Permit CITY OF T I G A R D BUILDING PERMIT
PERMIT #: BUP2001 -00221
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DEVELOPMENT SERVICES DATE ISSUED: 6/21/01
Aj, .- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11240 SUMMERFIELD PARCEL: 2S110DD -00109
SUBDIVISION: SUMMERFIELD APT./WILLOW BROOK ZONING: R -25
BLOCK: LOT: 013 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: 0.00 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: $ 6,600.00
Remarks: 11240, Unit #2 Building #380
11250, Unit #5, #6 Remove and replace decks
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC YORKE + CURTIS
BY SUMMET REAL ESTATE MANAGEME 4480 SW 101ST AVE
5320 SW MACADAM AVE BEAVERTON, OR 97005
P p ND OR 97201 Phone: 646 -2123
Reg #: LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 6/12/01 $51.90 27200100000 Final Inspection
PRMT CTR 6/21/01 $110.50 27200100000
5PCT CTR 6/21/01 $8.84 27200100000
PLC2 CTR 6/21/01 $19.93 27200100000
(additional fees not listed here)
Total $235.37
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 mi ittee
Signature: `
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
C'.A
• 0 omittin F or t App s, w -
' I �� • of Tigard received: to —/ 2,9 t Permit n• i e9Db / — 0071-(
Project/appl. no.: Expire date:
City ofTigard 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:
Land use approval: 1&2 family: Simple Complex:
, ;: TYPE: OF_ P,ERiV1IT "; • �:
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other.
JOB:SITE:IiNFORMATION
Job address: I M 1 it Bldg. no.: 3 'i+ Suite no.: •
Lot: Block: Subdivision: ax map /tax lot/account no.:
Project name: V i cre�li!! _ s° 'r D m ;4. • './
Description and location of wog( on premises/special conditions: i 4 0 / WA �. '
l 2 ,I 3S I(Z OI4 o I
?, ! OwNER FOR SPECIAL. INFORIVMATION;;: USE ;CIIECKLIST < „•
Name: , C,.. (Flood plaiir ,septic.•capacity, solar; .etc )
Mailing address: pp ` 1 & 2 family dwelling:
L Vi=EIEMENEZel,' Valuation of work $
Phone: ,,-M&STill Fax: E -mail: No. of bedrooms/baths
Owner's representative: . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
_ , -, APPLICANT;_ Garage carport area (sq. ft.)
Name:. ' ,yL., ri, '4/`' w mi. Covered porch area (sq. ft.)
Mailing address: �r�'` 1 Deck area (sq. ft.)
� ” M. [ .,► � � 'N rim Other structure area (sq. ft )
Phone: - i ii.r�rs�r 2 �1 E -mail: Commerciall'mdustrial/multi- family:
CONTRACTOR - Valuation of work $
Existing bldg. area (sq. ft.)
Business name: New bldg. rea (s ft.)
Address: iilI is r _' g q
- Number of stories
City: _ 0. - II �� ZIP.'
CD Type of construction
Phone: iO41MMI :r�►�� i
CCB no.: L Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGN1:11 licensed with the Oregon Construction Contractors Board under
Name: e Llti ,t) GAL k) '� provisions of ORS 701 and may be required to be licensed in the
Address: '''' �•- jurisdiction where work is being performed. If the applicant is
mixers, ti1a...i . - �� 4 z>P: �LiL 17 co J exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: , 5 (0'541 Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: 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 information.
attached checklist. All provisions of laws and ordinances governing this 0 visa ❑ MasterCard
work will be complied • wheth- • . - cified herein or no . C redit card number: ex i 1
gn /&I( p
Authorized signature / _� / � " Date: Name of cardh as sh own on credit card
Print name: .1 , ��1/_ . — , Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 13 (6J00 /COM)
1 pwQ-- 1 mg
44 .20
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• CITY OF TIGARD BUILDING INSPECTION DIVISION
✓ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
A p
Date Requested /61 L� AM PM i BLD
/
Location p wo21 Suite MEC
Contact Person Ph 8 7 /733 PLM
Contractor Ph
LC
BUILDING : Tenant/Owner
E ����
Retaining Wall ELR \ '_
Footing Access:
Foundation FPS
Ftg Drain SGN "
Crawl Drain Inspection Notes: i
Slab J41 i /L./ i � i� / SIT
Post & Beam /
Ext Sheath/Shear _
Int Sheath/Shear ' NM
Framing 1 _ !
Insulation
Drywall Nailing ����± - AV
• Firewall _�� � �
Fire Sprinkler. �.. •• � JL -'d - ��� = 4" / • ,
Fire Alarm
Susp'd Ceiling
Roof �.
Misc:
ina
SS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service , 1 /
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
A ( ej\ Ext
Other
Date 6 /21 76 Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST "
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP Z /-(iv_2 Z (
' Date Requested 7 � - Y AM PM BLD
Location / i 2. LID 'kJ Sa b 41 Id Suite MEC
Contact Person Ph 7 - /7 PLM
Contractor Ph SWR
C UILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
rami
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin •�'
PART FAIL
• BING
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
Other oach /Sidewalk Date V. / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.