Permit A. - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00356
t DEVELOPMENT SERVICES DATE ISSUED: 10/9/01
W l ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: _07580 - SW BONITA RD PARCEL: 2S112BD 00100
SUBDIVISION: TIFFANY COURT APT. ZONING: R -12
BLOCK: / Lit (e, (00 1(fro1. j U L - -OT: 065 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R1 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: 39 00 • 00
Remarks: Re -Roof
Owner: Contractor:
BOROS, STEFAN A + FIVIA DUMITRU IONESI
PO BOX 1890 2870 NE HOGAN RD.
GRESHAM, OR 97030 #E-436 N� 0 pR 0 g ��L
Phone: G Pf�ie 53= 48
Reg #: q Gcj - j
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof nailng Insp
5PCT CTR 10/8/01 $25.66 27200100000 Final Inspection
PRMT CTR 10/8/01 $320.80 27200100000
PLCK CTR 10/8/01 $208.52 27200100000
Total $554.98
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 1- 800 -332 -2 , 4
Pemiittee ��� / ��
Signature: A �,'1"�� /
Issued By: 6 t L,r_ C___, ,75.,(_&74 �)
Call 639 -4175 by 7 p.m. for an inspection the next business day
0 B uilding Permit Application
( .`F¢ le City of Tigard 1 �� Date received: U / Q Permit no o I - 003
":_.. Project/appl.no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: m Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT .
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
. I J OB SITE INFORMATION - --
Job address: 1 -i ' Q S «) 1. Ti tT/� Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: _
Description and location of work on premises/special conditions: � • 2F 1 -- 7.---A — P_ 01-F
,f OWNER I FOR SPECIAL INFORMATION, USE CHECKLIST
■ Name: /240 r-s
__) • - ( Floodplain , septic capacity, solar, etc.)
Mailing address: . Q . /, - 1 & 2 family dwelling:
l�f� � ,j ZIP: O �,� Valuation of work $ . 0 1 0(0, 00
Phone (, t ` • E-mail: No. of bedrooms baths
Owner's representative: Total number of floors
• Phone: "/ ' d Fax: E mail: - New dwelling area (sq. ft.)
APPLICANT( Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
/ CONTRACTO Valuation of work $
/ Existing bldg. area (sq. ft.)
/ Business name: Tl , - p ‘A In 00 r%s t 1 New bldg. area (sq. ft.)
Address: c p_criQ kG 1,40 [� p- ,,I RD , # E' Li.,b Number of stories
City: Gip e �,„ State: O I ZIP:0003o. Type of construction
Phone: Sa3 -//pg O ky-/ I Fax: I E -mail:
Occupancy group(s): Existing:
CCB no.: q (,q 725 New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board 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: I Plan no.: .
Phone: Fax: E -mail:
ENGINEER 1
Name: N 8- Contact person: - Fees due upon application $ '
Address: Date received:
City: 'State: '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 all jurisdictions accept credit cards, please call jurisdiction for more information. .
attached checklist. All .. Est . ns f laws and ordinances goveming this ❑ Visa 0 MasterCard
work will be eompli I wi r, r s 5 1� rein or Credit card number / 71219/ Expires
Authorized sign ' /L Date: ! Name of cardholder as shown on credit card
x Print name: , UGC/ r7' 0.7 $
/ ` Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o•4613 (6i00/COM)
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