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Permit `' BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2002 -00174 Ai DEVELOPMENT SERVICES DATE ISSUED: 5/13/02 ;61_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15514 SW 114TH CT 61 PARCEL: 2S110DC 90611 SUBDIVISION: FOUNTAINS AT SUMMERFIELD CONDO ZONING: R -25 BLOCK: LOT: 061 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: $ 4,825.00 Remarks: Re -roof a 4 unit condominium building (units 61, 62, 63, 64). Owner: Contractor: FOUNTAINS AT SUMMERFIELD JBC ROOFING 15371 SW 114 CT. 12155 SW GRANT AVE STE C TIGARD, OR 97224 TIGARD, OR 97223 Phone: Phone: 503 - 968 -1235 Reg #: LIC 98255 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 5/13/02 $91.30 27200200000 5PCT CTR 5/13/02 $7.30 27200200000 Total $98.60 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 -00 I through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (50c) 24: -6.' • o -800- 332 -2344. Perm ittee Signature: Issued By: 1 f �L ,t,T,�„i,e) Call 639 -4175 by 7 p.m. for an inspection the next business day i \: „Building hermit Application .� . ., , ..,;* Date received: ¶ 1/ Permit no.: ' r 1 � Ci o f ' T i gard u.0 err . , .!� Project/appl.no.; Expiredate: Ciryuf "1'ibard Address: 13125 SW Hall Blvd, Tigard, OR 97223 s °°-.x. )'h . '' one: (503) 639 -4171 Date issued: : Receipt no.: ;uF Fax: (503) 598 -1960 Case file. no.: Payment type: ` . : . Lund use approval: _ 1 &2 fancily: Simple Complex: 4; • TTI'E ©F PERMIT ., ' ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial $1 Multi- family ❑ New construction ❑ Demolition ''`' ' 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other: .A n . JOB SITE INFORMATION Bldg. no,: Suite no.: Job address: /6 SLJ / //1 Th jt"fCs i'�el(� i_ 17-72 g' ' Lot: __Ili lock: 7Sulxiivision: Tax map /tax lot/account no.: } Project name: U A3 Ir4I LUG rat S u ill Ka 4- 11�•(,i' 'G 1. °. "a"ti� ' ,' Description and location of work on premises/special conditions: Rco '`` FIw .i • • r.'. ', U IV) iS —_____6 / j _ _ 2 -,m.-6_ j�� _►- -_ _ • 4 `OWNER - FOR SPECIAL: INFORMATION, USE CHECKLIST „k . Name: Summer field Condominiums (Floodplain, septic capacity, solar, etc.) .. . :k ', Mailing address: 15 SW 1174 th Lt 1 & 2 family dwelling: , r City: Tigard StateOR ZIP _ 97224 Valuation of work $ . Phone: Fax: E -mail: . No. of bedrooms/baths • : Owner's representative: Mace Fulkerson Total number of floors • Phone: Fax: E-mail: New dwelling area (sq. ft.) . .`,') C " .APPLIANT =r .. _ fi , F 'Z'- g 1 (sq. ft.) Gana e /car x�rt area (s ft. .D Name: JBC ROOFING LLC Covered porch area (sq. ft.) tik Mailing address: 12155 SW Grant Ave `PE B Deck area (sq. ft.) . ,,, City: Tigard 1tateOR ZIP:97223 Other structure. area (sq. ft.) = �t CommerciallindustriaUmulti -famll • Phone:503968123 Fax: E-mail: work y $ CONTRACTOR' Valuation of ,:' Business name: JBC ROOFING LLC Existing bldg. area (sq. ft.) New bldg. area (sq, ft.) Address:121 5 5 SW Grant Ave STE B ... ' City: TI RD State:0R ZIP:97223 Number of stories r e l itri Type of construction • Phone: 5 0 3 9 6 812 3 4 Fax: � E -mail. CCB no.: 88255 Occupancy group(s): Existing: :;:' ' New: City /metro lie. no.: 2357 Notice: All contractors and subcontractors are required to be ' ' ARCUITECT/DESIGNER r ''''' 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 > , Name: _ Contact person: Fees due upon application $ `,. Address: __ _ Date.received: City: ^ State: Ll1': � 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 accept credit cards, please call jurisdiction for more inf«muioa attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard -• work will be euini)lied , wl ether s .'filled herein ur not. Credit card numb, / / • r. Expires ,: Authorized signistun.. Datt .C --- 6 .-- C . - Z Na me of cwdholdcr as shown oocredit card Print name: .7 /U C!4-(6 6146 flit eacdnoldc signature $ Amount ■ : Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6A0/COM) - „ zr • PrnT 3.30 ..