Permit CITY TIGARD . BUILDING PERMIT
PERMIT #: BUP2006 -00373
r l , t t 1 DEVELOPMENT H PMEIVg Tigard, -639 -4171 DATE ISSUED: $/4/2006
PARCEL: 2S101 BC -02401
SITE ADDRESS: 12650 SW HALL BLVD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
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: $ 27,000.00
Owner: Contractor:
KING, JAMES F SNYDER ROOFING OF OREGON LLC
12650 SW HALL BOULEVARD PO BOX 23819
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 620 - 5252
Reg #: LIC 135987
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/4/2006 $298.30
[TAX] 8% State Surcha 8/4/2006 $23.86
Total $322,16
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 throug O • - 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.
/
Issued By: ' // ,. , ; ` _ 411IP _ ` / Permittee Signature:
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.
Re -Root.
Building Permit Applica, � �' f R '+ iMetio � y ; ' r � �'g
�k+ 1 1 Ki l I l I rilitil (i. [ 1 t r
City of Tigard
Receiv . � �ro�� 37
DateB� Li / kb B Permit No.
;' { 13125 SW Hall Blvd., Tigard, OR 97223 Plan Rem. W ` I
:V, , - ■pi. Phone: 503.639.4171 Fax: 503.598. 0 % f� Date /By. Other Perm
.'" ",''4 1 ` Inspection Line: 503.639.4175 H111 V �'. 2 00 6 Date Ready/By: r See Page 2 for
P,I G It' ! Supplemental Information
�ca; : =�i Internet: www.tigard- or.gov Notified/Method: Su PP
(Ali 01.- i I t '
T" , J ', Skin r, , "TTRT a ;? REQUIRED DATA 1- AND 2- FAMILY. DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Iiii Indicate the value (rounded to the nearest dollar) of all
Addition /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 A Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: )')J,9) 4, j i", t, New dwelling area' square feet
City /State /ZIP: 1)&01) Cri 617),23 , Garage /carpo area: square feet
Suite/bldg. /apt. no.: Project name: ' !R�� 14 ,ANT I Covered orch area: square feet
Cross street /directions to job site: Dec area: square feet
ther structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
��1� / �[�DES�C�RIPTION'OF, WORK r al •. �-- work indicated on this applications q�y� lJ
l ( .T U y
1"' V ' - pica'^CI A r kicy r I Z w 6 11 34. 1 Valuation: $ '/ 1 0 V
o (? 1 Q t I!L Z i� 1 ` pE ii Q t y ( f ,1/' al si Existing building area: 1 square feet
Gt t (- )PR §N t A (D r f Si) New building area: square feet
�Q PROPERTY OWNER [ . TEN T Number of stories:
Name: ` !! f `` �ME Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
//
Phone: ( 92) VIC -9 Fax: ( 9) Gm - ) ,31 O New:
5 ( APPLICANT -Jg CONTACT PERSON NOTICE
Business // name: `` ��/ r All contractors and subcontractors are required to be
Contact fame: ,,,II'" "` �, -ej f K 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, th following reasons
apply: }P•ta•i a-.�} g •3
Phone: ( Fax:: ( ) G t .3 . t' 7
E -mail: ( d ial$
" ,() y {1� �,, v co.lf \ .g
iv
C ONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: i ill - • : " (Please refer to fee schedule)
I • S plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 3f7� p Total fees due upon application:
Amount received: sap,. i►b
Authorized signature: This permit application expires if a permit is not obtain
within 180 days after it has been accepted as complete `—
Print name: 01 5 \iuszkri.A Date: 0 0 4 106 * Fee methodology set by Tri- County Building Industry /
Service Board.
1:\ Building \Permits\ROOF- PennitApp.doc 06/26/06 4 - 4613T(1 I /02/CO,WWEB)
•
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
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 inspection line at (503) 639 -4175.
❑ 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: $
1:\ Building \Permits\ROOF- PermitApp.doc 2
CITY OF °AGAR®
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 *.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: a/4 TIME: PAGE:
SITE ADDRESS: •7 / GJ() S&j CLASS OF WORK:
SUBDIVISION: � LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Ptt_ -Imes
Corrections /Comments / Instructions:
•
A 1
, .
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n PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION 7 ADDIT ONA FEES ASSESSED
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Inspector: � ■,1, r !� Date 'vs W � Phone #: (503) 718-
' MIL * ....,_ .. . -,
City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Re -Roof Pre - Inspection Report Form ..40:„ :.,.
Requested by Delft ietORSA Telephone ( fg ) C20'
Job Address 1 S Lt) f tL Permit #:
Roof Access Location
Date Requested Time Requested
Type of Existing Roof –NV— , 6g jta
1. Slope of roof deck
2. Roof /Penetrations /General Conditions ❑ Fair XPoor
3. Are there blisters? `kJ Yes ❑ No
4. Are there cracks? A Yes ❑ No
5. Is there evidence of water ponding? kt 71F-8W=. 4 Yes ❑ No
6. Is moisture present under roofing (leak)? ❑ Yes ❑ No
7. Is roof insulation existing? ❑ Yes X No
8. Is roof insulation wet? NA ❑ Yes ❑ No
9. Property line setbacks on all sides > 10 feet ❑ Yes ❑ No
10. Building size ❑ < 3000 sq. ft. ❑ < 6000 sq. ft j 6000 sq. ft.
'. Building height X < 2 Stories ❑ > 2 Stories �� \\
12. Class of roof required ❑ Non -rated tgl A. ❑ B. ❑ C.
13. Type roof deck X Combustible ❑ Non - Combustible
14. Roof drains i)lesii,1 X Provided ' X Required ❑ Adequate
15. Overflow drains 2 g,A ❑ Provided ixl Required ❑ Adequate
16. Attic ventilation ❑ Provided ❑ Required Adequate
17. Roof listing - X Provided ❑ Required
18. Installation Instructions ❑ Provided ❑ Required
To re - roof this structure the following conditions must be met:
The re -roof proposal is NApproved for permit issuance if the conditions listed above are met After obtaining your 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
wired.
Inspector [bQ■pu 440 Ext. _ Date Vii/e, �
N3ukfripiReroof Preinspec6on Report Form
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