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Permit f �� BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2004 -00161 4 ��1 4► DEVELOPMENT SERVICES DATE ISSUED: 4/12/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -05800 SITE ADDRESS: 11465 SW PACIFIC HWY SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TIG 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: $ 7,810.00 Remarks: Reroof Owner: Contractor: EQUILON ENTERPRISES LLC ADVENTURE ROOFING LLC PO BOX 4453 26201 NE BUTTEVILLE RD HOUSTON, TX 77221 AURORA, OR 97002 Phone: Phone: 503 - 678 -1517 Reg #: LIC 158385 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection - [BUILD] Permit Fee 4/12/2004 $120.10 [TAX] 8% State Surcharl 4/12/2004 $9.61 Total $129.71 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 it to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 1 -0010 thro ► , OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by c ling (503) 246 -6699 • 1- 800 -332- , , . Is ed By: Permittee OA" Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day II 1 p t , eeiLe549 / „.., Bu Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/B G . permit No.: Db /h / i� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /� A f p; „t I t\ DDate/B : Other Permit: _ Inspection Line: 503.639.4175 t'I Date Ready/By: Juris: ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information 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: g equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling KCommercial/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: / /L�/. 31.0 + �,� t� 7 �� / -' 1 � New dwelling area: square feet City/State/ZIP: ) ie '_”' 4,0 ®1. '� 2.z.:3 j ��'� G area: square feet Suite/bldg. /apt. no.: `" I Project name: S / . I I �� [ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 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 DESCRIPTIO OF WORK work indicated on this application. • AzAeffi ` � Valuation: $ ,$/1,0 O0 Existing building area: square feet / S't' New building area: square feet • ?4PROPERTY OWNER Q � J ' t►1 �� ❑ TENANT Number of stories: / Name: U 1 LC)N &.JT t J 5Z5 k Type of construction: /C Address: O /)X 0/63 Occupancy groups: City/State/ZIP: /VoV 5 r0A..) 'TX Existing: Phone: ( ) Fax: ( ) New: • ❑ APPLICANT ❑ CONTACT PERSON • NOTICE - _ . : Business name: r / �d i /J .1 t , p 1 N L L C All contractors and subcontractors are required to be Contact name: p/41/ 1 cd A_ /v( o k S / 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: ,4d / N - 1 - /AL, � • QQO /- , / X A_ h_ C _.. ,BUILDING PERMIT ,FEE* Address: 2 - 4 Z O N E ' J/ _ /�: V'l l/ , City/State/ZIP: /4_ V OVA. Please refer to fee schedule. 0 9 700 2 / G _ Fees due upon application Phone: ( 4 7 t -. J o) )) Fax: 5) b 7Q _ iS 2 9 Amount received CCB lic.: / 5 �3 g / J Date received: Authorized signature: Ne___ This permit application expires if a permit is not obtained , d ) within 180 days after it has been accepted as complete. Print name: »I4 I id LP,4IV 0 ` q. op Date: - (7r o1/ * Fee methodology set by Tri-County Building Industry i ' 4' � � / Service Board. nA i: \ Building \Pamits\BUP- PemtitApp.doc 12/03 h 4 40 - 4613T(I /02/COM/WEB) V 05- h 39— y / 7 S / C 0.1 • Building Division °" " �I� Plan Submittal Requirement Matrix �_La. . Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal - .. Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03 City of Tigard Building Department 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 Alb Re -Roof Pre - Inspection Report Form Requested by /J Telephone J 1 (O 7e- /s 7 Job Address //q / C _ Permit #: Roof Access Location L./ -49j2 /C/7 Date Requested e/ I/ 2 /&- f . Time Requested g e/ Type of Existing Roof A/d L / 2 Cie. t 1. Slope of roof deck 2. Roof /Penetrations /General Conditions . _ it ❑ Poor 3. Are there blisters? ❑ Yes No 4. Are there cracks? ❑ Yes Erna 5. Is there evidence of water ponding? ❑ Yes No 6. Is moisture present under roofing (leak)? ❑ Yes am' 7. Is roof insulation existing? ❑ Yes ❑-tto 8. Is roof insulation wet? ❑ Yes , 9. Property line setbacks on all sides > 10 feet ❑ Yes j to 10. Building size B-< 3000 sq. ft. ❑ < 6000 sq. ft ❑> 6000 sq. ft. 11. Building height El-c Stories ❑ > 2 Stories 12. Class of roof required ❑ Non - rated' ❑ B. ❑ C. 13. Type roof deck ❑ Combustible 2 14. Roof drains R Pr vided ❑ Required. ❑ Adequate 15. Overflow drains a ❑ Required ❑ Adequate 16. Attic ventilation ErProvided ❑ Required ❑ Adequate • 17. Roof listing Provided ❑ Required 18. Installation Instructions Provided ❑ Required To re -roof this structure the following conditions must be met: CO N143//--4-7 7 �� 4 l r S T 5 c 1)464 7u3- The re -roof proposal is roved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the Building Division for an inspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is required. 2 L ' ✓ Inspector (� - Ext. Date / / % Z ,/(J aBiskIng1Renxif CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503 Vii- MST BUP Received Date Requested �� / �- BUP Location i 1 4Co.4 Suite MEC Contact Person LC) _.r Ph ( ) ( o 7 f — 1Z7 7 PLM Contract Ph ( ) SWR Tenant/Owner ELC 0o ing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof P - Fina AMIP PART FAIL 7 "' =' BING _ Post & Beam Under Slab Rough -In Water Service 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 D 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 / / Z- Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Lin (503) 639 -4171 M P BUPt) / 60/ &i Received 3 � � Date Reques d �` AM PM BUP Location � - r uite MEC Contact Person / Ph ( ) to 7g /5/ '7 PLM Contractor _ !` Ph ( ) SWR cco) _ Tenant/Owner ELC Foam ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: - ( / SIT Post & Beam �f-t Shear Anchors D� � v _ „ _4 (:t- �I „ Ext Sheath/Shear cL j �-i�a Ge�eiC� Int Sheath/Shear Framing A — A i - Insulation L iir Drywall Nailing r `, / �/ - I 4 Firewall Fire Sprinkler J Fire Alarm /L) -C) % ''° 1 (2-4_ / S '_- eiling ' - oof Fina f i-- -�- PART FAIL /J �� '/ BING 14" 5 a_e_ C / �- �c -..t& Beam Uri. • r Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan . Other: Final PASS PART FAIL - • C7'.:/tf:(:j19:ZVVV( 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: 9 Unable to inspect - no access Fire Supply Line ADA V(l b (- Approach/Sidewalk Date Inspector VC; Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL