Permit �~ '° ';iGA ,
^ � � �� OF � � �
BUILDl�G PE�MIT
DEVELOPMENT SERVICES m��~� °�"~��, ownu�n� o ~�m�. u� n��u�~� pERMIT 11 , . . . . . . : B1.1
13125 SW Hall BAvd., Tigard, OR97223 (503) 639-4171 DATE ISSUED: 11/04/97
PARCEL: 25102CB-02300
SITE ADDRESS...: 13200 SW PACIFIC HWY
SUBDIVISION--; FREWlNGS ORCHARD TRACTS ZONIr.G;C '[
8LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :008 JURISDICTlON:T1G
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF W3RK.:ALT FIRST....: 0 sf N: S: E: We
TYPE OF USE...:COM SE[OND...2 0 sf PROTECT OPENINGS?--'-------
TYPE OF CONST.:r ..,: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL------: 0 sf • ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: Q BASEMENT.: 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 it GARAGE. � . : 0 sf OCCU SEP. RATED
BSMT?: MEZZ?: REQD SETBACKS-------- REQUIRED----------------
FLOOR LOAD....: 0 psf. LEFT: 0 ft R5KT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS; 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING:
VALUE.$: 28600
Remarks: Fe—roof
[}wner: -------�------------------------------------------ FEES --------------
I
MULLIKAN MEDICAL CENTER type amount by date recpt
13200 SW PACIFIC HWY PRMT $ 188.50 B 11/04/97 97-300651
TIGARD OR 97223 5PCT.$ 9.43 B 11/04/97 97-300651
PLCK $ 1 22. 53 B 11/04/q7 q7-300651
Ph :L n #: 604-0425
Contractor: --------------------------
SNYDER ROOFING
12650 SW HALL BLVD
TIGARD OR 97223
____________________________________
Phone #: 620-5252 $ 320.46 TOTAL
Reg #. . : 0006101
------- REQUIRED INSPECTIONS -------
This persit is issued subject to the regulations contained in the _______ _____ _
Tigard gonicipal Code, State of Crp. Specialty Codes and all other
applicable laws. All ws'k will be done in accordance with �~//����L� ����~ _ • _
approved pians. This permit will expire if work is not started _ ___ __ ____________
within days of issuance or if work is suspended for more
than 180 days. ATTENTION: Oregon lax requires you to follow the
rules adGpted by the Oregm Utility Notification Center. Those _
rules are set forth in GP,R 352-0G1-31.010 through OAR 952-0Q1019B7. ______________ ____ ____________
You many obtain a copy of these rules or direct questions to OU:s!C _____.___________
by calling (503)246-1987. ` _ ______________
•
Permittee Si SignatAll Issued : Ad
Call 639-4175 by 7:00 p.m, for an inspection needed the next business day
CITY OF TIGARD Recd By:
3125 SW HALL BLVD. Date Recd:
TIGARD OR. 97223 RE-ROOFING PERMIT APPLICATION Date to PE:
V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to
F-503-684-7297 Permit #:)1/ -n5 In
Called:
UP i/-co3i
Name 9f Dripioprnen t/Business - .STEP 2...NEWROOFING ASSEMBLY..::::•:.:s.::'.
Ma N rtnii,,or, . Material DOCuinentatlini ttifid'Alipeiiii13(15)" '•••:':C''.:•!::: . 1 .. .• ' :'.
Street Address A Ste oil Please fill out applicable section and attach copy of roofing
Job Site 1305 scu g 14, - specifications.
Bldg * City/State UstectAssembly -:-•:,( Circle & Complete A, B or•C):•' '.:•-•...::-..- '.f...:-...• •::.
'4 A.
