Permit BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2004 -00117
DEVELOPMENT r S SERVICES (503) 639-4171
DATE ISSUED: 3/22/04
13125 SW Hall Blvd.,
SITE ADDRESS: 15630 SW GREENS WAY PARCEL: 2S111 CC 20400
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R -
BLOCK: LOT: 262 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: $ 25,957.00
Remarks: Reroof Building #6 at 15630 Greens Way and
15640, 15650, 15660, 15670, 15690 Greenleaf Ct.
Owner: Contractor:
HILL, RALPH P + MAURINE F TRS JBC ROOFING
15630 SW GREENS WAY 12155 SW GRANT AVE STE C
TIGARD, OR 97224 TIGARD, OR 97223
Phone:
Phone: 503 - 968 -1235
Reg #: LIC 98255 •
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 3/22/04 $139.30
[TAX] 8% State Surcharl 3/22/04 $11.14
Total $150.44
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: ' L s! � .
Pe nn ittee /
Signature: A <
Call 639— 75 by 7 p.m. for an inspection the next business day
,
1 Re-Roof /
,
•. ••
i Building Permit Application ,
FOR OFFICE USE ONLY .
--.,
City of Tigard RECEIVE rm
* Received 41111
Date/B : , Peit N. ,...... et , i ll
oliid.e, z __
az/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
a Pi iilt Date/B : Other Permit:
Inspection Line: 503.639.4175 MAR 1 6 2O Date Ready/By: Anis: gl See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
nay OF TIGARD
W4:!':' ja"*(004:# iiwillir'i'd
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
y SAddition/alteration/replacement . 0 Other: equipment, materials, labor, overhead, and the profit for the
! work indicated on this application.
Valuation: $
El 1- and 2-family dwelling 111 Commercial/industrial
Number of bedrooms:
El Accessory building 0 Multi-family
0 Master builder X0 ther:ri Number of bathrooms:
i .1.., dP •- •!, ..;.=.1,-.; i,-,t': Total number of floors:
-- " - - L:1 '" ', to: . ' itae-Y -
Job site addre •
. gill-t 6#?EaAj Ltj • Z - ,.. ) •4-- New dwelling area. square feet
City/State/ZIP: ha., ? o $ 44), QRe--e .‹ 77c A-43? Garage/carport area: square feet
Suite/bldg./apt. no.: Project name:5044 ,t 0, F - IP 6 4,..* Covered porch area: square feet
Cross street/directions to job site: - (?-c . 4,) Deck area: square feet
Other structure area: square feet
. , ,-, A,,,).1< 4 • ^ - I? ,, , ,, ,W,:e ,,,,, , , ,, , , , *- - : , , , i ,, , , , , tC , 1 -,., " ' •' I ',=';
7REQUIREDI:liATA OKEIST,:.A:
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
PS5; S work indicated on this application.
tigi,....e.;'.uIIV;2ZZi:e
Valuation: $
- ../ .
Ter7.7;c(4-__€. co/ /uElo te_t_,--r 'P/4-7 Y ab — . Existing building area: square feet
y.e.. 4 ( _ A-de c xi, . e_v&cp: ,, / Ai cr, A C_-:_-' s New building area: square feet
Mkraln P-',,,'aalrrf.igliefik&t,Nr*VPP2=.3P;;: Number of stories
Pet-- Name: :
,..--,..'' , ..;..04rA7'2.',:, -4:,:q.0:4:',2=Y":41 ,T.,-.-,4 .t,;,. ,k,,,,,4„5.A4rt.17,,14
Zikitegosc @/. /1 4.1 f-- 6i. 4-itd4 7 Type of • •
' , cC0 ) ype o construction:
•
Address: Occupancy groups:
-C4541/igagail! Sciy-Pr f° tct. I (i2: ____ '
Existing:
e" —
Rheug ) 444.4..._ ) New:
h'iffeAlAW'SAVqAIR ii..2;tWRilfi■reavikT5PigoV; 4 TAV .-.0,, ' , " ",' O'V' -.,. :-04i1,, .
le'a fittei ,' " At' ■;.,-,,-, ,-.. , 'i' l' ;' I.' :;':A.
