Permit .7, -
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00448
A.,,,, DEVELOPMENT SERVICES DATE ISSUED: 10/31/00
" 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14965 SW 72ND AVE PARCEL: 2S112AC -01801
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: 047 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: UNK : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 25,460.00
Remarks: Tear off and replace old roofing material.
Owner: Contractor:
RBJ INVESTMENTS, LLC AAA ROOF SERVICE INC
PO BOX 23175 2459 SE TV HWY
TIGARD, OR 97281 PMB 332
Phone: H kW 2 21 3 97123
Reg #: LIC 78618
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
PRMT CTR 10/31/00. $290.80 27200000000 Final Inspection
5PCT CTR 10/31/00 $23.26 27200000000
Total $314.06
•
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Penn Kee t .--,,A .
Signat re r"—•qN
Issued K , ..v.# " -' a
CaII 639 -4175 by 7 p.m. for an inspection the next business day
V 4 Buildin Permit Application pp
Date received: /0 Permit no.:gc(P /g
� City of Tigard
Project/appl.no.: Ex iredate:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: B : Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory o Commercial/industrial 0 Multi - family 0 New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: \ • .5 SW arNA ikv.sx_. - /IA _ Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: S \ov.ili■ov- C-)y�arni∎C.Ps V
Description and location of work on premises/special conditions: -7° - e.t - 'o AN*
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: CJRernk\owN
IV.Y•Mv1 (Floodplain, septic capacity, solar, etc.)
Mailing address: \'\°I,t Sw 1.z,'n k . 1 & 2 family dwelling.
City: . 1 4 ' S t a t e : C R IZIP: el . - Valuation of work $
Phone: 4.-1e1-1:3 , : 1 E -mail: No. of bedrooms/baths
Owner's representative: .0.�c� �-� Totalinumber of floors
Phone:61b -3 Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name.'Ja.JF %∎nlNtf)`n- 144 QdaPr M Nhc Covered porch area (sq. ft.)
Mailing address: ayiA Slip TV IkW\ Yung 33 Deck area (sq. ft.)
City: WAs\ u I S : •1- 1 ZIP :9 P-1 • Other structure area (sq. ft.)
Phone: Q - rj 32$ Fax:642 -1 2.11 E -mail: Commerclal/indush3aUmulti- family:
CONTRACTOR
Valuation of work $S-12-16,3 ' i1°
Existing bldg. area (sq. ft.) 1 20 met v
Business name: AAA paaF S€iuti New bldg. area (sq. ft.) t.14k
Address: aySg S F. \ V *w� film/a 33"Z 1
Number of stories
City: \��s�.�t`o ■ (StateoR ZIP: 9n (2 Type of construction carte . .
Phone: - 5'3 1, I Fax:(1t.. 1 info l E -mail:
CCB no.:
- A ( \Ss- Occupancy group(s): Existing:
New:
City/metro lic. no.: OZKYZ ) ( y Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Boaid under
Name: N, A• provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: NIP Contact person: Fees due upon application $
Address: Date received:
City: IState: IZIP:. Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances goveming this 0 visa 0 MasterCard
work will be compl' with, a ler specified herein or not. Credit card number expire
Authorized si Date: Vs -1\ - 00 Name of cardholder as shown on credit card
A • w og\ t so V\ $
Print name: Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6V000OM)
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RE- ROOFING PERMIT CHECK LIST
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RESIDENTIAL ONLY - Class of Work:. Alteration
❑ REPAIR (MAJOR) (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.
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
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied).
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
la" RE -ROOF (circle A, B or C):
A. Existing built -up roof covering to be REMOVED and deck repaired. '
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 ROOFING 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):
(. ) 1. Specification #: a
2. Manufacturer: Ve \aM .
3a. UL Classification: Cxojv, �3
Listed UL Building Materials Directory Page #: 40e aL \
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans examiner.)
VALUATION OF PROJECT: $ aS Llf,%. •zD
sq. ft. \la \oao of roof area
Permit Fee based on valuation: $
d
(see Building Permit Fees chart)
8% State Surcharge:
$
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item "C" above.
'2 0
TOTAL: $ , �" .
