Permit CITY OF TIGARD
# DEVELOPMENT SERVICES BUILDING PERMIT
PERM I T # • BUP98 -0086
_^ 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 0 / 18 / 98
PARCEL: O51O2AA -00600
SITE ADDRESS...: 11960 SW PACIFIC HWY
SUBDIVISION • TIGARD HIGHWAY TRACTS ZONING:CBD
BLOCK LOT •010 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 13500
Remarks : Reroof over existing roof, single ply membrane system.
Owner: FEES
HOME & CASTLE type amount by date recpt
11960 SW PACIFIC HWY PRMT $ 104.50 GEO 02/18/98 98- 303393
TIGARD OR 97223 SPCT $ 5.23 GEO 00/18/98 98- 303393
Phone #:
Contractor:
INTERSTATE ROOFING
15065 SW 74TH AVE
TIGARD OR 97223
Phone #: 684 -5611 $ 109.73 TOTAL
Reg #..: 000554
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Si gnat / / �_:ed By �
iiiiir Call 639 -4175 by 7:00 p.m. for an nspection needed the next business day
+++++++++++++++++++++++++++++++++++++-++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD COMMERCIAL Permit #: go/
13125 SW HALL BLVD. Date Recd:
TIGARD OR 97223 RE- ROOFING PERMIT Bldg: $
V- 503 - 639 -4171 X304 APPLICATION Plan Chk: $
F- 503 -684 -7297 St. Sur. Chrg:$
Incomplete or illegible applications will not be accepted
Name of Development/Business
/4/we / a42.37.75" Date work is to begin: Dat Completed <
JOB Address �� �(/ NEW ROOFING ASSEMBLY
SITE / /9AelSAV /�/e /r /G' , ?4
Building Use
STEP 2
Na a New Roofing Material Documentation (UBC Appendix 15)
� �i�� Please Fill Out Applicable Sections &
OWNER Mailing Address Attach Copy Of Roofing Specifications
// / e /,€ / /-/Air
City/State Zip an_e
//6.11% 4 � cf za ' 40C,
Name Listed Assembly: �$avb[ �� y � , jei i rve be r
1 sl/'T6: z -A-r& X v1I2 /ti . P V t
ROOFING Mailing Address 1. Specification #: C�(�-S / • 1 4C - Z''� �— Z
CONTRACTOR �', -�p� SO 7 y , ti
(All licenses City /State Zip 9 ?dad b o e Manufacturer. D -(/-�
have to be T .e_ l — do
current at State Co Contr. Board # Exp Date UL Classification: 0 �-/ 9 8
time of 0 7 S
issuance) COT Bus. Tax or Metro Lic # Exp. Date (or) Wamock Hersey:
STEP 1 Listed UL Building Materials Directory Page #: /
Describe work to be done: (circle one) Listed Wamock Hersey Directory Page #:
RE -ROOF
(PROVIDE COPY OF ASSEMBLY)
A. Existing roof covering to be REMOVED and deck (OR )
repaired - PROCEED to STEP # 2.
2. ICBO Research #:
B. Existing roof covering to REMAIN: NOTE: APPLICANT Dated:
MUT SUBMIT AN ENGINEER'S REVIEW OF THE ROOF STRUCTURAL ( PROVIDE COPY OF ASSEMBLY )
ELEMENTS. REVIEW SHALL BEAR THE SEAUSTAMP OF THE
ARCHITECT OR ENGINEER LICENSED IN OREGON . 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES*
(PROCEED TO STEP # 2)
■
- J
*REVIEW REQUIRED BY PLANS EXAMINER
• REPAIR (MAJOR)
WHEN STRUCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE GO
REPLACED A PLAN REVIEW IS REQUIRED. 3 SETS OF PLANS MUST VALUATION OF PROJECT: $ it ) X00
BE SUBMITTED.
Existing Deck Type: r ` �� pe ‘&13::,00
I HEREBY STATE THAT THE ABOVE INFORMATION IS
TRUE AND TE.
Combustible (
SIGN
Non - Combustible ( ) DATE: Pm /g- ?B
Proof. cod 1/97 (DST)
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0086
HOME & CASTLE
11960 SW PACIFIC HWY
02/17/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- - - - - -- ---
BUPC005 Application received / / / / 02/18/98 RECD GEO 02/18/98 DST
BUPC008 Permit created / / / / 02/18/98 DONE GEO 02/18/98 DST
BUPC100 (F) Issue permit / / / / 02/18/98 PASS GEO 02/18/98 DST
BUPC792 Misc. Inspection / / / / 02/01/99 not an inspection. just a notation. NOTE JMT 02/01/99 JT
Double fee was paid on 2/1/99 of
$104.50. Okay to inspect. Jeanne T.
BUPC802 Final Inspection 02/18/98 / / 02/19/98 Please submit product spec's for roofing PART RB 02/26/98 J *H
material. Called rep this date, was
satisfied with application -
1 -800- 346 -6656.
Note: Double fees not paid. Hold final
approval until fee paid by roofing
company for roofing without permit per
Hap, referred to Jill as
parcel attribute required double fees
for permit & surcharge on 013098, permit
issued 021898. Note 3rd layer
engineering calc attached.
BUPC802 Final Inspection / / / / 02/05/99 PASS RC 02/05/99 ROC
BUPC960 Case Finaled / / / / 02/17/99 02/17/99 JT
• IGARD BUILDING INSPECTION DIVISION MST
. 2 - our Inspection Line: 639 -4175 l/ Business Line: 639 -4171 BUT ��o 8�
Date Requested Pl J AM PM BLD
Location t '/� co, PdLz`cLp, L Suite MEC
Contact Person .. C- L- Ph (o cr1 S7aa PLM •
Contractor / 4 1 31 `' 1 1 6 Ph X / L71 SWR
BUILDING Tenant/Owner ELC 1:t
Retaining Wall -2 )0 — ?j _ X'(fOo 49) ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes :
��� — Slab SIT
l
Post & Beam ,, / (/ �//
at Sheath /Shear ` ' /T s >i; i/ pie, ?
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
( f r.--.....---------------------
Firewall
Fire Sprinkler
Fire Alarm
Su •'d Ceiling
rot:
- PASS PART FAIL
P I BING
Post & Beam '
Under Slab
Top Out
Water Service
Sanitary Sewer .
Rain Drains
Final
PASS PART FAIL
MECHANICAL --r-
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
BackfilUGrading
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 c ?e ry '\ Oth /Sidewalk Date & —' .1Inspec C l Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.