W
Business name: All contractors and subcontractors are required to be
Contact name: Afei-$ 0 Ai 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
applicant is exempt from licensing, the following reasons
City/State/ZIP: apply:
-
Phone: c03 -- 6 7 ...... eirb ? Fax: : ( )
E-mail:
rgaiitiM
e '14'& ;.,' '' v i:: . , o*V,"•:' "' '.4' 1 VI
Business name: ‘,...rt - F26' /A 4 kq
-r 4. C_ ,IFg4,:".„ NY
,,,,-,C,il'a,m,,,,i,,,,,,,,,,,:cn.,,
Address: /7,- (.4-x" 6 , a) ,. ,f i4-c/ 7 .3
% Please refer to fee schedule.
City/State/ZIP: - 7774 4.--„e3 e:Aitrf 7 7 .,.- 7 ,- 3
Fees due upon application
Phone: (01 — 9g,f,... /7-61 I Fax: (
Amount received
CCB lie.: gr
, , Date received:
Of ,, /
Authorized signa., • / 4 , J/ , .
I This permit application expires if a permit is not obtained
iiiillifiCeAra
;.... , within 180 days after it has been accepted as complete.
- F
Print name: Date 63.- V 'Foe methodology set by Tri-County Building Industry
Service Board.
i: \BuildingTerrriits \ROOF-PermitApp,doc 12/03 440-461 3 T(11/02/COM/WEB)
. L
• RE- ROOFING PERMIT CHECK LIST
RESIDES =TIM ( One lli FaaW Mlim n
gi - ja to r�, �a a.y. � ', S r r, .' "' €. v ., '�,��^rt 1� s a
�,t� � r,'�'�,�x..,_.�;?.&� . - Pia ,.���;,.�'.�,e���'"'�.�.w�,,�.: _�r ��a�'�r. �t,� .�,��s�'�, �a i t .
❑ 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- roofing.
- - ,.�_ .4f`""' �..°"'€,'iL 'ry;:r: .��::� - ',��" "� yy1Vi � #' �� 3 ' 2'?2� ?' �.� ^ "i,.`r , R': . " �
��..�„ _ .� �,�.f3�s,' �',�. ';.;Y�i` vim" -'a.P 4'� :�SS°i. ,��(�:C� ,�d'��,,�, �,_°
�GU' 1 RCIAL °�( includes' multi- family�and�condorruriiums), k� � ., � � �
�
�
"4 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.
mod:° � "3 `.', .�`� '•�' ;�': ''{';, 'bXn` ^.`� {a: `^•�"aLS.x, �, =i
',:r`:,s ` I N N S I r " i »"r" 3 :,z,. i'' � e ttt A. .s^ p TI ' s'"x' y nT �"r '^ er.
�'4�e;�k § .,_ r� �. ^ ». _ �`w�*,,, » ..� Away,- -«�..- � .,, s`aa?^ >x s��..�,` �ni��,�., tea. _� ^�. � ._. �' ;�.w^u3� "�. , :�a� ._.�.b� . �3., - s�'•ss�,a ,..a .�. a � �`�' "2
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 and
special purpose roofmg of commercial projects.)
TOTAL: $
i:\ Building \Forms\Re- RoofChecklist.doc 12/24/03
•
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP (k-6-011 7
�//
Received /Pi `) Date Requested 1 7 AM PM BUP
Locationa 1 6s7e 3D A) 6 ( � MEC
Contact Person P ( PLM
Con to�� Ph ( ) SWR
BUILD t6 Tenant/Owner ELC
0
Foundation Access: ELC
Ftg Drain ' , ELR
Crawl Drain ���� IS- &�. (r(ot3 G�(c7v 5 (090
Slab Inspection Notes: / SIT
Post & Beam A5-4 1
Shear Anchors ; -e.- , C� rah
Ext Sheath /Shear .c/LA-�y� (.o /2h--, b 60 tRQf-
Int Sheath/Shear 1
Framing
Insulation ' 1 rywall Nailing CO '��CC3
Fi rewal I
Fire Sprinkler
•
Fire Alarm
eiling
" oof
•
- al der •
PASS FAIL
BI, -�
Post & Beam
Under Slab
� � �
Rough In
riemminin c
��
Water Service v
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext -
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL