Permit „. j .
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00309
i DEVELOPMENT SERVICES DATE ISSUED: 6/3/03
-- ' Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15485 SW 114TH CT 35 PARCEL: 2S110DB 90351
SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25
BLOCK: LOT: 035 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 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: $ 6,786.00
Remarks: Re -roof a 6 -unit condominium building (units 35, 36, 37, 38, 39 & 40)
Owner: Contractor:
SCHROEDER, MARJORY E TRUSTEE JBC ROOFING
15485 SW 114TH CT #35 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD, OR 97223
Phone:
Phone: 503 -968 -1235
Reg #: LIC 98255
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[TAX] 8% State Tax 6/3/03 $8.84
[BUILD] Permit Fee 6/3/03 $110.50
Total $119.34
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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (50 46 6. •9 or 1- 800 - 332 -2344.
Issued y: JI _ _ ..� [t_ �t .
Perm ittee •
Signature: — '
Call 639 -4175 by 7 p.m. for an inspection the next business day
I 'I' .• 1 ,a It.
B u il ding Permit Application p K ' 4 ` - ` ;
T
d �
Date reoeive -4 ea Permit no.i54/0(2002 6030 ••
"" "�" City Of Tigar;
; ,,. Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW H. 1 OigW, Mt7713
Phone: (503) 639 -4171 Date issued: By: 4 / Receipt no.:
Fax: (503) 598 -1960 MAY 2. 9 2003 Case file no.: Payment type:
Land use approval: CITY OF TIGARD 0 7: 7 - . 6 -- 1 &2 family: Simple Complex:
- l i . o VISION
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family Cl New construction CI Demolition
ROOF E
OOF OV R
s
❑ Addition/alteration/replacement 0 Tenant improvement ❑ Fire sprinkler/alarm CI Other:
4'' . ,...< . - ; - , '. JOB SITE INFORMATION_ - : _, s , ' ;�
Job address: 1 548 suu114t`1 ct j' -_ -„,„..r.)- •1 • Q Bldg. no.: Suite no.:
Lot: I Block: ISubdivisio' : Fountains , Sununerf ' dap/tax lot/account no.:
Project name: .2S/ /0 hg -?03s1 , I 36 2,9e 37 / , 9039.2 , 70 y0
Description and location of work on premises/special conditions: _AL21.,271/____P-eld .
4,1";,;=:PV;, i' - OWNER" -
• " . '' FOR SP: ECIALINFORMATION ,;USECIIECKIIST
Name: SUMMERFIELD CONDOMINIUMS ,:'• ( Floodplain ;septiccapacity,solar,etc.) 3
`., Mailing address: 154 SW . 114th Ct. 1&2 family dwelling:
City: TIGARD IState: OR IZIP: 97224 Valuation of work $
Phone:`jb3 C3 -,3 - 22I IFax: IE -mail: No. of bedrooms/baths
Owner's representative: FL.O k.1' C ti o1s Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
n W` , , APPLICA'N'T . 7 ' . Garage/carport area (sq. ft.)
Covered porch area (sq. ft.)
Name: JBC ROOFING LLC Deck area (sq. ft.)
Mailing address: 12155 SW Grant Ave
City: Tigard I State: OR I ZIP: 97223 Other structure area (sq. ft.)
Phone: 968-1235 Fax: 603-99 :w mail: Commerciallindustriallmulti- family:
CONTRACTOR Valuation of work $
Business Existing bldg. area (sq. ft.)
usiness name: JBC ROOFING LLC
' Address: - 12155 SW Grant Ave
4 New bldg. area (sq. ft.)
Cit Tigard State: ZIP: Number of stories
y: I OR I 9 7 2 2 3 Type of construction
Occupancy group(s):. Existing:
Phone: 968 I Fax: 6 0 3 — 9 9 6 marl:
JCB no.: 982 5 5 7 ✓� New:
City /metro lic. no.: 2357 Notice: All contractors and subcontractors are required to be
. • . ' - ARCHITECT /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: I State: , IZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E-mail: Name: Contact person: . Fees due upon application $
Address: Date received:
City: 'State: IZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the No all jurisdictions accept credit cards, please call jurisdiction for more information .
attached checklist. All provisions of laws and ordinances governing this ❑ visa ❑ MasterCard
work will be complied with, whether specified herein or not. Credit card number sx i /
P
Authorized signature: Date: Name of cardholder as shown on credit card
$
Print name: Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4a0-4613 (6A0//COM)
`
RE- ROOFING PERMIT CHECK LIST •
RESIDENT,IALONL_C ' C lass -- Hof: Y.11o*Alte:itati `on' . >:. .. • ° -
❑ 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:
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.
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
•
applied).
COMM ONLY
STE
❑ 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
architect or engineer licensed in Oregon.
C. Asphalt or wood shingle /shake. (PROCEED TO STEP 2) '
COMMEROIAL ¥ONLY Class ofi,Work� F Repair,. ,�,�; , � � , f .
STEP 2 NEW"RO.OFING>ASSEI�i1BLYI` ,` ' f;` 4,4, " ` °
Material = Documentation °(IJBC` Appen'dix 1,5) ; 4 `' u..
Please fill out applicable section and attach copy of roofing specifications.
Listed Assembly;;:(CircleYand com_ plef'e ? ;" .,.
A. 1. Specification #: CSA Al23,5—M90 and CSA Al23,5-98
2. Manufacturer: GAF
3a. UL Classification: CLASS A
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
(Review required by plans examiner.) •
. S ik ;,,�ria' "`;xfi,.. .,n'. �' *
VALUATION OF PROJECT: $ � �� 2
sq. ft. . - of roof area
Permit Fee based on valuation: $ ��� 5'b
(see Building Permit Fees chart)
8% State Surcharge: $ gy
65% Plan Review Fee: $ 14_
(Required for major repairs of Residential or
Assembly item "C" above.
TOTAL:
:dsts \forms \roofchecklist.doc 10/05/00
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503)39 -4175
MST
fNSPtCTION DIVISION Business Line: (503)-6394171 �{
BUP 3 1
Received ',/ Date Requested 1 -9 AM PM BUP
Location � gLc II V (" Suite MEC
Contact Person 4 . Ph ( ) '7 (a $— 1 3.T PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner. ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: 1 SIT
Post & Beam
Shear Anchors C- 3 3 3 Y 0
Ext Sheath /Shear / 7
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
SS Ceiling
...
Other
'-‘01 Ot
•ASS •ART FAIL
MBING
-
Post & Beam
kj
Under Slab
Rough -In T ,/
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
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date -- 7/(23 /� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL