11035 SW SUMMERFIELD DRIVE STE 3 11035 SW Fummerfield Drive #3
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CITY OF T I G A R D - BUILDING PERMIT _
PERMIT 02-00305
DEVELOPMENT SERVICES DATE IS UED: 8 5/22
13125 SW Hall Blvd., Tigard, OR 97223 (503) G39-4171 PARCEL: 2S110DD-00109
SITE ADDRESS: 11035 SW SUMMERFIELD DR 3
SUBDIVISION: SUMMERFIELD APT./WILLOW BROCK ZONING: R 25
BLOCK: LOT: 013 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION �
CLASS C. WORK: CTR FIRST: sf N: S: i E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N. S: E: W: —
OCCUPANCY GRP: 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?: _ R_E_QD SETBACKS _ _REQUIRED ___
FLOOR LOAD: psi LEFT: ft RGNT: ft FIR SPKL: SMOK DET
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BE.DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VX_UE: $ 3,200.00
Remarks: Remove and replace balconies for units 3 &4.
I
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC YORKE + CURTIS
BY SUMMET REAL ESTATE MANAGEME 4480 S%N 101ST AVE
5320 SW MACADAM AVE BEAVERTON, OR 97005
PPhone ND,OR 97201 Phone: 646-2123
Reg#: LIC 55644
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 7/16/02 $53.11 27200200000 Final Inspection
I
PRMT CTR 8/5/02 $81.70 27200200000
5PCT CTR 8/5/02 $6.54 27200200000
Total $141.35
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 apprived plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more t'lan 180 days ATTENTION: Oregon 'aw
requires you to follow the rule.: adopted by the Oregon Utility Notitication Center. Those rules are set forth in OdAR
952-001-0010 thruugh 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 nil ittooSignature:
—
Issued By: Lai ,z144_4__
Call 639-4175 by 7 p.m. for an Inspection the next business day
Building Permit Application OFFICE 'USE.ONLY
Date received: 7 /r! O `�� Permit no.: j�j -!�jo
City of Tigard
Address: 13115 SW Hall Blvd,Tigard,OR 9/223 Dat eissue : no.: Ex ire date:
Clry of Tigard phone: (503) 639-4171 Date issued: �BA�el Receipt no.:
Fax: (503) 598.'960 Case file no.: Payment type:
Laud use approval: — 1&2 family: Simple Complex:
;J,b
2 family dwelling or accessory 0Commercial/industrial Q.Ivlulti-family U New construction U Demolition
dilion/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
dress: 1jD'A C; Bldg.no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
�•
Project name: t �� - :� )�r �/ •'1,1�(_ ' ) 11
/ .
Description and location of work on premiscs/special conditions:
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Mailing ad cess: Vii;? C,rU V,- ry I &2 family dwelling:
City: 1 StnterZIP: Valuation of work ......................................... $
Phone: Fax: F-mat: Noof bedrooms/baths..................................
Owner's representative: Total number of floors ..................................
Phonc; Fax: E-mail: New dwelling area(sq. .)........................... _
Garagcic:nport arca(sq.ft.) ..........................
Ni ne: yL)�' {� i`i-4 Covered porch area(sq.ft.) ..........................
Mailing address: L I '' r))�> Deck area(sq.fl.)..........................................
��s. v State ZIP: " (Other str u.turc arca(sq.ft.)..........................
City:
Phone: ),' / ,'/ Fax: l' F.-ma Contnrerelalllndustriallmultldramlly:
Valuation of work ......................................... $ 3,2-00 --
Existing bldg.area(sq.fl.)........ ................... _
L t,'I '�T
Business name: "7 = New bldg.arca Isq.it.)
Address: 41W' Number of stories. —
rCily: _ i , --' �� Statg�" ZIP: ....................................... —eztu -
•� ^-- Type of construction ..................................... — —
Phonc: L _ Fax: E-mail: Occupancy group(s): Existing: �1
CCB no.: New:
City/metro tic.no.: Notice:All contractors and subcontractors are required to be—
Evaillwy yo-VI t licensed with the Oregon Construction Contractors Board under
Nnmc:�•y 'I nil G---�ll provisions of ORS 701 and may be required to be licensed in the
Address: , i 't •, _julisdiclion where work is being performed.If the applicant is
(� lel, �•- exempt from licensing.the following reason applies:
City: Istawc 1`
Contact person:L 71 Plan nn.:
Phone: , xdE-mai:F , -— - - -
Dame: ICU" person: Fees due upon application.............................� "05��I f
Address: Date received: _
City: State: ZIP: Amount received..........................................$
%hone: I Fax: E-mail: Please refer to fee schedule. —
I hereby certify 1 have read and examined this application and the Nor ell wi%dictions accept credit cord%,please call)uriediction for rnnre irformntion
attached checklist.All provisions of laws and ordinances governing this U visa O Maslercud
work will he complied with,whcthcr,speeifted herein or not. rredil cent namMr:
� � r Gephe%
Authorized signatum: - - "'�" Date: Name or cardholder a shorn on credit card
%� S
Print name: Y r1 L:-1;� �r I� ! 1 — iirahnlder a elute — Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. soo.rau(tioUPCOMi
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CITY OF TIC A RD 24-Hour
pection Line: (503) 639-4175 �
BUILDING fUIST --
INSPECTION DIVISION BLisiness Line: (503) 639-4171 Blip
Received Date equested_-__-_ cj �-_ AM----___—.—PM— _.�'_ Blip
-
-- — ,n'
Suite.
Location - --f
MEC
Ph(. ) - PLM
Contact Parson __.--- -- --
Contractor— -- Ph SWR
BUILDING Tenant/Owner _-_ ELC
Footing EL
Foundation Acces;; ELR
Ftg Drain
Crawl Drain --- SIT
Slab Inspection Notes:
Post&Beam - -- -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Sheaf
'min�-'
esu ation
Drywall Nailing -- -
Firewall --�-�
Fire Sprinkler r`
Fire Alarm
Susp'd Ceiling
Roof - -
F' al
AS PART FAIL
- ING -
-Post&Beam
Under Slab
Rough-In
Water Service -- --- --- - - -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain
- -- ---_____--_--------- ..---- ------------_
Shower Pan ---
Other
Final --
PASS PART FAIL - — ------ - J- -- " -
MECHANICAL __—___- ------ --- --"----- -
Post&Beam
Rough-In - ----- -- ----- --------
Gas Line —-------._--Smoke Dampers --- ------- -"-�---
Final -
PASS PART FAIL —`--"--- --T
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 RE: _-- _ F] Unable to Inspect--no access
Fire Supply Line
ADA Date ' Inspector
Approach/Sidewalk
Other:-. -
Final DO NOT REMOVE this Inspection record trorn the Job site.
PASS PART FAIL