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Permit • (1) BUILDING PERMIT A CITY OF TIGARD PERMIT #: BUP2002 -00373 - 13125 � � � ; DEVELOPMENT r S � ERV ICES 639 -4171 DATE ISSUED: 8/30/02 SITE ADDRESS: 09800 SW SHADY LN PARCEL: 18135BD -01200 SUBDIVISION: ZONING: C -G BLOCK: LOT: 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: $ 8,000.00 Remarks: Reroof, existing roof covering to remain and new roof to be laid over. Engineering report is attached. • Owner: Contractor: FORBES, DONALD CAROLYN MT HOOD ROOFING CO INC BURDICK, DONALD LINDA PO BOX 130 434 RIDGEWAY RD TROUTDALE, OR 97060 -0130 Lo OSWEGO, OR 97034 Phone: 503 - 669 -8386 Reg #: LIC 32137 . FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 8/30/02 $120.10 27200200000 k• 5PCT CTR 8/30/02 $9.61 27200200000 ' y P I RE .' - t Total $129.71 c /-( IP lb This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes s 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 Q 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 5 - ,00't =19:7. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1 0= 332 -2344. . Permittee 1. Signature: /■ ( 7 \, ( /D, .' Call 6394175 by 7 p.m. for an inspection the next business day BUP - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post /beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing - 4 Inspection Description Date Passed By , Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Drywall nailing Inspection Description Date Passed By Suspended ceiling • Post/beam mechanical Gas line Engineered soils Mechanical rough -in Welding Lab Final Concrete Lab Final Fire damper Bolting Lab Final Duct work • Structural observation Smoke detector Fireproofing Lab Final Mechanical final Final inspection • — PLM - Plumbing Permit BUP Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR -Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \forms \InspRecordBUP.doc 04 /17/01 ,„ ,.. ,,, C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00373 A 1 . 1 ,4,, D EVELOPMENT SERVICES DATE ISSUED: 8/30/02 " --- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09800 SW SHADY LN PARCEL: 1 S1356D -01200 SUBDIVISION: ZONING: C -G BLOCK: LOT: 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: $ 8,000.00 Remarks: Reroof, existing roof covering to remain and new roof to be laid over. Engineering report is attached. Owner: Contractor: FORBES, DONALD CAROLYN MT HOOD ROOFING CO INC BURDICK, DONALD LINDA PO BOX 130 434 RIDGEWAY RD TROUTDALE, OR 97060 -0130 L o E OSWEGO, OR 97034 Phone: 503 - 669 -8386 Reg #: LIC 32137 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 8/30/02 $120.10 27200200000 5PCT CTR 8/30/02 $9.61 27200200000 Total $129.71 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 X50 - . • :7. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6 6S 1—/•0'0 =332 -2344. Pe rm it tee 1, __ Signatu e: , r-- Is d By: ' . ,/ 14 , , , L-Vei---oks • Call 639 -4175 by 7 p.m. for an inspection the next business day te ji, Re -Roof ., l Building Permit Application Date received: $ 69" Permit no.: ea A J- /p 57 , `a . = �-=1'I r City of Tigard ! . ^:_ Project/appl.no.: AI __ date: CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: IA Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: I &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE I -- NFORMATION Job address: - ?6 0 5LA 5 ON LIO 'fl 5 moo( 0 R Bldg. no.: Suite no.: Lot: I Block: ISubdivisr n: I Tax map /tax lot/account no.: Project name: '#8-' M a.i f - Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: tot - w . .1. S (Floodplain, septic capacity, solar, etc.) Mailing address: c d'p ,S #1. • • owl f ,a. 3/ 1 1 & 2 family dwelling: • City: _ - ,t. _ State: 0 ' ZIP: - 7.c I Valuation of work $ Phone:- a/ 0 3 Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors • Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial /multi- family: CONTRACTOR Valuation of work $ ?/ O>aD r /_ l 7 � D �t Existing bldg. area (sq. ft.) Business name: '�� L New bldg. area (sq. ft.) Address: PC a.3& l a 0 Number of stories City: Tro d,�ia.4 I StateO I ZIP:910 ( Z K Type of construction Phone533 469- $.3F4 Fax: 4,0.44/071E-mail: Occupancy group(s): Existing: CCB no.: 3.1 i 3 7 New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: 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: State: ZIP: exempt from licensing, the following reason applies: I Contact person: Plan no.: Phone: Fax: ` E-mail: ENGINEER Name: Contact person: Fees due upon application $ Address: V Date received: City: (State: IZIP:. Amount received $ Phone: IFax: I E -mail: Please refer to fee schedule. I hereby certify I have read and e - a this • . I location and the Not all jurisdictions a kept credit cards, please call jurisdiction for more information. attached checklist. All , s • • • ws and o a nances governing this 0 Visa 0 MasterCard work will be comp =: �� ether, pecif - . erein or not. Credit card number: / Ea ue Authorized signature: ' r ' Date: Sf 13D /OZ' Name of cardholder as shown on credit card $ p Print name: L ` : . Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (&ON 'COM) QV/ /a9,7/ i p � RE- ROOFING PERMIT CHECK LIST RESIDENTIAL 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 REP 1: RE -ROOF (circle A, B or C): A. Existing built -up roof covering to be REMOVED and deck repaired. ! , . . B. ')Existing built -up roof covering to REMAIN. Note:, Applicant must submit an engineer's rev 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 #: yeamti C 2. Manufacturer: "ao vxs YYlv,r►� �(,(,e j I 3a. UL Classification: A R/0/47 , (J) Listed UL Building Materials Directory Page #: 3 a5 - 1 -99 64is.. - "OR /1 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: $ ?IN() ' c� sq. ft. C' (,OOof roof area Permit Fee based on valuation: $ (see Building Permit Fees chart) 8% State Surcharge: $ 65% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item "C" above. TOTAL: $ i:dsts \forms \roofchecklist.doc 10/05/00 C N SPE I SIO k s�%�'�'� D 24 -Hour O 2°v ° Z - 0793 7- 3�P /Mj�j4 Inspection Line: (503) 639 -4175 I N Business Line: (503) 639 -4171 BUP Received D ate Requested �� - AM I- PM BUP Location q' S l �� p� Suite MEC Contact Person /014h ) 7c D ° &/3 PLM Contractor &Ph (3 )44`J — R 3 SWR LD N Tenant/Owner- -- ELC ELC Foundation Access: 40---71‘) Ftg Drain ELR / ' Crawl Drain Slab Inspection -Nees. A �7p SIT Post & Beam // e - �' Ext Sr Sh ea Anchrs th / ear L�1 0� 4m 4 Ext eah/h �/�d �i Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING • Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date g 27(6 Z Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PAR FAIL City of Tigard Building Departmena 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 09 -4171 ^ P Report Re-Roof Roof Pre Ins ection Re ort Form Requested by S�e � / d' / Telephone ( 563 ) 7,? D - 6 / 3V Job Address 9 rj 0U SW s i ", o V L,/, Permit #: • Roof Access Location Date Requested 4/7/6 L Time Requested 9!f'sai Type of Existing Roof ' ' ./ ' � / 0 /41 f r6 4 - Cet f �� 1. Slope of roof deck // 6:of 2. Roof /Penetrations /General Conditions ❑ Fair poor • 3. Are there blisters? ❑ Yes No • 4. Are there cracks? ❑ Yes eg.No 5. Is there evidence of water ponding? • ❑ Yes lallo 6. Is moisture present under roofing (leak)? ❑ Yes ArNo 7. Is roof insulation existing? ❑ Yes No 8. Is roof insulation wet? - ❑ Yes - - -• ' �1Jo 9. Property line setbacks on all sides > 10 feet INLYes ❑ No 10. Building, size ❑ y.3000 sq. ft. M< 6000 sq. ft ❑> 6000 sq. ft. 11. Building height 2 Stories ❑ > 2 Stories 12. Class of roof required ❑ Non -rated VA. 13. Type roof deck (pmbustible ❑ Non - Combustible 14. Roof drains: 'Provided ❑ Required. ❑ Adequate 15. Overflow drains .Provided ❑ Required rgAdequate 16. Attic ventilation rovided _ L�.P 0 Required EtAde 17. .Roof listing • 'provided _ ❑ Required 18. Installation Instructions rovided ❑ Required To re -roof this structure the following conditions must be met: The re -roof proposal is ❑ Approved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the Building Division for an inspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is required. 2. • p Inspector l /�y-7 Ext. Date c� 4 //G 2. 11BulangVteropf Pretrespecbon Report Fomi