Permit 4 CrrY T'IG ii' s1E -R PEP � i
..
, .
i44,„m DEVELOPMENT SERVICES PERMIT' C. , „ . e . M -�2 :4S
M I �� DATE ISSUED:: 11/10/97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639=4171 .
. PARCEL: 2E3 1 1 fFL'C --oci3a
SITE ADDRE :SS.. a a 1,`` SkI r?LAqnL; Y' =F! erj
2 .
SLIBDIVISION:.... 'S CITY CNG., 3 L
BLOCK.. a a o .... , LOT. ,, .. 9 _ n ... , .. i012' ,JURISDICTION: KIM'
Reoarks: Major Re- roof applying plywood to spaced sheathing
- -- ---- - -- BUILDING - -- - - -- - --
REISSUE: ' STORIES....,.., 0 FLOOR AREAS BASENENT..,: 0 sf REQUIRED SETBACKS-L- REQUIRED- ... °-- ---
CLASS OF I ORK ,'r-1 T HEIGHT,...--; „,T 0 DST to _ GARAGE--; to f LEFT-- ...... , 0- SUE E DETEC a QC, ' -
IJ.lUU u1 null,,. IflL! I'L SUP f➢,v_,,,a Z ' FIRST--; ISU l,,,,: V ]I U. ISTil`L,I,,., V ]1 V- 1.0,1E l/1i1L II,U --- -
TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: r sf FRONT . 0 PARKING SPACES:
TYPE OF CONST.:5 -1HR DWELLING UNITS: 0 ' FINBS; ENT: '0 sf RIGHT.....--: 0
OCCUPANCY GRP,:R3 BDRM: 0 BOTH: 0 TOTAL----- 0 sf VALLIE..$: 7550 REAR..........: 5 '
---- _ --- -- PLUMBING — - -- '
SINKS . ' 0 WATER CLOSES'.: 0 WASHING MACH..: 0 LAUNDRY TRAYS,: 0 RAIN DRAIN ft: E ' TRAPS.....,.,,.: O
LAVATORIES . 7 DISHWASHERS:..: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS.„: 0
TUB /SHOWERS. l , z 0' GARBAGE DISP, , : 0 WATER HEATERS.: 0 WATER LINE ft; 0 ' BCKFLW PR.E:'MTR: 0 GREASE TRAPS-: : " a
OTHER FIXTURES; G
- - - - -- - - - ------- - - - - -- - _--_ NE�k!ANIC L - - - - - - - -- - - - -- -- -- -- - -- - - - -.. __
FUEL TYPES , ' -• FURN ( 120}( ..: 0 BJIL/Ci11P ( SHP: 0 VENT FANS,...,: 6.' ' CLOTHES DRYERS: G .
. ^ FURN )=100K .: 0' • UNIT HEATERS..: 0 ' HOODS ' 0 OTHER UNITS..: 0 '
AX INA.: 0 BTU FLOOR FURNACES: 0 .VENTS.,....,..: S WGODSTOVES, . ,•, : G , GAS OUTLETS.-: : 0 ,
— , ELECTRICAL - -- • ---- - - - - -- - - - - - -- .
--RESIDENTIAL .rarer - _nrnntnr-I I' r. Mi- n „n I - nnn,.lr4,. IRCU -n Mtnrr, i ,n,TM,1 - + Arar tp,rrlrnr -
eCii^
-- i; ^ ^.J1 if�iV1 d-t4L L$Ui Jcry LL.Li C�.LLri' -` ' `3 Ir J1'iui Cc uc,dS r -- oAriiui�n'%., IL.Ud IJ -�- `F9dJ4LLLtF1 �yUUJ - - -- -riLuL aef:de i= i,kILIxJ-
'1070 SF OR -LESS: 8 0 - 200 app..: 6 '' C+ -,200 aPp,.: 0 W/SVC OR 'FDR,.: 7 PUMP /IRRIGATION: 0 PER INSPECTION: 8'''- ' ,
EA ADD'L 550SF.: 0 201 - 4Q:0 app..: C+' 201 - 400 app..: 00 ist W/O SUC /FDR: 0 SIGN/OUT LIN LT: 0 PER,,HOUR,.. ;,, ; ' '0 ;
LIMITED ENERGY.: 0 '4001 - 600 app..: 0 -401 -600 app..: 0 ER AFL BR CIR: 0 SIGNAL/PANEL...„: 0 IN PLANT,....: S
NANF H,i /SVC /FDR: 0 001,- 1000 app,: 0 , 601+anps -1000 v: 0 ' ' ' . MINOR LABEL -10 0
10004 app /volt. -: 0 PLAN REVIEW SECTION -..- , - - - -- ,
Reconnect only. ;,0 ) =4 RES UNITS:.:. SVC /FDR) =225 A.: ' ) 6µC V NOMINAL: CLS AREA / -C CCC: ' ,
- ELECTRICAL - RESTRICTED ENERGY - - - - - -- ' --= ----- - - --
A. SF RESIDEENTIAL B. "CON,MERCiAL _____________
AUDIO & STEREO.: VACUUM SYSTEM„: ^ AMID & STEREO.: FIRE ALARM INTERC -rig /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM,.:. OTH: ,. BOILER HVAC LPNDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER. , : ' CLOCK.-- ....: INSTRUMENTATION: MEDICAL......-: : OTHR: ::
HVAC... , . , , . , , , , DATA /TEL E COM'u : NURSE CALLS TOTAL # SYSTEMS: 0
Owner: - - -- Contractor: — TOTAL FEES:$ ' 71.93
DELORES JEFFCOTE - RON'S HANDY 1 SERVICE This peroit is subject to the regulations contained in the
15920 SW ROYALTY PKWY 5137 SE WELCH RD Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 GRESHAM OR.97080 other applicable laws. All work will be done in accordance
with approved plans. ' This pereit will empire if work is
Phone B: Phone, 4: not started within 180 days of issuance or if the work is
Reg 4..: 073903 - , suspended for core than 180 days. ATTENTION: Oregon law '
' '.--------------------7----- • requires you to follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth in GAR 952 -001 -0010 through CAR. 952 -00i -008. You day obtain copies of these ;rules or
direct questions to DUNE by calling (503)246 -1987. '
— --- -- -- - - - - -- REQUIRED INSPECTIONS, , - - - - - -- - - -- - --
Roof Nailing' . ' . ' '
Building. Final . ,
J: t si F..t e ci By:_ -F%-/ - ( i1� , . i-Jerwittee S i g n a t F_t r _ ..
^ +++ 4 -..r.. , F- .1- 44 +. '4- Sri'.,.. I— !-•-I--.y.-14.14 4- -i, I° .. +'1:4. +_} +.r4+ +'I':l-
' Ca1J. 53,974 . .I. 75 Lay 7 : izie p. s:. for, .Tan in iz, p'ertiozi "ne'eded Nile neat, ok_ts "1 a V ,
- -- `
CITY.-OF .T1bARD Recd By:
13125 SW HALL BLVD. Date Reed:, t( to -5-7
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE:
V- 503-639-4171
F-503-684-7297 X304 Incomplete or illegible applications will not be accepted Date to DST:
Permit #: / Srq 7-0 cl f 2--
Called:
Name of Development/Business - STEP 2... ROOFING ASSEMBLY ...:: : : , e,,, , ..a . ..:,%:•;:•:. : ::::..- . ;:.. ,..-. :
Materiel DOeMeintatloriluBCAPpenillic ' •
Street Address , Ste* Please fill out applicable section and attach copy of roofing
Job Site isc) ar\ ',3...L)YcAc(0 Qc &.j specifications.
Bldg* city/State ' Zip , Listed Assembly • .1 Circle& Complete A, B or•CVz. . s::' • .:
Vy i ()K-- q D-a q A.
