Permit CITYOFTIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00091
,::: .
, � I � ; DEVELOPMENT SERVICES DATE ISSUED: 2/24/03
,.44- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14200 SW 72ND AVE PARCEL: 2S112AA -00300
SUBDIVISION: ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
REISSUE: �� FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 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: $ 75,000.00
Remarks: RA.n.ca-fi
Owner: Contractor:
GERBER LEGENDARY BLADES THE KINGS ROOFING CO
14200 SW 72ND AVE 10319 NE MARX ST
PORTLAND, OR 97223 PORTLAND, OR 97220
Phone:
Phone: 503 - 257 -7575
Reg #: LIC 50620
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
i,:8 1/
:, j am. • f`
[BUILD] Permit Fee 2/24/03 $607.55 --
[TAX] 8% State Tax 2/24/03 $48.60
Total $656.15 r tti 1003
CITY OF TIGARD
BUILDING DIVISION
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: /.,[2/ , , li//L)
Permittee e r
Signature: .120., lux.
Call 639 -4175 by 7 p.m. for an inspection the next business day
Re -Roof
/s FOR OFFICE USE ONLY
Building Permit Application Received Building
ilit Date/By: 0 1--c)-. 1. 1 — D 3 I Permit No )r - 3 - O0 nq/
City of Tigard Planning Approval Other
y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 �° 1V �/ Date/By: Permit No.:
Phone: 503- 639 -4171 Fa QE*960 "" 'o l� (•(- Post- Review Land Use
6 .I Date/By: Case No.
Internet: www.ci.tigard.or.us Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 ' ti 2 1 Name/Method: Supplemental Information
CITY OF TIGARD
TYPE Q>�]4e.B1t DIVISION
REQUIRED DATA:
0 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:
ew
N
Job site address: 4 %,? 6C _7 1�: t 7� Alt, bit l number a floors
New dwelling area (sq. ft.)
Suite #: Bldg]. /Apt. #: f1 (� Garage/carport area (sq. ft.)
Project Name: /�t,s J /� ,r, i blk 1._ c ,41 a Id le^ Covered porch area (sq. ft.)
Cross street/Directions to job site: U Deck area (sq. ft.)
Other structure area (sq. ft.)
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST
Subdivision: 1 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,
E P roF overhead and profit for the work indicated on this application.
Q t_ Coo t2 Valuation $ 7.S i 000
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
❑ PROPERTY OWNER ❑ TENANT Type of construction
F / // / nn
Name: , r Q s Y� FI42 L :'� d! 1 blikk Occupancy group(s): Existing: New:
Address: / Ya 0/J S 0 7»2" 4 Ot
City /State /Zip: -{- (94 4 '
Phone:, 63- 639 Fax: NOTICE: All contractors and subcontractors are required to be
❑ APPLICANT ❑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: 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
Business Name: 1;(t Kti:r k • Fees due upon application $
Address: /03 (el if, , toy -rf u
City /State /Zip: pa( Ohs ; g7 A � Amount received $
Phone: ,50 ' ii Fax: Date received:
CCB Lic. #: (:) i0 l- 0
Authorized /n� �3 Notice: This permit application expires if a permit is not obtained within
Signature: , Date . 02 t2 i " 180 days after it has been accepted as complete.
✓ *Fee methodology
i:\Dsts\Permit Forrns\BldgPermitApp.doc 01/03 � \ �Y ; (0•
‘,,,i
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
S1 City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 2 sm r Nr�,� ; y 4 I I \
Re -Roof Pre - Inspection Report Form �!�- A I
Requested by Telephone 1 3O 3 ) 25 7` 7 5—
Job Address /'/7703 S (-v .7...2 '''-.- Permit #:
