Permit CITY OF TIGARD BUILDING PERMIT
•
PERMIT #: BUP2001 -00291
- w Az'ty ili DEVE SO RVICES 6 39 -4171 DATE ISSUED: 8/10/01
� SIITE ADDRESS: 15605 SW 72ND AVE PARCEL: 2S112DC -00100
SUBDIVISION: OREGON BUS. PARK III ZONING: I -L
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: 0.00 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: $ 110,700.00
Remarks: This project includes addresses: 15605 and 15705 Building #219
- 2,....n41/46
Owner:
Contractor:
PAC TRUST PACIFIC ROOFING COMPANY INC
15350 SW SEQUOIA PO BX 1728
PORTLAND, OR 97224 BEAVERTON, OR 97075
Phone: 503 - 624 -6300 Phone: 640 -3163
Reg #: LIC 41571
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final lnspection
PRMT CTR 8/10/01 $787.20 27200100000 Pre- roofing inspection
5PCT CTR 8/10/01 $62.98 27200100000
FIRE CTR 8/10/01 $314.88 27200100000
Total $1,165.06
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe mi ittee g . 4.3,n Signatur , / if
Issued By: _ _ . ._ , _i. _ , , .Ar
Call 639 -4175 by 7 p.m. for an inspection the next business day
f Building Permit A 1 plication
Date received: /07d` Permit no. 2a» - ' ?i
46- ` t;',A iif City of Tigard
!- Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blve, :ard, OR 97223
Phone: (503) 639 -4171 Date issued: By:. /1 I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory Sl Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alantt 0 Other:
JOB SITE INFORMATION
Job address: I 45 )S- Z 6S 5 IL) 1 . h a Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: 1 Ail
Description and location of work on premises/special conditions: Re. C o 'A/U.3
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: PCi c.1.4 U s (Floodplain, septic capacity, solar, etc.)
Mailing address: /,s '33 0 S Li 5 e to p i P "r:500 1 & 2 family dwelling:
City: (fir k 10_4 (State: 0 f I ZIP: 9 7 a.a t Valuation of work $ 10,700
Phone:03 -1 )& _4; 'Fax: (,1-4 - ,1 I E -mail: No. of bedrooms/baths
Owner's representative: o I‘ h W `r j1 G Total number of floors
• Phone: 6)4 -11. Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage carport area (sq. ft.)
Name: V‘J g,�,(, It Covered porch area (sq. ft.)
0
Mailing address: is �l S e R...„ ter R c I Deck area (sq. ft )
City: 14 ( \l5NJ d Co I State: f` - I ZIP: ° CI tai Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercialfmdustrial /multi - family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.) •
Business name: Q (,at: L New bldg. area (sq. ft.)
Address: 1541 S (Z C k4-6 Number of stories
City: l.1_,\.. , Jo I State:a f I ZIP: 91 ■13 Type of construction
Phone: ( 0 —3 j ( 1 Fax:l,Lt —1. 0 I E -mail:
CCB no.: j / S7 f
Occupancy g roup(s): New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Boaid under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGLNEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: IState: 'ZIP:. Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not au) moos accept s cards, please call i caoo far more iafonnatioa
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied 'th, whether s ified herein or not. Bard number:
Amount
Authorized signature: Date: / /(3/ (1 Name of cardholder as shown 00 credit Bard
Print name: V� b { cardholder signature
Notice: This permit application expires ifs permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (&o OM)
O '1 RE- ROOFING PERMIT CHECK LIST t
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):
Existing built -up roof covering to be REMOVED and deck repaired.
' 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 #:__Pgafffflat IA- Y1- R 9
2. Manufacturer: t; c r �r,; -j-c (.! •
3a. UL Classification: t
Listed UL Building Materials Directory Page #: 1 co R I 1 Co 5C
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. ixyana of roof area $ 1) 0) 100
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\roofcheddist.doc 10/05/00
CITY OF TIGARD BUILDING IN DI ISIOhP j
24-Hour fhspection Line: 639 -4175 Business Line: 639 -4171 MST
� BUP
6►�te Requested b D 'f� AM PM B9 — D / d O a - /
Ti Location 1 S 0, j --- 7- 11-0-._ Suite C
Contact Person Ph 6 V-to -3 / ( 3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner c___://7 4c-- ELC
Retaining Wall ej 3 QS ' /J 4 ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear 1 4,12
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus •'d Ceiling
isc: .
F. • •ART FAIL
NG
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
BackfilUGrading •
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: r� \� [ ] Unable to inspect - no access
Fire Supply Line
ADA / �/ /^
Approach /Sidewalk Date gl c_ l v / Inspec �� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.