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16725 KING CHA2riES
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CIT'r CF TIGA tD Permit A''
13125 SW F-iALL BLVD ���, Date Recd
TIGARU OR 977.23 �� RE-ROOFING PERMIT BId9 $
F- 5C31-6-5849- 42171 x3o4 �_� AnPLICATi'ON Plan Chk: $_.T-
F-503197 St. Sur. Chrg:$.a
_Incomplete or illegible applications will not be accepted
Name of DevelopmenJBuswess //'' /I
Date work is to begin:`t Date Con ,,leted
JOB Ad ress r� NEW ROOFING ASSEMBLY
SITE lv,411iV C14N�95
6u d' g l. se
�IL _ STEP Z
N e C _ New Roofing Material Documentation (UBC Appendix 15)
,(: r o�- ,^ Please Fil; Out Applicable Sect•cns &
41AINER Mailiny Address r Attach Copy Of Roofing Specifications
N me , . � l Listed Assembly:
S�JIAJk+ teWtf� 6 1 ))
RCCF:NGailin� . ddress 1. Speciflcati;n 4 3, 1 t_
CONTrZAC I'OR
LA
r1
(All 1,censes /Str C p ��� Manufacturer
have to be /L`
current at tale Constr C�i7itr Bo rd# Exp Date LIL Classi`cation ` _
time
of /
Issuance) COT Buss Ta 'Metro Irc0 Exp Date (or)Warnock Hersey
STEP 1 Listed UL Building Materials Directory Page#:
Describe work to be Forte: (circle one) Listed Warnock Hersey Directory Page#: _
RE-ROOF
_ (PROV!0E COPY OF ASSEMBLY)
eExisting roof covering to be REMOVED and deck OR
-paired - PROCEFED to S'EP#2
2 IC80 Research #:
El. Fxisting roof covering to REMAIN: NOTE.APPLICANT Dated
MIJS-i S�ZMIT AN ENGINE:R'S REVIEW OF THE ROOF STRUCTURAL ( PROVIDE COPY OF ASSEMBLY )
ELEMENTS REVIEW SHPLL BEAR THE SFAL'STAMP OF THE
ARCHITE31 OR EN(3INFER LICENSED IN ORF,�CN
(PROCE-J 7C STcp C 2) 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
'RE'VIEW REOUIR[D BY PLANS EXAMINER
REPAIR (MAJOR)
'WHEN STRUCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE /
REPLACEQ A PLAN REVIEW IS REQUIRED._ajScTS Of AN U$1 VALUATION OF PROJECT: S b,
Existing Deck Type:
I HEREBY ST.1TF THAT THE ABOVE IN RMATION IS
TRUE AND ACCURATE .
Combustible ( ) 1
SIGNED: -_.__i!__�-
Ncn-Combustible
1 r: ) DATE: _�-- —c. �---- -- - ---
t:,nofc:a 1,97 (ns-r)
CITY OF T%GARD BUIL NG INSPECTION DIVISION
24-Hour Inspection Line: 6?9-41 75 Business Phone: 6394171 C
Date Requested: — / O� A.M. _ P.M. _ aw, 1 70
CA
Location: �1�� _d
'fenaitt: _ _ suite:, Bldg: NEC:
Contractor:^ Phone: (',, ��) PLM:
(ho _
ner: 1. ' � _ Phone: `--�-�—�F--� -- ELC: _.
ELR:
SM
BUILDING BL DG(con't) PLUMBING MECHANICAL ELECTRICAL CITE
Site llmdlleam PoWlIcam Post/13eam Cover/Service Sewer/Stone
Footing irx—)T'`, I lndl l/Slab Rough-In Ceiling Water Line
Slah `I iam,ng I'op Out Clas Lane Rough-In UO Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vauil
$smt Damn Drywall Stonn Furnace ,emp Service MISC.
Masonn,- C'ciling, Rain Drain /'!C UW!lab
ab
Shear/Sheath I.ip" Crawl/Found Dr lical Pum, Low Volt
>)roved Approved Approv-1 Approved Approved
Appr/S(tw1k Nut,4pIS)ved Not Approved Not Approved Not Approved Not Approved
t'11V FINAL FINAL FINAL FINAL
rl Call for rein. Minn O Reinspection fee of S_ before next inspection D Unable to inspect
Inspector _ Date: / �i Pagc_ --__-_of
CITY OF TIGARD BUILDING INSPECTLON DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6344171
Date Requested: A A.M. P.M._, _ MST: _
Locationl p �SL� _ r^� i 7 BiJP:� SSI
Tcnant: _A Suite: Bldg: _ NEC:
Contractor: _ Phone: _ _ PLM:
Owner: _Plaone: ELC:.
ELR:
SIT:
BUILDING-��(cua't� ` PLUMBING MECHANICAL ELECTRICAL SITE
Site kll3eant I'osUBeam Post/13cam Cover/Service Sewer/Stonn
Footing Roof Ihidl'1/Shlb Rough-ha Ceiling Water Line
Slab Framing lbp Out Gas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storni I'nniace Temp Service MISC.
Maumry Ceiling Rain Thain A/C 1 JG Slab
Shear/Sh(ath ('ire in Cnawl/I'ound Ili I leat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk >t Rf or N Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINA.1 FINAL
nall li);rcinshecti< '' []Reinspection fee of S reguired befo next inspection CI Unable to inspect
Inspector_�_ :_---_ -------__-__- Date: Page of
CITY OF TIGARD BUTIA)TW7, PFRMT7'
DEVELOPMENT SERVICES PERMTT
--
13125 SW Hall Blvd., Tigard,OR 972;1 1501 654-41,71 r,ATF
F1_ . 1 1. ,fir`_ ,
rr7 V 7r)N T N ri
r+T. .
I I P T Pr)1(7 T T,N -R T N
T
FLOOR ARRA... r!,XTFT?TnR WAIA rr)f.j•:'Tr,11irTTr,
A F, W f1r,
FTRqT. orf
YFIF (IF 1 V7 F. P T r,PnTrr'T nPFNTN""
f W
R^ TOTAI, rn of 9nop rONST: AFTPF RPT Y
r RAS!'MFNT. f ARFA qPP. RATrrw.
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- RFOt) FFTRArj,*f-, RF01 I T PFr)
'l.r.mP 0 PSf FFT: 0 f+- PMPT: n f4 FTP. P K 1. - m,riw r)
01 FRNT - 0 fi REAR : (A rTR A1,Rm - 11Nr)'r( P Ai
'7 D R 11 r, 0 PATHP: TMP qURrArr: 01 PRn rnpp! PAPXTNr-, :
WAIF. F 2 M 0
I'�n)a I-k:--!- PE-Wr cF RE51NNTIAL, CLALq A W1 OMENS-COWNS R745?4' (page 121
�risting roof covering R skips to be ramoved.
vn-r - - -
F(?R(7F 7Fr'r""*T"r
r,7
7 . !7W ti i,!r- r';i A P t,F
r RM T P, RD 04
-,nrT
2
IF per*0 i.e illelled Fubiprl to fhp roquIations rontajnpoM T r i-r-�
aaM in thp
Otmir.1-ril rade, 5Iaffi of Ore. Sm-lWy Coda
r and all cj(y,,
Plic8ble lura. All work will be dnno in Rccnrd4ncp vf'h
Provod plans. Tb!F' petNif• Will p.Vpj-
p if work is not started
thin 110 days of ircfmq�r' nr if work ip quspondod for more
t
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tlaard,OR 97223 (503)639.4171
------.APR-02-'97 WED 10:29 ID: FAX"W. 9023 P02
CITY OF TIGARD Permit#:
`
13125 SW HALL BLVD, Date Recd: r2-
TIGARo OR 97223 RE-ROOFING PERMIT Bldg: $ 1, _
V-503•.639-4171 X304 APPLICATION Plan Chk: $
F-503-684-7297 St Sur. Chrg,.$
° Tt:,
6f5.L,>)
Incorrt lets or Illegible a plications will not be accepted
N9m!of D®volopmentlBusiness LL
—Date
//II
Gate work is to begin: � __Date Completec:?'t
SPE qys � tit,���A�� NEW ROOFING ASSEMfiI,Y
y Bw 'a�sr rl STEP 2
---- N _ _ plow Roo7ing Material Documentation (UBC AaDerdv is)
ay
j.. �C QTT Please Fill Out Applicable Sections b
OWNER Mailing addressAttach Copy Of Roofing Specifications
rt,� g , Listed Assembly:
11
ROOFING Nwiling&ddrass 1. :r,�eclflcat�n' ��. _ 11
CONTRACTOR W 1
tell licenses /State i hon Manufacturer,
have Iv be LIJ 0
:;urrent at tate Con&rr.Cdhtr. SoArd 0 �xp Dat UL Claesifieation
time of
i9suence) COT Bus,Tek ek Metro Or f! Exp.Data (or)Wbmock Hersey
STEP 1 Listad UL Building Materials Directory Pane A-_ _-
Doscribe work to be done: (eirclF one) Listed Warnock Hersey Directory Page#:__
RE-ROOF
(pROVIt'%ECOPYOFASSEM6LY)__
Existing roof covering to be REMOVED and deck ( OR ) _
paired - P►tOCEEV to STEP 0 2.
7. IG80 RQt;Qarch A: ,
8, Existing roof covering to REMAIN: NOTE;APPLICANT Oated:___
MAST SUBMIT AN ENo1NLER'S REVIEW OF THE ROOF STRUCTURAL, ,( PROVIDE COPY OF ASSEMBLY )
ELEMENTS. REVIEW SWILL_BEAR TINA St>ALSTAMI CW T14F _
ARCHITECT OR ENOINEER LICENSED IN OREGON. 3.SPECIAL PURPOSE ROOFING' WOOD HAKES'
(PROCEEO TO STEP$2)
•REvjLW REQUIRED 19Y PLANS WMINFR
REPAIR (MAJOR)
-"JEN 6TRUCTURAL GLEI1,4E14r8 OTHER TKAM SHEATHING IS TO BE
REPLACED A PLAN REvrsW 13 RPOUIRED_4AET V FIANAV-01 VALUATION OF PROJECT:
s ;velNlt?1�D.
Existing Dock Type' _ -LL--- -
I HEREBY STATE THAT THE A13OVE INF RMA!TION IS
TRUE AND ACCURATE .
Combustibis, ( ►
SIGNED:
Non-Combustible (x ) PATI":
I