i:dsts \forms\roofchecklist.doc 10/05/00
. Building Permit Fee Chart
Project Valuation Permit Fee Review Tax
65% 8% Total
12,000 62.50 40.63 5.00 108.13
2,001 3,000 72.10 . 46.87 5.77 124.73
3,001 4,000 81.70 53.11 6.54 141.34
4,001 5,000 91.30 59.35 7.30 157.95
5,001 6,000 100.90 65.59 8.07 174.56
6,001 7,000 110.50 71.83 8.84 . 191.17
7,001 8,000 120.10 78.07 9.61 207.77
8,001 9,000 129.70 84.31 10.38 224.38
9,001 10,000 139.30 90.55 11.14 240.99
10,001 11,000 148.90 96.79 11.91 257.60
11,001 12,000 158.50 103.03 12.68 274.21
12,001 13,000 168.10 109.27 13.45 290.81
13,001 14,000 177.70 115.51 14.22 307.42
14,001 15,000 187.30 121.75 14.98 324.03
15,001 16,000 196.90 .127.99 15.75 340.64
16,001 17,000 206.50 134.23 16.52 357.25
17,001 18,000 216.10 . 140.47 17.29 373.85
18,001 19,000 225.70 146.71 18.06 390.46
19,001 20,000 235.30 152.95 18.82 407.07
20,001 21,000 244.90 159.19 19.59 423.68
21,001 22,000 254.50 165.43 20.36 440.29
22,001 23,000 264.10 171.67 21.13 456.89
23,001 24,000 273.70 177.91 21.90 473.50
24,001 25,000 283.30 184.15 22.66 490.11
25,001 26,000 290.80 189.02 23.26 503.08
26,001 27,000 298.30 193.90 23.86 516.06
27,001 28,000 305.80 198.77 24.46 529.03
28,001 29,000 313.30 203.65 25.06 542.01
29,001 30,000 320.80 208.52 25.66 554.98
. 30,001 31,000 328.30 213.40 26.26 567.96
31,001 32,000 335.80 218.27 _ 26.86 580.93
32,001 33,000 343.30 223.15 27.46 593.91
33,001 34,000 350.80 228.02 28.06 606.88
34,001 35,000 358.30 232.90 28.66 619.86
35,001 36,000 365.80 237.77 29.26 632.83
36,001 37,000 .373.30 242.65 ?9.86 645.81
37,001 38,000 380.80 247.52 30.46 658.78
38,001 39,000 388.30 252.40 31.06 671.76
39,001 40,000 395.80 257.27 31.66 684.73
40,001 41,000 403.30 262.15 32.26 697.71
41,001 42,000 410.80 267.02 32.86 710.68
42,001 43,000 418.30 271.90 33.46 723.66
43,001 44,000 425.80 276.77 34.06 736.63
44,001 45,000 . 433.30 281.65 34.66 749.61
45,001 46,000 440.80 286.52 35.26 762.58
46,001 47,000 448.30 291.40 35.86 775.56
47,001 48,000 455.80 • 296.27 36.46 788.53
48,001 49,000 463.30 301.15 37.06 801.51
49,001 50,000 470.80 306.02 37.66 814.48
•
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I: \dsts\forms\feechart.xls 10/01/00 1
CITY OF TIGARD BUILDING INSPECTION-DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ? , , -OD S/ S/a'
Date Requested // AM PM BLD
Location / q '5 7 Z 4.0./ Aic 1' Suite MEC
Contact Person JC CAL Ph 31 3 - S 3 Z' PLM
Contractor Ph SWR
UIL • Tenant/Owner ELC
etaining Wall ti ELR
Footing Access:
Foundation _ / / / ti � FPS
Ftg Drain d �'f _ C
� U SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing Ai/� I� n /�
" — '` of L . cc� t r
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof L
Misc: / '
• S PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In -
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date Inspector Ext
Other
•
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24=Hou1• Inspection Line: 639 -4175 Business Line: 639 -4171 `� {
�J BUP �� —Gs'/ v yy
Date Requested //-- / / AM PM BLD
Location / `(7 6 3 .5 4 ✓ 7 Z- -/ ' " Suite MEC
Contact Person Ph 503 W-33 PLM
Contractor `-' ` Ph SWR
BUILD Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation ��
FPS
Ftg Drain Lel SGN
Crawl Drain , Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ! IA- S V / 5• r e c / � f My �c f r
Firewall •
Fire Sprinkler
Fire Alarm 1
Susp'd Ceiling �^ �� 5 � 5 (ti r ° "I
Roof �.. —. —•— — - -
Misc: = — `.,r.���•..., yore _ _ -. —..
AS FAIL
PLUMBING - 1' k i k& / S h 4i / / I1 �}-
Post & Beam I.S
Under Slab .
Top Out
•
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line , j�
Smoke Dampers j `
Final 1
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
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 Line
ADA >
Approach /Sidewalk Date l 1 / 7 0 0 Inspector C k ° 7 Lit v�t r /4 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
s // a-(41 ��e BUP U -fi
Date Requested g AM PM BLS -
Location / q f ( 2 Suite MEC
Contact Person Ph 5W— 7r9- $' 3 Zy PLM
Contractor Ph SWR
BUI Tenant/Owner ELC
etainmg Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall — T /� `� �j' ��
Fire Sprinkler / daa o c/ ' � � S 0'/ G Tl d i f
Fire Alarm
Su -iling a �����(( !-�
- oof --� 6 (�- f � ��� / C Cc w / /`j �l Gc./ e 'C' /`( �r
isc:
Ina S Y ac,11
PASS PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
'" 3 Approach /Sidewalk Date // /, /'
- U U Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•