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Permit • ~ CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00228 DEVELOPMENT SERVICES DATE ISSUED: 6/21/01 13125 SW Hail Blvd., Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 11065 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: $ 8,800.00 Remarks: Building #420 11065, Unit #5, #6 11075, Unit #1, #2 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 PORTLAND , OR 97201 Phone: 646 -2123 Reg #: LIC 55644 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 6/12/01 $52.46 27200100000 Final Inspection PRMT CTR 6/21/01 $129.70 27200100000 5PCT CTR 6/21/01 $10.38 27200100000 • PLC2 CTR 6/21/01 $31.85 27200100000 (additional fees not listed here) Total $276.27 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Permittee Signature: Issued By: '� Call 639 -4175 by 7 p.m. for an inspection the next business day • t dA, L . � 1-� . , / 1' ', - . A o c® o 0 0o r , : r i i 1k 8is 13l� l i 1 11 g r ' a fiiil31.1t A pplaca o i. f . F t .',''',,-:::,,-;:.;.1_,..:,:t-, ' I �� ®� ,�;�� � Datereceived: - _ a I Permit no � ,./. �l _od2 Z$ tt r� �, : �:. Project/appl. no.: Expire date: Ciry ojTigard 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: ' k : ,t Z.: '' x .. _ ;` . ;: :' - .nr..E ;OE ',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. 9s, _ , -, , BiSI:TE:INFORMATION :4 Job address: I,If ) L 5 04.. MT, � Bldg. no. . I WM Suite no.: ' Lot: Block: Subdivision: ax map /tax lot/account no.: Project name: ltd :Ir,S,r; , •• tr la VI T i 4 Description and location of work on premis- , s.ecial o ditions: ' • ■4' _ ! wit ��'J�,L! • (lit 0 4. I 0° 4 I '. y „ <; 5! pNyN - )` ,d : ',k FOR SPECIAL INFORMATION„ USE CHECKLIST • Name: s (, - (Floodplam septic cap solar, etc ) Mailing address: // ` ,� Mill.1111111111111111111 I & 2 family dwelling. ��' 1 111 I' I rZ' Valuation of work $ Phone: r ' : /,/ Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) ff# ,,, ;;1-1; R APPLICANT t Garage/carport area (sq. ft.) Name:. -1 /" A � , ' 1� Covered porch area (sq. ft.) Mailing address: =rr1]uirip ( Deck area (sq. ft.) . p-g i m Other structure area (sq. ft.) Phone: . ^ Email Commeacial/industaial/multi- family: OtOC ;Y` s `_ r:CON GIUICT©R Valuation of work $ ,�-, Existing bldg. area (sq. ft.) Business name: V L } KY... New bid area (s ft ) Address: L� A � ��S R% g q Ci r a . -- T a cd ZIP ' Number of stories �'' C' , , Type of construction Phone: �.!ajMI E -mail: CCB no.: (p Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be : , _` : , . 1lRCIIIr /DLSI'G f • l icensed with the Oregon Construction Contractors Board under Name: e cl-i-Are.D G, Jam_ vim provisions of ORS 701 and may be required to be licensed in the Address: 'o, s� jurisdiction where work is being performed. If the applicant is �-� mw -:' ��l:T� / °� � ZIP: _. yy exempt from licensing, the following reason applies: ��y' Contact person: Plan no.: Phone: - 56,5ot Fax: E -mail: ..'= . r � s � � -t E \C> - ' , .'.:'4-.4- �, - : � - Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: 12121 Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept audit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing • - 0 Visa 0 MasterCard work will be complied wi 1, whether a (sq • re in or no Credit card number. Expires Authorzed sign. di Date: Name of cardholder as shown on credit card Print name: .1.6. ,kill _ _ Cardholder signature Amount VI r i • Notice: This permit application expires if a perm is not obta ■ ed within 180 days after it has been accepted as complete. 3 (6100/COM) ( r 5 a. '> of CITY OFTIGARD BUILDING INSPECTION DIVISION sr 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417 B Date Requested /6 - ? AM PM BLD Location * Y, Suite MEC Contact Person Ph E6 7 /73 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: / / , Slab ..I �iL //L! �.i ��� SIT Post & Beam / - Ext Sheath /Shear Int Sheath /Shear �1 — Framing F ` Z Insulation r -���� Drywall Nailing I% , _ 1 Firewall 4111 :�� 1 � 1 �� Fire Sprinkler • 4 i�4 d . /'� �, Fire Alarm Susp'd Ceiling Roof 1'.- Misc: •S PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer //7 : 9 5/ Rain Drains Final P ASS 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 O 1 Other D . 6 /21/6 nspec Ext V 1 Inspector 9 O Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - Sttzoff, :2.-3 v 007 r ..... - - -- -- /..._. cz ct p1 n't Na/- 7 -may - -- / 1, Xtj 10'd 100' 10,81 130 ct<t e 04e _O s . -9< f - ;` aCtaza sw -41, S910 -Z�z- SOS -Z�QI cloy 9 0 / • - 7RN 1 e i wsik —9 (yir7O77c -.of/ pwx r - 1 ) J OH i 3a i US' CITY.OF1IGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP &0/-00 -2Zs) Date Requested 7/ 7 AM PM BLD Location , //} toS 5 w .S lf)7 h'►e21 14, Suite MEC Contact Person Ph ZU 7—/ 77--c) PLM Contractor Ph SWR 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 Stu' /Shear Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ASS )PART FAIL W — UMBING 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 7 — / 7-- Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.