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11652 SW PACIFIC HIGHWAY rn N d n n 11652 SW Pacific Hwy CITYO F TI GA R® _ BUILDING PERMIT PERMIT#: BUP2002-00380 DEVELOPMENT SERVICES DATE ISSUED: 9/3/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 11652 SW PACIFIC HWY PAR' �L: 1S136CD-01401 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf '- N: S: E W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'?: MEZZ?: __ _ READ SETBACKS _ _REQUIRED FLOOR LOAD: psf LEFT: ft RGHT. ft F—IR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BFDRMS; BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: 4 '/� / '- '- Remarks: Reroof, tear-off existing roof material and reroof with class A. Uv.,ier: Contractor: NMJ PROPERTIES GRIFFITH ROOFING 9838 SW DAPPLE GREY LOOP 6815 SW 111TH AVE BEAVERTON, OR 97008 BEAVERTON, OR 97005 Phone: 503-626.7419 Phone: 643-1596 Reg#: LIC 00000925 FEES REQ11IPF-D INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 9/3/02 $91.30 27200200000 5PCT CTR 9/102 $7.30 27200200000 ---� --�- Total — -- $98.60 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 ir 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 1-800-332-2344. Permittee Sign e: Iss ed By: Call 639-4175 by 7 p.m. for an in;pection the next business day Re-Roof Building Permit Application City of Tigard Datereccived: `%�D� Permitno.,& ?Fl y' Address: 13125 SW liall Illvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639A 171 Date issued: By: Receipt no.: — Fax: (503)598-1960 Case file no.: Payment type: Land use approval: ._.__ 1&2 family:Simple G)mplex: TYPEOF U I &2 family dwelling or accessory U Commercial/industrial U MultifamilyO New construction ��Detpolition U Addition/alteratiorr/replacenicnt U Tenant improvement U Fire sprinkler/alarm `Other:o a JOB r Job address no.: Suitt no.: Lot: Block: Subdivision: _ Tax map/tax lot/account no.: Project name: /ltr2 re. r. --�4 Description yid location of ork myrf mises/s ial conditions: 71eq ---e Gx/�J ,�roo f- r,✓I• iS _ 4,0 1N, Name: NMS r er i (Moodp��tin,septic capselty,sole I r,etc.) Mailing address: -M-, 913Za 0 &2 family dwelling: City: — state:o I pp Valuation of work........................................ $ Phonc: 1-ax: I E-mail: No.of bedrooms/baths................................. Owner's representative: R j a/A Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.) Name: .. CON � r_ Covered porch area(sq.ft.) ......................... — Deck area(sq.ft.) ........................................ Mailing address: ty: _ State: ZIP: Other structure area(sq.ft.). ....................... Ci Cit 1'ax I avail: "mmercial/industrial/multi-family: 1 1 Valuation of work........................................ $ S ���� Existing bldg.area(sq.ft.) .......................... /700 Business name: � S,4 New bldg.area(sq.ft.) Address: � � ............................... Number of stories........................................ Z _ (city: y�/ State: : T W �--� ('r ZIPType of cons:,action....... .......................... tetr2� Phone: ( Fax: E-mail: Occupancy group(% : Pee_ Existing: CCB no.: 60 9 ZS'— —_ New: 'ity/metra lic.no: 6 -�• Notice:All contractors and subcontractors arc required to be r 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 die applicant is City: State-�7.IE': exempt from licensing,the following reason applies: Contact penton: — Plan no.: u --- -- - --�_ Phone: I E-mail: -- a Name: Contact person: _ Fees due upon application ........................... $ Address: _ Date received: City: State: ZIP: Amount received ........................................ $ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not dl iurisdictloru accept credit cards,pkm call jWediedon ror mate inrarrrutlan attached checklist.All provisions of laws an ordinances governing this d visa n Mastercard work will he compliedwi whether speci lerein or not. Credo card number _ Expires Authorized si titre: _ ate: d b2� Name ar'--�r ,l�ol&;T:wn on credit cud $ Print name: ✓� r — c dpwme — —,.swtmt Notice:This permit app kation expires if a permit is not obtained within ISO days after it has been accepted as complete. Naar(6 WOM) RE-ROOFING PERMIT CHECK LIST RESIDENTIAL ONLY - Class of Work: Alteration ❑ REPAIR(MA'OR) (plan review required by plans examiner) Building 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. I 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 :,pacud sheathing (spaced sheathing usually exists when wood shingles were initially --- -I applie06-7 ----- 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. C. Asphalt or wood shingle/shake. (PROCEED TO STEP 2) _ COMMERCIAL ONLY - Class of Work: Repair STEP 2: NEW ROOT=ING 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 #:_ 2. Manufacturer:_ 3a. UL Classification: Listed UL Building Materials Dlrectury Pane#:OR 3b. Warnock Hersey: Z.Oc� I Listed Warnock Hersey Directory Page#: _2 _ 'COPY OF ASSEMBLY REQUIRED— -__—_ B. ICBO Research#: _ Dated: _ C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Review required by plans examiner.) VALUATION OF PRO.IECT: $ sg. ft. of roof area 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:dsls\fonns\roofchecklist.doc 10/05/00 Citi/ of Tigard Building Department 13125 SW Hail Blvd., Tigard, OR 97223 Phone: (503) 639-4171 Re-Roof Pre-Inspection Report Form i ?'� /7 1 , Requested by - 67P/ 4l 6 �_ OZ-W.I., 14, Telephone L-'2 Z'_�'� 1 Job Address ;L -,ti-) P4 G :y --Permit - -- Roof Access Location Date Requested_��� n� Time Requested !1- r Xr.ua Type of Existing Roof - 1. Slope of roof deck 2. Roof/Penetrations/General Conditions ❑Fair ❑Poor 3. Are there blisters? ❑Yes ❑ No 4. Are there cracks? ❑Yes ❑ No 5. Is there evidence of water ponding? ❑Yes ❑ No 6. Is moisture present under roofing(leak)? ❑Yes ❑ No 7. Is roof insulation existing? ❑ Yes No 8. Is roof insulation wel? ❑ Yes ®'No 9. Property line setbacks on all sides>10 feet M Yes ❑No 10 Building size Q < 3000 sq.ft. tI<6000 sq.if ❑>6000 sq.ft. 11. Building height 2 Stories ❑ > 2 Stories 12. Class of roof required ❑ Non-rated 4�A_ ❑ 8. ❑ C. 13. Type roof deckCl!ombustible [:] Non-Combustible 14. Roof drains U Provided ❑ Required ❑Adequate 15. Overflow drains ❑ Provided ❑Required ❑Adequate 16. Attic ventilation ❑ Provided ❑ Required ❑Adequate 17. Roof listing 0 P vided ❑Required 18. Installation Instructions Provided ❑Regjired To re-root this structure the following conditions must be met: TO The re-roof proposal is ;jproved for permit issuance If the conditions listed above are mel.After obtaining ycur permit you must contact the Building Division for an inspection when the roof deck is ready for the first Inspection.The first inspection for a complete tear off is the deck Inspection. For a built-up roofing system(overlay),the first inspection is at the start of the Job.After the re-roof is complete,a final inspection is required. Inspector �7 Ext. Date ro""QW"'fP,*r wPowr� I _ f � P vArJ - 7 - ._1.._._ .14 ! , foy 44malar s A l M3-BHA 4-3 • W-CONVENTIONAL _ ZONE 2 and 3 •T SUBSTRATE Hoof Membrana materials pc r 1 Do sq.feet �;.....;,�...;: Premium 1"Fiberglass SBS NAILED OR Base Sheol#501 1 ply 80 W FULLY ADHERED Premium'"Type IV 2- Ply Sheet 0500 1 ply 0 lbs. Premlumt'"Fiborolass Mineral T 393/x' I I, Surface 0502 1 ply 72 lbs T 2• Asphalt shall be as shown in D.2 39'/a' 393/w' Each mopping will weigh approx. 203/4 25 lbs per 100 square feet. Slope in BASE SHEETATTAA_C hH "ENT Depending on Deck Deck Type-Uninsulated Rating 12" Mech. Type Change Spec See Gen. Req. Fast. Asphalt Number to Read' Combust./Nailable Wood A 2" C.6 X M3-WU-BHA-H Structural Concrete A 2" C.7 X M3-CU-BHA-H Lightweight Concrete A 2" C.8 X M3-LU-BHA-H Metal N/A N/A Structural Wood Fiber N/A N/A Gypsurn A 2" C.11 X M3-GU-BHA-H Precast Slabs N/A N/A lope in insulation Roofing Depending on Deck Deck Type-Insulated Rating 12" Attachment Attachment to Type Change Spec See Gen. Req, Insulation Number to Read' Combust./Nailable Wood A 2" F.2 Hot Asphall M3-WI-BHA-H Structural Concrete A 2" 1-14 Hot Asphalt M3-CI-BHA-H Ughtweight Concrete A 2" F.5 Hot Asphalt M3-LI-BHA-H Metal A 2" F.3 Hot Asphalt M3-MI-BHA-H Structural Wood Fiber A 2" F.8 Hot Asphalt M3-SI-BHA-H Gypsum A 2" F.6 Hot Asphalt M3-GI-BHA-H Precast Slabs A 2" F.4; F.7 Hot Asphalt M3-PI-BHA-H Refer to Tab 9 for General Requirements Responsibilities,quality control,deck considrralion,and other general topics - Refer to Tab 11 for Products and Associated Materials information. Refer to Tab B for Execution Specifications. Refer to Tab 7 for Flashing Details. Change last Character(H=Hol Asphalt). S=SEGS Hot Asphall 1lOOL�FI. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST — c l/ BUP e&2,9 —o 0 3,r0 Received _ Date RequestedAM - PM -_ _ BUP Location )9.0(( �(�-L-1� quite-- -- MEC _ Contact Person Ph `/.�4_6 PLM Contractor Ph(_- ) — — SWR Tenant/Owner -__ -- ELC Footing EI C Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SI. Post&Beam Shear Anchors --- Ext Sheath/Shear Int SheatldShear - - Framing _ -- ----------- Insulation Drywall Nailing Firewalle- Fire Sprinkler Fire Alarm Susp'd Ceiling - — ---- -- -- - -— ----- otT ------- Final PASS_PART FALL - ------- PLUMBINGI Post&Beam Under Slab — - - _ -- - - - -- - — -- ----- - -- - --- --------- -- Hough-In Water Service ----- Sanitary Sewer f Rain Drains ------ -- - ------ ----- Catch Basin/Manhole -i Storm Drain -- -- Shower Pan Other: ----- -- ----- -- ------ ... ---- Final PASS PART_ FAIL -- - - --- - ----- MECHANICA.L Post& Beam Rough-In Gas Line Smoke Dampers --- -------.--- -• _---_ ___-- -- Final PASS PART FAIL -- --- - ---- - - ------ - ELECTRICAL Service -_-------- -------- ---- -- - Hough-In UG/Slab -- - --------- -- -- --------- ------ Low Voltage -- Fire Alarm Fina! Reinspection fee of$_--._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ PASS PART FAIL SITE n Please cell for reinspection RE: ___i_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Daft. I7L.��,.r Inspector � Ex{ Other: Final D© NOT REMOVE this Inspoction record from the job site. PASS PART FAIL