Permit •
~ A .
CITY OF TIGARD
/* , DEVELOPMENT BUILDING PERMIT
~�n��n�m~~~w ownn�o�m SERVICES PERMIT O. ^ BUP98-0186
=���1. 13125 SW Hall Blvd., Tigard, OR 97223 (503)638-4171 DATE ISSUED: 04/27/98
PARCEL: 25102CC-01200
SITE ADDRESS...: 13720 SW PACIFIC HWY
SUBDIVISION ^ ZONING:C—G
BLOCK ...: LOT . ~ JURISDICTION:TIG
----- --------- --- ---------- --------------
REISSUEn FLOOR AREAS-- EXTERIOR WALL CONSTRUCT ION—
CLASS OF WORK. :ALT FIRST....: 0 sf N: S: E: W:
TYPE OF USE...:C8M SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:A3 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:
WORMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: 4800
Remarks: Darity Lodge re-roof.
Owner: -- ---------- ---- FEES --------------
CHARITY LODGE type amount by date recpt
13720 SW PACIFIC PRMT $ 50.50 JSD 04/27/98 98-305273
TIGARD OR 97223 5PCT $ 2.53 JSD 04/27/98 98-305273
PLCM $ 32.83 JSD 04/27/98 98-305273
Phone #:
Contractor: --------- --
ROBERT BAYLOR
260 SW WILLIAMS DR
BEAVERTON OR 97005
--- — ----
Phone #: 644-6897 $ 85.86 TOTAL
Reg #..: 96080
--REQUIRED ACTIONS or INSPECTIOHS----
____
This permit is issued subject to the regulations contained in the Misc. Inspection ______.________�___
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 952-881-8818 through OAR 952-00181987.
You many obtain a copy of these rules or direct questions to D8NC _____________ __ ___ _____________________
by calling (583)246-1987.
''--___-------.---'-''��'- ___-_-- --'---
. —,�- ---'----- ----'-'
/.
�
, �
Permittee Signature: I�sued �: ��- ______________
++++++++++++++++++++++++++++++++++++++++++++ '++++++++++.
Call 639-4175 by 7:00 p.m. for an inspection needed the business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD Plan Check #: �_
13125 SW HALL BLVD. Recd By: � /�
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: 0 .,`. z ',1=i g
V- 503 - 639 -4171 X304 Incomplete or illegible applications will not be accepted Date to PE:
Date to DST:
F- 503 - 598 -1960 Permit #I --G
Called: 0Z
m Development/Business
a e of
( /t9 l'/ T y 1-006 e . :i Mater: Ial.: :Documentation::(USC >Append( 15): > :: < ; ::::<: <:::::: > >:: > <r :::
Street Address Ste # Please fill out applicable section and attach copy of roofing
Job Site / 3,..Z0 Sw P specifications.
Bldg # City/State Z ip :Listedd:> Ass em:#> iY:: :::::::(:Cwcle.: &:.CComplete:A ::B:
77 GAr p A.
Na a 1. Specification #: ) 1 ,°
Ii9 /OTZ p 00 jn5 /1
Applicant Mailing Address 2. Manufacturer: 0 ` Q
Po z 021 7 /7, Al l ti
City/Stat Z Phone 3a UL Classification: 790 0/.#< 4
�n n T7z 2 — guy .4
Roofing N me Listed UL Building Materials Directory Page #`
Contractor htberT Salt / /0R- (OR)
(Prior to issuance Mailing Address 3b Wamock Hersey :
applicant must PD a 19 / 2 Si
provide a copy of City/State Z Listed Wamock Hersey Directory Page #:
all contractor .1arT[.om D O 77-22.5 _ (PROVIDE COPY OF ASSEMBLY _
licenses if Phone # Fax #
expired in COT 6 yii689 > 626 680 Z B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
9--1 tW O J - DATED: -
' ll::
- . Dl.. ::IIN ROR .. . .. .::::: :: ::-�
::.: :::: ;.. ,.: ::, :::..:.... .
