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Permit
. r, !► CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00173 i�; DEVELOPMENT SERVICES DATE ISSUED: 05/16/2001 - '=--' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15695 SW 114TH CT G 6 -10 PARCEL: 2S110DC 90061 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 006 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF 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: $ 2,204.00 Remarks: Re -roof a 5 -unit garage building (units 6, 7, 8, 9, & 10). Owner: Contractor: FOUNTAINS AT SUMMERFIELD JBC ROOFING 15480 SW 114TH CT 12155 SW GRANT AVE STE C TIGARD, OR 97224 TIGARD, OR 97223 Phone: 503 - 670 -1929 Phone: 503 - 968 -1235 Reg #: LIC 98255 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 05/16/2001 $72.10 27200100000 5PCT CTR 05/16/2001 $5.77 27200100000 Total $77.87 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) .46-66'1 or 1- 80344. Pe rm ittee Signature: - _ Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day • . . ,, t Building Permit Application ;Fr, w ° dY G s t i" City of Tigard Datereceivedj /5 0/ Permit no.: ;;u D ?paf� /1 .,z -4 ' ^ .. Projecdappl.no.: Expiredate: 1 ; A CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 �� Phone: (503) 639 -4171 Date issued: rj�i Receipt , Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: ' "42:K; -ir/.` y . TYPE OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition 0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other: • JOB SITE INFORM i ON Job address: %$'(� 9� S ��i /i- :' -e_r<= -_ Bldg. no Suite no ( (o- /v • Lot: I Block: Subdivision: Tax map /tax lot/account no.:dS / //h C - 9004,/ Project name: ,- 0 U iv'Ti N s Ar SO I \al E SF 1 E L l) _ - 0 N DO r - ) ' n Description and location of work on premises/special conditions: T1 CaC� F / C) i "` L . l/--+ 1 ' C4 GEs 4, 7, ?, ?, F /D *. O wNER . . • FOR SPECIAL INFORMATION, USE CHECKLIST Name: Fo ,h a ‘ r i S f it U nwme‘t t.-• ! . (Floodplain,septic capacity,solar, etc.) Mailing address: `31.1 - {-- () S1_0 , -t 1-1,1 �: I & 2 family dwelling: City: 1 ti(,=l) ( State; ©n 7,11': `, ? 4' Valuation of work $ o;.2 L5 Phone: 1Fax: JE -mail: No. of bedrooms/baths Owner's representative: A/la -e fl, //r.. ;,'5t- 0 Total number of floors • • Phone: IF,tx. IN - mail: New dwelling area (sq. ft.) APPLICANT` r ; e. '' .._. GarageIcarport area (sq. ft.) • Name: L ?C . a: AZ i ice. L L C. C: j4is Na N,.(( Covered porch area (sq. ft.) • Mailing address: . r z j LS 6... I �Vt S(, � ` U , Deck area (sq. ft. City: T i C �� 1 ,8 __ I State (;'' I ZIP: 7: 2 ), Other structure area (sq. ft.) Phone: Fax: E - mail: Commerciallindatitrial /multi - family: CONTRACTOR. .. • Valuation of work $ Existing bldg. area (sq. ft.) • Business name: ;J- BC - Ra - >P 1\4- Li-C - - -- - New bldg. area (s ft.) Address: ( 2 i 5 5i� G V `s1 - 4t) Number of stories _. ' City: tt ( 6 I StateOt;\ I ZIP: � 1L 27 y • t"p.3 ?6,S•-/23.5 Fax 60 -- .3. • Email:. Type of construction , , Phone: fI ku / Occupancy group(s): E xisting: CCB no.: ,-�' 2 . vc New: City /metro lic. no 0(50 0 2 _3 } _ , ,_ Notice: All contractors and subcontractors are required to be • ' ARCIIITECTIDESIGNER . - i ' ' ' ` ' • ` 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: State: ZIP: exempt from licensing, the following reason applies: . • Contact person: Plan no.: Phone: Fax: E -mail: ' - '' ENGINEER - tt. Name: Contact.person: — Fees due upon application $ 77,17 Address: T Date received: City: State: ZIP: _ _ Amount received __ ax•, Phone: F Em — Please refer to fee schedule. 1 hereby certify I have read and examined this application and the No all jurisdictions accepr credit cards, please call jurisdiction for more information. attached checklist. All l of laws and ordinances l.!()VCIIIIIT this Ovisa OMasterCard work will be complied Ai, w� flier specified herein or not. iI4 -° 1 Creda number. _ / / r J — Expires Authorized signature: _____ _ Date: Name of cardholder as shown on credit card Print name: IV Cl1(S ilcLk. -r ('- (7 ?5 $ Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 1 80 days after it has been accepted as complete. 440 (6V0/COM) t- Y. : 44 : '� : ;.jti,f�ir�.1n�rt`: ,;` 3'.I }, RE- ROOFING PERMIT CHECK LIST ' � ' '''x °' RESIDENTIAL ONLY - Class of Work: Alteration , w = ; ❑ REPAIR (MAJOR) (plan review required by plans examiner) 4 .4 I 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: "'"••'' ..' y t••' %SFY, 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. . : : i 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 `. -" :I • • applied). • I COMMERCIAL ONLY - Class of Work: Repair :,,,,,, STEP 1: .. � ..;s 1 1 r ,., ;' "" ; , RE - ROOF (circle A, B or C): sf' f�' •' ''�`1` 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. CO MM C) Asphalt or wood shingle /shake. (PROCEED TO STEP 2) ERCIAL ONLY - Class of Work: Repair y,:�;v,4 _ Sir s r :,fiz • 4 '.> STEP 2: NEW ROOFING ASSEMBLY '' 1:;; ; " ' ` � *, � • Material Documentation (UBC Appendix 15) Y;;;;' Please fill out applicable section and attach copy of roofing specifications. ted Assembly (Circle and complete A, B or C): ; i • A.) 1. Specification #: 2. Manufacturer: ( =-A'— 3a. UL Classification: C' La GS i Listed UL Building Materials Directory Page #: OR 3b. Warnock Hersey: . • Listed Warnock Hersey Directory Page #: l.• *COPY OF ASSEMBLY REQUIRED B. ICBO Research #: 4 - 4 G' 41112g1E11 • P. Dated: . ' • C. SPECIAL PURPOSE ROOFING: WOOD SHAKES ,';t (Review required by plans examiner.) • VALUATION OF PROJECT:- . • sq. ft. of roof area � I { . Permit Fee based on valuation: $ • 2r,2,/0 , • (see Building Permit Fees charts i` 8% State Surcharge: $ .1 7 7 . . ' ,/_ 65% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item "C" above. TOTAL: $ ' 2,, I2 . i:dsts\forms \roofchecklistdoc 10/05/00 •,•,,.; ' v < i` CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP -oU/ OCR (73 Date Requested AM PM BLD Location / 5 C / S /I / `- c Suite MEC Contact Person Ph 961 f 'f iZ3, S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab - r��g SIT Post & Beam �/ Ext Sheath /Shear I 1 , 1 \ 4 1 1 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: 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: 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 Date ( i Other D 9 g 3 ) Inspector � � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.