Name Li 1. Specification #: 4 / (-5-7.41. , -,- --
INU,a KiLvi - O (
• Pa - 7 Q , Owner Mailing Address 2. Manufacturer S 1
)0 .,,,,, /14)- scLu. ki4A.v, d i‘ d l
1413 z) 913
, e , - 6 -)>/
City/State, Zip PW_a 3a UL Classification:
/ /r)1 _ T7d1.2 3 _CU
. .e-/
Na ‘./ F Listed UL Building Materials Directory Page #: I ri. ) /
.___. (OR) •
Roofing ding d ress ) rn
ss e 3b Warnock Hersey :
Contractor 70 - 130,c- ,;: si 5
(Prior to issuance City/State Zip Listed Warnock Hersey Directory Page St:
applicant must n o■-i,trd q (PROVIDE COPY OF-ASSEMBLY)
provide a copy of Pepne OL- Fax *,_
all contractor ..3_,0 ,1 rj_..., 6 Ky 73 /0 , B. ICBO Research #:
licenses if ta Cops Contr. Board* Exp. Date . .
expired in COT al 1 5 2- 2_S DATED:
•
database) COT Bus. Tax or Metro Lic* Exp.Date - (PROVIDE COPY OF ASSEMBLY) - - •
. ... . -
'WILDING INFOFttilArgitkCaS C. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
3uilding - Type Of Use: (circle one . - r review required by plans examiner) . •
SF SFA ( COM ) MF
3uilding - Type of Construction: - VALUATION OF PROJECT $ - -7
L )6c7d . 1-- -- - • • CO
6 co
Existing Deck Type: Permit fee based on valuation' ..,.
Combustibl Non-Combustible ( ) • see chart on back S
.• - :•...1: . . .: . :::.g.:P.41.-..c.:.4-:: - City use only: : WACO:
I . . c0
0 REPAIR(MAJOR) (BUILD) 1 (UBUILD) .3
Permit required ONLY when spaced sheathing is covered by ,... ... . .
solid sheathing. . - 5% State Surcharge $
• City use only: .....-- • : WACO:..- • • - -: J --... .
SUBMIT THREE (31 SETS OF PLANS SPECIFYING. ECIFYING. -- • (TAX) - - " I ••• ' (UTAX) ' • ': '.."'
A. Roof area & nearest street.
65% Plan Review $ -
B. Attic vents - Providel sq. ft. for each 150 sq. ft of attic City use only: WACO: . .
-
space & vents shall be located in the upper 1/3 of the roof. • (BUPPLN) (UBUPLN) / i
Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic
TOTAL $
,:..- .:::::,::::::::::::::::o,;:::,::„::,,,,,,:.-:.::::::::::„.,..:.:::.:,,:::::„:::::::,:..,,,
.T.g.p:14::,::::::,:::::i:::::.coliatER,4w,::::.pwy:,:„6.,::,:::::,,,,,.::::::„.:::,,,,,,,::::::::,:„.:-.„ 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
; - - ROOF (circle A .B or C) agent of the owner, and that the plans (if applicable) are in -
112) 'sting built roof covering to be REMOVED and deck compliance with Orego S .-te law.
repaired - Signature of Owned- - Date
B. Existing built roof covering to REMAIN: note applicant .dmr I
must submit an engineer's review of the roof structural .,.. •
if / / — 9-- g 7
, 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
(PROCEED TO STEP 2) 1 j}'-r 1 (A/I-J
::RooF1.DOC (dsts)
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL .
- PLAN STATE BUILDING
VALUATION OF /PERMIT. . REVIEW TAX PERMIT
PROJECT FEES ( o) , (65 T) r(5°/) J FEES ._
1 =1500 25.00 .0 16.25 - 1 - .25 - - 1 " ' 52.50 ' '
1,501 -1600 •26.50 10.60 17.23 1.33 55.66 i
1,601 -1,700 28.00 11.20 18.20 1.40 _58.80
1,701 -1,800 29.50 11.80 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 - 1.55 , ; 65.10
1,901 -2,000 32.50 , 13.00 21.13 ` 1.63 68.26
2,001 -3,000 38.50 15.40 25.03 ' 1.93 , . • 80.86: •.
3,001 - 4,000 44.50 17.80 28.93 . , 2.23 93.46 .
4 ;001- 5,00 50.50 20.20 32.83 2.53 _ • 106.06
5,001=6,000 56.50 22.60 36.73 2.83 :11'8.66 .
6,001 -7,000 62.50 25.00 40.63 3.13 131.25
7,001 -8,000 68.50 27.40 44.53 3.43 ' 143.86 . •
8,001-9,000 74.50 29.80 - 48.43 ,, ) 3.73 156.46
9,001 - 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 86.50 34.60 56.23 4.33 181.66 • -
11,001-12,000 92.50 - 37.00 60.13 4.63 194.26 . •
12,001- 13,000 98.50 39.40 64.03 , 4.93 _ 206.86 _ - ._. ... -
13,001- 14,000 104.50 41.80 67.93 5.23 219.46 - ..
14,001- 15,000 110.50 44.20 71.83 5.53 . 232.06
15,001- 16,000 116.50 46.60 " 75.73 5.83 . "-244.66 _ -
16,001 - 17,000 122.50 49.00 79.63 6.13 257.26 _
_
17,001 - 18,000 128.50 51.40 83.53 6.43 269.86 . - ,
18,001- 19,000 134.50 53.80 87.43 6.73 282.46
19,001- 20,000 140.50 56.20 91.33 7.03 295.06
20,001- 21,000 - - . 146.50 - - - 58.60 - 95.23 7.33 307.66
21,001- 22,000 152.50 61.00 99.13 7.63 320.26
22,001- 23,000 158.50.. 63.40 103.03 7.93 332.86
23,001- 24,000 164.50 . 65.80 106.93 8.23 • - 345.46
24,001- 25,000 170.50 68.20 110.83 8.53 358.06
25,001- 26,000 175.00 70.00 113.75 8.75 367.50
26,001- 27,000 179.50 71.80 116.68 8.98 376.96
27,001- 28,000 184.00 73.60 119.60 9.20 386.40
28,001- 29,000 188.50 75.40 122.53 9.43 395.86
29,001- 30,000 193.00 77.20 125.45 . 9.65 405.30
30,001- 31,000 197.50 79.00 128.38 9.88 414.76
31,001- 32,000 202.00 80.80 131.30 10.10 424.20
32,001- 33,000 206.50 82.60 134.23 10.33 433.66
33,001- 34,000 211.00 84.40 137.15 10.55 443.10
34,001- 35,000 215.50 • 86.20 140.08 10.78 452.56
35,001- 36,000 220.00 • 88.00 143.00 11.00 462.00
36;001- 37,000 224.50 ' 89.80 145.93 11.23 471.46
37,001- 38,000 229.00 91.60 148.85 11.45 480.90
•
•
I:ROOF1.DOC (dsts) •
CITY OF TIGARD BUILDING INSPECTION DIVISION MS / q7 -p.70
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171, ?
Date Requested 112- \ VI AM PM BLD o
Location (7a-O C) [ Suite MEC ' 0 Z v -
G tact Person 0 7..( , r 4 --- Ph 3 /' 0 , ;. PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR A /
Footing Access: e t 2. x ,, 1 )
Foundation F PS
Ftg Drain '
Crawl Drain Inspectio Note_.,, /� SGN
Slab / 9' 0 Si 0 J' l� % % . SIT
P & Beam 1
Ext Sheath /Shear
Int Sheath /Shear /�� -7 /� 4 // q G,� p
Framing C%�C gE� !s- ..e..6(_. crO 0 '/3 l / GYM t
Insulation /� /
Drywall Nailing �v �`-ti � , I ` -Q� :.e /�ZQ? -L i / / / ��x%6�CJ
Firewall 0 ,, _
Fire Sprinkler 41-e ` -Ci
Fire Alarm r
Susp'd Ceiling L C %� i
Roof
Misc: ,
0 `
PASS _J FAIL 1I11 --,,___,,pp }t
PLUMB! • - [ U 11' Azp-e 2 .
Post Beam r1
Undder r Slab d� „Ze.,_,"5,c-e
Top Out =
Water Service I _�� _, - L `,
�.�
ea" c9 .r> -- : - ..
Sanitary Sewer �� //
Rain Drains , = �� . . (1,6 /,--7 _
Final a
PASS PART FAIL 7 3 — 4
MECHANICAL 1 � ' , , /
Post & Beam � �AtA .kit AM'
„p
Rough In r, q `{ iV I / Q
Gas Line �J�.`""' ?'��
Smoke Dampers .7) 1.dt . )'
f
PART FAIL �`
RICAL � {?
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
Other oach /Sidewalk Date !+ O ? -7 J Inspector an.'" - Ext
Final l
PASS PART FAIL DO NOT REMOVE this inspection record from the job.site.