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12490 SW MAIN STREET-1 IS NIVW MS 06VZL y. .p f it cn _Z Q 3 cn 0 V c%, 12490 SW MAIN ST CITY C)F T I G A R D BUILDING PERMIT DEVELOPMENT SERVICES DATE ISSUED: 110/2/03 3-OJ60U 13125 SW Hall Blvd.,Tiqard.OR 97223 (503) 639-4171 PARCEL: 2S102AC-0 )500 SITE ADDRESS: 12490 SW MAIN ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: M 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: $ 11,500.00 Remarks: Re-roof Owner: Contractor: WOODARD, CHARLES L. AND INTERSTATE ROOFING ARLIE C 15065 SW 74TH AVE PO BOX 23303 TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 684-5611 Reg#: MET 000008011476 FEES LIC REQUIRED INSPECTIONS Description Date Amount Final Inspection I DUILD]Permit Fee 10/2/03 $158.50 STAY] 8%State Tax 10003 $12.68 BUILD]Investigation F( 1012/03 $158.50 Total $329.68 a oc rn This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and al!other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law FD requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth ir, OAR e 952-001-0010 through OAR 952.-001-0100. You may obtain a copy of these rules or direct questions to OUNC by W ca';mg (503) 246-66 9 or 1-800-332-2344. Issued By: l�c. C Permittee Signature: C II F39-4175 by 7 p.m. for an inspection the next business day Re-Roof ammmomm Building Permit Application rRecee7ived �66 Building �r : ltoPermit No.: 12 l/C�d City of Tigard Planning Appmvai Other Uste/B Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/By: Case No. Internet: www.ci.tigard.or.us contact luris.: See Page 2 for 244-our Inspection Request:L503-639-41 1 Name/Method: 7 ! SupplemenUt Information _ Xr�/6f' TYPE OF WORK REQUIRED DATA: New con itntc!ion _ ___ Demolition i &2 FAMILY DWELLING Addition/alteration/replaccment Other: _CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate 1 &:2-Familydwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, weg - - - overhead and profit for the work indicated on this application. g Accesso Buildin _ Multi-Tamil Master Builder Other: Valuation......................................................... S _ _ JOB SITE INFORMATION and LOCATIONNo.of bedrooms: No.of baths: .lob site address: — - Total number of floors..................................... _ /a� O MSI t.( ST• -_ New _.! dwelling area(sq. t. ).............................. Suite#: Bld /A t#: Garage/carport --___— arca(sq.ft.)............................ Project Name: 1&A tr) q�prl L r _ sTb2�— Coveted porch area(sq.ft.)............................. -- Cross street/Directions to job site: � Deck arca(sq. ft.)............................................ —---- Other structure area(sq.(l.)............................ Subdivision: Lot `— Tax tnap/parofl #: Note: Permit fees•are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, —•---- -- -- overhead and profit for the work indicated on this application. Valuation......................................................... $/ ' fo Existing building arca(sq.ft.)......................... .1T_OJ _. _ — - - -- ---- -- New building area(sq.ft.)............................... _ Numberof stories............................................ag / PROPERTY OWNER TENANT Type of construction....................................... Occupancy group(s): Existing: Name: Lf/oc�o t„�n n NvaK— -- - -- New: - - Address: — City/State/Zip: Phone:Sc�-1039- )t{Ifs FaX: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under --- provisions of ORS 701 and may be required to be licensed in the Business Name, , .t jurisdirt+- performed. If the applicant is exempt Contact Name: fr-,,r licensing,the following reason applies: IL Address: /SO 6 i -SO 74-11 IYE City/State/Zip: Purl rz 10 (VEL ? 7 1 y U) Phone:5z3-b94--Sto I J Fax- 3o" 3o"b >, E-mail: dbac/<etr #_r., fevslnkv-oo pit-, 01121M CONTRACTOR - x -\i-- BUS1neSS Name: Fees due upon application...,......... ........... S J Address: — Clt /Mate/Zl�:__—.,_ At count received............................................. S_ Phone: _ Fax: Date received: A�ut Licorized Notice: This permit application expires If a permit h not obtained within Signature: f-- Date:9/�1�0 IRO days after It has been accepted as complete. _ 0L E f Ae_ "Fee methodology set by Tri County Building Industry Service Board. (Please print name) is\Dsts\Permit Forms\BldgPermitApp.doc 01/03 RE-ROOFING PERMIT CHECK LIST RESIDENTIAL ONLY - Class of Work: Alteration 0 REPAIR(MAJOR) (plan review required by plans examiner) Building permit is required when spaced sheathing is covered by solid sheathing anti/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. 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, (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 -applied). COMMERCIAL ONLY - Class of Work: Repair STEP 1: -ROOF (circle A, B or C): _ A Existing built-up roof covering to be REMOVED and deck repaired. 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 shingle/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 copy of roofing specifications. ted Assembly Circle and com-pI-qte A, B or C): a CA; 1. Specification#. 2. Manufacturer: Manufacturer: 3a. UL Classification:__ Listed UL Building Materials Directory Page#: /a / 9�r7 0R 3b. Warnock Hersey: Listed Warnock Hersey Directory Page#:_ _ 'COPY OF ASSEMBLY REQUIRED E7 ICBO Research#:� --- Dated: - C SPECIAL PURPOSE ROOFING: WOOD SHAKES Review required by plans examiner.' VALUAT),ON OF PROJECT: t r— sq.ft. �f kOu of roof area $ Permit Fee based on valuation: $ i see Building Permit Fees chart I $%State Surcharge: $ b� i 65% Pian Review Fee: $ (Required for major repairs of Residential or Assembly item"C"above. -------__ ------ TOTAL: I:d§ts\forms\roofcheddist.doc 10MV00 CITY OF TIGARD 24-Hour BUILDIRG Inspection Line: (503)639.4175 0 MST INSPECTION DIVI6I0N Business Line: (503)630-4171 86P -3- 006©Q Received Date fie uested—_1L-.� AM —PM BUP Location Suite _ MEC Contact Pe,,:,on _ _ CIA& — Ph(—_— ) 3LZ._EZJ� PLM _ Contractur—_ _ Ph( ) _ SWR s ''If DINGi Tenant/Owiler ELC F o�� — t 1 1 eu.+' -ff- ELC _ r ,undation Access: ,N�,r, Ftg Drain d� ���''�Z ELR Crawl Drain Slab Inspection Notes: SIT -- - - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — ---- --- Insulation Drywal,Nailing — - - Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling — — — -- -- Roof PART FAIL F N® VV am Under Slab — — Rough in Water Service — -- - — — Sanitary Sewer Rain Drains - -- — Catch Basin/Manhole Storm Drain — Shower Pan Other: -- -- —' Final PASS_PART FAIL MECHANICAL _— Post&Beam Rough-In —� — Gas Line Smoke Dampers --- ---- — -- Final PASS PART FAIL R —� — — ELECTICAL — _ J Service Rough-In 7 UG/Slab j Low Voltage Fire Alarm 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 Date O 0 3 _ Itn actor Approach/Sidewalk � Other: Final DO NOT REMOVE this Inspection record from the job alto. PASS PART FAIL ■ City of-Tigard Building Department 13125 5W Hall Blvd,, Tigard, OR 97223 Phone: (503) 639-4171 Re-Roof Pre-Inspection Report Form �,,, 1 Requested by� AL edfZ Telephone( 15&—?15&—? 1 y�3 6y[7// Job Address Permit M Roof Access Location Ala r Date Requested 101-7103 _Time Requested , v 1 Type of Existing Roof 1. Slope of roof deck 2. Roof7PenetrationslGenr•ral Conditions ❑ Poor 3. Are there blisters t ❑Yes ❑ No 4. Are there cracks? ❑Yes '] No 5. Is there evidence of water ponding? ❑Yes No 6 Is moisture present under roofing(leak)? ❑Yes "'❑ No "bill � I 7. Is roof insulation existing? (]Yes ❑ No 8. Is roof insulation wet? ❑Yes ❑ No 9. Property line setbacks on all sides>10 feet ❑Yes ❑ No 10. Building size ❑ < 3000 sq.ft. ❑ <6000 sq.ft ❑>6000 so.ft. 11. Building height ✓L < 2 Stories `6-15> 2 Stories i 12. Class of roof required [_] Non-rated ❑A. ❑ B. ❑ C. 13. Type roof deck ❑ Combustible ❑Non-Comb 14. Roof drains 0 Provided ❑ Required ❑Adequate ` I 15. Overflow drains ❑Provided ❑ Required ❑Adequate 16. Attic ventilation ❑Provided ❑ Required �—U Adequate 17. Roof listing ❑Provided ❑ Required 18 Installation Instructions ❑Provided ❑ Required To re-roof th is structure the following conditions must be met: L O P" � i ---�-- 0 _ 9 j The re-roof proposal is roved for permit issuance if the conditions listed above are met.After obtaining you 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 fear 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. Inspector 5Z'`'N- Ext.—_ Date .• � �/ � ,��� IMriyRnaef lana