Permit 1 ti'
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00247
i
liA DEVELOPMENT SERVICES DATE ISSUED: 6/17/99
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 13137 SW PACIFIC HY PARCEL: 2S102CB -00200
W
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12
BLOCK: LOT:. 041 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: 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:
Remarks: Re -roof
Owner: Contractor:
TIGARD SCHOOL DIST #23J GRIFFITH ROOFING
13137 SW PACIFIC HWY 6815 SW 111TH AVE
TIGARD, OR 97223 BEAVERTON, OR 97005
Phone: Phone: 643 -1596
Reg #: LAC 00000925
• FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Final Inspection
PRMT BON 6/17/99 $613.00 99- 316213 Pre- roofing inspection
5PCT BON 6/17/99 " $30.65 99- 316213
Total $643.65 ORIGINAL
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 rm itee /
Signature: , ���j
if /
Issued By: l / /J f L
Call 639 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Plan Check •
13125 SW HALL BLVD. Rec'd By:
TIGARD OR 97223 . RE- ROOFING PERMIT APPLICATION Date Rec'd: / 0 - I 7 ,
V- 503- 639 -4171 X304 Date to PE:
Commercial and Residential :
T
F- 503 - 598 -1960 Date to D Permit #: &) 1"W 1 ' 00 2-
• Incomplete or illegible applications will not be accepted Called:
Name of Development/Business ;; «f:: : ::�::•
P
N ... ASSEMIEl �::;<.:::;: ::.:;.;:.:;:::.::.::.::::.;::
C
F
� r c tutl dam. n:. BO >J0. » < > >:;: >
C
Street AddreW Ste # ( Please fill out applicable section and attach copy of roofing
Job Site / 91,s— SL) 6 r0 a t specifications.
Bldg # City/State Zip : >:_ ,::'
gsletetbfY.. (:..rrcleBe.Complete.At.. B .or..:C)t.:.;:.:.::;::.:: ;:<.;:.:.:�;:;::�.;:
Nape rr 1. Specification #: lil r.001-i,1 (1..)
Applicant M fling Address 2. Manufacturer: / r eo
6 f /s sw /11 C lass ,4-
City/State Zip Phone •3a UL Classification:
8 ,.,,�� .6,o,, 970oa 6'13 - 1 5 76
Roofing Name �y) i Listed UL Building Materials Directory Page #: 3 /
Contractor ,:4.1- , 4Z a Y ,' v, C. (OR)
(Prior to issuance Mailing Address *3b Warnock Hersey :
applicant must 6 If I.S S W 1 I I i h A
provide a copy of City/State Zip Listed Warnock Hersey Directory Page #:
all contractor rc , ,, e r } a OA 700, 'COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax # -
expired in COT 6413-1,s--74 6 9 y - /S . : ?7 B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
00.7. r / DATED:
U. GIiF. » : C. SPECIAL PURPOSE R
�� ..�.... �..::. :::::::>::::.;;:: � ::;;>:;.;:.;:.: > �;: :.:::.: ;:.;;:.;;:.;;;;;:.;:.;:;<;. >: U POSEROOFING: WOOD SHAKES
:. l�U� :....... .. �..#..: N. QE4. �: �:;<>::::>:: :: >:: >; >:::::: >:::: >:;: >:: > :.: 00
. ............................
Building - Type Of Use: (circle one) ___- ., (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: (__ _.. VALUATION OF PROJECT
$
Existing Deck Type: sq. ftr0 /00 of roof area 1 7/ /
Y P ermit f ee based on valuation*
( ✓1 Non - Combustible ( ) * see chart on back $
>RE - DEt 1 :,;Y : :: l a; :.: : .: . : .:: .iiii: > : : ::.i : >:: »: ii:: : ::::: »:: >:: > : i
...+ �.: �?�-QL�, �:; �as�; pi: Wc 1r�# or� use:.on .: WA
. .
0 REPAIR ( MAJOR) (review required by plans examiner) : • (BUIL .. . C (UBUILD) ( ( 3
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $
Application. :City use. only: ' .WACO:. /
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. • .• . '(TAX ): ' (UTAX) ' G �
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.
