Permit •
< CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00424
-���, DEVELOPMENT SERVICES DATE ISSUED: 9/30/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136DB-02500
SITE ADDRESS: 11636 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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: : 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: $ 6,500.00
Remarks: Replace existing tile roof at storefront with new standing seam metal roof.
Owner: Contractor:
NACHTIGAL, FRED C SUC PERS REP WESTERN CONSTRUCTION SERVICES
KESSLER, JULES E 4612 NE MINNEHAHA ST
101 SW WASHINGTON ST PO BOX 5768
HILLSBORO, OR 97123 VANCOUVER, WA 98668
Phone: 360 - 699 -5317
Phone: 360 - 699 -5317
Reg #: MET 60 000 7 00 7 2765
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 9/27/02 $110.50
[BUILD] Permit Fee 9/30/02 $0.00
[TAX] 8% State Tax 9/27/02 $8.84
[TAX] 8% State Tax 9/30/02 $0.00
Total $119.34
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 (50.3)-246 -67r 1- 800 - 332 -2344.
Issue By: f��.. � 0 ,f '=e, Ca0a444
Perm ittee f
Signature: ,, /
I . .
Call 639 -4175 by 7 p.m. for an inspection the next business day
Pir Re -Roof
,. A .,. - Building Permit App
Datereceived: 9 et 0 Permit no.: ii, ,„1
`'-' t -p� City of Tigard ...a Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard OR 97223 -
City of Tigard
Phone: (503) 639 -4171 Date issued: By:. I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
�( Job address: //6. 36 ,sue/ Agehr/d, //Jn/)/ Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: - }�/Ot..1 /_1G E (I.C77P7 6- 77LE 2i;0F AT
..57v/z6 T 61/i7W NFV SM•0016- seAM rY►i?T74Lr. Rarua4fcc me/OWE,- 014‘.47 ► f ine ‘.1
OWNER ' FOR SPECIAL INFORMATION, USE CHECKLIST
Name: j74/29/,C �n (Floodplain, septic capacity, solar, etc.)
Mailing address:,..,/0/ 5 Li7*.4' /9t a- 1 & 2 family dwelling:
City: ,477ze . IState:M. IZIP: 9, f,,�y Valuation of work $
Phone:)- ' )3 -E i/ - 6IE -mail: No. of bedrooms/baths
Owner's representative: g4 t L� f L Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commerciall ndustriallmulti- famlly: >$" 4_
.. ' - CONTRACTOR .. Valuation of work $ 6o, SC?�
.. 0. S U7O✓1 Seer/KZ Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.)
Address: Y6 /L. NE film !1 Alin* i
Number of stories
City: - State: ZIP: '28661 Type of construction •
Phoneajg . 2„96 Fax:3b0.. 784 mail: Occupancy group(s): Existing:
CCB no.: k, 7/ 7 New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 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: State: ZIP: exempt from licensing, the following reason applies:
Contact person: _ Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP:. Amountreceived $
Phone: I Fax: I E- mail: Please refer to fee schedule.
I hereby certify I have , ad • : .� fined this application and the Not all n
jurisdictions accept w
credit as. please call jurisdiction for more information.
checklist. All p . i. laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied i , ' er specified herein or not. Credit card number. / /
� Expires
Authorized sign. -. -', /= DEC: _ ,, ' �, � Name of cardholder as drown on credit card
Print name: JON) ' f
$
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted complete. 440-4613 (6/O0/0364)
MO 'V-I (I
RE- ROOFING PERMIT CHECK LIST
IIII
w
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
EP 1: i S E -ROOF (circle A, B or C):
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):
A. 1. Specification #: JOsIN$ J '4 UE 4/6NC W:,Z
2. Manufacturer: c%yncf /✓IANvtt,E- mm4-
3a. UL Classification: A SaG
Listed UL Building Materials Directory Page #: o 2OO/ Per 46S # 2 47p1c /to
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: $ i SOO
sq. ft. klaCO 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 or
Assembly item "C" above.
TOTAL:
i:dsts \forms\roofchecklist.doc 10/05/00
di,t,oza-0,2-a-a
TRI COUNTY RE -ROOF PRE INSPECTION REPORT FORM
Requested by ' 4 1/.\. - CDI k - - i 4 - 1 .oAA, Je: r
0
) b Address 1 1 to 3 t e PA,&i \.4-vu `/ .
..00f Access Location - V, -e- ✓/^( ( , lam-
Date Requested ' ) 7%7 /o Z Requested Time ! 3 6 --
Type of Existing Roof /Z "r ex . (..(S ik /Z ��\/— 61.,e_
The General Condition of Roof /Penetrations FAIR* BAD ❑
BLISTERS YES ❑ NOPC
CRACKS YES ❑ NO ca
Is There Evidence of Water Ponding YES ❑ NO Iii
Is Moisture Present YES ❑ NO la
Type of Roof Deck Combustible W Noncombustible ❑
Scope of Additional Work Required , _�
PLUMBING YES NO ❑�
V YES NO ELECTRICAL CI MECHANICAL YES NO ❑
Slope of Roof Deck Z (v ? /
!Z 4
Distance to Property Line on p �
1 All Sides More Than 10 Feet YES b NO ❑
Building Size <3000 sq. ft., <6000 sq. ft. ❑
<2 Stories
Minimum Class - of Roof Required A. ❑ B.0 C. ❑
Other:
Roof Drains C' N uk) CI GLOM 5e/ > Required Adequate Z
Overflow Drains (I - -eiC.1 r�is Require. F Adequ. te%
Roof Insulation Existing (2,v0 ` \ cl .) YES ❑ NO Roof. Insulation Wet, 14 9 1,i f YES ❑ NO %Y -e_ 0,.“
Attic Ventilation / \+ PROVIDED YES NOxt
Ge:. �-- — ►�'� t" > REQUIRED YES lia NO ❑
ADEQUATE YES ❑ NO
Listing PROVIDED YES g NO
REQUIRED YES NO ❑
Installation Instructions PROVIDED YES NO 0-
REQUIRED YES _ NO ❑
To re -roof this structure th following conditions must be et: '- 1' 4 -'4" - " b6-- 2s .
i CL✓ ,l 1 bt c LA -v- V\e Q. .P i r i rob
3 it ringlanMiTiMENWFIMPW" ;. - ‘
y o---, • Je- srr,--0 e vv1.A ' .0 ' S 11-1,;,. 4 -► + S R ini . S Kc
To re -roof proposal is approved for permit issuance
if the conditions_listed above are met YES 4 NO ❑
After obtaining your permit you must contact the Building Division for an inspection when the roof deck is ready for
inspection. The first inspection for a complete tear off is the deck inspection, for a built -up roofing system (overlay) is an
inspection at the start of the job. After the re -roof is complete, a final inspection is required.
CITY QF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MS
Received Date Requested l //A AM PM BUP
Location l l fi e. 3l� Suite , / MEC
Contact Person Ph ( 3106) - 2 7g,. /0 7g PLM
Contractor Ph ( SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing f
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
- oot
:riow // VT,
41 0 7 : SS PART FAIL
MBING „,
'ost & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA 1 ")/�� !� k
Approach/Sidewalk Date / Inspector Est
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL