Permit C ITY OF ;, BUILDING PERMIT
PERMIT #: BUP2005 -00393
��� �► DEVELOPMENT SERVICES DATE ISSUED: $/12/2005
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136AD-04301
SITE ADDRESS: 11475 SW PACIFIC HWY ZONING: C -
SUBDIVISION: VILLA RIDGE LOT: 002 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: $ 32,750.00 .
Owner: Contractor:
SHAPIRO ENTERPRISES LLC INTERSTATE ROOFING
BY MIKE LEVY 15065 SW 74TH AVE
17310 SE 45TH ST TIGARD, OR 97223
BELLEVUE, WA 98006
Phone: Phone: 684 - 5611
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/12/2005 $343.30
[TAX] 8% State Surcha 8/12/2005 $27.46
Total $370.76 • •
•
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.
a / /
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Issued By: E d 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 -Roof
r
Buildinekermit App1i - T FOR OFFICE USE ONLY
�L !-_-_,L � J
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City of Tigard Received �' p�
Permit No.:; a) — ,
13125 SW Hall Blvd., Tigard, OR 97223 - n" Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4LJ 1 A q' I � I' l i\ Date/B : Other Permit:
Inspection Line: 503.639.4175 F .1 .1- Date Ready/By: Iffill ® See Page 2 for
Internet: www.ci.tigard.or.us ( ., °;in%i " ; ':C::; / a tj Notified/Method: Supplemental Information
BU WING'DIVISION
O
:° .'. . -.: ,.: • • •- I "� :TYPE :O W RIC • , l . 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 •- , tOther: ( , e coy-e_r coy-e_ 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: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder , ' ther: Number of bathrooms:
: - f JOB •SITE" - INFORMATION AND. LOCATION w' Total number of floors:
Job site address: /' y i 5 HO 9" New dwelling area: square feet
City/State/ZIP: / / ,o e ,.,, d 4r/2 - Garage/carport area: square feet
Suite/bldg. /apt. no.: 6,% ,/ . 5 Project name: / j� L L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
' REQUIRED DATA: COMMERCIAL -USE, CHECKLISTS:'
Subdivision: I 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
'...1.-.,. '`...:-A--..1;1. . ::. DESCRIPTION 'OF ;W
gapG11 . w ork indicated on this application.
/' (-D l-e t'f� I Ol / d l !?'1� cJ Valuation: $ 32 7 5 d
/ / .
f J f l Existing building area: y troy square feet
New building area: square feet
❑ PROPERTY OWNER • • .❑ TENANT .'', : , Number of stories: 7'u (2)
Name: Type of construction: \
Address: Occupancy groups:
City/ State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
.; ' (APPLICANT . , . - ❑ CONTACT PERSON NOTICE ",.• „ '?;'.= :;,
Business name: E-�Q S 2 L s 2 44 a Ai , ? All contractors and subcontractors are required to be
Contact name: J� F , licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: N jG y 91 jurisdiction in which work is being performed. If the
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City/ State/ZIP: �� � �� d applicant is exempt from licensing, the following reasons
/ - apply:
Phone: (503 ) LOP, 6 q - Fax:: ( )
E -mail:
l _;:1",.', ., . . 4. .CONTRACTOR ` .- - c ". -;.;. ,
Business name:
_214
/` DD�/ 17,, C BUILDING PERMIT FEES* _
Address: /Sn( . 5 Gr 7 ° c''t
5 Please refer to fee schedule.
City/ State/ZIP: p, wl 92 224/ Fees due upon application
Phone: (S 135) , k g — 56// Fax: ( ) �1
Amount received 3 -10 _ 1 O
CCB lic.: S 5 yes
Date received:
Authorized signature: ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: W -- 6id.t fl CS (.a / � ,f_- `-V Date: /9 s * Fee methodology set by Tri-County Building Industry
�1 Service Board.
i:\ Building \Pennits\ROOF- PemtitApp.doc 12/03 440- 4613T(1 1 /02/COM/WEB)
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City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL One & Two °: ainil Dwell ng) � ':
❑ 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: $
i:\Building\Forms\ReRoof- Checklist.doc 12/29/03
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• City of Tigard Building Department
A, i
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13125 SW Hall Blvd. , Tigard, OR 97223 Phone: (503) 639 -4171
Re -Roof Pre - Inspection. Report Form ll,,i . I I I
Requested by al-4" ' ' 1) 14 Telephone ( )
Job Address • ' // 75 fib / IF % ,/ ;: / Permit #: •
Roof Access Location
i
Date Requested S' '7 Time Requested
Type of Existing Roof r fT % Y7';1 (1 td?
_ 1. Slope of roof deck
2. Roof /Penetrations /General Conditions air ❑ Poor .
3. Are there blisters? . ; CI Yes ( Do<
4. Are there cracks? ❑ Yes Ez3 2 . fo t 7
5. Is there evidence of water ponding? ❑ Y
6. Is moisture present under roofing (leak)? O ❑ No
7. Is roof insulation existing? ❑ Yes [],
8. Is roof insulation wet? ❑ Yes loo
9. Property line setbacks on all sides > 10 feet es ❑ No
10. Building size ' ❑ < 30 sq. ft. _ 000 sq. ft ❑> 6000 sq. ft. N .
11. Building height _ Stories ❑ > 2 Stories
12. Class of roof required DI Non- ed ❑ A. : ( f
❑ C. _ --
• 13. Type roof deck ., om ble ❑ Non - Combustible - 1 . •
14. Roof drains rovi ed ❑ Required. ❑ Adequate
15. Overflow drains roped ed ❑ Required ❑ Adequate
16. Attic ventilation rovided Re Required ;
❑ q ❑Adequate- , • , . '
17. .Roof listing ❑Provided ❑Required ,,,..f
/ 0 Ar .. '• Fr '
18. Installation Instructions ❑ Provided ❑ Required , !7 '
- ip
To re -roof this structure the following conditions must be met: ism.e..._ .
;u•
The re -roof proposal is pproved 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. Date •
11BuVdnglReroof Prelnspecfion Report Form
CITY ,OF TIGARD
BUILDING DIVISION PERMIT #: BUP200F, -00393
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/12/2005
Phone: (503) 639 -4171 a d bIlI°
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 59
SITE ADDRESS: 11475 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: VILLA RIDGE LOT #: 002 TYPE OF USE:
PROJECT NAME: GATORS RESTAURANT
DESCRIPTION: Re - roof.
OWNER: SHAPIRO ENTERPRISES LLC, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 684 -5611
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Mier,inspectiaR 017731 -01 503-481-3524 ` N
Corrections /Comments /Instructions: I e
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I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (0 I g J Phone #: (503) 718-