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10230 SW GREENLEAF TERRACE Q u 0 I � r 1 10230 Svii GREENLEAF TERRACE CITY OF TIGARD BUILDIAG INSPECTION DMSION 24-Hour !r,spection Line: 639-4175 Business Line: 639-4171 AF Tt-ti;_ Ocf 3r BUP _ (rte I�L Date Requested � PM BLD Location Suite MP 1 Z Contact Person _ Ph !rte -15c"(-, PLM � Contractor (. .U�1 �'�.Gl L4c C--- Ph SWR BUiL[)ING Tenant/Owner LW L_tjc hrn. Ltt --- EL.0 Retaining Wall `. Footing Access: ql Foundation I f r F•,S Ftg Drain �- _, 6 nv Craw!Drain Inspection Notes: Slab Post&Beam SIT Ext Sh a! Shear Int Sheath/Shear -- Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm -- Susp'd Ceiling Roof - - - --- -- -- ---- Misc __ _--- Final PASS PART FAIL --,---- PLUMBING Post& Beam - --- -- _ Under Slab Too Out ----`- Water Service Sanitary Sewer Rain Drains Final f PASS PART FAIL i} MECHANICAL Post& Beam L-�-� --- i �G Rough In f. U� s Line f , t Da�{e18�Jf ASS PAT ��IL 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�.ily Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: _ _ [ ]Unable to inspect-no access ADA Approach!Sidewa!k /1/ 1 i Other - Date - � p Inspector C/ _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF T I G A R D _ BUILDING PERMIT / PERMIT#: BUP 999-00371 DEVELOPMENT SERVICES DATE ISSUED: 8/23199 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 ATE ADDRESS: 10230 SW GREENLEAF TERR PARCEL: 25111CC-21100 SUBDIVISION: SUMMERFIELD NO.5 ZONING: P-12 BLOCK: LOT: 209 JURISDICTION: TIG REISSUE: — FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: REP FIRST: sf N: S: y E. W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: if OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPIT SMOK DET: LIVIFLLING UNITS: FRNT: ft REAR: ft FIR .A!KM : HNDICP ACC: BEDRINro: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: I XD C° Remarks: Exterior structural repairs. Permit fees cover two individual inspections. Additional inspections subject to re-inspection frr of$50.00 each. No C of O required. Owner: Contractor: HEITSCHMIDT, ROBERT 8, DOROTHY K CONSTRUCTION INC 10230 SW GREENLEAF TERR PO BOX 34 TIGARD, OR 97223 NEWPORT, OR 97365 Phone: Phone: 541-764-3858 Reg#: LIC 97820 FEES R^ REQUIRED INSP'_"TIONS Type by Date Amount Receipt Misc. Inspectic.,, ` PRMT BOI r 8/23199 $100,00 99-3178 78 Misc. Inspection Final InsF action Total $100.00 ORIGINAL This permit s issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. Al FENTION: 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 (pestions to OUNC by calling (503) 246-1987. Pennitee Signature: 1-)4 Issuea By: �— Call 639-4175 by 7 p.m. for an Inspection the next business day 1 CITY OF TIGARD Commercial Building Permit Application Recd By�"►U 13125 SW HALL BLVD. New Construction and Additions Date Date Reto"; � _ T(GARI , JR 97223 Date to D , _ (503) 639-4171 Permit* U�� 1 Pt int or Type Relat3d SWR#`__,�_. Incomplete or illegible applications will not be accepted Name of Development/Project Job Existing Building 0 New Building Address Street Address �EFN t♦ Suite Building Bldg# City/State Zip Data 11-14,1YP C34 9 LZ 7 Existing Use of Building or Property: Name Property Owner htalling Address (�fE,v suite Proposed Use of Building or Property. G.1 Z �- City/Slate Zip Phone -- --� � f i No. Of Stories: Occupant Name �—i Sq. Ft. Of Project: Name �— Occupancy Class(es) Contrac`cor Prior to rermit Mailing Address Suite Type(s)of Construction issuance,a copy f� y of all licenses / �r 0O/� j - .l It/ are.-quired If City/State Zip — Phone S--/l Will this project have a Fire Suppression System? expired in C.O T database !