibis 0 Visa 0 MasterCard " -
work will be complicd\with, lirtlie specified herein or not. Credit card number: / I T'
I U expires
Authorized signatq : :� ‘ — -e-. Date: / Name of cardholder as shown goo credit card
Print name: , ....7 - , O • C 15 ' D l- 1/-4 cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4.40-4613 (6030/COM)
:
C _ ;.
4
y : l
�`. RE- Ri.O`Fi�1G PERMIT CHECK LIST .•'
RESIDENTIAL ONLY - Class of Work: Alteration :
O REPAIR (MAJOR) (plan review required by plans examiner) :r;
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:'
A. Roof area and nearest street. :.:t;
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in S
• the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq, ft. when eave and attic ;'
venting is provided.
• 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 ks
applied). •;
COMMERCIAL ONLY - Class of Work: Repair
. STEP 1:
Lii RE -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
/ 'cc Oregon.
EED TO STEP 2)
( (C.JAsphalt archite t or or wood engineer shingli F in . (PROC
COM R CIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY •
Material Documentation (UBC Appendix 15)
Please fill out applicable section and attach copy of roofing specifications. .r.
Listed Assembly (Circle and complete A, B or C):
A. 1. Specification #: ;�
l
2. Manufacturer: C A F '` :
3a. UL Classification: (<\a SS '- - t"ASSeS U L -
- Listed UL Building Materials Directory Page #:
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated: :
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES F
(Review required by plans examiner.)
it
•
VALUATION OF PROJECT: $ 1420 .-- _
sq. ft. /. ? of roof area
Permit Fee based on valuation: $ s - O
. _;
(see Building Permit Fees chart) �j �7
8% State Surcharge: $ 5°1
r
65% Plan Review Fee:
$
(Required for major repairs of Residential or .
Assembly item "C" above.) .
TOTAL: l $ ? • 1.---" ?t
I:dsts \forms \roofchecklist.doc 10/05/00
r
V
CITY OF TIGARD BUILDING INSPECTION DIVISION MST , % k .
24Hour Inspection Line: 639 -4175 Business Line: 639 -4171 GU 4�3
-- BUP �ivv
Date Requested / 2 - /) AM PM BLD
Location / S — ia 1Y3 5 w // c/ et c G y / - y'P Suite MEC
Contact Person Ph ,---?— `` c{f.- 210 3 PLM
Contractor Ph SWR
U_- --. Tenant/Owner ELC
etaining 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 'd Ceiling .
oof
is .
AaS? 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 ,I,
Service .
Rough In
. UG /Slab
Low Voltage
Fire Alarm
Final •
PASS PART FAIL
SITE _ .
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 reinspection RE: [ ] Unable to inspect - no access
ADA
/
Approach /Sidewalk / ' 74 Other Date ( / l i V Inspector Ext
Final
PASS ' PART FAIL DO NOT REMOVE this inspection record from the job site.. • '
4.
BUP - Building Permit ELC - Electrical Permit
4 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 fmal
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing Al 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 / -/f'pl? Aar
PLM - Plumbing Permit
-4 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 fmal RP/backflow preventer
Fire alarm fmal Rain drain
Storm drain
_ Water service
SIT - Site Permit Sanitary sewer
4 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 SWR - Sewer Permit
Engineered soils J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
.._...,.
z .....,
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00459
I�, DEVELOPMENT SERVICES DATE ISSUED: 11/14/00
44- 0 13125_SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S110DB -90411
SITE ADDRESS: 1 - SW =1- 14TH -CT G 41 -44
SUBDIVISION: FOUNTAINS AT SUMMERFIELD ZONING: R -25
BLOCK: LOT: 041 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 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
TI onD OR 97224 Phone: 503 - 968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT CTR 11/14/00 $62.50 27200000000 Final Inspection
5PCT CTR 11/14/00 $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.
Pemiitee
Signat . -- II
Z
Issu d By: , :Q % / L !
Call 63 • -4175 by 7 p.m. for an inspection the next business day
41444