Permit .A- CITY OF TI BUILDING PERMIT
PERMIT #: BUP2001 -00304
t r DEVELOPMENT SERVICES DATE ISSUED: 8/24/01 ' - „� I " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16240 SW WOODCREST AVE PARCEL: 2S1146A -07700
SUBDIVISION: COPPER CREEK STAGE 2 ZONING: R-4.5
BLOCK: LOT: 017 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R3 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: $ 7,000.00
Remarks: Reroof, replace spaced sheathing with solid sheathing
Owner: Contractor:
DURFEE, DAVID A AND SHIRLEY COOPER MOUNTAIN ROOFING & CONS
16240 SW WOODCREST AVE 14657 SW TEAL STE 207
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 524 -5433 Phone: 649 -2367
Reg #: LIC 112932
FEES REQUIRED INSPECTIONS
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Type By Date Amount Receipt Dryrot After Tear -Off Insp
PRMT CTR 8/24/01 $110.50 27200100000 Final Inspection
5PCT CTR 8/24/01 $8.84 27200100000
Total $119.34
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 -6699 or 1-800-Z32-2344.
Pe rm ittee , ( ,
I /
Signat e: 4 — , go
Issu - d By: , , !� l : %A /- / , - / '
_, 4 .
Call 639 -4175 by 7 p.m. for an inspection the next business day
I' .
B uilding Permit Application •
. s. " t ;��� City of Tigard Date received: 9 '. ` � � Permit /� r
_! ^_ '✓ Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction CI Demolition
0 Addition/alteration/replacement CI Tenant improvement O Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: / 6 ;Z 2 ' - st/ linode t� s r ,q, fe Bldg. no.: Suite no.:
Lot: I Block: Subdivision: I Tax map /tax lot/account no.:
Project name: 7>act. fF G
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: D,4 t/2 D i t rFr- r (Floodplain, septic capacity, solar, etc.)
Mailing address: /6,2 9 s o , (,, r At I & 2 family dwelling.
City: 7; ; State: pis (ZIP: 97 ,7a 7 t Valuation of work $ 7313¢
Phone: /, p _ 7 2. (Fax: (E -mail: No. of bedrooms/baths
Owner's representative: f/An c Total number of floors ...,
Phone: ; , _ ;13 Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: .� M on S e • i_ . �. O.
Covered porch area (sq. ft.)
Mailing addres : /yL( S7 . <",,,/ L P g o7o Deck area (sq. ft )
City: fie a rt ( State: are I ZIP: 97007 Other structure area (sq. ft.)
Phone: 6 , 6 Fax:k'ot p. E- mail: Commercial/'mdustrial /multi - family:
CONTRACTOR Valuation of work $
Business name: ao m� Rook. ' Existing bldg. area (sq. ft.)
"1 �`D/ �atis New bldg. area (sq. ft.)
Address:
City: I State: I ZIP: Number of stories
Phone: I Fax: I E -mail: Type of construction
Occupancy group(s): Existing:
CCB no.: //a ( 13
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: I State: (gyp: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGLNEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: (ZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept a edit cards, please call jurisdiction for mote information. -
attached checklist. All provisions • f laws and ordinances governing this 0 Visa 0 MasterCard
work will be complied h- er specified herein or not. credit card number. / /
�t pires
thorized signature: f�i1 `.y�s. Date: `C 2.- 1
../ I Name of cardholder as shown oo credit card
Print name: k €tLY H' M /"t O-
$
C ardboldu 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 (6100/00M)
RE- ROOFING PERMIT CHECK LIST
Rp1D NTIAL ONLY - Class of Work: Alteration
c i j
EPAIR (MAJOR) (plan review required by plans examiner)
ilding 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
STEP 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
review of the roof structural elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon.
Asphalt or wood shingle /shake. (PROCEED TO STEP 2)
CO
Mt architect
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 #: .11 a-n (' `4 " 2000 UL
2. Manufacturer: ?p,5(- .o
3a. UL Classification: c.bak, A
Listed UL Building Materials Directory Page #: 4 - ,a000 v L
OR
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: '14-9 sq. ft. Q750 of roof area 7313
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
Sent by: DEALER SUPPLY 5032364314; 08/24/01 3:07PM;fialf #837; Page 1
. coverings when insta in ac installation
with jthe manufacturer's s C prepared roof
instructions. Suitable for use over 15/32 in. thick plywood decking covered
06 with minimum of two plies Type 15 asphalt saturated f ng Covered
asphalt saturated felt. elt or one ply Type 30
of Formed steel or copper shingles, for installation as wind re
coverings when installed in accordance with sistant roof
r- instructions. These shingles may also bear the state installation
wind velocities up to 100 mph ". ment "Also evaluated at
of French method shingle, Class A, for use in reroofing.
Modified asphalt self adhering glass fiber mat sheet roofing f
f as Class C prepared roof coverings. Suitable for i o n r installation
in. thick plywood decks . minimum 3/8
PABCO ROOFING PRODUCTS, DIV OF PACIFIC CO
8 BUILDING PRODUCTS INC AST 811271
PO BOX 160488, SACRAMENTO CA 95816
s Asphalt organic felt sheet roofing and shingles
prepared roof coverings. , for installation as Class C
Asphalt glass mat shingles, for installation as Clas
coverings. Suitable for installation on minimum 3/8 s A prepared roof
Asphalt glass mat shingles f or i /8 In• thick plywood decks.
g nstallation as wind resistant roof coverings.
Wind resistance has also been evaluated at wind velocities
up to 110 mph.
RE -NEW WOOD INC
104 NW 8TH ST, WAGONER OK 74454 R18263
Formed roofing tiles for installation as Class A prepared roof co
laid over 1/4 in. "Dens- Deck" or 1/2 in. sheet rock followed bone when
layers of shingle underlayment. by one or more
r, ,
Ezra 90
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t„...„-fmo() 9 q' ?
415771/1 D3c-(6.-1-T ( IC' A ' ::.
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COOPER MOUNTAIN ROOFING AND CONSTRUCTION, INC.
CHECK THE MATERIAL BEFORE YOU START THE JOB
Job Number Crew
Customers Name Phone: H W
Address
Supplier Estimated ' Ordered Cost Total
Material Color V
Hip & Ridge
Starter V
Felt: 15 / 30
Ice & Water Shield V
Torch Down
, Base Sheet
r . Drip' Metal Color
Gable Metal Color V `.
Gravel Stop Color
Valley Roll
,Tin Shingles: Size Color
' Metal: Color
Misc. Metal
Plywood
Lumber
Vents: Color
Nails: Sheeting.
Nails: Field Soffits
Pipe Flashings: '4" 3" 2" ' 1'h"
Caulk / Mastic
Drop Box:
A -11 Staples
Soffits: Open / Close Tearoff •
Stories: 1 2 3 Resheet
Chimney: Flash / Counter Felt
Skylights Roof
Layers: 1 2 3 4 Hip/Ridge
Gutters: Clean Loading
Pitch: Access Vent
Power: Chim:F /C
Sidewall
Valley
Skylights
Torch
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 - Hour Inspection Line: 639 -4175 . Business Line: 639 -4171 MST
BUP �-Ci oc.)
Date Requested n — 0 7 AM PM BLD
Location . p 2 �r� W /� -6bR6 MEC
Contact Person ov Ph 6 (4 S 2- 34p 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner 6 / ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Ss Ceiling
("
'Misc:
ina
SASS 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
Approach /Sidewalk Date Other D a (` 2 7— d l Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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