✓k"- P64 eld"9141 1 G `1 -3 S�' Yes ADA Oregon Const Cont.Board Lic.# Exp.Date Americans with Disabilities Act(ADA) Valuation X 250/a = $__ Participation Complete Accessibility Form Name Project $ �-- Architect _ _ Valuation Mailing Address Suite A' Plans Required: See Matrix for number of sets to submit CitytState Zip - Phone on back Engineer Name _ 0neer I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws Signature of Ow brW nt / Date City/State Zip Phone Contact Person Name Phone 5 y I Indicate type of work. NPw O Addition O Demolition O Accessory Structure O Foundation Only O t,teratPm O Reoair o other o _V FOR OFFICE USE ONLY Description of work: Map,?L# Land Use: C-Ttlt-CA /tti_ Notes: Parks: Ea11mated#of Eraployees -- -- - TIF: If the above figure Is not supplied at(tie time of application,the city will calculate the fee based upon the number of parking spaces _ �L.�_.__��—_ ___ Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNEW DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH pians AND a COMPLETED application. For an electrical submittal, the application must contain the s;gnature of the supervising electrician before plar, review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, Citv, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY_: Submi+te__d S (Private) _ �M M 1 S = Site Work B (New or Add) t B = Building F (New or Add or Ait) 3 F = Fire F rotection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = PIL nbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New-&r—Ad-d—) s 2 New = New Building E (New, Add, or Alt) 2 � Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 -B& M & P & E(Ait) �W 3 �~ 'B & M & P & E & F(AIt) 3 NOTES: *Shaded areas designate ALT submittals only. I ldstsftrmslmatrxcom doc 10/30/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 639-4175 Business Line: 639-4171 BUP _—_ Date Requested �AM _ PM BLD Location ^— j j�Z�U �z K �L ct l f�l�uite MEC y Contact Person '7 Ph ' PI-M Contractor Ph SWR IJ�LG T �l Tenant/O%,vner ELC ^v Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain — SGN ` Crawl Drain Inspection Notes. -- ------ Slab -- - ----------- — _ — ---- SIT Post&Beam Ext Sheath/Shear Ini,,heath/Shear Framing Insulation ---- — — Drywall Nailing _ Firewall Fire Sprinkler _-_ - � ' / S l�!/� J 4 2 Fire Alarm r Susp'd Ceiling Roof 9 M' ;�� PART FAIL PLUMBING --- Post!3, Beam Under Slab TopOut - -___—_�..------- - ----- -- -----___ Water Service Sanitary Sewer — — - --"— Rain Drains Final PASS PART FAIL MECHANICAL -- - - -- —�- -J Post&Beam Rough In Gas Line ---- - - -- Smoke Dampers Final -- --- . -- - PASS PART FAIL ELECTRICAL - - Service Rough In ------ UGISlab Low Voltage ---^ - �_--' Fire Alarm Final PASS PART FAIL SITE — Backfill/Grading - Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line I p _�__ [ j Unable to Inspect-no access ADA Approach/Sidewalk nate inspectoi Other Ext Final PASS PARI' FAIL DO NOT REMOVE this inspection record from the job site. vy 'ZY OF mTIGAR ® MECHANICAL, DEVELOPMENT SERVICES PERMIT 'SW Hall Blvd., Tigard,OR 97223 (503)639.4471 PERMIT #. . . . . . . : MEC98--0259 DATE ISSUED: 07/02/98 PARCEL: 2SI11CC-21100 SITE ADDRESS. . . : 10230 SO GREENLE=AF TERR SUBDIVISION. . . . : SUMME:.RFIF_D N0. 5 ZONING: R-12 PD BI—OCV. . . . . . . . . . . LOT. . . . . . . . . . . . . :26'3 JURISDICTION: TTG Cl_.ASS OF WOR,',. . :OTR FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APr'L.: 4) VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILER'S/COMPRESSORS HOODS. . . . . . . : 0 FUEL- "TYPES---._..___._.__.___ 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3--15 HP. . . . : 0 COMML. 