Permit •
A + CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00114
j DEVELOPMENT SERVICES DATE ISSUED: 3/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BA -01200
SITE ADDRESS: 12585 SW PACIFIC HWY
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: C -G
BLOCK: LOT: 053 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: 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: $ 13,564.00
Remarks: Reroof permit, existing built -up roof covering to be removed and possible deck repair if required.
Owner: Contractor:
MORLAN PROPERTIES COLUMBIA CONSTRUCTION SERVICE
5529 SE FOSTER RD 28395 SW BOBERG RD
PORTLAND, OR 97206 WILSONVILL, OR 97070 -6769
Phone: Phone: 503 - 684 -9123
Reg #: LIC 116607
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
PRMT CTR 3/27/02 $177.70 27200200000 Final Inspection
5PCT CTR 3/27/02 $14.22 27200200000 EON?
Total $191.92
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 -6699 or 1- 800 -332- • 4.
Permittee 4114
Signatur-.
Issu >d By: / I�,.%1/ � 4 •. /
Call 63 • . 175 by 7 p.m. for an inspection the next business day
.... .... ..... .
. Building Permit Application
r l r ,,,� Datereceived: / 7 Or Permit no.: i � ' i. - //A1
�•� �! g Project/appl. no.: a
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phon (503) 639 -4171 Date issued: ( CNN Rece no.
Fax: (503) 598 -1960 Case file no.: • ayment type:
Land use approval3' ?R; ":. °_` `., ;y,l.v'^lyt: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory O Commercial/industrial ❑ Multi- family ❑ New constructio ❑ Demolition
( IYAddition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm 0 Other: /r - / 6OP-M 6J
JOB SITE INFORMATION
Job address: / ,2515 S/it1 DAUIc/C w)/ Bldg. no.: Suite no.:
Lot: I Block: ISubdivision: I Tax map /tax lot/account no.:
Project name: (,,t =dR6•E / P/GJ/ /A/�j
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
• (Floodplain, septic capacity, solar, etc.)
Name:
CEO E /»oe ow /Arn A I
Mailing address: /2684 $v.' le&hciL /)//,a'c/ 1 & 2 family dwelling.
City: 7r(7A/0 I State:0/Z 'ZIP: 9 7ZZ3 Valuation of work $ /3, 67,1,00
Phone: 6241- 78/ [Fax: 624-147/ I E -mail: No. of bedrooms/baths
Owner's representative: (,80J /1I /d Total number of floors
• Phone: . Fax: ; E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: • //h //90•5 Coveted porch area (sq. ft.)
Deck area (sq. ft.) $� 860 SA' address: Z83G� 66v ahe,e( S76. A
City: j,u, & j v /k I State 4 ' I ZIP: c79471) Other structure area (sq. ft.)
Phone: ,, — '/Z Fax: „ 44-1 ; E- mail: Commereiallindustriallmulti- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: a um, . i , / f',_ /Dh ..2.
Address: , 3qs A/F Sci />5 New bldg. area (sq. ft.)
City: l[11,&e UU //G I z )/Z I 9-71576
Number of stories
Ci State• ZIP:
/d�''1 /Z 3 I �01N� / I Type of construction
Phone: Fax: E -mail:
Occupancy group(s): Existing:
CCB no.: /11,1„,07 New:
City/metro lic. no.: Q 0 *A 4/9 Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: # 4 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: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: 'State: IZIP:. Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions swept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard
work will be complied h, wheyler ified herein or not / " d number: Expo
Authorized signature; MI*1 A / l r Date: 3/Z I /0 Name of cardholder as crown on credit card $
Print name: L // ,///!l .L l iD,e Cardholder a cure Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440J613 (donrcOM)
•l
RE- ROOFING PERMIT CHECK LIST Y
RESIDENTIOL 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:
a RE -ROOF (circle A, B or C):
B Existing built -up roof covering to be REMOVED and deck repaired.
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 complete A, B or C):
A. 1. Specification #: a // APP
2. Manufacturer: r,..,0� nl /e LS. edieeo 'ai "}'
3a. UL Classification: S 44/ 4J% ral ' '
Listed UL Building Materials Direc ory Page #: /77
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: $ l � st%O . /
sq. ft. 00 $60 of roof area 7
Permit Fee based on valuation:
(see Building Permit Fees chart) /77. ?O
8% State Surcharge: $ lq ' ,g9
65% Plan Review Fee: $
Ai fr—
(Required for major repairs of Residential or
Assembly item "C" above.
TOTAL: $ / 9/, 7P`
i:dsts \forms \roofchecklist.doc 10/05/00