Permit 1," • BUILDING PERMIT
CITY OF TIGARD PERMIT #: BU P2006 -00347
n DEVELOPMENT SERVICES DATE ISSUED: 7/19/2006
+ . - - - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DD-04403
SITE ADDRESS: 11950 SW GREENBURG RD ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Re - roof
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: B 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:4k /[f DUU , O v
Owner: Contractor:
BUSCHBACHER, LOUIE J OREGON ROOFING CO
PO BOX 23955 PO BOX 42223
TIGARD, OR 97281 PORTLAND, OR 97242
Phone: Contact #: PRI 503 236 - 0065
FAX 503 - 557 -9770
Reg #: LIC 3905
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2006 $177.70
[TAX] 8% State Surcha 7/19/2006 $14.22
Total $191.92
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: / y
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.
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Building Permit App atlon sY ,,'ri`>=r` 1 :, q, , , () l I I (,I * �,i -2,x I ` �
}\ .-;. .� 'a' t >_ :',10 ,t ;
; t g , �"� Received i 7
N �„ City of Tigard JUL 19 2006 Date Received
. ,, ,,� Permit No. - I ./� -
t ° 13125 SW Hall Blvd., Tigar , R 9722 Plan Revi - r
ti ^ Other Permit:
Phone: 503.639.41 F 5 3 19 0 Date/13 .
� l d i \ ,- Inspection Line: 503. 711 U I : p Date Ready/By: ® See Page 2 for
t.1 .=r?n
:- .- Internet: www.ti VISTO�°� Notified/Method Fin Supplemental Information
TYPE OF WORK_. - REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I - and 2- family dwelling (m
Comercial ustrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
ID Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION p Total number of floors:
Job site address: / / q 50 Si... 6 rc,c.o (3 ,, n-3 1ve.Q,. New dwelling area: square feet
City /State/ZIP: 7 `� G , L ,� v ti 5%3 ZZ , 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: �I Project name: TIV'TtS '4.1-kp p.5 Covered porch area: square feet
Cross street /directions to job site: CPNcee4ls .lN c , Deck area: square feet
J
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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. •
±(�G'r o fF An/.� "'P l 1 Valuation: $ o ,
M A I A(' PCL7 5 11 2 Existing building area: square feet
o New building area: square feet
• ❑ PROPERTY OWNER • ❑ TENANT Number of stories:
Name: , f/ ra -140 Dd - Cpl/ Lpip 1 rN c_. Type of construction:
Address: // i p S w (Ol'�N &...") ,t Q Occupancy groups:
f/
City /State /ZIP: C"° / 02 g
- / q 2;2_3 Existing:
Phone: (5 7 b icy L ) Fax: (5 v) ry ) 9.4. g— 7 1 ZL New:
❑ APPLICANT . • ❑ CONTACT PERSON NOTICE .
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax::( ) 'l
E -mail: � �7 - 1�
l� • a—•
CONTRACTOR - Iq
v
Business name: Dit.e -im /2o a-IC. r.' - Ct3 , BUILD PERMIT FEES*
Address: f) �p X % TiZZ 3 (Pleaserejertojeeschedule�
City /State/ZIP:Po/Z L., Iv p 02.- V 72_0 2 structural plan review fee (or deposit):
i FLS plan review fee (if applicable):
Phone: (5 25 L -00 Ss S- I Fax: ( )
r Total fees due upon application:
4t Amount received: �' - 9
Authorized signature: U his � ermit application expires if a permit is not obtained
� I --0.1.1 within 180 days after it has been accepted as complete.
Print name: MI k€_ ) /e ( v I < Date: d • Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -TI- PermitApp.doc 03/23/06 440 -4613T(11 /02 /COM/WEB)
/
,k. Building Division
Plan Submittal Requirement Matrix
cf<1 G,A.R <D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal . # of Plans
(Includes new, additions and alterations.) Required at
Submittal .
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
•
Site Work 2
(must include location of all accessible parking) •
Plumbing (site utilities) 2
Building 1*
Fire Protection System • 2 ** • •
Mechanical
•
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
•
•
•
I: \Buildin Permits \ I3UP T1- PcrmitApp.doc 03/23/06
•
City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Re -Roof Pre - Inspection. Report Form 4 � ,.
Requested by Telephone f )
Job Address
I. ( G Fj � � ( ,,._ Permit #: f
Roof Access Location — ' i --V:7
Date Requested C3 tom,, Time Requested 1 i (
Type of Existing Roof On [—T 0 t /`�l'- ` C-Rf�-t�oz -- -
n
1. Slope of roof deck rt ( ; f%
2. Roof/Penetrations /General Conditions .. air ❑ Poor
3. Are there blisters? es ❑ No
4. Are there cracks? ❑ Yes L i o
5. Is there evidence of water ponding? LJ."es p No
6. Is moisture present under roofing (leak)? ❑ Yes
7. Is roof insulation existing? ❑ Yes ello
8. Is roof insulation wet? ❑ Yes -- 2-No
9. Property line setbacks on all sides > 10 feet Bles ❑ No
10. Building size [ _ 30 . ft. ❑ < 6000 sq. ft ❑> 6000 sq. ft.
11. Building height < 2,stories ❑ > 2 Stories
12. Class of roof re on -rated ❑ A. ❑ g
❑ C.
13. Type roof deck mbustible ❑ Non-Co bustible
14. Roof drains ❑ Provided equ' ed dequate
15. Overflow drains ❑ Provided •equired ❑ Adequate
S
16. Attic ventilation ❑ Provided ❑ Ruired (.Adequate
17. Roof listing • ❑ Provided IUK fired
18. Installation Instn5ns ❑ Provided Of Required
To re -roof this ttricture the following conditions must be met:
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The re -roof proposal i,� proved for permit issuance if the conditions fisted above are met After obtaining r permit you must contact the
Building Division for .n 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.
VA t
Inspector Ext.24Z3 Date 71 / /e,
CITY OF TIGARD 7
BUP 200 003/17
BUILDING DIVISION ,/ P ERMIT #: 7/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /� rit4ii• I� .
Inspection Requests (24 Hrs.): (503) 639 -4175 ' W
7/21/2006 7:01AIVI 38
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
11950 SW GREENBURG RD
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: INTEGRATED DATA LOT #: TYPE OF USE:
PROJECT NAME: Re -roof
DESCRIPTION:
BUSCHBACHER, LOUIE J,
OWNER: OREGON ROOFING CO PHONE #: 503- 236.0065
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: 1/1 " . ' W" Pour T e: h ,/y
V �
Co # Irmcl ription c12 0 WI 091 a9 �.;
633 (4 tf - a l A
Corre tions /Comments /instructions:
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, 0 0) L.i. - d---A•
°- ' - - - 7eArlarilljr, ..,
PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
°� L
Inspector: Date :? Phone #: (503) 718
CITY OF TIGARD - -
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED:
�"
Phone: (503) 639 -4171 filtilid" ��
Inspection Requests (24 Hrs.): (503) 639 -4175 1I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / / qSd CLASS OF WORK:
SUBDIVISION: LO . TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
- Inspection Request Scheduled For: Date: 7— 1 — 0 4 Pour Tim . r
Code # Inspection Description Confirm # Contact # Messag
_ r
Corrections /Comments /Instructions:
•
Ad
. - -� # • -
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: oil Date:7. 1 oc) Phone #: (503) 718 - °It—