Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00265
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, 6. DEVELOPMENT o
— - SERVICES DATE ISSUED: 6/29/2006 13125 SW
PARCEL: 1 S 136CD -01401
SITE ADDRESS: 11632 SW PACIFIC HWY ZONING: C - G
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: $ 19,300.00
Owner: Contractor:
JOHNSON, JULIE A LIFE ESTATE AND GRIFFITH ROOFING
RICHARDSON, BERNY 6815 SW 111TH AVE
19430 NE HASSALO BEAVERTON, OR 97005
PORTLAND, OR 97230
Phone: Contact #: PRI 643 - 1596
Reg #: LIC 00000925
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/29/2006 $235.30
[TAX] 8% State Surcha 6/29/2006 $18.82
Total $254.12
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.
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Issued By: �`� Permittee Signature:'X .
- 11 7
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that bu , ess 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 -Roof
Building Permit Application I FOR OFFICE USE ONLY
City Of Tigard Received �j i i /
13125 SW Hall Blvd., Tigard, OR 97223 plan R v,e r/ / � /� —
Phone: 503.639.4171 Fax: 503.598.1960 //Hv j lll Date/B :
Inspection Line: 503.639.4175 ! .' �• Date Ready /By: f11 See Page 2 for
Internet: www.ci.tigard.or.us .. Notified/Method: ligEl Supplemental Information
T OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: Roofing equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
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Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ 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: 11632 SW Pacific Hwy New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: We s t s i de Academy 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Reroof using Class A roof specification
Valuation: $ 19,300.00
Existing building area: 1 1 , 10 0 square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: We s t s i de Academy Type of construction:
Address: 11632 SW Pacific Hwy Occupancy groups:
City /State/ZIP: Tigard, OR 97223 Existing:
Phone: (5 0 3 639-5388 Fax: ( ) N/ A New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Griffith Roofing Co. All contractors and subcontractors are required to be
Contact name: Greg Stone licensed with the Oregon Construction Contractors Board
g under ORS 701 and may be required to be licensed in the
Address: 6 815 SW 111th Avenue jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Beaverton, OR 97008 apply: P 3C-,.3a
Phone: 03) 64 -1596 Fax::(503) 644 -1529
T - /fS • 8L /
E -mail: N/A
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.. CONTRACTOR -/-- ��� A
Business name: Griffith Roofing Co. BUILDING PERMIT FEES*
Address: 6815 SW 111th Avenue
Please refer to fee schedule
City/State/ZIP: Beaverton, OR 97008
Fees due upon application r \
Phone:(50 643 -1596 Fax: (50 644 -1529
Amount received ( /).y/Q& ;19 , / _- 0
CCB lic.: 925
Date received: 1 ,
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / / Date: -06 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building\Perrnits \ROOF -P ' App.doc 12/03 440- 4613T(I 1 /02 /COM/WEB)
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City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
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R - P re - i Report Form , " *r : ! I'�t
Requested by i " ( (1 -ssr Telephone aged; i -- - .1
Job Address /1 , 5)-- . < c-r'-(e.. Permit #: 4
Roof Access Location 6L_ / , _ . (1.0
Date Requested .e Time Requested ,,
Type of Existing Roof / /ems.. �— )_� a I (� i2-
1. Slope of roof deck
2. Roof/Penetrations /General Conditions 106 ❑ Poor
3. Are there blisters? es El No
4. Are there cracks? Yes ❑ No _
1 - (( '((l a tIi( I
5. Is there evidence of water ponding? ❑ Yes
6. Is moisture present under roofing (leak)? ❑ Yes I► . o JUN " 2006
7. Is roof insulation existing? (Yes ❑ No
8. Is roof insulation wet? El Yes to �� 1. ^4 f�;
rte ,� Jp pT \T( ^tY \ TT, -,1 .,T1) - 1''•
9. Property line setbacks on all sides > 10 feet [ r „ es ❑ No
10. Building size ❑ < 3000 sq. ft. ❑ < 6000 sq. ft , 6000 sq. ft.
11. Building heights. 2 Stories ❑ > 2 Stories
12. Class of roof required ❑ Non -rated ❑ A 1-1 `:. ❑ C.
13. Type roof deck combustible ❑ Non - Combustible
14. Roof drains i 'rovided ❑ Required ❑ Adequate
15. Overflow drains !' • vided
a 4; • ❑Required ❑Adequate _
16. Attic ventilation ❑ Provided ❑ Required ❑ Adequate
17. Roof fisting . rovided El Required
18. Installation InstructionsPfovided ❑ Required
To re -roof t 's st cture the follo conditio - s must be met:
1
The re -roof proposal i Approved 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
required.
Inspector (. (.../ Ex t. 1-'( / Z/t ' '
Date
CITY ®F�TIGARD � � � - -� T;
BU�LD�IV(a ®�V�S�OIV PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �ir�rrlN��ypi�y�i�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 �� �:_..,
INSPECTION WORKSHEET FOR DATE: TIME: / � PAGE:
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SITE ADDRESS: � / Cp 3 �. � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ��/ -�
DESCRIPTION: �viL�.�� >� '�"
OWNER: PHONE #:
CONTRACTOR: }�' � � r �� PHONE #:
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Inspection Request Scheduled For: Date: � ,�� � Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Com ents /Instructions:
PASS n PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
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Inspector: � �" V` /y � Date: tY�� /�� Phone #: (503) 718- ����