Roof Access Location 5la /17
Date Requested -2- 0 3 Time Requested q ti pi-,
Type of Existing Roof / 1 U 1
// • f 7 0 FO d
1. Slope of roof deck `/
2. Roof/Penetrations /General Conditions it ❑ Poor
3. Are there blisters? ❑ Yes [].Alo
4. Are there cracks? ❑ Yes C3 -04e
5. Is there evidence of water ponding? ❑ Yes Ewe
6. Is moisture present under roofing (leak)? ❑ Yes l0
7. Is roof insulation existing? EPfes ❑ No
8. Is roof insulation wet? ❑ Yes El
9. Property line setbacks on all sides > 10 feet 12K ❑ No
10. Building size ❑ < 3000 sq. ft. ❑ < 6000 sq. ft 000 sq. ft.
11. Building height E1-5-2-Stories ❑ > 2 $jp ^as
12. Class of roof required ❑ Non -rated . ~ [ ' \ ❑ B. ❑ C.
13. Type roof deck reAustible ❑ Non - Combustible
14. Roof drains EilliZled ❑ Required. ❑ Adequate
15. Overflow drains ro■ided ❑ Required ❑ Adequate
16. Attic ventilation It11 ❑ Required ❑ Adequate
17. Roof listing rovided ❑ Required
18. Installation Instructions ❑ Required 4° YFC
To re -roof this structure the following conditions must be met: c � 1/
ill/
M
The re -r of prop• is ❑ Approved for 'emit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Buildi g Divisio for an inspection wh: the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck
inspection. For : . uilt -up roo i system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is
required. I
Inspector
E. 2 yZJ Date 2 / 1/G
MaltfingiReroof Preinspec5on Report Form
(:I I Y VI' I IUAIII) z4 -Hour
BUILDING Inspection Line: (503) 639 -4175 I: INSPECTION DIVISION Business Line: (503) 639 -4171 c--, L .
MST BUP P
Received Date Re uested - _ ! AM i} PM BUP
Location va0, S Id '7 — HS 4 Suite MEC
Contact Person Ph ( ) 51 - 757< PLM
Contractor d/ ) SWR
BUILDING Tenant/Owner / S K / (r6tv ELC
Footing ELC
Foundation ► : ? ' ^' �'
Ftg Drain s ,��:. ,�` ELR
Crawl Drain 44 , > � �.�..� y s ; j r . �.v c r• , „" } j .
��- r_'t <, t P. t �,�.. = :L n �.:.,'t. _ ct:.r �:� . _ 1 . 1
Slab Inspection Note : '
Post & Beam - SIT
d
Shear Anchors ed7 - 7666
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd fling
Roof
Other:
Final
PASS PART FAIL
`PEUMBING
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
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA I -
Date 3' ' Inspector � " `� Ext
Approach/Sidewalk '
Other:
Final DO NOT REMOVE thls Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 -- Z)00
Received Date Requested / x1 • . � AM PM BUP •
Location 00 1�- --- Suite MEC
Contact Per4on Ph ( ) PLM
Contr. • Ph ( ) O d - 7— 7 Co 04 SWR
BUILDIN . Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspec • es:c ..r T
Post & Beam
Shear Anchors
Ext Sheath/Shear Jae-t; c. -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus 'd Ceiling
// w D Gz /6 G JO/ e
PART FAIL
P ' MBING
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
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line �) 9—r1/1)
ADA Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISIRN Business Line: (503) 639 -4174 MST
.
� — j BUP
Received Date Requested d -'a AM "� FPM BUP
/
Location l i/aao 5td Suite MEC -
Contact Person 01 ticil Ph (q� ) ( S7 ' 7 5 PLM
Contractor 1i_ I i / 1 r Ph ( ) SWR
BUILDING Tenant/Owner '/ , _ - ELC
Footing
Foundation ELC
Ftg Drain Access: / , / ELR
Crawl Drain PA . /(/ ��
Slab Inspection Noted �� W U �' C am , // SIT
Post .& Beam Q �`
Shear Anchors Ree? / ,I /� / � Ext Sheath/Shear �� e b,
ms/ r '26
Int Sheath/Shear
Framing
Insulation
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd 1 :iling
Roof
Other: a
de" r
PART FAIL
77 BING
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
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 1 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date . 272, `1 l c "3 Inspector _ Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL