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CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00022
� 1� :, D EVELOPMENT SERVICES D ATE IS 1/14/2003
-- - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136DA-00700
SITE ADDRESS: 11530 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Re -roof, some of existing roof material to be removed, some is overlay. 2/24/06: THIS PERMIT IS
REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR A PERIOD OF THIRTY DAYS.
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 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: $ 13,420.00
Owner: Contractor:
HI HAT INC INTERSTATE ROOFING
11530 SW BARBUR BLVD 15065 SW 74TH AVE
PORTLAND, OR 97219 TIGARD, OR 97223
Phone: Contact #: PRI 684 - 5611
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[HRBLD] Hourly Buil 2/24/2006 $57.87
[HRTAX] Hourly 8% St 2/24/2006 $4.63
[BUILD] Permit Fee 1/14/2003 $177.70
[BUILD] Investigation F 1/14/2003 $177.70
(additional fees not listed here)
Total $432.12
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 -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: Permittee Signature: �,..7- . 1 ` t 9r--v`
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00022
}� D EVELOPMENT SERVIC DATE I SSUED: 1/14/03
�:. II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11530 SW PACIFIC HWY PARCEL: 1S136DA -00700
SUBDIVISION: ZONING: C -G
BLOCK: LOT: • JURISDICTION: TIG
REISSUE: Cf C FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: pi" 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 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: $ 13,420.00
Remarks: Re -roof, some of existing roof material to be removed, some is overlay.
Owner: Contractor:
HI HAT INC INTERSTATE ROOFING
11530 SW BARBUR BLVD 15065 SW 74TH AVE
PORTLAND, OR 97219 TIGARD, OR 97223
Phone:
Phone: 684 -5611
Reg #: MET 00001476
011476
FEES LIC REQ8I INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 1/14/03 $177.70
[BUILD] Investigation F( 1/14/03 $177.70
[TAX] 8% State Tax 1/14/03 $14.22
Total $369.62
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 ! : • • .: • OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin• 503) 246 -6699 • 1- 800 -33 , ' 4
Issu . By: : = � , / '/ .1 .
Permittee - 4. \ .
Signature: 1p
r C 1 639 -4175 by 7 p.m. for an inspection the next business day
Re -Roof
• FOR OFFICE USE ONLY
Permit Application Received Building qq
Date/By: Permit No.: J 2
Planning Approval Other
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960
A � , ili Post - Review Land Use
- jai' Date/By: Case No.
`-
Internet: www.ci.tigard.or.us Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: _ Supplemental Information
TYPE OF WORK REQUIRED DATA:
❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees' are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths:
Job site address: yi 1 Total number of floors
1 �3� S W / t t ri �c t � " 1 New dwelling area (sq. ft.)
Suite #: Bld. /Apt. #: Garage/carport area (sq. ft.)
Project Name: - / �i Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: I Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Valuation $ 13 q Z v
Existing building area (sq. ft.) /
New building area (sq. ft.)
Number of stories
O PROPERTY OWNER I ❑ TENANT Type of construction
Name: Occupancy group(s): Existing:
New:
Address:
City /State /Zip:
Phone: Fax: NOTICE: All contractors and subcontractors are required to be
❑ APPLICANT El CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: i,.‘ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: I Fax:
BUILDING PERMIT FEES*
E -mail: Please refer to fee schedule.
CONTRACTOR n
Business Name: ^, r• +vtk_ tQoo0,:.- t -c_ Fees due upon application $
Address: I KOG5—t 7 q'A Ano
City /State /Zip: p Ow 1 7'2 z it Amount received $
Phone: Jo3 6f((( Sao // Fax: (035 30S"L Date received:
CCB Lic. #: 3Z_ tf 5-�yb
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: Date: 09 180 days after it has been accepted as complete.
J lA < I A *Fee methodology set by Trl -County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forms\BldgPermitApp.doc 01/03
II
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
tied).
L4 Rd L A,BJ t
R ep.
A. Existing built -up roof - vering to • - REMOVED and deck re• •. ��
B. Existing built -up dof covering to R= AIN. Note: Appli must sub1 it an engineer's
review of the of structural element Review sh . .ear the seal (or s - p) of the,
architect engineer licensed in Orego .
. As 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 arid complete A, B or C):
A. 1. Specification #: _ ` u3rn LAttif' 1A-alas -(LtO wane Jec 2
2. Manufacturer: t, o- Lam) -
3a. UL Classification: I
Listed UL Building Materials Directory Page #: t 613
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 ( , (_( Z Co
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
. ,,
+ , , 100 ROOF COVERING MATERIALS (TEVr) ROOF COVERING MATERIALS ([EVi)
ROOFING SYSTEMS (TGFU) Continued ROOFING SYSTEMS (TGFU) - Continued
I j , Base Sheet Class C mineral surfaced sheet roll roofing, granule side up. Barrier Board: Georgia -Pacific 1/4 in. (min) "Dens Deck® Overlaymer
Slip Sheet with all joints staggered a min of 6 in. from the plywood joints.
