Permit A - CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2001 -00080
1( DEVELOPMENT SERVICES DATE ISSUED: 2/26/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103CD -08200
SITE ADDRESS: 13805 SW 118TH CT
SUBDIVISION: CREEKSIDE PARK ZONING: R -4.5
BLOCK: LOT: 012 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: a v Z
Remarks: Re 'heat Prior To Reroofing
Owner: Contractor:
SWANK, GERALD W AND COWELL ROOFING CO
CLARICE J PO BOX 1377
13805 SW 118TH COURT LAKE OSWEGO, OR 97035
TII one OR 97223 Phone: 503-620-6676
Reg #: LIC 40854
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Ponding Before Tear -Off In
PRMT CTR 2/26/01 $62.50 27200100000 Final Inspection
5PCT CTR 2/26/01 $5.00 27200100000
Total $67.50
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 rrn itee
Signature: l !��
ej -4 i j�
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
I-t c D t ) rk e i 01- (olet 1117-5
Building Permit Application
Date received:A Permitnc DDC' $0
. City of Tigard . /� j r�
Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
. 141 & 2 family dwelling or accessory ❑ Commercial/industrial LI Multi- family ❑ New construction LI Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm LI Other:
JOB SITE INFORMATION
Job address: t 3 Oa . 6K if sr 4 C 0004— - t - i6 A-12 -O Bldg. no.: Suite no.:
Lot: I Block: I Subdivision: I Tax map /tax lot/account no.:
Project name: ,J h,42_GLki 5 t.tt A-74 ti-
n
Description and location of work on premises/special conditions: (2C. S /# -47 P�,t.t) (. T � C.W
- I OL/4
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: .1 - 4.0 R«r GW / s a q ( Floodplain, septic capacity, solar, etc.)
Mailing address: /38 a j / 1 $ 1k Cheri -7 I & 2 family dwelling:
City: 71 6 A 11-0 I IZIP: `71ZZ 3 Valuation of work $ 2t 0 b°
Phone:) � & 3 7 6 f001j Fax: I 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: COLO C L. C, e_0 0f t VU Covered d porch area (sq. ft.)
Mailing address: P 0 3O X t 3 77 Deck area (sq. ft.)
structure area (sq. ft.)
City: �ite OciAi 0 IState:( IZIP: 1 ra 35
Phone: , /! 6, 2i) 6 I Fax: E- mail: Commercial/mdustrial / multi- family:
CONTRACTOR Valuation of work $
Business name: 6U Ligrr/l1 Ct Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
City: I State: I ZIP: Number of stories
Phone: Fax: I E -mail: Type of construction
Occupancy group(s): Existing:
CCB no.: it/0 5 y New:
City /metro lic. no.: ( No tice : All co ntractors 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: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: IState: IZIP: 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 provisions of laws and ordinances governing this o Visa 0 MasterCard
work will be complied with, whether specified herein or not. Credit card number. sx /
P
Authorized signature: Date: Name of cardholder as shown on credit card
$
Print name: Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6iO0/COM)
RE- ROOFING PERMIT CHECK LIST
RE o ENTIAL 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. j 27 A.0 s{- / S 1 6 It 0 C
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:
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CITY OF TIGARD BUILDING INSPECTION DIVISION -
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP >J -u a 6 .kU
Date Requested 7 — / AM PM BLD
Location /3 gar 5c✓ / /g 1' Suite MEC
Contact Person lt-/ 7f Ph SZ) 5 -312 ( GS Z 3 PLM
Contractor Ph SWR
BULL Tenant/Owner ELC
Retaining 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
a lri l. Ceiling ,
Misc:
Final
pe l PART _ Gen
PLUMBING
Post & Beam
Under Slab
Top Out 1 /
Water Service
Sanitary Sewer
\P\
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 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION � � s .,
•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST x
BUP .e701- 4 UV ` 1/6)
Date Requested (7' Z AM PM BLD
Location /3(0 SA.) // 2 i d Suite MEC
Contact Person Ph 5 U!Z Z PLM
Contractor Ph SWR
Tenant/Owner ELC
aining 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 •'d Ceiling /
Pi:
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 ins ection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reins ection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• O.1TY OF TIGARD BUILDING INSPECTION DIVISION MST Z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ,2 v ?- 00
Date Requested 2— 1 / AM V PM BLD
Location /.5f05 SG✓ //,e4 Suite MEC
Contact Person Ph Y3 - G la 7f PLM
Contractor ,r . ph 56j- 5a f_ &j23 SWR
UILDIN Tenant/Owner ELC
Retaining 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
S
oof fh� ,, �, ^^ 54,-e -s � )D L� 0 1
isc:
Final
PAS PA 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 I
Date Z nS ector ‘'ok Other D p Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection ecord 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 2 4 Inspection Description Date Passed By
Firewall
Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 Inspection Description Date Passed By
Drywall nailing
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
Fireproofing Lab Final Smoke detector
Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
4 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
4 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 J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC ELR, MEC SIT PERMITS
.. - _ -..
A w � CITY O F TI GARD BUILDING PERMIT
PERMIT #: BUP2001 -00080
a DEVELOPMENT SERVICES DATE ISSUED: 2/26/01
'- �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13805 SW 118TH CT PARCEL: 2S103CD -08200
SUBDIVISION: CREEKSIDE PARK ZONING: R -4.5
BLOCK: LOT: 012 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: Resheat Prior To Reroofing
Owner: Contractor:
SWANK, GERALD W AND COWELL ROOFING CO
CLARICE J PO BOX 1377
13805 SW 118TH COURT LAKE OSWEGO, OR 97035
TIPA OR 97223 Phone: 503 - 620 -6676
Reg #: LIC 40854
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Ponding Before Tear - Off In
PRMT CTR 2/26/01 $62.50 27200100000 Final Inspection
5PCT CTR 2/26/01 $5.00 27200100000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 4 0 1 6
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is C
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: r 4 ,
J
Issued By: Le-ry�—
Call 639 -4175 by 7 p.m. for an inspection the next business day
10 4
d