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Permit � A CITY OF TIGARD . - BUILDING PERMIT PERMIT #: BUP2001 -00053 fir; DEVELOPMENT SERVICES DATE ISSUED: 2/2/01 - �' '� I a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11445 SW PACIFIC HWY PARCEL: 1S136AD -05900 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: cRE1: 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: A3 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: ol-/, C5 • 0 Remarks: Reroof permit, remove existing roof down to sheathing. Increasing slope with tapered insulation. Owner: Contractor: VIP'S RESTAURANT INC COLUMBIA CONSTRUCTION SERVICE 29757 SW BOONES FERRY RD 13755 SW 118TH CT WILSONVILLE, OR 97070 TIGARD, OR 97223 Phone: Phone: 684 -9123 Reg #: LIC 116607 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Roof nailng Insp PRMT CTR 2/2/01 $254.50 27200100000 Final Inspection 5PCT CTR 2/2/01 $20.36 27200100000 Total $274.86 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. Pemtitee • - Signature: - —.AR . Issue. By: ► . -, 4 , , 6 1 ., ter.. Cal • • -4175 by 7 p.m. for an inspection the next business day • kt ' Building Permit Application ' r- 3 Date received: a dLp/ Permit no.: 4400,96,,1 _ 666 .S ,.....,::�,� c ity of Tigard :- 3 - ° I 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 ❑ 1 & 2 family dwelling or accessory Cl Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: j Sit/ r /5 1. 6/ /C /6, Bldg. no.: Suite no.: Lot: Block: I Subdivision: I Tax map /tax lot/account no.: Project name: 7Q-M-5 ( , 2) t/ Description and location of wo on premises/special conditions: A. d i � ' - - .� •' - ' A% AI .•' -∎ 4 .4 _,� q L Vii. , OWNER FOR SPECIAL INFORMATION, USE CHECKLIST t Name: ST_1/E inn rLL- ( Floodplain ,septiccapacity,solar,etc.) Mailing address; / 7 4(07 5,,e. /.ice 2 /Q I & 2 family dwelling: City: /iii /G (State: pr IZIP: 97001 Valuation of work $ Phone: 4:6 -.5713 I Fax: 6$ -5/' E -mail: No. of bedrooms/baths Owner's representative: 'i4 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: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E- mail: Commercial /industrial /multi - family: CONTRACTOR Valuation of work $ ' • Business name: um 64 ew , .:�vi _rt Existing bldg. area (sq. ft.) Address: y�$ syt/ s /zir/N ►'i New bldg. area (sq. ft.) Number of stories City: 726440 I State: Or I ZIP: R 7223 Type of construction Phone: Y- 1/23 I Fax: - /5/$8I E -mail: Occupancy group(s): Existing: CCB no.: / /b�D New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCI I ITECT/DESI GN ER 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 rr City: State: IZIP: exempt from licensing, the following reason applies: Contact person: I Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ iv(- Address: Date received: City: (State: 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 scup credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ visa ❑ MasterCard work will be complied i th, wh= r -i r d ified herein or not. /y Credit card number: � p'u . - Authorized sig 9 tre. ` , rt_� , Date: 0 ! / © Name of cardholder as shown on credit card Print name: --..4 . ` / :a4 Ufa $ Cardholder signature Aaamt Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (WO/C M) R e ,j (-4'∎ -- r RE- ROOFING PERMIT CHECK LIST • RESIDENTIAL 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. 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: $ O � sq. ft. 530 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: $ i:dsts \forms\roofchecklist.doc 10/05/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST. 24 -H,our ' nspection Line: 639 -4175 Business Line: 639 -4171 \ -a o cis3 Date Requested .2- / AM PM BLD Location 5 -SLJ P4 Ci F'c "1' Suite MEC L®ii�� t Contact Person Ph 5 3 .S7- U/»( PLM Contractor Ph S /% UILDI 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 /000/Z-- �^� / /2/ CC /1 d / , /"../04 Fire wall (Or 6 Q C� r�'l,F�T GcJ/"2,. >2,/ X.677`&" Fire Sprinkler Fire Alarm ApcG C� 5/ S'Gc/� / eiling y Roof `_ PART FAIL "gig =ING Post & Beam Under Slab C � 5 e 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 D 2/ �y /D I / E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.