Permit � y BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00330
l DEVELOPMENT SERVICES DATE ISSUED: 7/12/2004
'�" - I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11530 SW TIEDEMAN AVE PARCEL: 1S135CB -00600
SUBDIVISION: ZONING: I -P
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 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: $ 27,600.00
Remarks: Reroof over 1 layer of torch down with fiberglass reinforced base sheet & JM Ultragard PVC SR -50 SP
membrane.
Owner: Contractor:
MCCALL PROPERTIES, INC KE HARN CONSTRUCTION INC
808 SW 15TH AVE 2870 SW 221ST AVE #103
PORTLAND, OR 97205 HILLSBORO, OR 97123
Phone:
Phone: 503 - 848 -2919
Reg #: LIC 52509
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 7/12/2004 $305.80
[TAX] 8% State Surchar! 7/12/2004 $24.46
Total $330.26
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 -6699 or 1- 800 - 332 - .
Issic d By: . d ,
Permittee I I
Signature: „ lik„,_y , b
Call 639 -4175 by 7 p.m. for an inspection the next business day
</A
• Re -Roof t
Building Permit ApplicOiTinNED FOR OFFICE USE ONLY
V
C.
City of Tigard 1.0 Date/B 7 1, (J Pe t d it i �0 �3v
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review V
Phone: 503.639.4171 Fax: 503.598.1964\31 — t o " ' ` i� Date/B : Other Permit:
Inspection Line: 503.639.4175 � tao a � , F ! I „ Date Ready/By: Ins: 0 See Page 2 for
Internet: www.ci.tigard.or.us v.1y O ' , � v 1S,r° Notified/Method: Supplemental Information
VII vy G Q`
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
n Indicate the value (rounded to the nearest dollar) of all
ddition/alteratio eplacemen ❑ Other: Roof F e T 14, ce." -,0-1 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Q f l ercial /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 , 3 0 Su.) T, , O e. LA•kA,n ''kA New New dwelling area: square feet
City/ State/ZIP: "TofivreV\ 0 (. Garage/carport • - a: square feet
Suite/bldg. /apt. no.: I roject nam . Covered po area: square feet
Cross street/directions to job site: Z t. A ( sa ,n 6 or a Deck ar .: square feet
9 .- N t .. ! 141 0 .. V I C CI let . T . i P-142 VIO \ Ck. e A Le-C. k-- ak Oth structure area: square feet
1. 1510 S 1..- Te k c+1Q AN V.C` REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
,Q - TOO 0 V- f L (ek 1 & o 4 Orc - a .),.l Valuation: $ 21 6 0() . 0
(
W h4- t RSS f e t r C e S Existing building area: `2 O0 square feet
P vC S S 0 s New building area: 1 11 O) square feet
lUef<OPER OWNER ❑ TENANT Number of stories: i
Name: (Y-e- 1 1 C Co. 1` 1,, Type of construction: \ \\ v R
2
Address: 1 S �. S � c,r \C Si S le 300 Occupancy groups:
City/State/ZIP: i � 0 f--\-14 n 1 n i-z.., l 1. Z Z 1 Existing:
Phone: (5 o 3) Fax: ( ) New:
AP PLICANT ❑ CONTACT PERSON NOTICE
14 Business name: \\ , t cl Co,/\ 5 - r J c o n Ml contractors and subcontractors are required to be
Contact name: \l-NQ t r,/\ licensed with the Oregon Construction Contractors Board
—'� u /� p under ORS 701 and may be required to be licensed in the
^
Address: Zg l 0 S � 22-� S\ A it �t l Qr5 jurisdiction in which work is being performed. If the
, ` ` O 2 - l --� l2:3 applicant is exempt from licensing, the following reasons
City/ State/ZIP: \ / \\5 \30 r 0 apply:
Phone: (50.3) 0 G H am y `6 ...3A 1c\ Fax:: (5c5) g4' - 20\20
E -mail: 1 n (.0 ( GO ` • cob -1
CONTRACTOR t
Business name: Ic, C.. � h (o,r� S \ \ c Y\ //tie. . , BUILDING PERMIT FEES*
Address: Z 46 1 0 S) 2. 2- I S? 4 , Ae - ( 0,5
A 11 S M Please refer to fee sch dule
City/ State/ZIP: t 0 CO 0 (L CI , 12 3
Fees due u P on application PP 52.G\ , 0 3
Phone: (f e3 ) % Lk g - Z° t r Fax: (0p 3) Q y b �/ - Zp 2 b
Amount received
52_500\ // 2 7 n
Date received:
Authorized signa� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: T �A �2 Date: —7 LZ /� * Fee methodology set by Tri -County Building Industry
JJ " Service Board.