Name 1. Specification #:
4. , g.inia_e 7effc0-/- 0 _
Owner Mailing Address 2. Manufacturer.---rr _ P
___ A 3 (' n
.1_,tv.■.fL
City/State I Zip Phone 3a UL Classification:
-14me Listed UL Building Materials Directory Page #:
Vr'n'S l'Af jroci y) <--> \I C . (OR) -
Roofing Mailing Address 3b Warnock Hersey :
Contractor C 5I 3
(Prior to issuance City/State. Zip Listed Warnock Hersey Directory Page #:
applicant must (Li y-e‹ k ci CS (PROVIDE COPY OF ASSEMBLY)
provide a copy of , Phone* , I Fax # •
all contractor (49 ((\7).- 7S 0 Lf - B. ICBO Research #:
licenses if _State Constr.Contr. Board* Exp. Oats
expired in COT 7 - s 9 (7.1. 7 . - '' DATED:
database) COT Bus. Tax or Metro uc* Exp.Date - (PROVIDE COPY OF ASSEMBLY) -
3U1‘13111G-R4FORMAIgg C. SPECIAL PURPOSE ROOFING: WOOD SHAKES' . .
auilding - pe Of Use: (circle one) _ r review required by plans examiner) -
0 SFA COM . MF
3uildin • ype of Construction: VALUATION OF PROJECT $
-- i•-nr - ).. --
Existing Deck Type: • Permit fee based on valuation*
.
Combustible ( ) Non-Combustible ( ) ' see chart on back S (..P '3. SO
.. :;-:'.::]-:•..': ::::•:::, ..REskcP17,1::•.,C1'97-.T2 :k•:„•.:;::,:.%:-. City use only: ' WACO: . • -
X (MAJOR) (BUILD) f (UBUILD) •
Permit required ONLY when spaced sheathing is covered by ...
solid sheathing. texLArize en,-eh pd 5 5% State Surcharge S 3, C/3
p -
‘u J City use only: - - ,. : WACO:. - .. . . . . .. .
SUBMIT THREE (31 SETS OF PLANS SPECIFYING. (TAX) ' - • I •-• (UTAX)
A. Roof area & nearest street. N,A
65% Plan Review S
B. Attic vents - Providel sq. ft. for each 150 sq. ft of attic City use only: I WACO: . .. .
space & vents shall be located in the upper 1/3 of the roof. . (BUPPLN) I (UBUPLN) ..
Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic
TOTAL _ $ '7 / c
4 / 3
.. : ... :.,:.:..:.:.::-..: ::A.:::.........:....::::-.::::-.,..:
. . - 4p. , ...f;::::::::.*:::::::commERciAl.:::::aptivt,..4ti:::...,::* ei .::::::::.:::::: : ::::,..:..-,: : 1 , ...:.: I acknowledge that I have read this application and that the
escribe work to be done: (check appropriate box) information given is correct; that I am the owner or authorized
.7 RE (circle A .8 or C) agent of the owner, and that the plans (if applicable) are in
A. Existing built-up roof covering to be REMOVED and deck compliance with Oregon State law. •
repaired - Signature of Owner/Agent Date
B. Existing built-up roof covering to REMAIN: note applicant /
4
it
- '''''''.°14' 06/97.
must submit an engineer's review of the roof structural .9'77a/,
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 663-780/
(PROCEED TO STEP 2)
::ROOF1.00C (dsts) &e/0 - .'° - 5--: '7'41-2---
CITY OF TIGARD BUILDING INSPECTION DIVISION MST GT 7-041.2_,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
b
24 ()l p Date Requested b /a51 7 er AM 10 IW PM BLD
Loca on i� 5•3.2z (sto G. ta PC��l�flt. _ Suite MEC
Contact Person (� Ph � 3 -7 ?o 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: C.l'I� L
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: f _ coil 7
SIT
Post & Beam ` ` � e� � �1 Vv OSt_
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall •
Fire Sprinkler
Fire Alarm
S _ I'd Ceiling
oof
1�
PART FAIL
:ING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date ! c5 a 1 7 Inspector 1. 7 - P C. , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.