Permit (179) C ITY OF TIGARD BUILDING PERMIT PERMIT #: Ilh
COMMUNITY DEVELOPMENT DATE ISSUED: 110/1/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S115BA -00100
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBERTSONS ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: ALBERTSONS
Project Description: Re - roof
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: • TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft
GARAGE: sf OCCU SEP. RATED: .
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 389,000.00
Owner: Contractor:
IBJ SCHRODER BANK + TRUST CO MCDONALD + WETLE
BY ALBERTSONS INC #565 2020 NE 194TH
ATTN: CORPORATE ACCTG DEPT PORTLAND, OR 97230
BOISE, ID 83726
Phone: Contact #: PRI 503 667 - 0175
FAX 503 - 665 - 0141
Reg #: LIC 44680
FEES
•
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/1/2007 $1,477.73
[TAX] 8% State Surcha 10/1/2007 $118.22
Total $1,595.95
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 is 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I
Issued Byq Ar Permittee Signature:- `` v N .
_ _ Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
. Building Permit.,Application 0
ECEIVE FOR OFFICE USE ONLY
.
IN City of Tigard Date /B : /
■ 13125 SW Hall Blvd., Tigard, OR 9 r' 4ii o 2001 Plan Review 0 ' , , /' '_ - L't
C Phone: 503.639.4171 Fax: 503.59 u 6 0 Date/By: Other P rmit:
T I G A It D
Inspection Line: 503.639.41411 i' y/ �+ i [ A D Ready/ By: Date Read : lu ® See Page 2 for
Internet: www.tigard - or.go t 1 � l 1 --"` " — Notified/Method: Supplemental Information
BUrLD T TUTS Kw
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
)glAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ ..•,_ . `c7,
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \ 1p xoo s ( � a C_i c ._ . New dwelling area: square feet
#
City /State /ZIP: ' Garage /carport area: square feet
Suite/bldg. /apt. no.: �` �` Project name: N i Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
P U r p �� - � Valuation: $ ��G .
H ` l vc • no
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER lit TENANT • Number of stories: 7
Name: A 1 be:� S Type of construction:
Address: \ L 2 00 S . L i F-t C , Occupancy groups:
City/State/ZIP: > ; t }l Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail: Al 7 � � � 3
CONTRACTOR 1/ o r a 1
Business name: �nC D - r �A Nt... w_bce T t BUILDING PERMIT FEES* � �q4"
Address: 4 ) 0 ''�t `` TV . t ' q T(... (Please refer to fee schedule) 1/
City /State /Z1P: Structural plan review fee (or deposit):
�,....�. e:).-K.
FLS plan review fee (if applicable):
Phone: ( 503) 6 LP " O( `7 S Fax: (so)) CQ G S ° O i 4
Total fees due upon application:
CCB lie.: Z- 1.14/9150 — 3 - I LI -01
Amount received:
•rized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
rrint • ame: NIS` _.---� Date: \O \ 01 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \PermitsUtOOF- PermitApp.doc 06/26/06 440.4613T(II /02/COM/WEB)
s City of Tigard: Re=Roofing, Permit Checklist
Page 2 Supplemental Information , L,. ` • z,
RESIDENTIAL (One- & Two - Family Dwelling)
❑ REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
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 not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi - family and condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at (503) 718 -2433.
❑ PLAN REVIEW:
Note:. Depending on the conditions noted at the pre- inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. 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 and
special purpose roofing of commercial projects.)
TOTAL: $
I:\ Building\Permits\ROOF- PermitApp.doc 2
P 1/1
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5034434591» 208 345 3757
2007-07-24 14:57 AtFeriSONS
City of Tigard auliding. Department
, ..----:
,.. .._, ...,„......; . '' 11.3/24 SW Hail Blvd., Tigard, OR 97223 Phone: 0046394171
. , . .
1 . ..t- . ' ' .:#.11.-Roof Pre•iinspection Report Fortin ,..,...... . . .
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Job AQUI '. - 4 /".. C. - : - . , " 1 CL.L. ...' ..,. . . .
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%or Access Loceson - -. ... ..:-.-t• . .( - -1
Date Requested 7 ' ' ..;-'. - 2 . —
rtin.e Requested
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Type of Existing Roof
1. Slope of of deck
2. RodiPenetraSons/General Cow/Lions Pk* Q Poor
3. Are Mere Cistern? 0 Yes 2040
4. Are there cradcs? 0 Yes fin No
5. Is there evidence of water palling? 0 Yes Eg No
6. is moisture present under (leak)? • kilYes 0 No
• •
7. Is roof insidation existing? till'es 0 No
8. Is mot insiilatiort wet? • 0 Yes 0 NO/401%iii. . r
.
9. Propetly line setbacks onaff Sides" 10 feet .Yes 0 Na
10. Roof Area ase000 sq fl plzSCOO sq. ft.
11. Building height 2 Stories 0> 2 Stories
12: Class di roof required • 0 tion4ated Vi A. Oa
13. .Type• roof -deck . :#;`! Contustbe 0 Non-Cocnbustitte
14. Roof drains ,Provided 0 Required • O. Adequate.
15. Overflow drains 4Provided 0 Required 0 Adequate
16. Atto ven blab on 171. Provided .....,..,. —41 Adequate •
17. R3of Nsting
0 Provided/ Requked
13 Scope of work N Tear Off \-- 0 overtay
To re-roof this structure the fotiowing conditions must tie met .
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The re-xof =mei is VApp.soved or pork issuance if the or4itions listed above are "net :After obialning4ourperrhit YoU must the
.., •
Builclj Division for an.irripepbon \ktze the toof is ready for the first inspection. Thefirst inspection for a comeiete tear off islhe deck
ir,speolior.. Foi a oi.111"-up " ; g system ioveney) the fi.rst I n4e0be 11 . 3 at the start of the jo: Mute weal is comatete, a finat_inspeon is
reqoired i /
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Ext. . ' Date 7 4--- 3 (')
Inspector • L..
CITY OF TIGARD . __ .
BUILDING DIVISION PERMIT #: 13UP2007 -00508
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 1011 12007
Phone: (503) 639 -4171 w
Inspection Requests (24 Hrs.): (503) 639 -4175 F
INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7:03AM PAGE: 32
SITE ADDRESS: 16200 SW PACIFIC HWY Z - ALBE.IRTSONS CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ALI3ERTSONS
DESCRIPTION: Re-roof
OWNER: IF3..I SCHRODER BANK + TRUST CO, PHONE #:
CONTRACTOR: MCDONALD + `NE_ CLE: PHONE #: 503 - 0175
Inspection Request Scheduled For: Date: 3/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 067423-01 503 -667 -0175 �� N
Corrections /Comments /Instructions: •
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V /ii � -- �� Date:Z ) l 757 /o Phone #: (503) 718-
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