Permit „--
A . CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00354
,.:� DEVELOPMENT SERVICES DATE ISSUED: 8/25/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -00102
SITE ADDRESS: 11685 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: REP 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: 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: $ 8,400.00
Remarks: Re -roof of commercial building. Remove existing roof material and deck repair.
Owner: Contractor:
MILLAR, TED L TRUSTEE ASSOCIATED CONST & INSPECTION
BY WILLIAM C FLOBERG PO BOX 390
834 SW ST CLAIR 56768 NEHALEM HWY S
P Pho a ND, OR 97205 101%6)-R111064 064
Reg #: LIC 111996
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
5PCT CTR 8/25/00 $9.18 27200000000 Final Inspection
PRMT CTR 8/25/00 $114.75 27200000000
Total $123.93
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- ! 17.
Pe mt itee
Signature: A, to' AC”
Issued � `
y: I l �i uf I ! / • I ■
Call 639=4 5 by 7 p.m. for an inspection the next business day
P
CIT-Y OF TIGARD Plan Ch: _
13125 SW HALL BLVD. Recd B
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: ■ 0 0
V- 503 - 639 -4171 X304 Date to PE:
Date Permit DSO;
F- 503 - 598 -1960 u
Permit #: _�._. ����.! ° �,�/
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY
S Pc , p r^S Material Documentation (UBC Appendix 15)
Street Addle Ste # Please fill out applicable section and attach copy of roofing
Job Site 11 (D 6 ecc: (: C ! ! 1 specifications.
Bldg # City/State ,� / Zip — Listed Assembly ( Circle & Complete A, B or C)
'i 6? z A.
N me n 1. Specification #:
Applicant Mailing Address 2. Manufacturer: C7 A 4
SG i U.ettal e,— I y f
pity/State Zip Phone *3a UL Classification: Ie5 ../ Cc S
VPPnoniq - , 414 a4l 2 --•
Roofing Name Listed UL Building Materials Directory Page #:
Contractor c� (OR) •
(Prior to issuance Mailing Address . *3b Wamock Hersey :
applicant must
provide a copy of City/State Zip Listed Warnoek Hersey Directory Page #:
all contractor *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT y 2q .- of 4 7.- t q of Li 2— B. ICBO Research #: •
database) State Co str.Contr. Board # Ev. Da
111c ; 4, `I - d 0/ DATED:
BUILDING INFORMATION , C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION O PROJECT $ o
sq. ft. .3 D of roof area T
Existing Deck Type: Permit fee based on valuation* / 76-- Combustible (C) Non - Combustible ( ) * see chart on back $ / / 7"
RESIDENTIAL ONLY Class of Work: Alteration City use only: WACO:
❑ REPAIR (MAJOR) (review required by plans examiner) . (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ 9
Application. City use only: WACO:
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) (UTAX)
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" above * 65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City use only: WACO:
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) (UBUPLN)
venting is provided. ! r\ 5 . 9 3
TOTAL $
STEP 1. COMMERCIAL . ONLY i I acknowledge that I have read this application and that the
Class of Work: Repair - information given is correct; that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
If RE - ROOF (circle A ,B or C) compliance with Oregon State law.
• • isting built -up roof cover ng to be REMOVED and deck
repaired - S' nature of Own t Date
B. Existing built -up roof covering to REMAIN: note applicant
must submit an engineer's review of the roof structural d` - S —
elements. Review shall bear the seal (or stamp) of the L G�t"�C X.t , r
architect or engineer licensed in Oregon. Contact Person Name Telephone
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2) '
I: dsts \forms\roof. res.doc
8/26/99 _ .
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 3 5 -( 1
Date Requested f-2-1 AM PM BLD
Location / / i5 ti OG l // C 6144- / Suite MEC
Contact Person P . / Ph 3Z0 orrti PLM
Co ■ Ph SWR
UI M1 Tenant/Owner ELC
Retai g Wall ELR
Footing Access:
Foundation l FPS
/
Ftg Drain U .SGN
Crawl brain Inspection Notes:
Slab ) SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall �J
Fire Sprinkler I�C O d 100 !, ' Jy
Fire Alarm / Q PK) /A //Lf // C
Roof f , ' Ct /7'`l l� i`r ��� �✓ /
Misc: /
Fi
,4211116- FAIL
u' :ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D r /-2_ /
� cw Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.