Permit f CITYOF TI ..A , • • •
u'j BUILDING PERMIT
COM DEVELOPMENT DEPARTMENT AL PERM # • 1+uF�y` -0 .= i
13125 $W Hall Blvd. P.O. Box 23397, Tiperd, Oregon 97223 (603)-175
bay 639 4- 41 71 DATE ISSUED: 08/03192
SITE ADDRESS...: 11E31 SW PACIFIC HWY PARCEL: lS135DD- 00600
SUBDIVISION • HOFFARBER TRACTS NO.2 ZONING: C -G
BLOCIK...... ..... : I OT • 40
REISSUE: FLOOR AREAS - -- EXTERIOR WALL CONSTRUCTION- -
CLASS OF WORK. :REP FIRST •9100 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: of PROTECT OPENINGS?
TYPE OF CONST.: SN THIRD sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL------: 9100 sf ROOF CONST:B FIRE RET ? :Y
OCCUPANCY LOAD: BASEMENT.: sf AREA SEP. RATED:
STOP. : 1 HT. : ft GARAGE...: sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N REQD SETBACKS REQUIRED - -°
FLOOR LOAD •100 psf LEFT: ft RGHT: ft FIR SPKL:N SMUK DET.. :N .
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC :Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR :N PARKING:
VALUE. $ : / 3, )y 1 P
Remarks: Tear.off and replace all roofing. Inspect deck before laying new
roofing. h
Owner: -- FEES
YOUNG'S FUNERAL HOME type amount by date recpt
11831 SW PACIFIC HIGHWAY PRMT $ 104.50 PLL 08/03/92 - .
PLCK $ 67.93 PLL 08/03/92 -
5PCT $ 5.23 PLL 08/03/92 -
Phone #:
Contract or:
SNYDER ROOFING
1650 SW HALL BLVD
TIGARD OR 97223 --
Phone #: 620 -5252 $ 177.66 TOTAL .
Reg #.. : 00158
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all . other Roof na i l n g Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started _
-
within 180 days of issuance, or if work is susper. - for more
than 180 days. .___ _ ____
fp*
Permittee Signature: S'.∎ �
=-
I ssued By.
Call for inspection - 639 -4175
13115 SW Hall [awe. PLNCK/RECT # /, 6 C__
OF TIGARD ['O Box 27397 PERMIT # �i( 4 2- - .0ZZ./
COMMUNITY DEVELOPMENT DEPARTMENT Tigard. Oregon 97223
(503) 639 -4171 DATE ISSUED
JOB ADDRESS: 6 4 J[ 5 J � �� tlAg / TAX MAP /LOT /.J_/ .'S 112 00 00
SUB: 'I LOT: LAND USE:
VALUATION: l).t 1
OWNER SPECIQ. N ` °a ° "°�°"'
` COL 6S /I�..C: a x� �: ; SUE **
NAME: ME REISSU W: ar 77--
ADDRESS: � 44,M E. LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
- 0/7/ 1711
CONTRACTOR n APPROVALS REQUIRED
"AME: �N c �/ Dal._ (ZOORI\ 7c J PLANNING: Oe•-��
ADDRESS: \ 2-65 5 ki t -UL (7Ufb ENGINEERING:
1 02 FIRE DEPT:
PHONE: (910 S ISI. OTHER: N0 1/ "`(
CONTR. BOARD #: C) EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX: .
ARCH /ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: • OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
/A t
APPLICANT SIGNATURE'
Received By:, r` Date Received: :77
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees /61'/
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 2 - 3
Building
Plumbing
Mechanical
10 -433 00. ,.Plans Fee K, 7.43
Building
Plumbing
Mechanical
10 -230 06 Fire �
30 -202 00 . Sewer Connection
30 -444 00 Sewer Inspection
25 1 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees .
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees .
52 -449 00 Parks System Dev Charge (PDC)
31 -456 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL l 7.
nm /3587P.WPF
SUPPLEMENTAL BUILDING PERMIT # �� •�- "'''
..PERMIT APPLICATION :,, :.;.. .1. :4.... t. ;a s
REROOFING 1( lf. ; ; _ , `
D =
r ::.. �; wr x�
1>'u in 9 d 1
This form mu t be filled out if you are reroofing a structure , - "6S � ` 1 , '
A Location of work } ' ` l �� ` � :_ t 8 1 '5 U p A ' .� 7:
_ ' i s . {.. _ _ �
Applicants Name .. , ,. . :,u ,:,. _
PP 47/ f_
A ,
� �� �1 f
B. Description of work: • Roof recovering T ear off _ _
# of squares: 'I � SG i Valuation of work:$ t r
•
C. Description of existing work: • Deck type: • LJOO b
•
Insulation type: v0 , A • .
Condition of insulation: wet dry damp !'v. A '
# of roof coverings: __ �- # of plies:
.4
Roof surfacing material G+ 2 L Were cores taken: yes V no ..
D. Specification for preparing roof surface: 1� \V Lc 151, 2,0 C
E. Specification for new roof covering: Type A . Type B Type C •
UL Classification #: ICBO research report#: .
UBC fire retar an t roof composition: , Base sheet 2B L& N '\LE •
I / 2 r n T/ �� y 0 / Ply sheets • Z PL cF
Arnroved c ;q�p . .
•. C onr9-ini - r,-crzk ze • C A•p. sI
Sao . i :._:: 'u :.- . + • f .1: . .
[D
ii Fc L / ;
�;c�nre�s --- � .
B �) / i Date:.A.
Note: X ,T n o roof deck - 1 . ' 1,. 1 - i - .. • s required. Call 796 -7303 to arrange for .
inspecti •r'. Tis form to be filed withthe Building Permit after final approval of the work.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
t
Inspection: �./L/ -. �/ �/! i/ ....c:::. .�i _ i/
Footing / Plbg. Underslab / Mech. R g h -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor /y� Water Line Gyp. Bd. -Mech.
Date Requested: O &) 0 g ,Z Time: � / AN , h PM
Address: //6$/ P lean-(£ is . - '-`.I..,21
Builder: D .
THE FOLLOWING RRECTIONS ARE REQUIRED:
�...1_i /f
Inspector: 1" // Date: 5r--'2-46
r 7 �/
APPROVED ✓ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.