11130 SW SUMMERFIELD DRIVE STE 1 • 9
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� BUILDING PERMIT
CITY OF TIGAR®
PERMIT#: BUP2002-00300
DEVELOPMENT SERVICES DATE ISSUED: 8/5/02
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 25110DD-00109
SITE AGDRCSS: 11130 SW SUMMERFIELD DR 1
SUBDIVISIOW 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 USF MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CON 5N sf N: S: E: W:
OCCUPANCY GKil: TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RA-rED:
STOR: HT: ft
BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: it FIR SPKL: _ SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS. BATHS: IMP SURFACE: FRO CORR: PARKING:
VALUE. $ 6,400.00
Remarks: Remove and replace balconies on (4)units
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC YORKE + CURTIS
BY SUMMET REAL ESTATE MANAGEME 4480 SW 101ST AVE
5320 SW MACADAM AVE BEAVERTON, OR 97005
Pgpone:TLAND, OR 97201 Phone: 646-2123
Reg#: LIC 55644
FEES_ REQUIRED INSPECTIONS —
Type By Date Amount Receipt +_ Framing Insp
PLCK CTR 7/16/02 $71.83 27200200000 _ Final Inspection
PRMT CTR 8/5/02 $110.50 27200200000
5PCT CTR 8/5/02 $8.84 27200200000
Total $191.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spec;31ty Codes
and all other apolicable law. All work will be done in accordance with approved plans. This permit will .wxpire 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 folm 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) 246-6659 or 1-800-332-2344.
Permittee
Signatrore I xv
14
Issued By: _����
Call 639-6175 by 7 p.m. for an inspection the next business day
_Building Permit Application
City ofTigard /
[)ate received:'% G' Gi
City o/'Tigcrd 1 ermit no. F .[tCt�r
'"• , '
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
"---
Phone: (503) 6394171 Date issued: By: Receipt no.
Fax: (503) 598.1960 Case file no. Payment type: -- -
Land use approval: 1&2 Tamil simrle Complex:
❑ 1 &2 family dwelling or accessory C]Commercial/industrial DI'Multi-family ❑New construction ❑Demolition
❑Addition/alteration/replacement U Tenant improvers crit U Fire sprinkler/alann U Other:
JOB SITE INFORMATION
Job address: 1 113Q_ t! t 'r'I N I t-1 = 1 ��'L�i ; (" Bldg.ria: Suite no.: 1
Lot: Alock: Subdivision: Tax map/tax lot/account no.:
Project name: Y
Description and location of work on premises/special conditions: �h �: - �)( "•7 LLC I
OWNER F01ft SPECIAL INFORMATION, USE CHECKLIST
Name:�- !,IV I '•' ,.� .�-� �L� ���.
Mailing address: F, 4;; C, JU 1 2lantih dwelling:
City: Valuation of work ......................................... $
Phone: Fax: I E-mail: No.of bedrooms/baths..................................
Owner's representative: Total number of floors ..................................
Phone: Fax: E-mail: New dwelling area(sq.ft.)............................ —
Garagc/carport area(sq.ft.)..........................
Name: " Covered porch arca(sq.ft.) ..........................
_Mailing address: L` �+ I V Deck area(sq,ft.) ........................................•
Cit}: v State ZIP: Other structure area(sq.ft.).....................•..•.
Phone:1, / )'/ �• Fnx /' C; F-malit: Commerciallindustrial/multi-family:
HMINM Valuation of work
,� �� Existing bldg,arca(sq. ft.)............................
Business name: � L ti'(!_: New bldg.area(sq.ft.)
Address: � i � -� .................................
City: � •�- 1 � � Stat "%� ZiP: j <. Number of stories............................•.....,.......
Type of constmction .....................................
Phone: "`�':� Fax: E-mail: — Occupancy group(s): Existing
_CCB no.
_.:- - ------ -- -- - New.
City/metro lic.no.: Notice:All contractors and subcontractors are required to bt• —
iii low t licensed with the Oregon Constructinn Contractors Board under
Namc: ' ;i`f11 �'�,. ►y 11 �/ " provisions of ORS 701 and may be required to be licensed to the
Address: F ' � t R, jurisdiction where work is being performed.If the applicant is
i�' ' exempt from licensinM•the fol:owin6 reason applies:City: Statc: )' IP: �
Contact person:�'_• 011-1 Plan no.:
Phone: -6 7 1 Fax: . - t ,Z'i F-mail: - —
Namc: _ Contact person: Fees due upon appllctu lull........................ ....5 •
Address. _ _ Datc received:
City: state: ZIP: Amount received...........................................$ _.—
Phone: Fnx: I E-mail: Please refer ,o fee schedule.
I hereby certify 1 have read and examined this application and the Not ail hmsdictinns accept credit cards,plea+e Call lutisdietian for more information.
attached checklist.All provisions of laws and ordinnnees governing this D vim o MaiaetCard
work will be complied with,whethcrApecified herein or not. t'redti card number ----- — —L1_—
rr r 3 Expires
Authorized signatu'c: µ— ?�' Date: I Name of cardholder n ehoae on credit card
s
Print name: rl I Xr U l,.-!i� --+ Cardholder stprature Amount J
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404611(6rtlmcoM)
CITY OF•7IGARD 24-Hour
BUILDING inspectic a Line: (503)639-4175 MST _
INSPECTION DIVISION Business Line: (503) 639-4171 G c-- - UCS
BUP -
Received __ _ __Date Re uested - AM_ _ - PM BLIP - _—
Location _ U Suite ___�--_ __ MEC —
Contact Person Ph(— ) __-- _--_ _-- PLM ---
Contractor___ —- Ph(— ) - - _ _ _ - SWR
BUILDING TenanV0wner ____ - —
Footing — ELC
Foundation Access:
Ftg Drain ELR
Crawl Druin SIT
Slab Inspection Notes:
Post&Beam -- -- -- ----
Shear Anchors
Ext Sh9ath/Shear
Int Sheath/Shgar
'M ation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
ot
irinal S 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
MECHANICAL - - ----
Post&Beam
Sough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL -
ELECTRICAL
Service ------------ -------- --
Rough-In -- ---- - —-
I1G/Slab
Low Voltage -- - — - ---_T
Fire Alarm
Final n Reinspection fee of$_ requlied before next inaptction. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE u Please call for reinspection RE: Unable to inspect- no access
Fire Supply Line
ADA (
Approach/Sidewalk DaftDaft -- � _6 � Inspector Ext
-------._.-----
Other._.
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
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