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Permit K q CITY OF TIGARD REROOF PERMIT COMMUNITY DEVELOPMENT Permit #: RER2010 -00003 Ti [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/16/2010 Parcel: 2S112BA90501 Jurisdiction: Tigard Site address: 7895 SW FANNO CREEK DR 1 Subdivision: Lot: 0 Project: Bonita Firs Project Description: Reroof. Owner: FEES Description Date Amount Permit Fee 02/16/2010 $393.11 12% State Surcharge - Building 02/16/2010 $47.17 PHONE: Contractor: COLUMBIA ROOFING & SHEETMETAL INC 28395 SW BOBERG RD WILSONVILLE, OR 97070 -6769 PHONE: 503 - 684 -9123 FAX: 503 - 684 -1458 Specifics: Type of Use: MF Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft General Information Building Area: 0 Re -Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $440.28 Required Items and Reports (Conditions) 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 the 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 o the rules or direct questions to OUNC by calling 503.246.6•_ or 1.800.332.2344. Issued By: (.j n t J a ► 2 _ Permittee Signature: CaII 503.639.4175 by 7:00 a.m. for an inspection that busin s 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 Re -Roof FOR O I ICE 'USE ONLY V RECEIVED :. Received City of Tigard Date /B : Permit • No.: 0 t / .. , , , ` ■ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review III ',. Phone: 503.639.4171 Fax: 503.598.1960 FEB 16 7 Date /B : Other Permit. T 1 G n R 3 Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information 'BUILDING DIVISION G ,,, . ` TYPE OF WORK ', ° '':? " x = ` REQUIRED DATA: 1= AND 2- FAMILYDWELLING ❑ 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 _ 1E. Other: RQ- equipment, materials, labor, overhead, and the profit for the %A CATEGORY ' CONSTRUC -"` work indicated on this application. ID 1 - and 2-family dwelling Valuation: $ y g ❑ Commercial /industrial El Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: ;s JOB SIT `INFORMATION AND LOCATION , ,x , Total number of floors: Job site address: 1 - lair S �„ 4 ) / t4O 6 -t DQ\ New dwelling area: square feet • City /State /ZIP: / 41k 0 DC)N Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: to N ;pR T RS Covered porch area: square feet Cross street/directions to job site: NNJ'p 6.R1Lk D�, 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 ' DCO N WO O E RK '" 6 work indicated on this application. 4G ��ESRIPTI ���. ���� - k ton � ."1 0C Rt. Nb F Valuation: $ 5A, ° )'O • . T Q ' O , & or--F XI 6 - T I ft 5 'TILL. t e. Sa - LT (JD Existing building area: square feet W 11 N - 1kv 50 S I4 1-k- New building area: square feet 0 )00 ''PROPERTY OWNER " ` ❑ TENANT g,; Number of stories: Name: f\ j P L-1 J PSkot&.T)I?S Type of construction: Address: 'L ) Uv 5 w 1i ',J Sit 1_03 Occupancy groups: City/State /ZIP: T 1 6 p t • 69_, o11 aa3 Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT,PERSON NOTICE Business name: (.ULtn1" ‘ C vSi I NACTII N S C All contractors and subcontractors are required to be Contact name: Let. - SJti d r1 n licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 )-S 5\,J( )a I ?L- jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State /ZIP: `ri ).11n1 C) ('k` o , apply: Phone: (S4 ) ‘16A-1— 9 1 )-3 Fax: : (5o ) 6f 1 1- S1.1 5 / E -mail: CONTR f � Business name: 6 -U 1. •117\ (} Gow•,s RU,L' (Q^+ S¢1Zx)■(, .r BUILDING PERMIT FEES* Address: 5 Sw lab kY L- " ° (Pkdse; refer to fee schedule) L �� �I� (S6�. Structural plan review fee (or deposit): City /State /ZIP: A.--n plan review fee (if applicable): Phone: (SO ) iS ii 4— 9 y) 3 7 Fax: (S o ) (5 1 6 CCB lic.: 11 6 6 (J1 Total fees due upon application: Amount received: ' ` 6 , 2 Authorized signature: ` V c This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: 1 ' 4 /4.0. 1*( - 1 - e_ cy..t_ Date: Z) 12) 4d * Fee methodology set by Tri- County Building Industry J Service Board. 1: \Building \Permits \ ROOF-Permit App.doc 10/01/09 440- 4613T(11/02/COM /WEB) l2 el-26t 6 ._C C ®f li � . 13125 SW Hail Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 rF.:'nom. t-, .fr tl 'f re 4Ay ki q) F9 .s 1 s e � ;.3 ;'.'. ,S ,. ti `i , I As? �'tI F r . 9 -- ,, ` , f T1ARi` Requested by Telephone ( ) Job Address "7:"6- r,, r1. L - 1 . `� ,1 5 , ). Roof Access Location Date Requested '' T °/ a 6 . � Time Requested �, Type of Existing Roof 'i L r . ,. 1. Slope of roof deck �,`, �'' / foot (ratio) % 2. Roof /Penetrations/General Conditions „air ❑ Poor 3. Are there blisters? ❑ Yes No 4. Are there cracks? ❑ Yes 0 No 5. Is there evidence of water ponding? ❑ Yes *No 6. Is moisture present under roofing (leak)? ❑ Yes V' to 7. Is roof insulation existing? g--Yes ❑ No 8 Is roof insulation wet? ❑ Yes `► No 9. Property line setbacks on an sides > 10 feet Oyes ❑ No 10. Roof Area ❑ < 6000 sq. ft 6000 sq. ft 11. Building height Of 2 Stories ❑ > 2 Stones 12. Class of roof required ❑ Non -rated ki 4 ❑ B ❑ c. 13. Type roof deck Combustible ❑ Non Combustible 14. Roof drains ❑ Provided ❑ Required ❑ Adequate > (iA''t`... 15. Overflown drains ❑ Provided ❑ Required ❑ Adequate L.d'r;1 k 16. Attic ventilation ❑ Provided ❑ Required jalLdequate 17. Roof listing vided ❑ Required 16. Scope of work >Efjear off ❑ Overlay 1/2-e — " To re - rqo' this structure the following conditions must be met The re - roof proposal isaA)pkoyed 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 (/ Ext. _ t—t 1, ' a /IL-) Date , : r q I`euddog Preens. . CZe g- ta0 /U- a. ,% ss;E;eca c m - .•r., ..s•. IxaT.;ae:.rz31anx r. : WSCIVO T.,s - .^rA. AM..tim. erm u r + <.- aye, +n vaG ser nc.- r:mr , Ur.-aax.� y.... , - ,,,::cam,....: --, F I1 a t. I : * �� STATE OF OREGON I CONSTRUCTION CONTRACTORS BOAR k LICENSE CERTIFICATE LICENSE NUMBER: 116607 1 1p II This document certifies that: if COLUMBIA CONSTRUCTION SERVICE INC i 18525 SW. 126TH PL TUALATIN OR 970626074 II I ,E Oregon is licensed in. accordance with Ore on Law as a Residential General Contractor and a Commercial General ii 0 Contractor Level 2. i ° !Ii' Business Names: License Details: 15; i Y, I COLUMBIA ROOFING & SHEET METAL EXPIRATION DATE: 08/15/2010 I ENTITY TYPE: Corporation I �, INDEP. CONT. STATUS: NONEXEMPT �P ;iii RESIDENTIAL BOND: $20,000 ;� VI COMMERCIAL BOND: $20,000 ip NI INSURANCE $1,000,000 / $2,000,000 1I I� RMI: MARK MCLAREN CARPENTER 'W HOME:INSPECTOR.CERTIFIED: NO s LEAD BASED PAINT LICENSED: NO Ii I I 4 i'.. `:Y.: •'.:.;€e�.St: ::•l-`1Lne_r,9.' .. . Diu?:- seb4i- 'v,`.'.::;:rflflC .�. - -E�: °., 'A,^4:. r' ...;F ..:'i= 1e7KtcJ":it... s?'. •._...w.]cf. .+6X' Ali'itiM "^: :S.iRl�nk*,c3:4�t 5:!'�.R.swF..FS i._..s /! ,. ...._.. /.. -- ". �T._.. — I Contractor's - , BIU$aness License METRO LICENSE NUMBER: 600 NORTHEAST GRAND AVE 4945 PORTLAND OR 97232 -2736 ' ,, 503- 797 -1634 OCCB /OLCB Number: 116607 wf ._ ; Columbia Construction Services,-lnc ISSUE DATE: 18525 SW 126th Place 03/10/2009 Tualatin OR 97062 -6071; EXPIRATION DATE: z - s 03/01/10 CITY OF TIGARD s , 7z "-=) - BUILDING DIVISION • PERMIT #: — 4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171u��N1��ii ° — _ /1 � Inspection Requests (24 Hrs.): (503) 639 -4175 'I .. � / r `� /� �V, 22 J INSPECTION WORKSHEET FOR DATE: 3 / - / 0 TIME: PAGE: SITE ADDRESS: .._. _ er CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 7 IS` DESCRIPTION: (�/ OWNER: PHONE #: d (t� � 1 - P/ c CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: o ?d '' — 0 / Pour Time: Code # Inspection Description Confir Contact # Message /J 12.0 -a -al f I mess 4 ee , Corr- io s /Comments /Instructions: �' r ` / -- k AP _ ..r - i • _� n PASS ' - : . IAL APPROVAL n CANCEL ❑ NO ACCESS (l FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED _ r Inspector: 1.Zc_Dat �/ 1� L() Phone #: (503) 718- 2 °2--Y . _ Tigard, Oregon, United States 8 1A1 tech Centec_D.r � W C hSr_. -Gt_.3 ire 4 t\ �� r _ \r CS1L1f__G.olorly, ? rekCL. ) `. " X7$95 IVY F 7n. Cree10i7 Po►ga e ` � '�� i 7895 SW Fanno Creek Dr 1., I 4 Portland OR 9722 4........ ■ 4 \\., 1 � .- _____F4,2--1,7..4;_,-.00' ". -.^- © i f j Q - _..,.,,...... r ■ i ri \\ �onRa f % t i \ i 1 \' ti t . L.SaIU..- S3tt1. -.'G >I t i CA lL_ U ?' 0 yds 100 200 300 400 ` Copyright 0 1988 -2005 Microsoft Corp. and /or its suppliers. All rights reserved. http: //www.microsoft.com/streets/ � _ 'lY 1 0 2004 NAVTEQ. All rights reserved. This data Includes information taken with permission from Canadian authorities 0 Her Majesty the Queen in Right of Canada. 0 Copyright 2004 by TeleAtlas North America, Inc. 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