I:\ BuildingWermits�ROOF- PerrnitApp.doc 12/03 40- 46I3T(11 /02/COM/WEB)
,
RE- ROOFING PERMIT CHECK LIST
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: $ 6O
sq. ft. 01 1 °u of roof area 2:1 O
Permit Fee based on valuation: $ 305 QO
(see Building Permit Fees chart) 0
8% State Surcharge: $ 2q.(-1c
65% Plan Review Fee: $
(Required for major repairs of residential and 1 , 1
special purpose roofing of commercial projects.)
TOTAL: $ 5 ZPA
i:\ Building \Forms\Re- RoofChecklist.doc 12/24/03
City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503)639 -4171
Re -Roof Pre - Inspection Report Form ` ^ 4 1 ; 1 6 ! '4
Requested by vt- Telephone ( ,� ) v '18'—.Z 9 i q
Job Address ` 1 6 ; r '7? cD ... ) e ✓\ Permit #: •
Roof Access Location
Date Requested 7/ / � a V £ l Time Requested /� # .- 5
- Type of Existing Roof /&P o te% i/1/16 -,- • v--� Q� rq ,i Cr
1. Slope of roof deck / . / L UL c. 2t01/2
2. Roof/Penetrations /General Conditions air ❑ Poor
3. Are there blisters? ❑ Yes Aio CITY OF TIGAAD
BLILDiNG DIVL. O N
4. Are there cracks? ❑ Yes klo
5. Is there evidence of water ponding? ❑ Yes fieH40
6. Is moisture present under roofing (leak)? * Yes ❑ No f—e-& J..._. j= e ., ) „,7e-v-,
7. Is roof insulation existing? ❑ Yes X,No
8. Is roof insulation wet? ❑ Yes o
9. Property line setbacks on all sides > 10 feet Yes ❑ No
•
10. Building size ❑ < 3000 sq. ft. ❑ < 6000 sq. ft ;X> 6000 sq. ft.
11. Building height < 2 Stories ❑ > 2 Stories
12. Class of roof required ❑ Non -rated ❑ A. B. ❑ C.
13. Type roof deck Combustible ❑ Non - Combustible
14. Roof drains ❑ Provided ❑ Required. ❑ Adequate Ck .,<A) A ,,, r i (jj
15. Overflow drains ❑ Provided ❑ Required ❑ Adequate --(( ”
16. Attic ventilation ❑ Provided ❑ Required ❑ Adequate
17. Roof listing • C6 ❑ Required 1 -.( a Ce
18. Installation Instructions ,provided ❑ Required
To - -roof this structure the following condition must be met: +
The re -roof proposal4pproved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the
Building Division for an inspection when the roof deck is ready for the first inspection: The first inspection for a complete tear off is the deck
inspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is
required. j
Inspector c_ � - 3 \ �.- EX 7 `� Date -2 / 7 / Y
ISBuiciretered Preinvection Report Form
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECT1ONVIVISION Business Line: (503) 639 -4171 MST
—Co
Received Date Requested 74_ O AM PM BUP
Location ( (5 3 O Sri t 1 e UM A-"N Suite MEC
Contact Person Ph ( ) PLM
Contr Ph ( ) SWR
- BUILDING Tenant/Owner ELC
Fooling
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam 1)
Shear Anchors f � -� 1/ .� l
Ext Sheath/Shear V
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall l l W \
Fire Sprinkler ` l
Fire Alarm 166N-/ • • eiling —
oof
Ot Pr
F&2F 2 Lf telousT - Atc.F__N - 1(2)-pee2tr
•ART FAIL
Post & Beam Ass.
Under Slab
Rough -In i;
Water Service 0 104i
Sanitary Sewer
Rain Drains
Catch Basin / Manhole [ I
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 .
L olt �.�A/�.�'�._WA
Low Voltage
Fire Alarm gir
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
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL