16615 SW QUEEN MARY AVENUE 16615 SW QUEEN MARY AVE
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CITY
��� ®� ������ --- BUILDING PERMIT
PERMIT #: BUP2002-00392
DEVELOPMENT SERVICES DATE ISSUED' 9/9/02
1312.5 SW Hall Blvd., Tlciard. OR 97223 (503, r,'19-4171 PARCEL: 2S11513C-01900
SITE ADDRESS: I(,(;1! ;IJV �lJ[=rl f�ni�RY C.VF
ZONING'
SUBDIVISION
BLOt;K- LOT: JURISDICTION: KIN
REISSUE: — _FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:�
TYPE OF USE: SF SECOND: sf _PROJECT OPENINGS?
TYPE OF :JNST: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELL ING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP AIX:
BEDRMS: BATHS: IMP SURFA(,E: PRO CORR: PARKING.-
VALUE:
ARKING:VALUE: $ 4,620.00
Remarks: Re-roof.
Owner: Contractor:
BRANDIES, BEVERLY I)NITED ROOFING + CONSTRUCTION
16615 SW QUEEN MARY AVE 6:'50 SE HAMPTON
TIGARD, OR 97223 STk_ 240
TIA,,one.. �53��60
Phone: 503-2280727 LIC 00091955
Reg#.
FEES REQUIRED INSPFClIONS
Type By Date Amount Receipty Roof Nailing Insp
PRMT CTR 9/9/02 $91.30 27200200000
Final Inspection
5PCT CTR 9/9/02 $7.30 27200200000
Total $98.60
This permit is issued subject to the re +r.` �'+ oe Tigard Municipal Code, State of OR Specialty Codes
and all other appli^able law. All work ,lance with approved plans. 1 his permit will expire if work is
not started within 130 days of issuaneb, is sus,,ended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules ad:)Kded by u:t; ),Ryon Utility Notification Center. Those rules are F.et forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct qi!-,.stions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Pe mt Ittee
Signature-
Issued By: ��-�-�-- --
Call 639-4175 by 7 p.m. for an inspection the next business day
Re-Roof
Building Permit Application
Dale received: a Q G Y Permit no.: 3 _G �r
City of 'Tigard Project/appl.no.: Expiredatc:
City of71gard Address: 13125 SW liall Blvd,Tigard,OR 97223
I'linne: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: P-'went type:
Land use approval: _ 1&2 family:Simple Complex:
TYPE OF PERMIT.
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U TR nudition
U Addition/alreration/replaccnient U Tenant improvement O Fire.sprinkler/alarm U Other:
30P-q. !k INFORMATION
Job address: Bldg.no.: ISuite no.. -
Lot: Block: Suhdivisio : Tax map/tax lot/account no.:
Project name: -
Description and log don of work nn premises/sr tial conditions:
OWNER FOR SPECIAL 1
t . solar,
Name:
Mailing address: I &2 family dwelling:
City: State: ZIP: Valuation of work•...................•................... $ i 4
Phone: Fax: !-mail. No.of liedroomE/baths................................. --
Owner's representative: Total number of floors.................... ...........
Phone: Fax: f.-mail: New dwelling arca(sq.ft.) ......... ..
Garage/carport area(sq.ft.)
Name: f tT't k '_ ) 'l t t>tl Covered porch area(sq.ft.) ...........•............ -r
Mailing address: r. �, 7 -� Deck arca(sq.ft.) .......................••.•............. i
City: Other structure area(sq.ft.)......................... ---
Phone: I Fax l it f E-mail: Commerciall(ndustrialltuulti-family:
Valuation of work............................•.......... $ _
Existing bldg.area(sq.ft.) ................ .... ..• _ --
Business name: ` �- ' New bldg.area(sq.ft.)
Address: i --- Number of stories........................ ............
City: --
state: zlP:
---- Type of construction......I.......................•....
Phone: Fax: - E-ma[I: - Occupancy group(s): Existing:
CCB no.: i r _ _ New:
City/metro lic.no.: Y 61W �, Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisioirs of ORS 701 and may be required to be licensed in die
Address: T jurisdiction where work is being performed.if the applicant is
exempt from licensing,die following reason applies:
Cil Statc: ZIP: _ 4(-^ t,r
Contact person: flan no.:
l'Ixinc: Fax: E-mail: -- - - - -_
mm 1=111
Name: Contact person: Fees cue upon application ........................... $
Address: Date received:
City: State: ZIP: Amount received ......................................... $-- -
Phone: Fax: — E-mail: Please refer to fee schedule.
I hereby certify 1 have read and examined this application and the Not all Jurisdictimu accept credit cards,please tali Jutiwhction for mcxe tnf0mulion
attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard
work will he comp)ed with,whether specified herein or not. Credit carr number __— -__1__
l rapiter
Authorized Slgnatu ate:r JrNam of cardtw der as shown oa credit cards
Printnam :4 K-I { Cardholder aianatwe —
Notice:This permit application expires'Iire permit is not obtained(within ays atter it has leen accepted as complete. .a.csu OWCOM)
1 !r,• � q l 3C,
?•Irl)
RE.-ROOFING PERMIT CHECK LIST
R'
DENT IAL ONLY - Class of Work: Alteration _
RE'AIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
changes are made to roof line.
SUBMIT TWO (2)SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. it.for each 150 sq. ft. of attic space. Vents shall be located in
the upNsr 1/3 of the roof. Provide 1 sq. ft.for each 300 sq. ft. when eave and attic
venting iv provided.
Note: No permit is required for residential re-roof if, (1) not more than three layers of
roofing will exist upon completion of the re-roofing or, (2)sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
-
-COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
Q _ RE-ROOF (circle A, B or C): - ---
A. Existing built-up roof covering to be REM^':'ED and deck repaired.
B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon.
C. Asphalt or wood shin le!shake. (PROCEED TO STEP 2)
COMMERCIAL ONLY - Class of'Work' Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation UBC Appendix 15 -
Please fill out applicable section and attach ropy of roofing specifications.
Lister2.
embl (Circle and com llete A, B or C
A. Specification#: - ---
Manufacturer:__ - ---
UL Classification: - ---- -
Listed UL Building Materials Directory PageOR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page ----
_ "COPY OF ASSEMBLY REQUIRED _B. ICBO Research#: -- - -
Dated: --C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by Dlans examiner.
VALUATION OF PROJECT: $
sq.ft of roof area -----------
- Permit Fee based on valuation: $
(see Building Permit Fees chart) --
6% State Surcharge:
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly ite n"C"above. I -----
TOTAL: $ —
f:dsts\forms\roo'checkiist.doc 10105 00
UNITED ROOFING
AND CONSTR UCTIOI ; INC.
(503)526-0260
Fax: 643-4M
,Ae ��z yEXPIRED
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