Permit CITY OF IGARD BUILDING PERMIT
PERMIT #: BUP2004 -00083
Av4 � DEVELOPMENT SERVICES DATE ISSUED: 3/3/04
":W 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11501 SW PACIFIC HWY PARCEL: 1 S136AD -04100
SUBDIVISION: VILLA RIDGE ZONING: C -P
BLOCK: LOT: 001 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: $ 29,570.00
Remarks: Reroof with Genflex single ply
Owner: Contractor:
J B K PROPERTIES MANAGEMENT PACIFIC WEST ROOFING
5102 SW SCHOLLS FERRY ROAD 9360 SW TUALATIN SHERWOOD RD
PORTLAND, OR 97225 TUALATIN, OR 97062
Phone:
Phone: 635 -8706
Reg #: LIC 54111
FEES REQUIRED INSPECTIONS
Description Date Amount Misc. Inspection
[BUILD] Permit Fee 3/3/04 $320.80 Final Inspection
[TAX] 8% State Surchart 3/3/04 $25.66
Total $346.46
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 4,4,l 4_
Pe mi ittee • /
Signature: - f���$;- --
Call 639 -4175 by 7 p.m. for an inspection the next business day
Re -Roof
•
BuildingTermit Application FOR OFFICE USE ONLY
City of Tigard Dat /B I D Pe ' ! �pfla
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev ew
Phone: 503.639.4171 Fax: 503.598.1960 44/46001# (' DateB Other Permit:
Line: 503.639.4175 .. il Date Ready/By: Juris: ® See Page 2 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 4 Commercial /industrial Valuation: $ t 5 76 , DD
❑ 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: / 1 501 5 ,r. ) plc, I 1 L 1_1 LL)y • New dwelling area: square feet
City/State/ZIP: T aurC1 OR 9 1 as 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: c -I-� p j q7 �_ 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK / work indicated on this application.
/NOD+ to i Ge.niJ e CP 11 c' 5 ! I LL- -e. P/y Valuation: $
,� Existing building area: square feet
, I ,4p ~I , - �� New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: J aK pm�r44v s Type of construction:
Address: /163 S ( ,u sc(' � is I - Occupancy groups:
City/ State/ZIP: o - fsfrlcuAd 9 7aa� Existing:
Phone:) 4_9'1 4 44.1 Fax: (60 3) c 2R 7 - 8 Tq New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: J A J Pro (e `f-( E ,� All contractors and subcontractors are required to be
Contact name: 1 1 licensed with the Oregon Construction Contractors Board
{ u r 1''� under ORS 701 and may be required to be licensed in the
Address: 5) s sckiplIS F-o /`cL- jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/ State/ZIP: pOri4 jA DR. 91a. ''''nn apply:
Phone: ift,8) 0 19-7.4 441 Fax: :653 ) 02,9 . �1- s `I"t 1
E -mail:
CONTRACTOR ,•
Business name: ��( ^^ 1t R oa f 1 n � - n(�,�,(( BUILDING PERMIT FEES*
1)
Address cSL) hA 5hetwoC) PcL
L(R Q[.( Please refer to fee schedule.
-City/ State/ZIP: I Ua 1 cL D 9 - 70(0c1
/ /_ p Fees due upon application
Phone: 66.) CO 3 5 - g �1 D Fax: ) ( l / __
Amount received
CCB lie.: 5 4/ 11 t-) PA\ o 1
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 7 ?
i b! Oh. Date: 3/3 . / e # f/ • Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Pemtits\ROOF- PemtitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB)
RE- ROOFING PERMIT CHECK LIST
RESIDENTIAL (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 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.
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 roofing of commercial projects.) _
TOTAL: $
i:\ Buildin \Forms\Re- RoofChecklist.doc 12/24/03
CITY OF TIGARD . 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION • Business Line: (503) 639 -4171
BUP- i — •
-1 , 5 AM PM BUP
Received 3 ��� Date Requested
Location // 5O l /9G--c-td-e-d Suite MEC
Contact Person �r Ph ( 3) S 4� Z/ SZ PLM
r
Contractor 1�_ . . . _ f ib ( ) SWR
BUILDING Tenant/Owner Cej � ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: � � SIT
Post & Beam �r a
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear
Framing.
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
!•'s Ceiling
o.
Fi
PASS PART FAIL
PLUMBING
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 Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: III Un- .le t• nspect — no access
Fire Supply Line /
ADA ��
Approach/Sidewalk Date Inspector /. v ---- Ext
Other: r
Final DO NOT REMOVE this inspection reco from t e Job site.
PASS PART FAIL