Permit I
CITY O F TIGARD
BUILDING PERMIT
A PERMIT #: BUP2002 -00150
�, DEVELOPMENT � SERVICES 639 -4171 DATE ISSUED: 4/29/02
SITE ADDRESS: 11505 SW PACIFIC HY D PARCEL: 1S136AD -04000
W
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: LOT: 007 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: )" FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: B 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: 4Z b CP 1
Remarks: RE -ROOF
Owner: Contractor:
SMITH, EDITA M SNYDER ROOFING OF OREGON LLC
833 NW 170TH DR PO BOX 23819
BEAVERTON, OR 97006 TIGARD, OR 97281
Phone: Phone: 620 -5252
Reg #: LIC 135987
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
MENU CTR 4/29/02 $264.10 27200200000
5PCT CTR 4/29/02 $21.13 27200200000
Total $285.23 11111111ftri
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 fol = • the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through *AR 95 : 11 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6. • 9 • r 1- ; 60-332-2344.
Pe rm ittee
Signature: - r
Issued By: r�.t �/L- �GGCi �,lJ
Call 639 -4175 by 7 p.m. for an inspection the next business day
B uilding Permit Applicatiof
t A Date received: 0, y ry Permit no. ? (' ?gyp _00 510
a - L City of Tigard
- ^ Project/appl.no.: / Expire date:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard •ti Date issued: By:P 1 Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 / / Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: �lm u aI ► Bldg. no.: ► Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: • ■ ___ C
Desk ption and location of work on remises/s ial condi ions: --A �'` . l am.k r- ∎ � A
( 14 ► 1.4- - 4 .1. ∎ 'III ` M 1 %` i iriMIDI • .. .
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: hl \ A N (Floodplain, septic capacity, solar, etc.)
Mailing address: _ M 11 19 / b 1 & 2 family dwelling:
Valu. •n of work $ 3
� 1'2 =
Phone: t , ; y 7 Fax: E -mail: No. of , I : • s/baths
Owner's representative: Total number of
Phone: Fax: E -mail: New dwelling area (sq. ft. ..
APPLICANT Garage/carport area (sq. ft.) .
CM tla, , a Covered pork s .... 1)
Mailing address: • 1 OM al. I M I I I In Deck area (sq. ft.)
rrlF N gyp. i�M Other structure area (sq. ft.)
�2o- L3 �� �m C ommercial /industrial /multi - family: 2 0&i
Phone: E -mail G
CONTRACTOR V aluation of work $ t.
Existing bldg. area (sq. ft.)
iT
New m bldg. area (sq. ft )
Address:
' • t ����� ��� ' , Number o
� g ll�iri W ZIP:
j� A i
Type of construction
Phone: r .�
CCB no.: i i -- �w Occupancy group(s):. Existing: • New:
City /metro lic. no.: Notice: All contractors 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
' State: ZIP: exempt from licensing, the following reason applies:
Contact person: - ` 'Ian no.:
Phone: Fax:
ENGINEER
IIEEM �' Contact person: MECO Fees due upon application $
Address: (t ` I ��g LJ() ' 1 taire411111 Date received:
EMIB, I' ZIP:. Amount received $
Phone:r Please refer to fee schedule.
I hereby certify I hav red. d ex . ,- ned this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All 'provi 'en • f laws and ordinances gov rni g this ❑ Visa ❑ MasterCard
work will be complied •`/ :ether specified herein or n Credit card number. Expires
Authorized signature: ' ` • Date: b Z Name of cardholder as shown on credit card
N 4 Mir $
Print name: • cardbotaer 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 (6N0JVOM)
EXPIRED ,.. 4; ' 0
�
c a 6 , e?-3
RE- ROOFING PERMIT CHECK LIST t ;
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).
C MMERCIAL ONLY - Class of Work: Repair
S EP 1:
RE -ROOF (ciri' „ or C):
A. Existing bu - • 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 completq A, B or C):
A. 1. Specification #: (,
2. Manufacturer: JO ' _- ` 4
3a. UL Classification: i�4 r
Listed UL Building Materials Directory Page #: 5al = ISSd7.,,
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: $ ZZ f y_ 7
sq. ft. of roof area I CJ'
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 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 'Oc2 DQ / 3
Received Date Requested �" AM PM BUP
Location / / Lgigt b MEN R .
Contact Person Ph ( ) d 9 3 PLM
Cont • • Ph ( ) SWR
= UILDIN Tenant/Owner ELC
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
Other:
Fi
PART FAIL
PL I ' 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 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