TOTAL $ (g , [ 1 P
:'STEP :: >: >': >< >CO RC >:::: >:: >. ::
................ .MME . I; AL......... fDNEsY ::: >:::«::::<::::<: »:::<v <: <<=
.... I acknowledge that I have read this application and that the
•
ss .. 11if
.. given iven is correct that I am the owner or authorized
Des • ' b e •• wo to :,. ...,...
e pn b done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
w E -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 /
elements. Review shall bear the seal (or stamp) of the — ‘7-7
architect or engineer licensed in Oregon. Contact Pe n Name Telephone
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2) �r t 1J /S/
-1 I [, 7 .6
I:ROOF1.DOC (dsts) REV 5/1/98 \ _pe.,-,,--4 ,
f
CITY OF TIGARD .
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING i . •
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65 %) (5 %) FEES
1 -1500 25.00 16.25 1.25 42.50
1,501-1600 26.50 17.23 1.33 45.06
1,601 -1,700 28.00 18.20 1.40 47.60
1,701 -1,800 29.50 19.18 1.48 50.16
1,801 -1,900 31.00 20.15 1.55 52.70
1,901 -2,000 32.50 21.13 1.63 55.26
2,001 -3,000 . 38.50 25.03 1.93 65.46
3,001-4,000 44.50 28.93 2.23 75.66
4,001 -5,000 50.50 32.83 2.53 85.86
5,001-6,000 56.50 36.73 2.83 96.06
6,001 -7,000 62.50 40.63 3.13 106.25
7,001 -8,000 68.50 44.53 , 3.43 116.46
8,001 -9,000 74.50 48.43 3.73 126.66
9,001- 10,000 80.50 52.33 4.03 136.86
10,001- 11,000 86.50 56.23 4.33 147.06
11,001- 12,000 92.50 60.13 4.63 157.26
12,001 - 13,000 98.50 64.03 4.93 167.46
13,001- 14,000 104.50 67.93 5.23 177.66
14,001-15,000 110.50 71.83 5.53 187.86
15,001- 16,000 116.50 75.73 5.83 198.06
16,001- 17,000 122.50 79.63 6.13 208.26
17,001- 18,000 128.50 83.53 6.43 218.46
18,001- 19,000 134.50 87.43 6.73 228.66
19,001- 20,000 140.50 91.33 7.03 238.86
20,001- 21,000 146.50 95.23 7.33 249.06
21,001 - 22,000 152.50 99.13 7.63 259.26
22,001- 23,000 158.50 103.03 7.93 269.46
23,001 - 24,000 164.50 106.93 8.23 279.66
24,001- 25,000 170.50 110.83 8.53 289.86
25,001-26,000 175.00 113.75 8.75 297.50
26,001-27,000 179.50 116.68 8.98 305.16
27,001-28,000 184.00 119.60 9.20 312.80
28,001- 29,000 188.50 122.53 9.43 320.46
29,001-30,000 193.00 125.45 9.65 328.10
30,001 - 31,000 197.50 128.38 9.88 335
31,001-32,000 202.00 131.30 10.10 343.40
32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001- 35,000 215.50 140.08 10.78 366.36
35,001-36,000 220.00 143.00 11.00 374.00
36,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 11.45 389.30
I:ROOF1.DOC (dsts) REV 5/1/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP fg
Date Requested AM PM BLD
Location / '71 - 1 , t) h t/ Suite MEC
Contact Person Ph , PLM
Co �� tkt� Ph (fit/ 3 /5'1(0 SWR
Tenant/Owner 5 G fit ) / f
ELC
Retaining Wall ELR
Footing Access:
Foundation FPS 1
Ftg Drain SGN ,
Crawl Drain
Slab Inspection Notes:
2 L� SIT MOW
Post & Beam , rr
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
�D
Fire Sprinkler 4- S 7
Fire Alarm
Susp'd Ceiling t C U �"'
Roof
Misc:
anal
SS PART FAIL
PLUMBING
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /J
Otheoach/Sidewalk Date 3/g lU v Inspector E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP 1/
Date Requested / AM PM BLD
Location f" 31 3) 1 -C- HIAD Suite MEC
Contact Person `9Y Ph t 0 3 � ,6 PLM
Contractor Ph �� ,,,, SWR
UILDI Tenant/Owner G � T1 O/LeC S ter' �tw ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall r1 � y� 4,Q6,o 77 P /�� 9
Fire Sprinkler J , �'
Fire Alarm re_ Ta CGc' i/L
S s•'d Ceiling
isc:
PART FAIL
BING
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 / / 4 a ' Other Date ` *v / Inspector _/ E
Final
PASS PART FAIL DO NOT REMOVE this inspection record • from the job site.