Permit $v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00168
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112AC -02300
SITE ADDRESS: 14795 SW 72ND AVE ZONING: I -L
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: 048 JURISDICTION: TIG
PROJECT: DELTA FIRE
Project Description: Re- roofing existing roof.
REISSUE: 1 f' 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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: C 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: $ 79,828.00
Owner: Contractor:
C + C DEVELOPMENT ARROW ROOFING
BY DELTA FIRE INC P.O. BOX 55097
PO BOX 4010 PORTLAND, OR 97238
TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 460 - 2767
FAX 503 -460 -2768
Reg #: LIC 115153
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 12% State Surch 5/16/2008 $61.28
[BUPPLN] Pin Rv 5/16/2008 $331.96
[BUILD] Permit Fee 5/16/2008 $510.70
Total $903.94
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 952-001-0180. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued ��� ermittee Signa , re: f
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 • - . oject.
Approved plans are required on the job site at the time of each inspection.
Buitdin' - it "lica • n OR.CPI i'le,E1_,_
.Re-Roof
® FOR OFFICE USE ONLY
City of Tigard Received
Date/B : ArAI' �J Permit No.: - grid , �
13125 SW Hall Blvd., Tigard, OR 972 _ nQ% 1 -�� m �
Inspection Line: 503639
. p 1, Other Permit:
Phone: 503.639.4171 Fax: 503.598 04 CO ARMalit � (� � T i n R D . ` �Q y 1 �� _ e Ready : y: mr s. El See Page t for
Internet: www.tigard- or.gov C��`` ® �_`� otifi e d /Method: '� �, Supplemental Information
TYPE OF WORK Cr c)\- REQUIRED DATA: 1- AND 2- FAMILY DWELLING
dlt
❑ New construction ❑ Demd Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
. ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 4/ 79s- 72/0 /� it u New dwelling area: square feet
City /State /ZIP: f, TLif 9J c 2 9 72 2 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: > t 2 � Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
. 2e- - 20.0C o t./e -cz mauls- r,. V aluation: $ .1C R..1 —7 9 ( 6
Li I i1 -t C)(o 0 -f t et c S 7 ,, vt. TP U Existing building area: square feet
New building area: square feet
1ROPERTY OWNER ❑ TENANT Number of stories:
Name: TY2 1 2 e . h j C Type of construction:
Address: \ c4 S -- 22 N 4uk-Q Occupancy groups:
City /State /ZIP: , i • - t _ l L t'-+ 0 2 5' 7 Z ¶/ Existing:
Phone: ( (/70 — yU 2 v Fax: ( ''?O - J G Su New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: A 1 `2� Poo-1 (, t St -eeT A/� 1 1...- All contractors and subcontractors are required to be
Contact name: P k ?cn-f = licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: e° * Q C5 `C c---5-6 2 1 jurisdiction in which work is being performed. If the
City /State /ZIP: F Tom ,,, 2 Q 2 , 9 7 2 -?e!,) applicant pp is exempt from licensing, the following reasons
(�, C) a 1
Phone: ( X03) t/ (0 0 ^ (nn Fax:: f5 3 ) T� O Z 7 � 15
E -mail:
CONTRACTOR
Business name: r 0-oe)+ 1 f•J ( BUILDING PERMIT FEES*
Address: Y (Please refer to fee schedule
� �;
� J /' �v 7 Structural plan review fee (or deposit):
City/State /ZIP: '� ti l') 0 Jr -773e FLS plan review fee (if applicable): ----- Phone: ( c* 5) r) 27 7 I Fax: (%3) �/ / U —Z 7 (of 8
CCB lic.: l b
5-3 ( Total fees due upon application: q03,cr_t_
Amount received: Q 03- VI
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 8 k P c L Date: l Voi (i U ► Fee methodology set by Tri -County Building Indust
Service Board. �(1
I: \Building�PermitsUtOOF- PermitApp.dce 06 /26/06 440- 46I3T(Il /02/COM/WEB) S
1 '
f . .
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One- & Two - Family Dwelling)
❑ REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
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 not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi family and condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at (503) 718 -2433.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre- inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
I:\Building\Permits\ROOF- PermitApp.doc 2
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CItY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008-00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2t10t3
Phone: (503) 639 -4171 fri th d'�
Inspection Requests (24 Hrs.): (503) 639 -4175 -L.
..
INSPECTION WORKSHEET FOR DATE: 6/3/2009 TIME: 7:OOAM PAGE: 38
SITE ADDRESS: 14795 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 048 TYPE OF USE:
PROJECT NAME: DELTA FIRE
DESCRIPTION: Re- roofing existing roof.
OWNER: C + C DEVELOPMENT, PHONE #:
CONTRACTOR: ARROW ROOFING PHONE #: 503- 460 -2767
Inspection Request Scheduled For: Date: 6/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
250 Roof nailing 070669 -01 503. 572 -9548 N
Corrections /Comments /Instructions: I
e(D C4\A-e • .
1
( U4SC — 1"--4- -- --2: 0
‘1Z<CL. _a__et.- cL e & 4 Nr e_ CryLtiZ., ,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
&'F7k1 ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \L a � 2
v / Date: `� I �/ Phone #: (503) 718- 1
CITYVF TIGARD
BUILDING DIVISION PERMIT #: l3UP2008 -00168
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639- 4171 ��u '��
Inspection Requests (24 Hrs.): (503) 639 -4175 '.� ".:..
INSPECTION WORKSHEET FOR DATE: 6/4/20' • TIME: 7:01AM PAGE: 25
SITE ADDRESS: 14795 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 048 TYPE OF USE:
PROJECT NAME: DELTA FIRE
DESCRIPTION: Reroofing existing roof.
OWNER: C - I. C DEVELOPMENT, PHONE #:
CONTRACTOR: ARROW ROOFING PHONE #: 503460 -2767
Inspection Request Scheduled For: Date: 6/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message 67
250 Roof mailing 070823-01 503 - 572 -9554 N
Corrections /Comments/ Instructions:
►4 PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
6 y 0 Phone #: (503) 718- Z
Inspector: Date: / � ( )