1 IAC I N: 0 MAX INPUT: 0 PTU 15--30 HP. . . , : 0 REPAIR UNITS: 0 FIRE DAMPERS ). . : 30-50 HP. . . , : 0 WOODSTCIVES. . : 0 GAS PRFSSURE. . . 50+ HF'. , . , : 0 CLO DRYERS. . : 0 NO. OF UN T TS— -- - --- -- AIR HANDL.I NG UNITS OTHER UNITS. : 0 Fl_IRN ( 1 00K BTU: 1 (= 10000 (-fm: 0 GAS OUTLETS. : ili TURN > =100I', RTU: 0 > 10000 c.f m: 0 Remarks : Remove existing gas furnace t replace with like kind furnace. Owner,: ---________._.___.__________________.----.___._..__.—___._—_-- FEES ROBERT T HFITSCHMIDT type amoi_int by date recpt 10230 SW GRE_ENLEAF TERRACE PRMT $ 25. 00 DEB 07/02/98 98-307051 TIGARD OR 97224 5PCT $ 1. 25 DEB 07/02/98 98-307051 Phone #: 639-1506 CClntrartor`: COL.UMB I A HEATING A. COOLING INC PO BOX 6:30397 $ :6. 25 TOTAL TIGARD OR 97223 Phone #: 624-2704 Reg #. . . 00076.; - - -- REQUIRED INSPECTIONS ----- - This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All l work will be done in accordance with Final Inspection apprcved 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. ATTFNTION: Oregon law requires you to fallow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-ARIA through OAR 952-*I-@W. You may obtain copies of these rules or direct questions to OMC by calling (503)?46-9187. 1 s1_1 ,I Bim__ _ jA4 -j Permittee Signati P. +++++-f +++++++++++++++++++++++++•M+4++++t+t+++++++++++t++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next bi.isiness day ++++++++++++++++++++++-i+++++++++++++++++++++-h+++++++++++++++++++++++++++++++-r++ Plan Chec CITY OF TIGARO Mechanical Permit Application Recd By 13'125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E (503) 639-4171, x304 Date to DST Permita�( Print or Type Called Incomplete or illegible applications, will not be accepted N e of Da iopmen Prelogl �— Description ~�— Q QI I,S 1 h J/1/ ,/ � Table to Mechanical Code Qn' PRICE AMT Job stroet Address 1SudsN A) Permit Fee -0- .0- 1000 Address /Q;• 5 U-) � r-,eep Pct f4'gyp` l3ldg9 CdWstate Zip 1 ) Furnace to 100.000 BTU 600 I e.'' t� including ducts&vents Name for name of busines /. 2) Furnace 100 000 BTU* 7 50 Owner 2l �+'/?/ y including ducts S rents Moiling Address 7 3) Floor Furnace 600 7 L; �; �) QQ�1af /{�� including vent Cjtyistste ZtpPhone 4) Suspended heater,wall heater 600 - <vb or floor mounted heater N e for name of bunnessl 5 I Vent not included in appliance permit 300 Occupant Moiling Address 6) Boller or comp,heat pump,air cond 600 to 3 HP:absorb unit to 100K BUT— C tyi5tets Zip Phone 7) Boller or comp.heat pump,air cond 11 00 3-15 HP absorb unit to 500K ETU" _ Contractor N'(r°// // 8) Boder or comp,heat pump,air cond 1500 (Prior to r.Yl///i L'(C� 7T �i/2 z V`�&dll ' 15-30 HP,absorb unit 5 1 and BTU" issuance -Moiling Address 9) Boller or comp.heat pump,air cond 22.50 aDp;,cgnt V 3�' 30-50 HN absorb unit 1-175mil BTU'* _ must provide ail Gty+stNe /1 Ip Phone 10) Boiler or comp,heat pump,air cond. 37 50 contractor �'' Q� 7 7,�r�3 - >50 HP ab-orb unit 1 75 mil BTU" license Cm4on Const Cont.Board Lic a Exp 0219 11 ) Air handling unit to 10.000 CFM 450 information A lji`, `� /C> 2'/ for COT COT A1aa Ta,m Metro a Exp OMe 12) Air handling unit 10,000 CFM i 7 50 database) _ �_ _ Architect Name 13) Non-portable evaporate cooler 450 or Mai mg Address 14 1 Vent fan connected to a single duct 300 Engineer c,ty,State Z,P Phone 15 i Ventllal on system not included in 450 — _ _ appliance permit _ Describe worl( New O Addition G Alteration O Repair© 16) Hood served by mechanical exhaust 450 to to done Residential B Non-residential O _ Adrirtional Description of work jP/LI(1d r �}Lr S�r it 17) Domestic incinerators 750 (i S - tA(n vc 4 r y/acw_ ,) fh /Ike �.ina+c-0 - 18) Com;merciat or industrial type 3000 IIncinerator _ _ Existing use of 19) Repair units _—��� 4`+D building or property _ 20 1 Wood stove 4 50 Picoosed use of 21 ) C:othes dryer etc J 4 50 budding or property _ 22 i Cther urds I 450 Type of`uet-oi)5 natural gas LPG O elector O 23 i Gas piping one to four outlets I 00 I hereby acknowledge that I have read this application that the 24 i More than 4-per outlets teach) 50 l nki-matron given is correct that I am the owner or authorized agent of the-,wner that plans submitted are in comp,tance with Oregon State QTY SUBTOTAL. aws _ Signature,of OwnerlAg Dab v 'SUBTOTAL 51'o SURCHARGE — contetf< rson Nam Phone PLAN REVIEW 25113 CF FUBTOTAL n TCTAL i',dstmechpntt dor irev 9 Minimum permit fees S25 *5'',surcharge "Residential AX requires site plan showing placement of unit CITY OF TIGARQ MECHON I CAL., DEVELOPMENT SERVICES PERMIT 1.�/25 SW Hall 31vd., TiS. ' OR 9722V (503,1639-4171 PERMIT # : MEC98-0192 DATE ISSUED: 05/29/98 PARCEL: 2SI11CC-21100 SITE ADDRESS. . . : 10230 SW GRFENLEAF'-- 1'E"1?R SUBDIVISION. . . . : SUMMERFIELD NL. 5 ZONING- R-12 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :269 JURISDICTION: TIG ------------------------------------------------------------------------------------------- CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNI"- HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R:3 VENTS W/O ADPL: 0 VENT SYSTEM-3: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCINI: 0 3-15 HP. . . . : 0 COMML. JNCIN% 0 MAX INPUT: 0 BTU 15-30 HF. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . - 0 CLO DRYEHS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : I FURN ( 100K BTU: 0 10"A00 ufm: 0 GAS OUTLETS. : 0 FURN )=100K BTU: 0 > 10000 cfm : 0 Remarks Residential alteration. Owner: --------------------------------------------------------- FEES ---___—_---___ ROBCRT T HEITSCHMIDT type aMOUnt by date recpt 102'30 SW GREENLEAF TERRACE PRMT $ 25. 00 DLH 05/29/98 98-306120 TiGARn nR 37224 W"'T $ 1. 25 DLH 05/29/98 98-306120 Phone #: 639-1506 Contractor: -------------___------------._—_.___ TIMO KORKEAKOSKI 31150 S DRY[ AND RD $ 26, 25 TOTAL CANBY OR 97266 Phone #: Reg #. . : 000478 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp ...... Tigard Municipal Code, State of Ore. 5perially Cndes and all other Misc. Inspec+-. ion applicable laws. All work will be done in accordance with Final Inspection 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 taw requves you to follow rules adapted by the Oregon Utility Notification Center. Those rules are set forth in OAR through OAR 952-WI-WP. You may obtain copies of these rules or direct questions to IXJW, by calling (503)246-9187. Permittee S i gne t ure ................................ ..........#...................................... Call 639-4175 by 7:00 p. m. for inspections needed the next business day .........................11.........................................4............ Plan Chc^k# CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Reed_5�!��� TIGARD, OR 97223 Date to P.E. (503) 639-4171, X304 Date to DST _ Print or Type Permit k f 1 cC 211P—a/`�•Z , Incomplete or illegible applications will not be accepted Called "- Name of DevetopmentlProled i Description _ Table 1A Mechanical Code QT'S PRICE AMT Street Address SuAea Job ,� A) Permit Fee -0- -0- � 10.00 Address Bldgs city/sIpte zip 1 ) Furnace to 100,000 81 6.00 including duds&vents naar na,ne of bue�n sal , 2) Furnace 100,000 BTU+ 7.50 r including duds&vents Owner _ _ _ � am. Mailing Address / 3 1 Floor Furnace 600 =%�'% S" �f'�✓/ including vent cny1styta Zip Phone ��q 