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CITY OF T'IG�`RD -. BUILD!NGPERMII'
PERMIT 4: BUP2000-00204
DEVELOPMENT ERVIDES DATE ISSUED: 05/31/2000
13125 iW Hall Blvd'., Tigard, OR 77223 (503) 639-1171
PARCEL: 2S111 CC 07100
SITE ADDRESS: 15885 SW GREENS WAY
SUBDIVISION: SUM"r—RVIELD Ni
CITY OF TIGARD Plan Check#:
13125 SW HALL 3LVD Recd By:
TIGARD OR 97223 RE-ROOFING PERMIT APPLICQPON Date Recd:
Date to PE:
✓- 503-639-4171 X304 Dale to DST: _
F-503-598-196( Permit# ooa
Incomplete or illeyibie applications will not be accepted Called: —
-- Name of Development/Bus ess STEP 2. NEW ROOFING ASSEMBLY
�.,)r- , ^C:�„�!_ FI ,UMaterlai 0ocumentotiort(UBC Appendix 1S)
Street Address Ste# Please Fil out applicable ,ection and attach copy of roofing
Job Site 1 7 E'jPj'� (�Q• ^►S vera _ specifications.
Bldg# I City/Stale Zip Dated Assembly (Circle&Compieta A,B or C)
Name 1. Specification#.
�j2lt>rJ �AQJI � --
Applicant Mailing Address 2. Manu!acturec --
P.16. eiijx yti y
CitylState Zip IPhone "3a UL Classification
LA", PS F_•,Orv35-P,9 W
P.cofing Name e Listed UL Building Materials Directory Page#:
Gontra;tor IZJDFr nlC�* (OR)
(Prior to issuance Mailing Address "3b Warnock Heraey
applicant must
provide a copy of City/State Zip Uctucl Warnock Hersey Directory Paye#
all contractor t<A�q_ 03 WE(,) CV_
'COPY OF ASSEM 3LY REC}UIRED
licenses if Phone# Pax#
expired in COT (0515-�')U(o ('pal 1 - '- I q B. ICBO Research#
database) State Constr Conti.Board# '� Exp Date —
t`l UATED:
BUILDING INFORMATION,,. C. SPECIAL PURPOSc. ROOFING: WOOD SHAKES
Building- fype Of Use. (cu7cl,9 one) (revio-v required bplans examiner)
SF SFA COM _ -
Building Type of Construction V'NLUATION jr "ROJECT $
tit-E V/U�`J? ��-Tr&jC-7VW-E _ - -_-- sq_ft of roof area
Existing Deck Type: Permit fee based on valuation'
Combustible (t, 1 Non-Combustible ( ) sue chart on pack. $— -_
4ENTIAL ft, DAILY-Glass of WorkccAltpration City use only: 1 WACO.
U REPAIR(MAJOR) (review required by plans examiner) (BUILD)_, (UBUILD)
Permit required ONLY when spaoea sheathing is covered by
solid sheathing. Changes to roof line require Building Perrnit _ 8% State Surcharge $
Application City U only: WACO:
SUBMIT TWO U SETS OF PLANS SPECIFYING. _(TAX)
A. Roof area&nearest street. 'Required for major repairs of
Residential
B f,ttic vents- Provide 1 7;q 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 $__
STEP 1.�—COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct, that I am the owner or authorized
Oescribe work to be done (check appropriate box) agent of the owner, and that the plans (if applicable) are in
U RE-ROOF (circle A ,B or C) compliance with Oregon State law
A cxisiing built-up roof covering to be REMOVED and deck
repaired- Slgnilure of Owner/Agent Date
B Existing built-up roof covering to REMAIN note applicant
must submit an engineer's review of the roof shuctural �j.,� ,_ e�uN 516 -26
elements Review shall bear the seal(or stamp)of the �.
architect or engineer licensed in Oregon. Contact Person Name Telephone
C Asphelt or w000 shingle/shake � ( �I v/t 5 X35-e Y)U(n
(PROCEED TO STEP 2)
I:dsts\forms\roof res dot,
8/26/99
CITY OF TIGARD 130LDING MSPECTION DIVISION �mMST
"I 24-Hour Inspection Line: 639-4175 Business Line: 639-4-i i 1 .,
BUP
Date Requested AM_ PM _ 61-0
Location Suite _ ._ MEC -�
Contact Person -�`h Gt�,� , ih !� PLM
Contractor Ph SWR
BUILDING— Tenant/Owner —_ ELC
Retaining Wall ELR
Footing Access:
Foundation FPS —
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab ---- -- ---� SiT
Post& Beam
Ext Sheath/Shear --- - -- --
Int Sheath/Shear
Framing —
Insulation XI . \�� rv ,
Drywall Nailing -- Vy Q --------- --------_ --.�._- - _. ----
Firewall
Fire Sprinkler _.--
Fire Alarm
Su 'd Ceiling --- ----- - --
Misr. ---- -- —----- -- -- --
P SS PART FAIL ---- --
LU ING
5 Beam -- — — - -
Under Slab
Top Out —
Water Service — ----
Sanitary Sewer
Rain Drains — _ ----
Final
PASS PART FAIL -
MECHANICAL
Post&Beam ----
Rough In
Gas Line — -
Smoke L sarnpers
1=ir al ---
PASS PART FAIL _
ELECTRICAL --
Service —_ -- --——
Rough In
UG/Slab -
Low Voltayg
Fire Alarin —
Final
PASS PART FAILSITE
Backfill/Graomg
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE. [ ]Unable to Inspect-no access
Fire Supply tine
ADA (,
Approach/Sidewalk Date `N I _ _ tn�,pcc for S Ext v ��
Othe -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site,