Permit • CITYbF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00004
}l� DEVELOPMENT SERVICES DATE ISSUED: 1/9/02
Ali. - Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: PACIFIC HWY PARCEL: 1S136AD -04000
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: / / 15D LOT: 007 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: � I1 FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: 2 - , 35 ), 60
Remarks: The roof encompasses 11.589 Reroof over existing.
11513
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
PRMT CTR 1/9/02 $264.10 27200200000 Final Inspection
5PCT CTR 1/9/02 $21.13 27200200000 •
Total $285.23
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 . • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 t r• gh OAR 952 -00 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)2- -6• •9or1 -ss:- 32 -2344.
Pe nn ittee
Signature: .��`�_
Issued By: GLvGue..,—c_ .
' Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Date received: i q gyp/ Permit no.:&) 670a _ D0007
• t= �y�° City of Tigard
,�,�- °:_ . Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 2 ‘ Date issued: B s, I Receipt no.:
Fax: (503) 598 -1960 /),O(A ' Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory n Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION -
Job address: 1150{ St4 MOIL / Bldg. no.: Suite no.:
Lot: 'Block: Subdivision: I Tax map /tax lot/account no.:
Project name: pi:V.41,(. I R f 6PARDNISKI4 1t ' '1Y1
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: IVUMk6 } 4i f (Floodplain, septic capacity, solar, etc.)
Mailing address: S O sW 1 & 2 family dwelling:
City: 411A147 'State: at. IZIP: rfloy Valuation of work $
Phone: 'lac- Z17' Fax: 1 E -mail: No. of bedrooms/baths
Owners representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area ( .
Name: tsfk& Covered porch . I . sq. ft.)
Mailing address: •12(o50 (/f(] Deck . . q. ft.)
City: �,p (State: t ZIP: &f12l Other structure area (sq. ft.)
Phone: Fax: ,I, WC) E-mail: Commercial mdustriaUmulti- family: n
/ CONTRACTOR Valuation of work $ l `i 3j 1
Business name: 901 L n Existing bldg. area (sq. ft.)
Den
Address: 1 1( 50 bJ New bldg. area (sq. ft.)
City: State: r ZIP: q 7 yZ Number of stories
1 Type of construction WL` OV FE •
Phone: (rjiP - Fax: bAli..3St CI E-m l i Occupancy group(s): Existing:
CCB no.: 13,57:i � RgP 1 IB\° New:
Ci /metro c. no.. ` li
�' Notice: All contractors and subcontractors are required to be
ARCIIITECT /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
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: "State: ZIP:. Amount received $ '
Phone: .. E -mail: Please refer to fee schedule.
I hereby certify I have .d an ex. • fined this application an th Not all jurisdictions s credit cards, please call jurisdiction for more information. -
attached checklist. All pro is . ns a f laws and ordinances go m g this 0 Visa 0 MasterCard
work will be complied wi ' he e specified herein or nos. d� swept Cledil c a F
rd number: s it
s
Authorized si a : ! re: ' / Date:
I V Name of cardholder as drown on credit card P
���
Print name: ei� `111 t ti_..7ti Cardholder signature Amotmt
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6 ODADOM)
d
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.
xisting 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 Buildin9Materlals Directory Page
OR JJ�77��))
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: $ � E
sq. ft. of roof area
Permit Fee based on valuation:
(see Building Permit Fees chart) c(p
8% State Surcharge: $ 3
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item "C" above.
TOTAL: $ Q ; - 3 •
i:dsts \forms\roofcheddist.doc 10/05/00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION 3 • Business Line: (503) 639 - 4171 MST
BUP 42°6°2 QQQQ
Received / c' Date Requested 3 � 2 0 AM PM BUP
Location ! J .C� Suit° 7O MEC
Contact Person Ph ( ) (° 50/5 PLM
Contractor Ph (& ) C 3 ( 0 7 SWR
UIL Tenant/Owner ■��! ! ! %�. = - ELC
o ing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: /6 a,`) `� , „/ 0 SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall " / 6- d0,> -, / /�
Fire Sprinkler �/
Fire Alarm
Sus .'d Ceiling
00
Cher:
F
• RT FAIL -
PL T = ING
Post & Beam
-- Under Slab
Rough -In i
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
7 -\\N
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 LI 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 / b%
Approach/Sidewalk Date nspec Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL