10405 SW GREENLEAF TERRACE 0
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10405 SW GREENLEAF TERR
CITY OF TIGARV '4-Hour
BUILDING Inspection 06e: (503)639.4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP tom% % Ll
Received 4., 14 Date Requested AM.,.---"—P1Gr UP
Location � _Suite.,.. d XZ) MEC
Contact Person "—`-------
'-. 1ePh( ) PLM
Contractor-- - -- / �� 7 i " 1 - L (—:2 _���r< r L.L! SWR — —
LDIN ___ Terant/Owner tel'lwy�1✓>�N . &A Z �j ELG
liiii5iFoundation Access- ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors — -- - ----
Ext Sheath/Shear
Int Sheath/Shear -- -- -_
Framing
Insulation r-
Drywall Nailing
Firewall �� ( ,� d,735
Fire Sprinkler -- -- v �1
Fire Alarm
Sus 'd Ceiling _.._��_--- -- ----- ---
0o ') i
Other• 16-1 — --
rna
PART F_ArL
RING
Post&Beam -
Under Slab _
Rough-In
Water Service
Sanitary Sewer /
Rain Drains — -
Catch Basin!Manhole
I Storm Drain -- -
Shower PanIU Al
Other: I —
al VI/
PASS PART FAIL �- —
MECHANICAL
Post 8,Beam
Rough-In
Gas Line
Smoke Dampers
R ie
PASS PART FAIL - -- _
ELECTRICAL
Service _
Rough-In
UG/Slab V- -- -
Low Voltage -
Fire Alarm
Final I ) Rernspb-tion fee of$ r.quired before next inspection. Pay at City Hah, 112 SW Hall Blvd
PASS PARTFAIL _
SITE _i_ LJ Blease call for reinspection RE--- _ —_ ❑ Unable to inspect- no access
Fire Supply t.ine—
ADA
Approach/Sidewalk bete _. -__ Inspector
- Ext -
Other:
Find �- _ DO NOT REMOVE this Inspe ctlon record from the job site.
PASS PART FAIL
//A\' CITY OF TIGARD ____ BUILDINt; PERMIT
z�jjjPE;i7,�IT#: C31�P2004-J0121
j DEVELOPMENT SERVICES DATE rSCUE:': 3;22/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CC-18500
SITE r UDRESS: 1040.5 SW GREENLEAF TERR
S., 1DIVISION: SUMMERFIELD NO, 5 ZONING: R-12
BLOCK: LOT: 244 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSiRUCrION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYP1= OF USE: SFA SECOND: sf _ _ PROJECT OPENINGS? _
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONT: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED:
STOW 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:
BEGRMF: BATHS. IMP SURFACE: PRO CORR: PARKING:
VALUF- ; ?5,957.00
Remarks: Reruof Building #1C, 10n05, 10415, 10425, 10435, 10445
Owner: Contractor:
MACKENZIE, DONALD H + GLENNA b JBC ROOFING
10405 SW GREENLEAF TERRACE 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD. OR 97223
Phone:
Phone: 503-968-1235
Reg#: LIC 98255
`^- FEES REQUIRED INSPECTIONS
Description Date _ Amount Final Inspection
�10 11 I r l I'crnnr 1 Cc 3/22/04 � $13930 �—
A\I surchail 3122/04 $1 1.14
l otal $150.44
This peg mit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicaole 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 worts 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 rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344
Issued by:
r
Permittee
Signature: �-
Call 634175 by 7 p.m- for an inspection the next business day
Re-Roof ✓
BllRding Permit Application FOR OFFICE VSE ON
city G T Tigard _ Date/BRele' ed c' '`
13125 SW Nall Blvd.,Tigard,OR 9 �i +� Plan Review {{
Phone: 103,639.4171 Fax: 503.59 I Ae" 1 DatdB : Other Permit:
Inspection Line: 503,639.4175 Date Ready/By: Juria IE See Page 2 for
Internet: www.ci.ligard.or.us MAR I i) 2004 Natitied/Method: supplemental lnfarmatlnn
Cit 'OPR1 � REQUIRED DATA:1-AND 20FAMILY DWELLING
❑New construction �8 G Mvlmitton Permit feet;*are bases.an the value,".1je urk performed.
ItAIndicate the value(rounded to the neurest dollar)of all
ddition/alteration/repleccment ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2•fami:y dwelling ❑Commercial/industrial Valuation: S
Accessory building ❑Multi-family Number of bedrooms:
❑Master builder Other: F,0&)A) HO if 115.j Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 'rota)number of floors:
Job site address:/v f/a E/o ,,�s uT ��Q�cs I►;t*" � New dwelling area: square feet
City/State/ZIP: 7_12 0 4— 0�eGarage/carport area: square feet
Suite/bldg.lapt.no.: Project namegs(�MjH,����, 1�-- Z. Covered porch arca: square feet
Cross street/directions to site:
` Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no,: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. _
':Move :�-[t4yC– .s S.'f iA)r:i c F.c_��Cc f�r4 a►uation: x 1�w-7
�>A Existing building area: square feet
IQ G C- (F �,�� s New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name:ly/k/ 1�E /t(t'M7dScA1 �- 009 rAJK R"$ES . Aj Type o f construction:
Address: (Ovo f eoroe r- /U 7.1� W"__r /p Occupancy groups:
City/State/ZIP:
— Existing:
Phone:( ) Fax:( )
_ New:
_
❑ APPLICA>ti" _ CONTACT PERSON J NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: /Ucc z'.SC--'Aj licensed with the Oregon Construction Contractors Board
-- -- under ORS 701 and may be required to be licensed in the
Address: junsdiction in which work is being performed.If the
applicant is exempt from licensing,the fc Ilowing reasons
City/State/ZIP: apply:
Phone:X55— 6?,0 t:/_eO Fax::( ) —
E-mail: —
CONTRACTOR (� —
Business name: ::7 C U--v—c—/A) 4 Z-4 C c� BUILDING PERMIT FEES*
Address: -2,t a � GIJ �1jQ�Q d�i 3L)/7 _ A15
City/State/ZIP: Please refer to fer schedule. —
Fees due upon application
Phone:
Amount received
CCB lie.: _
U e received:
Authorized sighhis permit applicatiu„expires if a permit is n6t ohtained
rhln 180 dais after It has been accepted as complete.
Print name: _ _�ate;3 �� p i� vlethodology set by Tri-County Building Industry
Service Board.
i%ulWinglermiu\ROOF.PemiilAppduc I2j03 UO-4613T(IIMTOM/WEB)
RE-ROOFING PERMIT CHECK LIST
RESIJDENTIAL(One-&Two-Family Dwelling)
REPAIR(major) plan review required by plans examiner:
Building permit is required when structural changes arc made or the space sheathing
is removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. fo: each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the root. Provide 1 sq. ft. for each 300 sq. it. whets
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 completion of the re-roofing.
CO MERCIAL(includes multi-family and condominiums)
RE-ROOF: Pre-inspection is required to;all roofs sloped 2:12 and less. Please
make an appointment by calling the inspec'ion line at (503) 639-4175.
F— PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be
required to address any non-conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart _`___
S% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
u ose roofing of commercialprojects.)
TOTAL: $
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i:lBuilding\Fomu\Re-Roofihecklist.doc 12/24/03