Permit .f k
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00187
111; DEVELOPMENT SERVICES DATE ISSUED: 5/23/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -00102
SITE ADDRESS: 11681 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: 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: $ 2,900.00
Remarks: Existing built -up roof to be removed and deck repaired if required.
Owner: Contractor:
MILLAR, TED L TRUSTEE OREGON ROOFING CO
BY WILLIAM C FLOBERG 1509 SE POWELL
83pp4RRSW ST CLAIR PORTLAND, OR 97202
phone ND, OR 97205 Phone: 503 - 236 -0065
Reg #: SIC 3905
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
PRMT DEB 5/23/00 $59.25 0002403 Final Inspection
5PCT DEB 5/23/00 $4.74 0002403 Total $63.99 ORI l l y A
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.
Permitee /4 -
Signatur : 0
1 Issue By: 4._ , � ,
Call 639 -4175 by 7 p.m. for an inspection the next business day
111P1' .., . v ,
CITY OF TIGARD `" 7 � Plan hec #:
13125 SW HALL BLVD. Rec' y:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: - a3 -Go
V- 503 - 639 -4171 X304 Date to PE:
F- 503 - 598 -1960 • Date to DSJ:
Permit #: iAli v -OD187
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY ,
rG (y Material Documentation (UBC Appendix 15) ,
Strget Address Ste # Please fill out applicable section and attach copy of roofing
Job Site a / , % 1 S Go PAC ' P e_ specifications.
Bldg # City /State I-f w 7 Zip Listed Assembly ( Circle & Complete A, B or C)
I 5 ((L , aL, A. l�/ M' E C
Name C 0 .
1. Specification #:
Ro f q
Applicant Mailing Address ddress o IN 1 2. Manufacturer: MA I Far Ice
kco9 Se Po we
City/State Zip Phone *3a UL Classification:
2 912.02. 234•0
Roofing Name Listed UL Building Materials Directory Page #:
Contractor J r� 0 r%) Roo T"� N CO - (OR) "A
' (Prior to issuance Mailin j Address D *3b Warnock Hersey : C / i S S Tl
applicant must I S09 P UW Q(
provide a copy of ity /State 7,rp Listed Warnock Hersey Directory Page #: (O� (/
all contractor r ( . 0 Q .., ` 1 Lis *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT 2,31 a O lo s" B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date n
2. 0s Z-Z1 --o2_..vV DATED:
BUILDING INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle on (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ 4 Cx
sq. ft. ( of roof area 2, 10
E Deck Type: • Permit fee based on valuation*
Combustible ()‹) Non - Combustible ( ) * see chart on back $ 5
RESIDENTIAL ONLY - Class of Work: Alteration City use only: WACO:
❑ REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by .
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $
Application. City use only: WACO:
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) (UTAX) .
A. Roof area & nearest street. *Required for major repairs of
Residential
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" above * 65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City use only: WACO:
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) (UBUPLN)
venting is provided.
TOTAL $
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct; that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
ROOF (circle A ,B or C) compliance with Oregon State law.
E xisting built -up roof covering to be REMOVED and deck .
repaired - Signature of Owner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant
must submit an engineer's review of the roof structural V S— 2.3-06
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. Contact Person Name Telephone
C. Asphalt or wood shingle /shake / / —�0
(PROCEED TO STEP 2) I j, Q 1.,(1 L S / I e U J
I:dsts \forms\roof.res. doc
8/26/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 'MOD
Date Requested s(2J---t/no AM PM BLD
Location 1 1 1p g I ecte_ 1 l Suite MEC
Contact Person WA Ph 2 .O(OS PLM
Contractor Ph 572 ��) � j SWR
I LDI• Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 0�G% FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
D In su lati on ( ' / 9 QN 9 A//9 c / 7 e `���, L-
Drywall Nailing J
Fire wall A DO /C7/ 7D , &J D � e
Fire Sprinkler / U /6
Fire Alarm Susp'd Ceiling Z� -;'� S XI n f - OC //A
Roof 0.11_, �/.l pct / ' y " P 4 -/�"�eo, �
Misc: �
Fi S/1�/ a l / f'\
SS PART FAIL .0 $
N ��" 7Z
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 4 �
Otheoach /Sidewalk Dat / / 2. //00
Inspe J " � I ' E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.