Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00227
s A DEVELOPMENT SERVICES DATE ISSUED: 6/21/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DD -00109
SITE ADDRESS: 11135 SUMMERFIELD
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: $ 4,400.00
Remarks: Building #410 Units #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 $51.90 27200100000 Final Inspection
PRMT CTR 6/21/01 $91.30 27200100000
5PCT CTR 6/21/01 $7.30 27200100000
PLC2 CTR 6/21/01 $7.45 27200100000
(additional fees not listed here)
Total $194.47
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 39 -4175 by 7 p.m. for an inspection the next business day
, '
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Datereceived:. — a —O Permit no : , ia) _ p- - 7
.� .::gil City ®f Tigard .
Project/appl. no.: Expire date:
City of Tigard 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: l&2 family: Simple Complex: 1
T1P,E OF ? PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinlder/alarm ❑ Other.
JOB sSITE:INIFOR1i 1ATION
Job address: II ( 0.- 5 b , • I J� s� Bldg. no.: A Suite no.:
Lot:. Block: Subdivision: ax map /tax lot/account no.:
Project name: 4. ,ii!. _, ,g e f rcr, D -- j `
Description and location of work on premises/special conditions: !. • V v 1�i :. t 1101.0 •
A- 135# -
OI3`NER <' • ;� '. FOR SPECIAL. IN FORMATION, ;:USI;CIIECKLIST
Name: a ( ( Floodplain. sep tic:capacity; solar ,etc ) C„.• �� .. _
Mailing address: pp ` 1 & 2 family dwelling:
� ' l ! ��M (Z' Valuation of work $
Phone: ltilWall Fax: E -mail: No. of bedrooms/baths
Owner's representative: . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
F ;.. > , ,: APPLICANT , ;_. Garage/carport area (sq. ft.) •
Name:. 9 Y 0 \- (r" — Covered porch area (sq. ft.)
Mailing address: -.T w'� Deck area (sq. ft )
A j, Other structure area (sq. ft.)
City: '�i�� [ �►. �� t
Phone: ,, �. i1 fA �,1 E -mail: Commercial mdustriai /multi- family:
ii _C 3r O � NTIt l Valuation of work $
Business name: C5(./ _ ( �'1 Existing bldg. area (sq. ft.)
Address: r 1 es New bldg. area (sq. ft.)
- Number of stories
City: G ` .i --- -t-C � � ' ZIP.'' T of construction
f.•i,,
Phone: ,,A iti':r�ri :'1& Occupancy group(s): Existing.
W
CCB no.: A New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
_ ARCIIITI CT, /DL'•SIGNE11,;. • . licensed with the Oregon Construction Contractors Board under
Name: e 6.1 i et) Q, 0j1,_ provisions of ORS 701 and may be required to be licensed in the
Address: s i.. jurisdiction where work is being performed. If the applicant is
alp �� r� � , exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: .• 5 (o 501 Fax: E -mail:
ENGINEER. .r -_ -
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 jurisdicaoo for more information.
attached checklist. All provisions of laws and ordinances governing this O Visa ❑ MasterCard
work will be complied w• -. �whe - pec' rein or noy z credit card number: E>< /
Authorized signature: = ��1� ∎% Date: Name of cardholder as shown on credit card
•
Print name: u _ / � � Cardholder signature $ Amount
Notice: This permit application expi es if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6ro0llCOM)
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.CITY O T
F TIGARD BUILDING INSPECTION DIVISION -
24 -Hour Inspection Line: 639-4175 Business Line: 639 -417 p T
Date Requested • `c —2 4 AM PM BLD
Location .roY, Suite ,rs MEC
Contact Person Ph 8D 7 /733 PLM
Contractor Ph SWR
. BUILDING - .. - Tenant/Owner ELC `
Retaining Wall ELR W�l
Footing - Access:
Foundation FPS
Ftg Drain' • SGN
Crawl Drain Inspection Notes: '
Slab ■ J4, / /L_ /■,. . ,�' Ir '. i:.I SIT
Post & Beam /
Ext Sheath/Shear
Int Sheath/Shear 7
Framing / 2 d .2 Z� T '! J Z
�� 6 ! •
•
Insulation �' � !�
Drywall Nailing ' Si / d
Firewall
Fire Sprinkler '� -- i -4 4L'� / ' 4" `,
Fire Alarm
Susp'd Ceiling
Roof
Mis c:
.
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service J
Sanitary Sewer I
Rain Drains
j Final PASS PART FAIL /
MECHANICAL
Post Beam
Rough In VA
Gas Line
Smoke Dampers
Final
PASS PART FAIL •
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE _
• BackfiNGrading
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 1
Approach/Sidewalk Date l 6 / 1 Inspector 3 t 9
Other
Final
PASS PART FAIL - - DO NOT REMOVE this inspection record from the job site: .
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CITY O"F TIGARD BUILDING INSPECTION DIVISION • ' -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST "
BUP G� V d Z7
Date Requested 7-17 AM PM BLD
Location 1/1 3 Scf rrl Suite MEC
Contact Person Ph Y'l/7 1 7 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int h /Shear
ra •
nsulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
S -0 PART FAIL
PLUMBING
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
Approach /Sidewalk
Other Date 7 —1 7 — O ( Inspector jKA Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.