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10230 SW GREENLEAF TERR
CITYOF TIGARD -- BUILDiNG PERMIT
PERMIT 4: BUP2004-00116
DEVELOPMENT SERVICE,-, DATE ISSUED: 3122/04
13125 SW Hall Blvd..Tigard OR 97223 (503) 639-4171 PARCEL: 2S111CC-21100
SITE ADDRESS: 10230 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R-12
BLOCK: LOT: [3J JURISDICTION: TIG
REISSUE: FLOCT:AREAS _ EXTERIOR WALL CONSTRUCTION_
CLASS OF WORK: OTR FIRST sf N. S: E: W:
TYPE OF USE: SFA SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: sf N. S_ _ E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMFNT, sf AREA SEP. RATED:
STOR HT: ft GARAGE: sf OCCU SEF. RATED:
BSMT?: MEZZ?: _ RE_QD_S_E_TBACKS __ REQUIRED
FLOOR LOAD: psf LEFT: _ ft RGHT: ft FIR SPKL: _ SMOK DET: a
DWELLING UNITS: FRNT it REAR: ft FIR ALRM : HNr?IG►ACC:
BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 25,957.00
Remarks: Reroof Building #5, 10230, 10240, 10250, 10260, 10270
Owner: Contractor:
HE"ITSCHMIDT, ROBERT T + JBC ROOFING
DOROTHY G 12155 SW GRANT AVE STE C
10230 SW GREENLEAF TERRACE TIGARD, OR 97223
TIGARD, OR 97224
Phone:
Phone: 503-968-1235
Rqg#: LIC 98255
FEES _ RF_QUIHED INSPECTIONS _
Description Date Amount w Final Inspection
(BUILD1 Pci,m( Fee 3122104 $139.30
ITAXI K SWIG tiurchuii 3122104 $11.14
Total $150.44
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 Ia'N
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 (503) 246-6699 or 1-800-332-2344
Issued By:
Permittee ,� r
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
i
Re-hoot'
IWiIdint; Permit Applicatif;n
7rDlateReady/tHy,:
City of'Tigard ell13125 SW Ball Blvd.,Tigard,OR 97221 f Ei`/F v ,.,,p Other Prrmi;:
Phone: 503.639.4171 Fax: 503.598.19 -Inspection Lina 503.639 4175 loris Sec Page 1 frr
Internet: www.ei.tigatd.or.us Notified/Method Supplemental Information
MAR ---
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
[3 New construction It4P1Ta Permit fees*are based on the value of the work performed,
-- Indicate the value(rounded to the neprest dollar)of all
flCAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for tha
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation. $
❑ I-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑
Master builder Other: 149 It AI H��L'S 4a t Number of bathrooms:
,COB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: �(�Z �O. /P 7-70 5 �, '��e�N New dwelling area: square feet
City/State/ZIP: ey A-4 b 40K, 'Y3'
Ga-age/carport arca: square feet
Suite/hldg./apt.no.: roject name: 50MAie e r � Cocxred porch area: square feet
Cross street/directions to job site: C Deck area: _ square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fe -are based on the vafue of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: ^_ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
�MpJE 7— [A*Y& 5 '5*'^k�i1-6-S r Valuation: S � 7
��� /'�I.,? p��0 30 --. Existing building area: square feet
����� ea�,�� �,�M•p �`��L�� New building area: square feet
L
PROPERTY OWNER ❑ TENANT Numherofstr^:_;:
Name: T /iNft'AT Aee�) SCAM `Type n;construction:
Address: /�' �3t' nth /U k�0 / ccupancy groups:
City/State/ZIP: _ Existing:
Phone:( ) Fax:( ) New: �-
❑ APPLICANT CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name:
C S(,I licensed with the Oregon Construction Contractors Board
_ under ORS 701 and may be required to be licensed in the
Address: juri3diction in which work is being performed. If the
applicant is exempt from licensing,the followin;reasons
City/State/ZIP: apply: r
Phone:Xaf Fax: :(�1
E-mail:
CONTRACTOR r
Bu3iness name: fir-- (�',J�//_V(,:� \ BUILDING PERMIT FEES"
Address: /�.� GV L7/Q14�t T ��'� �� T� Please refer to jee schedule.
City/State/zlP: / b y Fees due upon application
Phone: r7 _ L� r
�` Fax:( ) Amount received
CCB lic.:
/ Date receiv^d:
Authorizedsigns �lt� 7 � e,a„ ���5. This permit application expires If a permit Is not obtained
W�ithin 180 days after It has been accepted as complete.
Print name: y J— Date.311_ p Fceinethodology set by'rri-County Building Industry
Service Board.
tBuilding\petmitsxROoP.PeriTitAppdoc 12103 440-461 IT(I 11021COWWEB i
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL(One-&Two-Family Dwelling)
REPAIR(major)plan review required by plants examiner:
3uilding permit is required when structural changes are ma '.- or the space she:t.thini,
is removed or replaced.
SUBMIT TWO(2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
13 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 l sq. ft. for each 300 sq. ft. when
cave and attic venting is provided.
Note;: No permit is required for residential re-roof if not more than two (2) layers of
roofing will exist upon comp]-tion of the re-roofing.
COMMERCIAL(includes multi-family and condominiums) � !~
RE-ROOF: Prcinspection is required for all roofs sloped 2:12 and less. Please
make an appointment by callingthe inspection line at (503) 639-4175.
PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be
required to address any non-conformit�tems.
VALUATION OF PROJECT: $ M�
sq.ft. of roof area
Permit Fee based on valuation: $
see Building Permit Fees chart
8% State Sur-charge: $
65% Flan Review Fee: $
(Required for major repairs of residential and
special ur�oGe roofing of commercial projects
— — _ TOTAL:
iABuildingTomts\Re-Roo Wheckiist.doc 12/24/03
v '
CITY OF 't IGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Busi.gess Line: (503)639-4171 BUP.:;�Q11 Y-00-1
Received Date Requested. C'�_�rS�'�_ AM --.PM� _ - BUp - - `
Location j G a2 0_-_--- Suits_ __ MEC ---_--------_----•---
Contact Person ` Ph( ) __ _ __. PLM
Contractor _ ___ __ Pit(___) --_ SWR
BUILDING Tenant/Owner _ ELC
Footing
.._.�_..,__ - J -- ELC -- - - - - -----
Foundation Access:
Ftg Drain ELR -------- -._----_ _
Crawl Drain ---
Slah Inspection Notes: S!T
Post&Beam --- -- - - -- ---- _ -
Shear Anchors
Ext Sheath/Shear - ---
Int Sheath/Shear
Framing --.-_--__-
Insulation 07
Drywall Nailing - ------ -- --�
Firewall - __ --
Fire Sprinkler - -
Fire Alarm _
Susp'd Ceiling
_ \---
PASS PART FAIL /� , , 'j1' ICj- J
Post& Beam
Under Slab �____—�-_� ------------ -- ------------
Rough-In r
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - --
Shower Pen
Other: -
Final
PASS PART FAIL
MECHANICAL - ---- -
Post&Beam -^
Rough-In - - - ----
Gas Line
Smoke Dampers
Final
PASS PART_ FAIL - ---- �- - V -�---
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 HE:
Unat,a co inspect no access
Fire Supply Line
ADA
Approach/Sidewalk Date__ Inspector Ext
- -- ------- -- --
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL