Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00092
M�l�l DEVELOPMENT SERVICES DATE ISSUED: 3/9/09
13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171 PARCEL: 2S1 11 BA 04300
SITE ADDRESS: 14020 SW 98TH AVE
SUBDIVISION: MCDONALD ACRES ZONING: R -4.5
BLOCK: LOT: 018 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: 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: 373
Remarks: Rercof
Owner: Contractor:
LANGER, BARBARA D S.O.S. ROOFING
14020 SW 98TH AVE 13500 SW PACIFIC HWY #447
TIGARD, OR 97224 TIGARD, OR 97223
Phone: 503- 680 -5661 Phone: 503 - 670 -1450
Reg #: uc 130377
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof naiing Insp
PRMT CTR 3/9/01 $100.90 27200100000 Misc. Inspection
Final Inspection
5PCT CTR 3/9/01 $8.07 27200100000
Total $108.97
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 -1987.
Pe rm itee /
Signature: 0''
Issued By: ' 1i
k Call 639 -4175 by 7 p.m. for an inspection the next business day
.t
• Building Permit App
Datereceived: � I ( Permit no.: 2_
/0 / -evt-
-`¢�ti�y'�� City of Tigard
- Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: ( Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
• & 2 family dwelling or accessory LI Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: / 0 2, 0 S 1„f c , r:- p.--y. L C/ 7 ,Z - )- 3 Bldg. no.: Suite no.:
Lot: Block: !Subdivision: 'Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name:
L a L,, -e (Floodplain, septic capacity, solar, etc.)
Mailing address: 0 a l 0 5 4/. y K tl 1& 2 family dwelling:
City: M r State: (I/ ' ZIP: c( 7 j J 3 Valuation of work $ 4,0
Phone p 0 '( ( <I4Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
• Phone: 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: `State: 1 ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/mdustrial/multi- family:
CONTRACTOR Valuation of work $
Business name: S.. C P Existing bldg. area (sq. ft.)
p `� ' o �� New bldg. area (sq. ft.)
Address: t 3 00 .S IA/ / - W .. FI / - '447 �/ Number of stories
City: 4 r I State: Or ZIP 1 7,2 / 3 Type of construction
Phone: 0 - 1 4 Yo I Fax: 1E-mail:
3 0 3 Occupancy group(s): Existing:
CCB no.: 7 7 New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be requited to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City I State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: I Fax: 1E-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 provisions of laws and ordinances governing this ❑ Visa 0 MasterCard
work will be complied„ , • - specifi herein or not. Credit card number. / Exp'r s
Authorized signature: 4 / Date: 3- 7 " of Name of cardholder as shown on credit card
$
Print name: 0 a 1/ I t n d7 X Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (6AOK.'OM)
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1.1xx 004:Ct2./
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1 ,(0 ( AM PM BLD
Location LA-p2U 9 g Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILD15.41 Tenant/Owner ELC
ming Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus ' _ eiling
Misc:
AS PART FAIL
PLUMBING
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
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date -51,'l <<
� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing �j�t a l Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing .4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection 2 j k ( ,oi
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR ELC, ELR, MEC, SIT PERMITS
CITY OF TIGARD BUi NG PERMIT
PERMIT #: BUP2001 00092
;4,,�y;� DEVELOPMENT SERVICES DATE ISSUED:'3/9/Da__.-
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BA -04300
SITE ADDRESS: 14020 SW 98TH AVE
SUBDIVISION: MCDONALD ACRES ZONING: R -4.5
BLOCK: LOT: 018 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: 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:
Remarks: Reroof
Owner: Contractor: e
LANGER, BARBARA D S.O.S. ROOFING 14020 SW 98TH AVE 13500 SW PACIFIC HWY #447
TIGARD, OR 97224 TIGARD, OR 97223 9
Phone: 503 - 680 -5661 Phone: 503 - 670 -1450 / /'
Reg #: LIC 130377 , ' / I f r �
FEES
REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof nailng Insp
PRMT CTR 3/9/01 $100.90 27200100000 Misc. Inspection
Final Inspection
5PCT CTR 3/9/01 $8.07 27200100000
Total $108.97
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 -1987.
Permitee
Signature:
n
f 7
Issued By: , / -' V - '
k Call 639 -4175 by 7 p.m. for an inspection the next business day