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15750, 15Y60, 15770, 15780, 15790, &
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CITY OF rIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lire: 639.4171 —
2PX�--Cao� 0
— —
Date Requested �P r �� v AMBLIP y_PM _ BLD
Location_ ` ~� �L� r.A-�-_ Suite MEC _
contact Persm _ `� � �_ Ph PI-M
Contractei P;1 SWR
ILDIy — Tenant/Owner _ ELC --
Retaining Wall _ ELR
Footing Access:
Foundation G /0 /r- J v / FPS
Ftg Drain `
Crawl Drain Inspection Notes: SGN
Slab SIT
--------- --
Post& Beam --- —--
Fxt Sheath/Shear
In', Sheath/SheerFraming --
Insulation
Drywall Nailing
IifewAll -- -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Mise I ---- -
PART FAIL - - - -- - --- - - -- -
P ING
Pos & Beam - ------- ----- - --
Under Slab
Top Ou+ - - - - - -
Water Service
Sanitary Sewer - - - - -- - -
Rain Drains
Final -- - -- - -
ASS PART FAIL
MECHANICAL _. _---- - - -------- - ___.
Post& Bean - ----
Rough In
Gas line - -
Smoke Dampers
Final — - ---
PASS PART FML
ELECTRICAL ------ _-___
Se^ice
Rough h7 —
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
tjackfill/Grading —
Sanitary Sewer
Storm Drain [ '. Reinspection fee of$ _ required be'Dre next Inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE _ - --__-__ [ ] Unable to inspect-no access
ADA r
Approach/Sidewalk L
Other Date Inspector-- - ��'� Ext
Final _
PASS PART FAIL 00 NOT REMOVE this inspection record frorn the job site.
BUILDING PER"11i
CITY OF TIGARD
PERMIT#: dUPz000-00140
DEVELOPMEN`r SERVICES DATE ,SSUEEI. 04/'.4;2000
13125 SW Hall Blva.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111CC-09700
SITE: ADDRESS: 15750 SW GREENS WAY
.pLIBDIVIS!`)N: SUMMERFIELD NO.2 ZONING: R-12
BLOCK: LOT: 12.4 JURIFDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_^
CLASS OF WORK: -_ FIRST: sf N: S:V E: W:
TY FE OF USS` SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: Si N_ S: E: W.
OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP RATED:
STOR: HT ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MIZZ?: REQD_SETBACKS _ REQUIRED _
FLOOR LOAD: psf LEFT: �^ ft RGHT: —f� FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ff FIR ALRM : HNDICP ACC:
BEDRPIS. BATHS: IMP SURFACE: PRO CORP.: PARKING.
VAI_I s f.
Remarks: Reroof 5 unit condominium, removing existing roof down to the sheathing.
Owner: Contractor:
FERGUSSON, EARL O PACIFIC WEST CONSTRUCTION INC;
15759 S11V GREFNS WAY PACIF!C WEST POOFING
TIGARD, OR 97224 POBOX4444FC C� p
Prone: 503-635.8706 L PFione: 6;i_'8T06R y7034 ORIGINAL
Reg #: LIC 54111
_ FEES —��—REQUIRED INSPECTIONS
Type By Date Amount RsceiFt Roof naiing !nsp
PRMT KJP 04/24/200C $110.00 0001627 Final Inspection
5PC1' KJP 04/24/2000 $8 80 0001627
Total $118.80
This permit is issued subject to the regulations contained in the Tiga,d Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be clone in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or i! work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow `.he rules adopted by the Oregon Utility
Notification Genter. 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 OUh!:; by calling (503) 246-1987.
Permitee
Signature:
Issued By: �/ �-, , _—_ —_ --- --------- - -
Call ,39-4175 by 7 p.m. for an inspection the next business day
CITY TI AR-J Plan Check13125 SW #:
HALL
97 2 3 D �Recd�tRE-ROOFING PERMIT APPLICATION
By
TIGARD OR - -
a Rec'd: _
V- 503-639-4171 X304 Date to PE:__ _—
F-503-598-1960 Date to
Permit
Incomplete or illegible applications will not be accepted Called:
F Name of Development/Business w. STEP 2. NEW ROOFING ASSEMBLY
�MM W"VL r-r rCu-a/J _ Material Documentation(UBC Appendix 15)
Street Address Ste# F:ease fill out applicable section and attach copy of roofing
Job Site 15 0 GO Ci(L #45 WA-f _ specifications.
Bldg# City/State zip Listed Assembly—(Circle&Complete A,B or C) -�
( - Name 1 Specification# -
5CLL ArJ J A+'L✓c S
Applicant Mailing Address 2 Manufracturer.
P.O. fox N ti 9 ----- --- —
City/State 7_ip
Phone '3a UI_ Classification
LgttE �S viEb J JAG ���) to35^t-1OL^
Roofing Nameu Listed UL Building Materials Directory Page M
Conirdctor i'M.tFcc WV-S-1 (2vr.)'P ���— (Oft)
(Prior to issuance MailingAddress '3b Warnock Hersey
applicant must F. U. 1( LA Li H
provide a copy of City/State Zip Listed Warnock Hersey Directory Page#
all contractor Lv " 05we,56 �oL, 11 "COPN'OF ASSEMBLY REQUIRED
licenses if Phone# Fax# FID
expired in COT c°45_ 6-76rD I bot t – z-z ic7 B. ICBO Research#
database) State Consir.Contr.Board# Exp Date /
_ 54111 8•IH -1111 � DATED.
BUILDING INFORMATION a: t4'" ' C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
B-ilding-Type Of Use: (circle one)COM �M-.) (review required by plans examiner)
SFABuilding- Type of Construction: e� VALUATION OF PROJECT $
7 WULW S'f¢VC7y%e4F _ sq ft of roof area
Existing DecK Type: - - Permit fee based on valuation'
Combustible Non-Combustible ( ) ' see chart on back $
SIDENTIAL. ONLY•Class,of Work:Alienation It . City use only: WACO.
O REPAIR(MAJOR)(review required by plans examiner) (BUILD) UBUIL.D
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line reviire Building Permit _ 8% State Surcnarge $ _
Application. City use only: WA;O:
SUBMIT TWO L2)SE;;OF PLANS SPECIFYING. (TAX) I__ (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 ' E5% Plan Review $
space Vents shall be Ionated in the upper 1/3 of the roof It/use only: WACO:
Provide 1 sq.ft,for each 300 sq ft,when eave& attic BUPPLN (UBUPLN)
venting Is providec
TOTAL I $
STEP 1._ __ COMMFR;IAL ONLY _ I acknowlf ige that I have read this application and that the
Class of Work: Repair informat_)n given is correct, that I am the owner or authorized
1)( ,it)(' work to be done: (cht^k appropriate hox) agent of the owner, and that the plans (if applicable) are in
LJ PE-ROUE (circle A .B or t,) compliance with Oregon State law
A, Existing built-up roof coveting to be REMn\,,CD and deck
repaired- Signature of Owner/Agent Date
B. Existing built-t.p roof covering to REMAIN: note applicant l( �
must submit an engineer's review of the roof structural I 10 �00
elements. Review shall bear the seal(or stamp)of the
architect or enqineer licensed in Oregon. Contact Person Name Telephone
C Asphalt or wood shingle/shake 6 (A td Jv�VL✓I S
(PROCEED TO STEP 2)
Ldsts\fonns\rooI'res.doc
9/26/99