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Permit • • CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00378 "'"4y Ili DEVELOPMENT H BMENg Tigard, -639 -4171 D ATE ISSUED: 8/5/2005 - 13125 PARCEL: 2S 102BD -00600 SITE ADDRESS: 12725 SW PACIFIC HWY ZONING: C -G SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 050 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: $ 6,000.00 Owner: Contractor: FUNK, JAMES H SALYER CONSTRUCTION do BERGMANN, FLOYD H + MARINE 6435 SW 204TH 11600 SW 90TH BEAVERTON, OR 97007 II �ARD, OR 97223 one: Phone: 503 - 777 -8668 FEES Reg #: LIC 109926 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/5/2005 $100.90 [TAX] 8% State Surchari 8/5/2005 $8.07 Total $108.97 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 -6 99 or 1- 800 -332- 44. Issued By: Permittee Signature 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. 0 'Re -Roof • Building Permit Application roR orIICh: Hsi.: ()Nix City of Tigard LU ��� 1 ©� ! : Perm � _ • _ 13125 SW Hall Blvd., Tigard, OR 97223 C ITY OF Ti , , I Plan Review -: .: Phone: 503.639.4171 Fax: 503.598.1960 Date/13 . Other Permit: Inspection Line: 503.639.4175 e, J '_I_� Date Ready/By: ® See Page 2 for • Internet: www.ci.tigard.or.us autouge p - - Notified/method • Supplemental information TYPE OF WORK 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ l- and 2- family dwelling Commercial /industrial _ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCAtION Total number of floors: • Job site address: 1 Da, L S i4) t lc. New dwelling area: square feet City / State/ZIP: -1-- C b Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. A �� • -• Valuation: $( oDd I.[ / / r Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: C '&.t A� Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE • Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/Z1P: applicant is exempt from licensin the following reasons apply: l -) . Phone: ( ) I Fax:: ( ) a E -mail: g 431 � -� CONTRACTOR /n I Business name: p . e _ I< <-�` J BUILDING PERMIT FEES* • Address: 3 5 SW ` T 1 Please refer to fee schedule. City / State/ZIP: a JA 4 Phone: (5)3) 14,-771 _ 8l'(j I Fees due upon application Fax: ( ) CCB lic.: I og9a€O I / 15 7Or05 Amount received J 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: Date: l • Fee methodology set by Tri- County Building Industry Service Board. is\ Building \Permits\ROOF- PetnitApp.doc 12/03 440.4613T(11 /02/COM/WFB) . City of Tigard: Re- Roofing Permit Checklist Page 2 - Supplemental Information RESIDENTIAL (One- & Two - Family Dwelling) ❑ 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: $ • 1:\Building\Permits\ROOF-PermitApp.doc 2 CITY O_ F TIGARD BUILDING `DIVISION PERMIT #: BUP2005-00378 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/2005 Phone: (503) 639 -4171 1020 Inspection Requests (24 Hrs.): (503) 639 -4175 -:_�U- fi INSPECTION WORKSHEET FOR DATE: 8/171200 TIME: 7 :06AM PAGE: 62 SITE ADDRESS: 12725 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE: PROJECT NAME: QUAKERS DESCRIPTION: Re -roof OWNER: FUNK, JAMES H, PHONE #: CONTRACTOR: SALYER CONSTRUCTION PHONE #: 503 -777 -8668 Inspection Request Scheduled For: Date: 8/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 250 Roof nailing 013427 -01 503. 777 -8668 Y 2.14 �li.T�C.� 0 1 ' CI 045111/41\ Corrections /Comments /Instructions: V - - W t& ■ r _ ■ �:► /11 I gb14b/2 of cth l F7w ��-- 7 („ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED Inspector: • ` lr/ Date: ' vv Phone #: (503) 718 - J