Permit ,1 � BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2000 -00402
k °4101 4 \ DEVELOPMENT SERVICES DATE ISSUED: 9/25/00
- ` Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11611 SW PACIFIC HWY PARCEL: •1S136DB -00501
SUBDIVISION: ZONING: C -G
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: 0.00 sf ROOF CONST: A 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: $ 34,040.00.
Remarks: Re -roof.
•
Owner: Contractor:
UNION GOSPEL MINISTRIES OF PTL PACIFIC ROOFING COMPANY INC
c/o FRANCESCHI, JEROME + GENEV PO BX 1728
FRANCESCHI, KENNETH + BARBARA BEAVERTON, OR 97075
AN n o n eFAEL, CA 94903. Phone: 640 -3163
Reg #: LIC 41571
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT CTR 9/25/00 $412.78 27200000000 Pre - roofing inspection
5PCT CTR 9/25/00 $33.02 27200000000
Total $445.80
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR.952- 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe nnitee f.
Signature:
Issued By: /(9
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
CITY OF TIGARD Plan Check #:
A i 3125 SW HALL BLVD. Rec'd By: .2:3.4„1
1 TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: y/2_%/07) V- 503- 639 -4171 X304 Date to PE:
F- 503 -598 -1960 Date to DST:
Permit #:euPo?0OO -4o/a,,,,
Incomplete or illegible applications will not be accepted Called:
Name of Development/Buslness ATE N °A r_ • ' - 1 1.4' " II
U NA A U o S f -eN a q! iv tatio 04:04 0,1i , ° '��-r- . , J
Street Address Sto # Please fill out applicable section and attach copy of roofing
Job Site _ 11 ( I. 5(t) •Qac Rt I.4i j specifications.
Bldg # City /Slate Zip ' 3L tk# kdlA lSSj2tnli ;a�Cle'$C.op t)7, , .;
Ti Sur O c A.
1. Specification #: `. I'¢.1 (\S i4 —3a P `fe 6
Name r Ck P‹IaF�
Applicant �taiing.Address 2. Manufacturer: 1-e.A J S .
City/Staub( Zip Phone • *3a UL Classification: ( 1 i gs cl
bco. d^ 97 01S (.m0 -3143
Roofing Name
g Listed UL Building Materials Directory Page #: 107
Contractor �lr� R c) c. n (OR)
(Prior to Issuance ailing Addwss •3b Warnock Hersey :
applicant must u 6 y ( \I -' - •
provide a copy of City/State ' Zip Listed Warnock Hersey Directory Page #:
all contractor � ca.v cr 0 ( 6 11 O 7S *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT / 4 40 - - 51 43 (,(-1g - B. ICBO Research #:
database) State Constr.Contr. :. - d # Exp. Date
ki I l I ="_"''. 3 ma DATED: _
t 1,U1L141 1 N ; OR AA . O . E r ',- ''' , C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ ,
T: t .4 - sq. ft. A-6 of roof area • 39,O _
Existing Deck Type: Permit fee based on valuation*
Combustible (VI Non - Combustible ( ) • see chart on back $ L i 11 Via
"� E$iDEtil R�• •∎• 'fJN1 ■ .v a. f ;Ite �,..r• r i - .; r €a :,rs
4� fI ^ _' C � �f.L' T ,� R nf'x .::� 4 .u:.. •I: �.�JI. •.�:! •: _. -L.: ..:: . -. _.. _ ._ _.._. -.
s r i . e a,nl' ` V II ;'�� : T:�:,,•I.L� -K .r �. == = -
i crv �9 • .:._ r. :. P� .r sar.�...�. '-' ...=.... fL� •-c r"::�Xc.::..' r ':aFr- u:�'� �j,� a. r... r'__r.,_ -a� ..;; ",
' I..�i •' 'ydl ^41 :' - .tiq a:°:.`Eiti 2� �lr'`• ' ''1:: ; = i? ••� u! . ry '�_� s =,.
�•L •..� �. 1. �•._ ,-._ IkY � i ii ^. ... � I�ILfa?- .�u` . •.�__
U REPAIR ( MAJOR) (review required by plans examiner) : ;;; , D( �!L f j :� { �! ; r r _ ;, ,,: ; ; 1 r (t , 5) ii _- t , r ,; '-/ E : _; ° J ` p
Permit required ONLY when spaced sheathing is covered by -
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ 3 1
Application. ` 'l.LiS0" r nl.. - 41 - �'(ti G; �.�_;ggi -' :CLC:.�.Mara_:;l4 -i..r_ VAliii:E•°• I
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. :; ty y , Y . Y t . ?, 1<! 1,.,,_ - 4�r : i .._. _ I
_,_ 'ca Vii: _ _` mt�LL<: _ _ ° =i �.`.:
?wt19n-r�?, AI ?'::� =a`�i "� •?_•�;)�_� :!:pN-e;:.urlF_ FTMfi��v��T�:°�.i'iF.i;i'� InY' J35'Ica��'_= aL�'��Ca�:.�,. i.,..4,y_.l
,�.cna 1—�_ 7
A. Roof area & nearest street. *Required for major repairs of
Residential
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or 'C" attove • 65% Plan Review $ -H-
c e. Vents shall be located in the upper 1/3 of the roof. i}}��}}z pp ��+: s c '= ;i = =�ys` �'r ,s_ _m = ='
spa -
PP .� ,5 anC� _�-L -- ? , i�:;. r til: ar,,:s;;� ; ' _� �a - l�,ir�_,
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic {;L - BUP'Pls ';); ky .I t UPL N)!J 1 ' i1-
venting is provided.
TOTAL $ /-ly S, gQ
� STEP 1 '.� a ",w =COMMERCIAL;• „ :n 1 4t ?1F 1 i = I .acknowledge that I have read this application t �..�:._� : -. ;� g pp •cation and that the
C1 s.:447 pa1 ; ;� ° . -117 ,".; 1 _ • information given is correct that I am the owner or authorized 1
D escribe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
0 RE - ROOF (circle A ,B or C) compliance with Oregon State law. `
Existing built -up roof covering to be REMOVED and deck •
repaired - Signature of Owner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant '
must submit an engineer's review of the roof structural a-S ad
elements. Review shall bear the seal (or stamp) of the bo \ � `�
architect or engineer licensed in Oregon. ,4 Contact Person Name Telephone
C. Asphalt or wood shingle /shake (�
(PROCEED TO STEP 2) {I! (946-31‘3
1:dsts \forms \roof.res.doc
8/26/99 0
�° l �e
•
Zo0 tJ 021VDI.L dO ALID 096I 86S COS X1'1 90:90 12Id 00 /ZZ /60