Permit A. , t,
CITY OF TI
GARD BUILDING PERMIT
PERMIT #: BUP2005 -00337
u �ll DEVEL -639 -4171 DATE ISSUED: 7/18/2005
PARCEL: 2S110AB -02201
SITE ADDRESS: 14325 SW 112TH AVE ZONING: R -4.5
SUBDIVISION: COLE'S ACRES LOT: 8 -9 JURISDICTION: TIG
Project Description: Re -roof.
REISSUE: . �` FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: be FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : 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: $ 7,000.00
Owner: Contractor:
FIRST CHURCH OF CHRIST, JIM FISHER ROOFING & CONST INC
SCIENTIST, TIGARD, OREGON 23225 NE DILLON RD
14325 SW 112TH AVE NEWBERG, OR 97132 -7319
TipARD , OR 97224
o
Phone: 503 - 625 -2586
FEES Reg #: LIC 45970
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/18/2005 $110.50
[TAX] 8% State Surchan 7/18/2005 $8.84
Total $119.34
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: PAP 1 Per
mittee Si e.,, , I ,_,..
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 of the project.
Approved plans are required on the job site at the time of each inspection.
• I Re -Roof _
1 / , "Bu Permit Application p y FOR OFFICE USE ONLY •
}y Tigard E( v e EIl/ED Received -• Permit No.: '
City of Ti and !Y Date /B : f 0S ' _ 4 63 j
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i L + i/y xr pi,N; Other Permit:
V ( � ' Date /By
. Inspection Line: 503.639.4175 1 2005 44 t'l J„ Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: NM Supplemental Information
CITY OF TIGARD
BUILDING ON
'TYPE. OF NE REQUIRED DATA:;1- AND,2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
9 1Add ❑ 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: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' JOB SITE _ INFORMATION AND LOCATIO _ ' . Total number of floors:
Job site address:14 3 J. c- v ( (; _ New dwelling area: square feet
City /State /ZIP: ic 0.,42., 0.,42., / 7 , 7/ " ,� Garage /carport area: square feet
Suite/bldg. /apt. no.: I r Project name: f e.,& f_A Cifil7,4 4 Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
it/ ;So--A—r-0(2/2. a , • - �� 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.
P Valuation: $ "7 / /. V Existing building area: square feet
�� New building area: square feet
;gaROPERTY OWNER . ' ❑ TENANT Number of stories:
Name: (( _v ,� � _I 1 � � -0' ; Type of construction:
Address: ( L/_ r , ;. (/ a Occupancy groups:
City /State /ZIP: `wQ OA.. 9 7 Z L Existing:
Phone: ( O f7 90 Fax: ( ) New:
. ❑ APPLICANT . . ❑ CONTACT .PERSON
NOTICE . '
Business name: �� All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the .
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax::( )
E -mail:
CONTRACTOR _ ..
• Business name: 9F p p 4 4 � _�� Q�_
� BUILDING PERMIT FEES* ' ,' '
• Address: Z r c' kQ e. .., ,,,, 04? � v _
Please refer to fee schedule.
City /State /ZIP:ke ., � s � 4J 7l a-
Fees due upon application
Phone: (5253) (p `�f Fax: ( )
5- q 7 p Amount received
CCB lie.: `
Date received:
• Authorized signature ,, .S /
`,/� e _ % , This permit application expires if a permit is not obtained
l/(/t within 180 days after it has been accepted as complete.
Print t /
name: a " ' `� p (, C.- sT c Date: 0 7 - i g_ * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\ROOF- PennitApp.doc 12/03 440- 46I3T(t 1 /02/COM/WEB)
,
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One- & Two - Family Dwelling)
O 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- roofmg. .
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 inspection line at (503) 639 -4175.
❑ 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: $ / 706 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 and
special purpose roofing of commercial projects.)
TOTAL: $ / J 9. 3v
L•\ Building \Permits\ROOF - PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP200S -00337
Phone: (503) 639 -4171 /0/4111 7/18/2006
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7/27/2005 7 :15AM 62
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 14325 SW 112TH AVE LOT #: TYPE OF USE:
PROJECT NAME: COLE'S ACRES 8.9
DESCRIPTION: FIRST CHURCH OF CHRIST
Re- roof.
OWNER: PHONE #:
CONTRACTOR: FIRST CHURCH OF CHRIST„ PHONE #:
JIM FISHER ROOFINO R COMET INC 603 626 2685
Inspection Request Scheduled For: Date: Pour Time:
7/27/2005
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 012180.01 503- 625.2686 N
Corrections /Comments /Instructions:
FtiaL 03C,
f r
•
XPASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL Fe INSPECTION ❑ ADDITIONAL FEES ASSESSED
Vii.► ►•
Inspector: VA. Date: — 2 - :o/ - 7 -0 S Phone #: (503) 718 -