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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00375 Aft DEVELOPMENT Tigard. SERVICES (503) 639 -4171 DATE ISSUED: 8/30/02 SITE ADDRESS: 16035 SW PACIFIC HWY PARCEL: 2S1156A -00500 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM 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 ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 8,000.00 Remarks: Reroof permit: Convert to commercial roof. Attic ventilation required. Owner: Contractor: TOIVA SEPP ROLOFF CONSTRUCTION, INC. 16035 SW PACIFIC HWY 11004 SW 37TH AVE. KING CITY, OR 97224 PORTLAND, OR 97219 Phone: 503 - 620 -2185 Phone: 503 - 245 -3895 Reg #: LIC 140721 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final lnspection PRMT CTR 8/30/02 $120.10 27200200000 5PCT CTR 8/30/02 $9.61 27200200000 Total $129.71 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 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 questions to OUNC by calling (503) 246 -6699 or 1- 800 -332 -2 4. Pe rm ittee Signature: 2( Issued By: 60Aia/ta_, j60 f / Call 639 -4175 by 7 p.m. for an inspection the next business day , Re -Roof -- .. e e e 0 • asgp 1.e a 4� `i 1 i gull 111"wil A 1 . t..vw 'r• e p f , a Z Tigard Date received: 30.01- Permit no.: at' 0 D . 2O • 75 �.:. ��� 1 City f 'fin g d °• Project/appl. no.: Expire date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: BS 0 Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: art s ilasr*MM . :4 ; n TYPEfOF PERMITfi ,/ ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: .a ' ' N' IEVVERfar i` ' P15 SITE:,INFORMATIONTIMPR'` J' i t tt - Rr�`° ej. l ;lob address? /62. 0 3 - W 4-G/ c /-7 J/ Bldg. no.: Suite no.: Lot: I I Block: Subdivision: / Tax map /tax lot/accoun no.: Project name: _ - •c:�i c y e---L..7 � . - ` c- e- // _ . Description and location of work o premises/special conditions: acapa r � 1 t x � ' � OIVN©t� � W' � P�,,Rilt ilVitTliINATION rgai ECKLI -... .,A 31 M� . Ia r `{ yf�i 3 Fi a '�' . pl V: 1 10 t ` + 43 ? r t: j �`4." N1Vr' 'V ":.F n '. loodatn ,septcrt oletc ") A' (Name: /2 . S e ( F ;...yxn.�. '' �-= Mailin 7Cep . Sc...J P4-C/ /C J/i i 1 & 2 family dwelling: (City:) O is y I State::DL I ZIP:2 Z 7/ Valuation of work $ ( Phone - a 2 ) Arai: 1E-mail: No. of bedrooms/baths Owners representative: /Vj c G 4.e L /Z/ Total number of floors Phone: ,503 29S -c r Fax: E -mail: New dwelling area (sq. ft.) , g tlefic P I A1S:17k;' '' "ti 1:4;;*itriittfilti Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: 'State: ( ZIP: Other structure area (sq. ft.) Phone: Fax: E-mail: Commercial/industrial /multi- family: as x �t;�MMe : 7 ' CONT ACTOR' .. ,.�,:.t.L x • ,,- LValua $ gQOO Existing bldg. area (sq. ft.) +Business -name : -.? - ,' y ( > C IS ��, ,-,, , ,. New bldg. area (sq. ft.) (Address: / #O4 Sw ,� 7 '"- � 4 v l I Number of stones (City:) State:Qg( ZIP :? 9 7z 1 9 y' ��� Type of construction (Phone: - �.ro9z9-s = e& Kt Fax: 1E-mail: Occupancy group(s): Existing: (CC B no.: /'9" i 7 Z ( New: City /metro lic no.: _ Notice: All contractors and subcontractors are required to be a ,�� T � ' I ' r `ARCHITECT /DESIGI\ " �,��c, _,- L ,,,,,,,�,._.......,....E., R.: ...,�.4Mtal licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: 'ZIP: exempt from licensing, the following reason applies: Contact person: 'State: Plan no.: Phone: Fax: E -mail: 3 „`2, 1, "m, r NGI1 0.:R M C 2.4 ` . Name: Contact person: Fees due upon application $ Address: Date received: City: (State: [ZIP:. Amount received $ Phone: (Fax: 1E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information. attached checklist. All provisions of laws and o r inances governing this 0 Visa ❑ MasterCard work will be