Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00479
',--* DEVELOPMENT SERVIC - DATE ISSUED: 11/12/1999
�1,L ' = --- 13125 SW Hall Blvd., Tigard, OR 97223 ' , PARCEL: 1S135DD -00900
SITE ADDRESS: 11875 SW PACIFIC HWY
SUBDIVISION: HOFFARBER TRACTS NO.2 1 ZONING: C -G
BLOCK: LOT: 021 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 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: $ 19,500.00
Remarks: Remove existing roof and replace.
Owner: Contractor:
•
RAY ALBERT HOFFARBER COLUMBIA RIVER ROOFING .
12005 SW HALL BLVD 615 NE 20TH AVE
TIGARD, OR 97223 GRESHAM, OR 97030
Phone: Phone: 492 -4088
Reg #:
FEES . REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
PRMT GEO 11/12/199 $216.50 99- 319742
Misc. Inspection
5PCT 'GEO 11/12/199 $17.32 99- 319742 Finallnspection
Total $233.82
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 • •
S
/
ig natur -
Issu By: 0 ', , O � �
Call 639 -4175 by 7 p.m. for an inspection the next business day
i
CITY OF TIGARD Plan Che k :
13125 SW HALL BLVD. Rec'd By: Z.,1— _
' TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: /r '-
V- 503 - 639 -4171 X304 Date to PE: ---
F- 503 - 598 -1960 Date to D '/
Permit #: Pa Ig --( 4`
Incomplete or illegible applications will not be accepted Called:
Name of Developme usiness • STEP 2. NEW ROOFING ASSEMBLY ,
C`+r e t? V. v, 2 h 1 C Material Documentation (UBC Appendix 15)
Street Address _ r Ste # Please fill out applicable section and attach copy of roofing
Job Site 1( 7z- Sw ?i ci CAL t{4. 1 specifications.
Bldg # City /State 0 Zip Listed Assembly ( Circle & Complete A, B or C)
� rip 0 l gl A.
Narpe b - n D 1. Specification #: ! 3? 31 P
c t/r Q1v? r. 0 (.30 N
Applicant Mailin Address 2. Manufacturer: 13" 1 eC-
t�eI h d 9(`
Cit l Zip Phone *3a UL Classification:
flpeS 012, C I r ld5 , 6 41.2-ga rb
Roofing Name Listed UL Building Materials Directory Page #:
Contractor - il'€./ (OR)
(Prior to issuance Mailing Address *3b Wamock Hersey :
applicant must
provide a copy of City /State Zip Listed Warnock Hersey Directory Page #:
all contractor *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax # n n
expired in COT a ICBO Research #: F 3 o� 3 / •
database) ' State Constr.Contr. Board # Exp. Date
DATED: .
;BUILDING INFORMATION _ C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Qf Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ / 9 � �
sq. ft. of roof area i
Existing Deck Type: Permit fee based on valuation* l I / / ^ ,, SD
Combustible ( ) Non - Combustible ( ) * see chart on back $ C/`
RESIDENTIAL ONLY - Class of Work: Alteration City use only: I WACO:
CI REPAIR (MAJOR) (review required by plans examiner) I (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ 17
Application. City use only: I 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) I (UBUPLN)
venting is provided. 1 J�2, , 82—
TOTAL $ O�� ./
STEP 1. COMMERCIAL ONLY 1 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
CI - ROOF (circle A ,B or C) compliance with Oregon State law.
• A Existing built -up roof covering to be REMOVED and deck
repaired - ure of Owner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant -'_
must submit an engineer's review of the roof structural r r 1 ` (21 -C} l
elements. Review shall bear the seal (or stamp) of the d' `
architect or engineer licensed in Oregon. Contact Perso Na Telephone
C. Asphalt or wood shingle /shake t tq a t,1 oirt
(PROCEED TO STEP 2)
I:dsts\forms\roof.res.do 6` - CST D (� �i ` f / ! D "1
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8/26/99 - - -
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