... ... ... :.. ... . C. SPECIAL PURPOSE ROOFING: W
�
WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM9 MF
Building - Type of Construction: VALUATI N OF PROJECT $
AHC/C sq. ft. of roof area y8 p,0. Do
Existing Deck Type: Permit fee based on valuation*
Combustible (X) Non - Combustible ( ) ' see chart on back $
> :RESIDE s Iass::+o ::Works: 0. :: :: :<:::::::: >::::::::: , :: :;:.:: >:.
City use only.. :. WACO.:.
0 REPAIR (MAJOR) (review eq plans examiner) �� �... � <: {BUILD) ..::: �; . ::' (UBUILD) (.2 � i
0
Permit required ONLY when spaced sheathing is covered by
solid sheathing or roof line is changed. 5% State Surcharge $
Cityuse onl WACO:
SUBMIT THREE (3) SETS OF PLANS SPECIFYING.
(TAX).::.::.:::.,;:. :. ::. (IJTAX) ... • ,
A. Roof area & nearest street.
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic 65% Plan Review $
( r )
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. •�Cc��
qa)I'AL $
:> STEP i :;::! :,R:: > ? < > COMMERCIAL >:::«: :i
... I acknowledge that I have read this application that the
-. lass.ol'1Nork >:
:::: <. :::::::::::::::.:::::::.::.::.;>;;:.::.;;>::.:.:;:.::.;:.;:.>:.;:.;::.:<.;:.:.::.;: .;::.:.:::.;::;::.;:.:::.:: Information iven is correct g , 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
RE -ROOF (circle A ,B or C) compliance with Oregon State law.
A. 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 000
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. Contact Person Name Telephone I
Asphalt or wood shingle /shake Bal B(7712 / Zb / l ue
(PRO TO STEP 2)
I:ROOF1.DOC (dsts) REV 4/98
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
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) 5 0 50 32.83 _ 85.86
5,001-6,000 56.50 36.73 2.83 • • .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 9.88 335.76
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 4/98
v L 7 90 e c,bss /
FovnD /9 &e a SQ
Bob Baylor - CCB# 96080
P.O.Box 219174
Portland, Or 97225 -9174 PROPOSAL
644 -6897 fax 626-6406
Customer 1 1
Name Charity Lodge #75 Date 4/27/98
Address 13720 SW Pacific
City Tigard State Or ZIP
Phone Chester 590 -2753 Cliff 639 -9463
\ J J
Date Description Unit Price TOTAL
3/26/98 Reroof withOwens Corning 25yr. Architectural shingles
New 2 x 3 baked enamel drip metal
New 2 x 2 baked enamel rake metal
New baked enamel metal vents to code
New pipe jacks
Metal W valleys in front valleys
Clean up and removal of all roofing debris $4,800.00 $4,800.00
SubTotal $4,800.00
Payment Details
TOTAL $4,800.00
$2000.00 day job starts
$2800.00 upon completion Acceptance
X
\ / X .
Offer good for 90 days •
THANK YOU
•
2/14/00 Activities for Case #: BUP98 -00186
4:02:58 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 4/27/98 JSD PASS JSD 4/27/98
BUPC008 Permit created 4/27/98 JSD PASS JSD 4/27/98
BUPC802 Final Inspection 1/27/00 RB PASS AKJ 1/27/00
BUPC792 Misc. Inspection 4/27/98 JSD 4/27/98
BUPC100 (F) Issue permit 4/27/98 JSD PASS JSD 4/27/98
BUPC960 Case Finaled 1/27/00 AKJ DONE No Hold AKJ 1/27/00
•
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 CK,001
Date Requested - Z 11 � �� AM PM BLD
Location 1 2 0 Par f7w Suite MEC
Contact Person Ph PLM
Contractor Ph SWR - _1
ILDING Tenant/Owner • IL 7 • ( ELC
Re Wall ELR
Footing AI NOT REQUESTED 20P 1 FPS
Foundation
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain In NO INSPECTION(s) IN FILE
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear - n
Framing { (.J -2� � (/Lli✓` C "C—
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
S PART FAIL
PtI1MBI
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
If F 1 1
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 V Date / ti O Inspector \i?), Other / 2;7 EXt 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.