A. Two layers Lyda ll " Manniglas 1151" foil side down, mechanically Membrane: "Duro-Last" (PVC)
I ' fastened. Class B - Mechanically Fastened
. 1 B. Four layers Atlas Energy Products "FR10", mechanically fastened. i, 1. Della C -15/32 Incline: 3/4
AI 1 Membrane: "Dum -Last" (PVC). Slip Sheet
8. Dedu C -15 32 Incline: 2
i , / A. One layer LydaU "Manniglas 115r . foil side down, mechanica
Base Sheet Class C mineral surfaced sheet roofing, granule side up. fastened.
i ' SNp Sheet B. Two layers Atlas Energy Products "FR10, mechanically fastened.
j • 1 . A. Two layers Lydall " Manniglas 1151" foil side down, mechanically Insulation (Optional): Glass fiber or perlite, any thickness, mechanica
fastened.
B. Four layers Atlas Energy Products "FR10", mechanically fastened. Membrane: �; Y ►9Y y Membrane: "Duro-last" (PVC).
Insulation (Optional): Glass fiber or perlite, any thickness, mechanically 2. Dec: NC Incline: 4 in.
fastened. Insulation: Atlas Energy Products "AC Foam I ", any thickness, mechanica
Membrane: °Duro-LLast" (PVC), mechanically fastened. fastened or adhered.
i 1 9. Dedc: C -15/32 Incline: No limitation Membrane: "Duro-Last" (PVC).
1.;? Insulation: Any UL Classified EPS insulation (tapered or uniform thickness) 3. Della C -15/32 Incline: No limitation
,1 or polyisacyanurate, any thickness, mechanically fastened. Base Sheet Class C mineral surfaced sheet roll roofing, granule side u
r Barrier Board» Gypsum, 1/2 in:, mechanically fastened. Sli Sheet
1 • Membrane: °D (PVC). A. One layer Lydall "Manniglas 1151" foil side down, mechanical
?` i. • , 10. Deck: NC Iodine: 1 fastened.
..'1 ' ■ Insulation: Atlas Energy Products "AC Foam r or "AC Foam II" 1.0 in. B. Two layers Atlas Energy Products "FR10", mechanically fastened
• il 1 min. Membrane: "Duro-Last' (PVC).
Membrane: "Duro- Last' (PVC). • 4. Deck: C -15/32 • Incline: 2
1tt; 11. Della NC Incline: No limitation Base Sheet: Class C mineral surfaced sheet roll • roofing, granule side u
Insulation: Polystyrene, any thickness, mechanically fastened.
"` Slip Sheet
Slip Sheet:
s P l I 1I A. One layer LydaU " Manniglas 1200" (20 mil min). A. One layer Lydall "Manniglas 1151" foil side down, mechanica
I 4 ; '' ; " 1.
, M1 embrane: "Duro Last" (PVC). B. One layer Atlas fastened:
as Energy Products "FR10", mechanically fastened. B. Two layers Atlas Energy Products "FR10", mechanically fastened
1� I ' l,i 1 '! Insulation (Optional): Glass fiber or perlite, any thickness, mechanica
:1 ,'I�, • 12. Della NC Incline: 2 -1/2 fastened.
1 '''Ill 1J Insulation: RmAX "Multi -Max", any thickness, mechanically fastened. Membrane: °Duro-Lase' (PVC).
' ; I Membrane: "Duro-Last" (PVC). 5. Deck: NC Incline: 3
ii i l . 13. Deda Incline: 2
i, � � ; r � NC Insulation: Rmax "Multi-Max" or NRG Barriers " E'NRG'Y 1 ", any thickne!
, -• i • Insulation: NRG Barriers " E'NRG'Y 1 ", any thickness, mechanically fastened. mechanically fastened.
� Membrane: "Duro-Last" (PVC). Membrane: "Duro-Last" (PVC), mechanically fastened.
�( 14. Della C -15/32 Incline: 1 -1/2 6. Deck: NC Incline: 3
" Barrier Board: Gypsum, 1/2 in. min, joints offset 6 in. min from joints " " •
• : i Insulation: Rmax Multi -Max" or NRG Barriers E NRG'Y 1", arty thickne
l; " sum
in deck, mechanically fastened.'
i mechanically fastened.
1 Insu lation (Optional): Atlas Energy Products "AC Foam I" or "AC Foam "
' � ; ; Membrane: "Duro-Last" (PVC), mechanically fastened.
t II ", Celotex "Star AP' or "Hy -Tec", Owens- Corning "Roof Deck Board", 7. Della NC Incline: 3
Rmax "Multi -Max NRG Barriers " E'NRG'Y 1 °, perlite, any thickness, "
s mechanically fastened or adhered with hot roofing asphalt. Insulation: Schuller International UltraGard Gold°, any thickne
, { k mechanically fastened.
i Membrane: "Duro-Last" (PVC), mechanically fastened. Membrane: "Duro -Last (PVC), mechanically fastened.
, 15. Deck: NC Incline: 2 8. Deck: C 15/32 Incline: 3 •
!j 1 j :f Insulation: Schuller International "ULtraGard Gold", any thickness, Barrier Board: Gypsum board, 1/2 in. min, joints offset 6 in. min fn
1 : mechanically fastened. joints in deck, mechanically fastened.
l!� Membrane: "Duro-last" (PVC), mechanically fastened.
i Insulation (Optional): Schuller International "ULtraGard Gold", a
16. Della C 15
��il / 32 Iodine: 2 thickness, mechanically fastened or adhered with hot roofing asphalt
. Barrier Board: Gypsum board, 1/2 in. min, joints offset 6 in. min from Membrane: "Duro-Last Roofing (PVC) ", mechanically fastened.
;l' joints in deck, mechanically fastened. 9. Deck•. NC Incline: No limitations
1 Insulation (Optional): Schuller International "UltraGard Gold ", any Insulation: Atlas Energy Products "AC Foam I" or "AC Foam II", a
33 thickness, mechanically fastened or adhered with hot roofing asphalt thickness.
.':1 Membrane: "Duro-last Roofing (PVC) ", mechanically fastened. Slip Sheet Atlas Energy Products "FR33 ".
1 17. Deck: NC Incline: 3 Membrane: "Duro -Last" (PVC).
l�; Insulation: Any UL Classified EPS insulation (tapered or uniform 10. Deck: C -15/32 Incline: 1
I. thickness), any thickness. Slip Sheet Atlas Energy Products "FR10".
• Barrier board: Celotex "Hy -Therm AP" or Apache Products "Apache Insulation: One of the following, 2 in. min thickness with all joir
I' Pyr x', 1 -1/2 in. min. staggered 6 in. (min) from plywood joints.
Membrane: "Duro-Last" (PVC), mechanically fastened. A. Atlas Energy Products "AC Foam I" or "AC Foam II ".
il if ! 18. Deck NC Incline: 3 B. Celotex "Hy -Therm AP" or "Hy -Tec (Energy- Lok) ".
1 k. Insulation: Atlas Energy Products "AC Foam I" or "AC Foam II", any C. Apache Products "Apache Pyrox" or "Apache White Line ".
1 o„ •j thickness. D. NRG Barriers "E'NRG'Y 2G '.
' i t Membrane: "Duro -Last' (PVC). E. Firestone Building Products "ISO 95+GW ".
i l 1:1 19. Deck: C -15/32 Incline: 1/2 Membrane: °Duro- Last' (PVC).
:j Insulation: 3/4 in. (min) Partek Insulation "Paroc Capboard" with all
I i I. ( joints staggered 6 in. (min) from the plywood joints. MAINTENANCE AND REPAIR SYSTEMS
{{ Membrane: "Duro-Last" (PVC). Class A
i 1' 20. Deck NC Incline: .No limitation 1. Deck: C -15/32 Incline: 1/4
:. Insulation: Polystyrene, any thickness. Existing Roof System: Class A, B or C covered with:
! Slip Sheet Atlas Energy Products "FR -10". Barrier Board: Gypsum, 1/2 in. min.
� ► Membrane: "Duro -Last" (PVC).
1 ` ` 21. Deck C 15/32 Incline: Insulation (Optional)
B. Celotex "Star AP" or "Hy-Tee, any thickness.
No limitation A. Any UL Classified polystyrene insulation (tapered or unifo
i I Slip Sheet Four layers Atlas Energy Products "FR -10". thickness) any thickness covered with 1 in. perlite or 1 in. wood fib
Membrane: "Duro -Last" (PVC).
r. 1,, 22. Deck: NC Incline: i C. Atlas Energy Products "AC Foam I" or "AC Foam II ", any thickne
. ; Insulation: Carpenter Insulation "Foamfold ". D. Owens- Coming "Roof Deck Boards'.
, Membrane: "Duro -Last" (PVC). E. Wood fiber.
.. 1 . 23. Deck: NC Incline: 1 F. Perlite, 1 -1/2 to 3 in. incl.
Slip Sheet One ply Lydall "Manniglas 1200".
Membrane: "Duro-Last" (PVC), mechanically fastened.
- �! �" 1 Membrane: °Duro -last" (PVC). 2. Deck: NC Incline: 3
1 1 24. Deck: C -15/32 Incline: 3 Existing Roof System: Class A gravel surfaced.
.:1
LOOK FOR MARK ON PRODUCT
CITY OFTIGARD 16 Ili'
BUILDING DIVISION PERMIT #: a 6 3 - 0 0 ad'' of
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ^ ''' i��py 1
Inspection Requests (24 Hrs.): (503) 639- 4175'1_
INSPECTION WORKSHEET FOR DATE: 3 /?i /(� ( TIME: PAGE:
r l
SITE ADDRESS: / / 5 d CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: K
eeirr
OWNER: //' r PHONE #:
CONTRACTOR: 4 `7�T �_,�j PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
A5c1 ,A^"A 6, /8 / - 3Sa
Corrections /Comments /Instructions:
eAa 1/�
AI I -
V ..
( A■V
F PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
l l FAIL CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
, li Inspector: Date: 3 P hone #: (503) 718- `'��3