complied with, whe er : - iii- . erein or not. Credit card number: / / /, Authorized - signature:; U ` — 7 Date: ' z c - o L Name of cardholder as shown on credit card Expires Print name: I 771/ e9 a e- _ '- $ Car dholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00/t'OM) q. &/ 1 - ,9: -7/ RE- ROOFING PERMIT CHECK LIST RESIDENTIAL ONLY - Class of Work: Alteration ❑ REPAIR (MAJOR) (plan review required by plans examiner) Building permit is required when spaced sheathing is covered by solid sheathing and /or changes are made to roof line. SUBMIT TWO (2) SETS OF PLANS SPECIFYING: A. Roof area and nearest street. B. 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 1 sq. ft. for each 300 sq. ft. when eave and attic venting is provided. Note: No permit is required for residential re -roof if, (1) not more than three layers of roofing will exist upon completion of the re- roofing or, (2) sheathing is not being applied over spaced sheathing (spaced sheathing usually exists when wood shingles were initially applied). COMMERCIAL ONLY - Class of Work: Repair STEP 1: ❑ RE -ROOF (circle A, B or C): A. Existing built -up roof covering to be REMOVED and deck repaired. B. Existing built -up roof covering to REMAIN. Note: Applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal (or stamp) of the architect or engineer licensed in Oregon. C. Asphalt or wood shingle /shake. (PROCEED TO STEP 2) COMMERCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation (UBC Appendix 15) Please fill out applicable section and attach copy of roofing specifications. Listed Assembly (Circle and complete A, B or C): A. 1. Specification #: 2. Manufacturer: 3a. UL Classification: Listed UL Building Materials Directory Page #: OR 3b. Warnock Hersey: Listed Warnock Hersey Directory Page #: *COPY OF ASSEMBLY REQUIRED B. ICBO Research #: Dated: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES (Review required by plans examiner.) VALUATION OF PROJECT: sq. ft. of roof area Permit Fee based on valuation: (see Building Permit Fees chart) 8% State Surcharge: 65% Plan Review Fee: (Required for major repairs of Residential or Assembly item "C" above. TOTAL: i:dsts \forms \roofchecklist.doc 10/05/00 r : r. f City of Tigard Building Department 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 Re -Roof Pre - Inspection. Report Form ._. 1�1 Requested by Telephone Job Address /4oif) 3 S` $4 i p, LC' 41.0) Permit #: Roof Access Location /AD e4 Date Requested 5f o / _ Time Requested 9/3C? Type of Existing Roof f� A Y 9 �S� 1. Slope of roof deck 2. Roof /Penetrations /General Conditions }Fair ❑ Poor 3. Are there blisters? IN Yes Eg440 4. Are there cracks? ❑ Yes (■o 5. Is there evidence of water ponding? ❑ Yes a•lTO 6. Is moisture present under roofing (leak)? ❑ Yes ,11•1cio 7. Is roof insulation existing? ❑ Yes 12-td"o 8. Is roof insulation wet? ❑ Yes glrfo 9. Property line setbacks on all sides > 10 feet s " e No 10. Building size P4 < 3000 sq. ft. ❑ < 6000 sq. ft ❑> 6000 sq. ft. 11. Building height .•- Stories ❑ > 2 Stories 12. Class of roof required grhelrraled ❑ A. ❑ B. ❑ C 13. Type roof deck e•2ombustible ❑ Non - Combustible 14. Roof drains /hi •rovided ❑ Required ❑ Adequate 15. Overflow drains ❑ Provided litRA144 AVAdequate 16. Attic ventilation ❑ Provided ► •equired ❑ Adequate 17. Roof listing ®.Provided ❑ Required 18. Installation Instructions 21Sided ❑ Required To re -roof this structure the following conditions must be met: .C7 Pt(C t / p The re -roof proposal i pproved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the Building Division for an inspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is required. Zy Inspector 7 — y �^� Ext. Date q/J.1/ / 0 �— 11Bm