Permit , 1 ®p ��` 1 ,
I BUILDING PERMIT
E h `� PERMIT . - - ' , COMMUNITY DEVELOPMENT DATE ISSUED: 3 26/ 07 001 75
q49,4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-06100
•
SITE ADDRESS: 11419 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: BUSTER'S
Project Description: Tear - off and reroof.
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: $ 6,435.00
Owner: Contractor:
STEVE SCHOLIBO COLUMBIA CONSTRUCTION SERVICES
12241 SW TERWILLIGER BLVD 28395 SW BOBERG RD
PORTLAND, OR 97219 WILSONVILLE, OR 97070
Contact #: PRI 503 - 684 - 9123
Phone: FAX 503 - 684 -1458
Reg #: LIC 116607
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/26/2007 $110.50
[TAX] 8% State Surcha 3/26/2007 $8.84
Total $119.34
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 ity • : ' ication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of th e rules or dire.t .. -stipn o OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss e d By: i , /i , Permittee Signature
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.
Building Permit Application 1 �
Re -hoof �' A"
:; Ci ty of Tigard Date/By. o 7 PermitNo.:���,`d e 2 07 _00 1 7,
rirt
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit.
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: orris Fa See Page 2 for
�: p ►^� Inspection Line: 503.639.4175 Date Ready /By:
� hvOrtl� p Notified/Method. Supplemental Information
ev. Internet: www.tigardor.gov
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ Demolition Permit fees* are based on the value of the work performed.
❑ New construction Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑ I- and 2- family dwelling ® Commercial/industrial
Number of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder
❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
��) 5 ��� }6 y New dwelling area: square feet
Job site address: t
City /State /ZIP: T) 6 R °- 0 k 011 110 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 2m 51UL� Covered porch area: square feet
Cross street/directions to job site: )4 6L1y 9 1 t G 5T)k iv Deck area: square feet
1 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 6� LI3 S- U�
j e u� t ��voF
Existing building area: square feet
New building area: square feet
rg PROPERTY OWNER ❑ TENANT Number of stories:
Name: 7 j Q. SC RQ( -t ib3 Type of construction:
Address: W.-WI S t,.) R S-i(... lj-6w-1 Occupancy groups:
City/State /ZIP: T1 6 {4 -kt), U R .=\ - an Existing:
Phone: (S)3 ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the folly it reasons
City /State /ZIP: apply: / /D• ( �[
Phone: ( ) Fax: : ( ) �f . 0
E-mail: _
-mail: //
CONTRACTOR
Business name: C0 L je - c. s BUILDING PERMIT FEES*
C (Please refer to fee schedule)
Address: 'Z D lam, J O `J 55‘,/ R AWL.17 ki Structural plan review fee (or deposit):
City/State /ZIP: `,J , N ) \30-A.L. 0 ,k ci )
FLS plan review fee (if applicable):
Phone: (Sd3) D g4— j1 Fax: (Sd3) W1' I IA 5 if
T fees due upon application:
CCB lie.: l 1 66 v 7 $ //5
o `6
Amount received: //9.
Authorized signature: ) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
M Date: 03 * Fee methodology set by Tri- County Building Industry
(� -c�c,L C. Service Board.
1:\ Building \Permits\ROOF- PermitApp.doc 06 /26/06 440- 4613T(11 /02/COM/WEB)
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City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 tl
Roof Pry inspect on Report Form 1 rc 'A et +
::: \,// AID C I /' yl ' 1 I- r 1-1-1-1 Telephone Z ZZ. ��
Roof Access Location
Date Requested < — Z - G7
Time Requested 9. ' '
Type of Existing Roof °__
1. Slope of roof deck / foot (ratio) 96
2. Roof /Penetrations/General Condtions ❑ Fair
oor
3. Are there blisters? ❑ Yes �,/
liG ry
4. Are there cracks? ❑ No
5. Is there evidence of water pondng? NJ r
❑ No
6. Is moisture present under roofing (leak)? Yes
❑ No
7. Is roof insulation existing? es
❑ No
8. Is roof insulation wet? ❑ Yes'''
es. ❑ No
9. Property line setbacks on as sides > 10 feet
Y ❑ No
10. Roof Area <.r
s4 ft ❑> 6000 sq. ft.
11. Budding height 4 < 2 Stories >
❑ 2 Stories
12. Class of roof required ❑ Non -rated ��
13. Type roof deck [2(A-. ❑ B. ❑ C.
❑ Combustible R Non - Combustible
14. Roof drains 1 I rovided
[] Required 0 Adequate
15. Overflow drains E(firovided
❑ Required ❑ Adequate
16. Attic ventilation Id Provided
❑ aired 0 Adequate
17. Roof listing
❑ P"vided Required
18. Scope of work ! Tear off
❑ Overlay
o rf this stru the following � must 1 L
I i'`
• / c l A
The re -roof proposal i lig • pproved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Building Division for an in ion when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck
inspection. For a bui • p r • g • stem (overlay), the first inspection is at the start of the job After the re-roof is complete, a final inspection is
required.
Inspector
Ext. Date 3 Z,
,...pWerool Press,
SECTION 1506
FIRE CLASSIFICATION
1506.1 General. Roof assemblies shall be divided into the
classes defined below. Class A. B and C roof assemblies and
roof coverings required to be listed by this section shall be
tested in accordance with ASTM E 108 or UL 790. In addition.
fire- retardant- treated wood roof coverings shall be tested in ac-
cordance with ASTM D 2898. The minimum roof coverings in-
stalled on buildings shall comply with Table 1505.1 based on
the type of construction of the building.