4.) Susuended heater,wall heater 6.00 �j- .Ac / or floor mounted heater Name(6r name of business) 5) Vent not included in appliance permit 3.00 I �J Occupant Madlnq Address _ 6) Boder or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100K BUT" _ 57slste ZIP Phone 7) Boder or comp,heat pump,air cond. 1100 3-19 HP,absorb unit to 500K BTU"" _ Contractor Name �,�� ���� �,� 8.) Boi,.r or comp,heat pump,air Gond. 15.00 15-30 HP;absorb unit.5-1 mil BTU"" Prio('o permit Malang Address 9) Boiler or comp,heat pump..air Gond. 22.50 issuance,a copy. "� �_ //! ` 30-500 HP;absorb unit 1-1.75mil BTU" i of all licenses city'state 2ip Phone 10) Boiler or comp,heat pump,air Gond 37.50 are required if /a J "• cy' hj �' >50 HP;absorb unit 1.75 mil BTU" _ expired in COT Oregon Con Cont Boarb Lir.# Exp.Data ✓ 11 ) Air handling unit to 10,000 CFM 450 database Architect Name 12) Air handling unit 750 _ 10,000 or Mailing Address � �^ 13.) Non-oortabiertable evaporate cooter 4.50 Engineer Ca,rstate lip Phnne 14.) Vent fan connected to a single duct 3.00 Describe work New 7 Addition O Alteration{•d--Repair O 15.) Ventilation system not included� A5 to be done Residential W Non-residential O in appliance permit Additional Description of work. 16) Hood served by mechanical exhaust 4.50 1 ` 17) Domestic incinerators 7.50 Existing use of �� 18.) Commercial or industrial 30.00 building or property_ 411Cs' pe ocineiator 19) Reoair units 450 Proposed use of 20) Wood stove 4.50 building a,property 21 ) Clothes dryer,eta 450 Type of fuel-oil O natural gas(3 LPG O electnr,O 22) Other units '— 450 I hereby acknowledge N t I have read this application.that the information 23) Gas piping one to four outlets — 200 —� given is correct.that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State laws 24) More than 4-per outlet(each) 50 I _ syn tnaiturq of Owner/Agent / Date r 'SUBTOTALy A1644%,. ( f / 5%SURCHARGE GM, s I Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL +Y:xi•c #t �� Required for all commercial permits TOT.4 v.,.1 ti 'Minimum pertrdt fee is$25+5%surcharge "Residential A1C requires site plan showing placement of unit kUmechprmt.doc rev 4115198 ` CITY ®F T I G A R D --- BUILDING PERMIT — PERMIT#: BUP2004-00115 DEVELOPMENT SERVICES DATE ISSUED: 3/22/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-21600 SITE ADDRESS: 10280 SW GREENLEAF TERR SUBDIVISION: SUMMERFIEI_D NO.5 ZONING: R-12 t`_LOCK: LOT: 274 _ JURISDICTION: TIG RE'SSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: st N: S: E: lid; 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: BASEMENT: sf AREA SEP. RATED: STUR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ_Z?: _ _REQD SETBACKS_v _ REQUIRED FLOOR LOAD: psf LEFT: fl RGHT: ft FIR SPKL: SMOK DET DWELLING UNITS: FRNT� ft REAR: ft FIR AL.RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25,957.00 Remarks: Reroof Building#4, 10280, 10290, 10300, 10310, fZD,1(�336 1333b Owner: Contractor: WALL1`R, MILDRED Z TRUSTEE JBC ROOFING WATKINS, VIONA J TRUSTEE 12155 SW GRANT AVE STE C 10280 SW GREENLEAF TERRACE TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 503-968-1235 Reg #: LIC 93255 FEES REQUIRED INSPECTIONS v— Description Date —^ Amount Final 'nspection (lit 111.10 1'crrnit I'cc 3/22/04 $139.30 11 AX] 8%State Surcliarl 3/22100 T --- $11 14 - 1 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 nays 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 952-001-0100. You may obtain a copy of these rales or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Issued By: , 1���( Pe nnittee Signature: ---- Call 6 9-4175 by 7 p.m. for an inspection the next business day