Permit CITY OF TIGARD BUILDING PERMIT
A + PERM B
Y'll DEVELOPMENT SERVICES O . R LGLPJr% . TE � ISSUED: IT #: 4/4/00
UP2000 -00103
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111CC -08700
SITE ADDRESS: 10100 SW SUMMERFIELD DR .. , .
SUBDIVISION: SUMMERFIELD NO.2 ZONING: R -12
BLOCK: LOT: 114 JURISDICTION: TIG.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
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CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: R3 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: 8 000
Remarks: Reroof of 5 unit condominium. Removing existing roof down to the sheathing.
Owner: Contractor:
MAHONE, PATRICIA N PACIFIC WEST CONSTRUCTION INC
10100 SW SUMMERFIELD DR PACIFIC WEST ROOFING
TIGARD, OR 97224 PO BOX 444
Phone:. LP O rag0TOt R 97034
Reg #: LIC 54111
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof nailng Insp
PRMT DEB 4/4/00 . $110.00 001146 Final Inspection
5PCT DEB 4/4/00 $8.80 001146
Total $118.80
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 •
Issue• By: ..,4,4 - # )� ..
• Call 639 -417 by 7 p.m. for an inspection the next business day
WI
CITY OF TIGARD Plan Check #: A
13125 SW HALL BLVD. Recd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: 4f -•-
V- 503 - 639 -4171 X304 Date to PE: --
F- 503 - 598 -1960 • Date to DS A
Permit #: / 0 -04 3
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY
S ' 1' Nil..2 G t t - 0 Material Documentation (UBC Appendix 15)
Street Address Ste # Please fill out applicable section and attach copy of roofing
Job Site 5 ,,r^rnce F' a l.2 specifications.
Bldg # City /State Zip Listed Assembly ( Circle & Complete A, B or C)
- r .s owe 4 .54-. 0 1'1 2 2 '-1 A. ;%1
Name 1. Specification #: 1 t'4 " ✓,' �'' v
il cal/A-4 J 4vt "" S
Applicant Mailing Address 2. Manufacturer:
P. O. 60,( y y 4
• City/State Zip Phone *3a UL Classification:
• 1 - AIGE O Li s s 0 O2. T701 b35-8'
Roofing Name 0 Listed UL Building Materials Directory Page #:
Contractor Fo WES-r •4 n l�� (OR)
(Prior to issuance Mailing Address "3b Wamock Hersey :
applicant must ?. Q0)C 1
provide a copy of City/State Zip Listed Warnock Hersey Directory Page #:
all contractor LACE esvlir.- Ole. 'V *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT 503 b35- 8706 5'33 - 6 I - 22'-19 B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
5' 111 e • 14 -co DATED:
BUILDING INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM (M F
Building - Type of Construction: VALUATION OF PROJECT $
5 - PL - Y S W 000 5 - r 2 - C 7..rcE sq. ft. of roof area
Existing Deck Type: . ✓ Permit fee based on valuation* h A ,00
Combustible ( ) Non - Combustible ( ) * see chart on back $
RESIDENTIAL ONLY - Class of Work: Alteration City use only: WACO:
❑ REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by . , VC)
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $
Application. ' City use only: WACO:
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) (UTAX)
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 $ //, ?O
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct; 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
OOF (circle A ,B or C) • compliance with Oregon State law.
• fisting 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 Q
must submit an engineer's review of the roof structural f J 1_ • y , ion
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. Contact Person Name Telephone
C. Asphalt or wood shingle /shake 6e.Ih -1 Jg12 ✓I5 503 - (05 - e'1o(
(PROCEED TO STEP 2)
l : dsts \form s\roo f. res. doc
8/26/99
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4/21/00 Activities for Case #: BUP2000 -00103
4:39:47 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPD005 Application received 4/4/00 DEB DONE No Hold DEB 4/4/00
BUPD008 Permit created 4/4/00 DEB DONE No Hold DEB 4/4/00
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BUPD767 Roof nailng Insp No Hold DEB 4/4/00
BUPD7.99 Final Inspection • 4/7/00 TLP PASS No Hold AKJ 4/9/00
BUPD092 (F) Issue permit 4/4/00 DEB DONE No Hold DEB 4/4/00
BUPA950 Case Finaled 4/9/00 AKJ DONE No Hold AKJ 4/9/00
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
T 614/( -
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 20 0O1
Date Requested 14 / 1 - 2700 AM PM BLD
Location ) 0100 S..Yn 4" Suite MEC
Contact Person bY'1LQ Ph ?b9 - 21 ZZ PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
Retaining 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
FOf
Misc:
•ART 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 o [ ] Please ca I for reinspe ion RE: [ ] Unable to inspect - no access
ADA /77 d Approach /Sidewalk D Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.