Permit ih . CIT f.� OF TIGARD BUILDING PERMIT
V PERMIT #: BUP2008 -00258
COMMUNITY DEVELOPMENT DATE ISSUED: 7/25/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112CC - 01100
SITE ADDRESS: 15800 SW HALL BLVD ZONING: R -12
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TIGARD COMMUNITY FRIENDS CHURC
Project Description: Reroof, remove and replace.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM 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: $ 40,710.00
Owner: Contractor:
TIGARD FRIENDS CHURCH INTERSTATE ROOFING INC
7130 SW BEVELAND 15065 SW 74TH AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 684 - 5611
FAX 503 - 639 - 3056
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/25/2008 $316.39
[TAX] 12% State Surch 7/25/2008 $37.97
Total $354.36
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 N cation Center. Those rules are set forth in OAR 952 - 001 -0010 through 0' R 952 - 001 -0100. You may obtain a copy
of these r s or direct u stions to OUNC by calling 503.246.6699 or 1.800.332.2344.
//
Issued y: _ Permittee Signature:
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.
Building Permit Application
Re-Roof FOR OFFICE. USE ONLY
City of Tigard Date/By: ( Q V �/r • ennit No.: "raelg la2 0
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C '• Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready /By: See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Inform ation
TYPE' OF WORK 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
❑ Addition/alteration/replacement ,Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Valuation: $
❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 'Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /S"g SW //AL,[,. / L vp New dwelling area: square feet
City /State /ZIP: 7 7 6 R ') OR p7 2 Z L/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: T/4 &ywaufi y fke i1DS Covered porch area: square feet
Cross street/directions to job site: C NI Chl Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Valuation: $ °'7 /Q C-0 R EmoUE a4L� 6AJGToDecd /Ay 3O /8 /
rE .7 /0 evil PNc°Tl2A-16 .�JS L Existing building area: / square feet
IJe 7rs 3-6 2 o c A"Pe tt17 - e ' e u A L New building area: square feet
PROPER OWNER ❑ 'TENANT Number of stories:
Name: -7 64R0 Gd✓v./t“.,(1T f9 ,th-,,/ 3' 4# IA- /2. ai Type of construction:
Address: /Se D O SW Noi L L 8Z a .0, Occupancy groups:
7`, 6 ,44
City /State /ZIP: Q i 62, 9 2 9/ Existing:
Phone: (563 705-67.12 Fax: ( ) New:
53- APPLICANT ❑ 'CONTACT PERSON NOTICE
Business name: /N 2S' T.A.Y C / .' // ij 6- All contractors and subcontractors are required to be
Contact name: �(� �}Z /f E.L licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: / . 5 to 7 / / A ✓e., jurisdiction in which work is being performed. If the
City /State /ZIPyQ L,3 AJ D f C .0, 9 7R z t( applicant pp is exempt from licensing, the following reasons
Phone: 563) ' ,py 5 (e// Fax: : (3 439- 3 6 54 a
E -mail:
CONTRACTOR
Business name: //V777 2o---645") 6. BUILDING PERMIT FEES*
Address: � jO C S .S i. 7 [/ ,gale (Please refer to fee schedule),
City /State /ZIP: / Structural plan review fee (or de 2/4 , 7
Pva7LA�o 9 782 � p3) -1 / / FLS plan review fee (if applicable):
Phone: FY- 6 6 Fax: (03) 6 39 - 3 D �,6
CCB lic.: S' r� [/� Total fees due upon application: 37 - -. 7
77 Amount received: 2CY.
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 46 1.-t , C /S 65 j ?Af (-- Date: -�._ ,57-6-37 D2 Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\ROOF- PermitApp.doc 06/26/06 440- 4613T( I I/02 /COM/WEB)
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENI`.IAL (One- & Two- Family Dwelling)
❑ 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.
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 Building Division at (503) 718 -2433.
❑ 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: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
•
I:\ Buil ding\Permits\ROOF- PermitApp.doc 2
CITY OF TIGARD,.
BUILDING DIVISION PERMIT #:
BUP2008-002f.if3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/25/2008
Phone: (503) 639-4171 Ak i
,_. Neilii-
Inspection Requests (24 Hrs.): (503) 639-4175 34 IL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7/29/2008 7:01AM 62
SITE ADDRESS: CLASS OF WORK:
15800 SW HALL BLVD
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
TIGARD COMMUNITY FRIENDS CHURC
DESCRIPTION: Reroof, remove and replace.
OWNER: PHONE #:
TIGARD FRIENDS CHURCH,
CONTRACTOR: PHONE #: 503
INTERSTATE ROOFING INC
Inspection Request Scheduled For: Date: 7/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
250 Roof nailing 073317-01 603-481-8256 Y
Corrections /Comments/ Instructions: e-- I^ r
310 "\ S':C) Q.: 4 \ \ ) - •V\ ‘ i r kkA 5 `; de_
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pi PASS r—PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL fl CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 1S Date: 926v y 0 9 Phone #: (503) 718- .29'
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BUILDING DIVISION PERMIT #�
13125 SW Hall Blvd., Tlgard, OR 97223 DATE ISSUED: 0
Phone: (503) 639-4171 ��
Inspection Requests (24 Hrs.): (503 ) 639~4175 �9�� AL
' INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 8/772OO8 T| � ��U1Ah8 � 41
SITE ADDRESS: CLASS OF � 158OOSVV HALL BLVD �
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: � TlGAND COMMUNITY FRIENDS CHURC
DESCRIPTION: � Rmrmof. remove and replace.
OWNER: PHONE #:
� 7lG8R[> FRIENDS CHURCH,
#: CONTRACTOR: �
� |NTERSTATE ROOFING INC PHONE # 503'684
Inspection Request Scheduled For: Date: 8/7q2008 Pour Time:
Code # Inspection Description Confirm # Contact # W1auaa*a
298 Final inspection 073844'01 503-593.0578
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Corrections/Comments/Instructions: ��
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it'PA 0 CANCEL pi NO ACCESS
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Inspector: I Oate� � ( .Y Phone #� /603\ 718' -_------_-_---_ ^ ` '