1506.2 Class A roof assemblies. Class A roof assemblies are
those that are effective against severe fire test exposure. Class A
roof assemblies and roof coverings shall be listed and identified r, c v o
H
as Class A by an approved testing agency. Class A roof assem 3 - 9 c 8 5 c i z . c0
blies shall be permitted for use in buildings or structures of all 3 c- c = 3 � . c • .
types of construction. a = r 3 = o _
Exception: Class A roof assemblies include those with cov- 6 N ? s g - e n $ Z 0.
erings of brick, masonry. slate, clay or concrete roof tile, ex < - v c ° : N. II E
posed con roof deck, ferrous or copper shingles or 11 m 5 o . n 2
O ;
sheets. c o 0 o a� ° > y
00
15063 Class B roof assemblies- Class B roof assemblies are w B. - ' o H ° n 3
a-�,3 g — 3 3
those that are effective against moderate fire -test exposure.
2 , 5"
`^ No'o ° _ ., n = m .. -1
g k
Class B roof assemblies and roof coverings shall be listed and ° )4 n ( o m ^ c' , 0° a d. �, % N n co
identified as Class B by an approved testing agency. n a o n r E - 3 ° a 0 c g - 0< r fil
Exception Class B roof assemblies include those with cov- m 3 c a ° , W B, n 33 a
erings of metal sheets and shingles. , = g ' 3 1 = 6 O Z
N
1506.4 Class C roof assemblies. Class C roof assemblies are F - c 5' F, R n o _. o n = -t n •
those that are effective again light fire -test exposure. Class C -- > >- n m o = — n m C D v
roof assemblies and r c overings sh be listed and identified ^ c f ( a o - . o o 0 N
as Class C by an approved testing agency. ,- 2 °A ?? 3 rj 3. 7 3 p 4t
N onclassified roofing is ap- %' c 2, n r, S 3 c ' Z n
15065 Nonclassified roofing. m 5- s g' 7 D
proved material that is not listed as a Class A, B or C roof cover a �. c, " ` c ; r -4 ing. ? m �5. w > Z gp
• 1506.6 Fire - retardant - treated wood shingles and shakes v c 3
Fire-retardant-treated wood shakes and shingles shall be treated 3 = m 5• z ° co m .o
Y impregnation im nation with chemicals by the full -cell vacuum -pres- a ? . m -_ B 3 99, 3 w n Ca
€
sure process, in ac with AWPA Cl. Each bundle shall c o c n 3. T. 'n
be marked to identify the manufactured unit and the manufac-
turer, and shall also be labeled to identify the classification of the
material in accordance with the testing required in Section
11 1506.6, the treating company and the quality control agency.
1506.7 Special purpose roofs. Special purpose wood shingle
or wood shake roofing shall conform with the grading and ap-
1 1 plication requirements of Section 1508.8 or 1508.9. In addi-
tion. an underlayment of 0.625 -inch (15.9 mm) Type X
water- resistant gypsum backing board or gypsum sheathing
shall be placed under minimum nominal 0.5- inch -thick (12.7
mm) wood structural panel solid sheathing or 1 -inch (25 mm)
nominal spaced sheathing.
7 ; •`G47."-) 63025 OB Riley &OM
Salem OR Carlson Testing, Inc. 76 3,so F Salem Office 1�5z O�, 49155
Fa: 15031684-0954 F 15031 589 -1309 Fax 15411330 -9163
Construction Materials Testing & Inspection
Special Inspection
FINAL SUMMARY LETTER
January 12, 2010
T0909732B
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Oregon Business Park I - Building 10 (Exterior Upgrade)
16600 SW 72 Avenue - Tigard, OR
Permit# BUP2009-00175
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Installation of Adhesive Anchors
Installation of HD Titen Screw Anchors
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
-best of our knowledge, -the work was in-conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Mark R. Powlison
Special Project Dept Manager
MRP /ks
cc: Pacific Realty Associates LP - Dick Krippaehne
Group Mackenzie - Tim Schweitzer
Group Mackenzie - Rob Kirkman
Emerick Construction Co - Larry Sitz
01/12/10 TUE 11:01 FAX 503 670 9147 CARLSON TESTING 2 002
M
• d Cp s, safew(e eo lmr4Offl
Carlson es 9 Ins® A430SWIRO¢(Aer ,�>1a ,4,, u 89 l
Mord.. S , na OW _ d olr9noz
PAa re: 003) 4 'hXM Pharaq. 003) 98949,52 Pkgs. 041)330.915S
Construction Materials Testing & Inspection Pmc1S016" $°g' )von rsu a3ac;s3
Special Inspection
FINAL SUMMARY LETTER
January 12, 2010
T0909732B
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223 -8199
Attn: Building Department
Re: Oregon Business Park 1— Building 10 (Exterior Upgrade)
16600 SW 72 Avenue — Tigard, OR
Permit# BUP2009 -00175
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.12 of the international Building Code, we have performed special
inspection of the following item(s) per our inspection reports only:
Installation, of Adhesive Anchors
Installation of HD - en Screw Anchors
All inspections and tests were performed and reported according to the requirements of Project Documents and, to the
best of our knowledge, the work was conformance with the approved plans and specifications, approved change orders
and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's
design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced, except in
full, without prior authorization from this office. Under all circumstances, the information contained in this report is
provided subject to all terms and conditions of CTI's General Conditions in effect at the time this report is prepared. No
party other than those to whom CTI has distributed this report shall be entitled to use or rely upon the information
contained in this document
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC-
Mark R. Powlison
Special Project Dept Manager
MRP /ks
cc: Pacific Realty Associates LP — Dick Krippaehne
Group Mackenzie -- Tim Schweitzer
Group Mackenzie— Rob Kirkman
Emerick Construction Co — Larry Sitz