Permit A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00179
TA' DEVELOPMENT SERVICES DATE ISSUED: 5/16/01
�-`-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15371 SW 114TH CT G 107 -110 PARCEL: 2S110D6 91071
SUBDIVISION: FOUNTAINS AT SUMMERFIELD ZONING: R -25
BLOCK: LOT: 107 , 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: $ 1,764.00
Remarks: Re -roof a 4 -unit garage building (units 107, 108, 109 & 110).
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 5/16/01 $62.50 27200100000
5PCT CTR 5/16/01 $5.00 27200100000
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 -6699 or 1- 800 - 332 -2344.
Pe rm ittee _
Signature:
Issued By: {/_
Call 639 -4175 by 7 p.m. for an inspection the next business day
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Building Permit Application ,
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Datereceived: s/..- 1 Permit no.: 1 . .'i ; e 7
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Tryte City of Tigard
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.4... 0...... Project/appl. no Expire date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
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City of Tigard
Phone (503) 639 Date issued: IrPr Reeeiptno.:
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Fax: (503) 598-1960 Case file no.: Payment type: .. ,
1,14
Land use approval: . 1&2 family: Simple Complex:
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' . TYPE OF PERMIT ..
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0 I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 New construction 0 Demolition .• ' " '
Cl Addition/alteraiion/replacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other: • :,. ' .
i • , JOB SITE INFORMATION . , .. .
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Job address: ilzc-gr 5:i ,44-0;.)--•/7-.%,'" C t 1 .,- R., --, ip, - Bldg. no Suite no.:6 ,,, 7 - 1/0 . '''':•,';' !
Lot: 7Block: IStilxlivis Tax m ap/tax
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— 1-------Y lot/account no.:,.2,SW,r)Z6 - 9%0'7/ ....--
Projecl LI NTA INS AT 5 i) NNE R CC) IQ DC) ,;qp•
Description and location of work on premises/special conditions: . - r - ?C-. ) C. - ..) t / C:• E R L.IA Y . .,..;.
G /9 /42 ,&p, Ao9', //e)
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• • • ' OWNER - FOR SPECIAL ,
INFORMATION USE CHECKLIST ....K
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Name: FOL a ■ n s ‘'-:\-t. L.) r rlirn V 5. (Floodp1010,sepliccsipacity,so)ar,etc.)
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Mailing address: 4 - 5 1 - ‘2->c.) S L.) i ( "l t kel CI, : 1 & 2 family dwelling:
6 ,
City' 1 11 Sll
lit:ZnZ ZIP: 77
22 ‘i . Valuation of work $ /" g .3. 2 ..,
Phone: 1Fax: I E-mail: No. of bedrooms/baths
Owner's representative: Ala f 6, / 1 v . 5 c 0 Total number of floors
• Phone. Irax• IE-maik New dwelling area (sq. ft.) - .7
. - a -
Gaage/carport area (sq. ft.) -;1'..i■I
Name: j I-4C Cr..)1::t 1■.Z4-- L L ( - a.,,._ c 0-6 4.4_ vc.1 Covered porch area (sq. ft.) . '
Mailing address: 't 7 i iD . C)......) 6- k vIst z,.) ,.•.,.__ Deck arca (sq. ft.) 4
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City: J i c i , 8 s I zip 7'7 2.7 q Other structure area (sq. ft.)
Phone: Fax: I E Cominercial/industrial/multl-family:
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CONTRACTOR . . . . Valuation of work $
Existing bldg. area (sq. ft.)
Business 113111C' 3 BC. t.. _.,‘( 1■)c.. L. LC ....._
-•-- - --- — New bldg. area (sy . ft.)
Address: 1 2i 5 , ,-i i ..„. : , c,...,„,, 4, _,
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Number of stories .
City: T c4.,.., I SlilleOk \ ZIP:C1Y22e-1
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Phone: co 3 ''6•c - 123S1 Fax'-e -3 -- E-m Type of construction ail:.S.:14-nil: &c.r.-
CCB no.: V8 2 ----" , Occupancy group(s), Existi •
Existing.
New:
City/metro he no : 0(50 0 2 • 3 5
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Notice: All contractors and.subcontractors are required to be
• ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
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Name: •
provisions of ORS 701 and may be required to be licensed in the . ,
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Address: - jurisdiction where work is being performed. If the applicant is
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City: State:
exempt from licensing, the following reason applies:
17.1P:
Contact person: Plan no.:
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Phone: Fax: E-mail:
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ENGINEER ; . '.!; - .. ' ' — ' •
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Name: Contact rx.trson• f due upon application $ 6 , 5 0
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Address:
Date received: _ __ i.
__.._.._.....________.
City: IState:__ !ZIP' ____._ Amount received $
Phone: Fax. .I Email: — Please refer to fee schedule,
I hereby certify I have read and examined this application and th , e Nos all jurisdictions weep credil cards, please call jwisdictIon for M011, infccusasioe •
attached checklist All provisions of laws and ordinances governme (Mc 0 Visa 0 MasterCard
work will be l'01114.1111. whether SpeLlilc'd herein or 11,11 Credo card number, / /
Expires .4
Authorized sign; ' Date. .5"7/4*--a/ Name of cardholder as 'flown oo credit card ' iieif
Print name: (P..441...CilicAle • $ . '
-- ------ Cardholder signature Amount ..,
Notice: This permit application expires m
ires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6430/0014) I I .'
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0 REPAIR (MAJOR) (plan review required by plans examiner) ':- ':,` !
Building permit io required vvhenspaced sheathing is covered by solid ohe , ci
changes are made to roof line. • •
SUBMIT TWO (
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located IP . ,',-.';'
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-rooling or, (2) sheathing is not being applied over . ,•,: j :. •.-:::.:,
spaced sheathing (spaced sheathing usually exists when wood shingles were initially •'.. - . '''-'' '''" ;
ITI -)P 1:
RE-ROOF (circle A, B or C):
A. Existing built-up roof covering fo be REMOVED and deck repaired. . . . . ...
B. Existing built 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.
(ce:„.) Asphalt or wood shingle/shake. (PROCEED TO STEP 2) . • .,,,. .
STEP 2: NEW ROOFING ASSEMBLY
O ted Assembly (Circle and complete A, B or C):
A. 1. Specification #:
3a. UL Classification: C' )l)-G•S A
. Listed UL Building Materials Directory Page #: ..... . • . ....
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES !A 1 . :
(Review required by plans examiner.)
VALUATION OF PROJECT: ------T--6--:,__-- • - - '''''''''''' , ' . ,'•
8% State -- Surcharge: $ `+ '6 .
65% Plan Review Fee: �
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(Required for major repairs of Residential or �
Assembly item ^ C ^ obove. ..• •.'.,1
TOTAL: $ ^/ ~� u���
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i �t.duu 10/05/00 ^ `
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. , CITY OF TIGARD BUILDING INSPECTION DIVISION MST -�
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 9•f') l — 60 r 754
Date Requested 0 " l 3 AM PM BLD
Location /S - 7/ // �-/ D /1'' Suite MEC
Contact Person 7, _/ Ph 9") 6r- PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab "4'1 i 4115 —
Post & Beam ( / 0 2 / D / Q
Ext Sheath /Shear / / o
Int Sheath /Shear
Framing
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PASS PART IL
PLUMBING
Post & Beani
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
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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 5
Other Date 3 Inspector Ext -
Final
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PASS PART FAIL DO NOT REMOVE this inspection record from the job site.