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CITY OF TIGARD BUILDING INSPECTION DIVISION d
24-Hour In, tion Linc: 639-4175 Business Phone: 635-4171
i
j Date Requested: L, - I A.M P M. — MST: q7-6 J 5
Location:�] ^ — BUR _
Tenant: Suite: _ Bld MEC:
Contractor:_ (rPhrnie: PLM: _
(honer: `- , Phone: ELC: •_ _
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BUILDING BLDG n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site > ea ItA Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing oof UndFI/Slan Rough-In Ceiling Vater Line
Slab mg 'fop out Ges Line Rough-In UG Sprinkler
y Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp D"all Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UO Slab
Shear/Sheath Firc Im Crawl/Found Dr Heat Pump Low Volt
A Approved Approved Approved Approved
Appr/Sdwlk of Approved Not Approved Not Approved Not Approved Not Appro,red
FINAL FINAL FINAL FINAL FINAL
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for spection r C]Reinspection fee of S muired before next inspection 17 Unable to inspect
Inspec-t _ Date:
-- 2 Page--of
---_- -------- ,_ -C=T� ----
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CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES" PERMIT #. . . . . . . : MST97-0351
13125 SW Hall Blvd.,77gard,OR 97223 (503)6394171 DATE ISSUED: 08/19/97
PARCEL: 2S111BD-01200 �
SITE ADDRESS. . . :09725 SW SATTI_ER ST
SUBDIVISION. . . . :DARMEL ZONING: R-3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :011 JURISDICTION: TIG
Remarks: Reroof and repair of sheathing. Needs :o have sheathing inspected prior to placement of roofing material.
--------------------- — BUILDING
REISSUE: STORIES.......: 0 FLOOR AREAS-------- BASEMF?WT...: 0 sf REQUIRED SETBACKS— REOUII�D-------
CLASS OF WONC ALT HEIGHT.......... 8 FIRST....: 8 sf GARAGE.....: 0 sf LEFT..........: I 5ICOIIE DETECTRS: m►
TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 8 sf FRONY.........: A PARKING SPACES: 0
TYPE OF CON5T.:5N ^WELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL-----: 8 sf VALUE..t: 5800 REAR..........: 0
-- --- - ---- ----_ __��___—-- --__ PLUMBING — ----- -----------
i
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES.... 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SNORERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GRF.ASF TRAPS..: /
OTHER FIXTURES: 0
-----------------------._�— w�---- MECHANICAL ------ --------------____��_ ,
FUEL TYPES— FURN i 100K ..: b BOIL/CMR ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=IOW ..: 0 LIMIT HEATERv..: 0 HOODS.........: 8 OTHER UNITS...: 8
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVES....: 8 GAS OUTLETS...: 0
---------- —_. ________ ELECTRICAL
--RE9IDENTIAL UNIT--- —SERVICE/FEEDER---- —TEMP SRVC/FEEDERS--- --BRANCH CIRCJITS--- ---MlS(TUAHEOUS-- —_ADD'L :NSPECTIONS—
I000 SF OR LESS: 1 0 - 200 amp..: 8 0 - 2200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5019F.: 0 281 - 408 amp..: 0 201 - 408 amp..: 0 1st W/O SVC/FDR: 8 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENEA3y.: 0 481 - 608 amp..: 0 40.1 - 680 amp..: 0 EA ADDL OR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MAW HIR/SVC/FDR: 8 601 - 1100 amp.: / 601+82ps-1800 :: 0 MINOR LABEL -10: /
1100+ amp/volt.: 0 --------------- ------_ PLAN REVIEW SECTION ----
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-5 A.: ) 601 V NOMINAL: CLS AREA/SPC OCC:
ELECTR'.0 AL - RESTRICTED ENERGY ----------- ---- -----
A. SF RESIDENTIAL------- ----- --------- B. CGKRCI'L------- - __----
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO WI STTAEO.: FIRE ALARM....,.: INTERCOM!PAGIN6: OUTDOOR LNDSC LT:
BURIB.AR ALARM—: LITH: :: 6OILER.... ....: HVAC...........: LANDSCAPE/1016: PROTECTIVE SlKi
6AAACE OPEMER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHP:
HVAC............ DATA/TELE COM.: NURSE CALLS....: TOTAL. Nl SYSTEMS: 0
-----------------Contractor: ---- ------- TOTAL FEESO %.06
RICH WILSON INTERSTATE ROOFING This permit is subject to the regulations contained in the
9725 SW BATTLER 15865 54 74TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
TIBM OR 97224 TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone /: 639-8787 Phone M: 684-5611 not started within 188 days of issuance, or if th• work is
Reg C.: 898554 suspended for more than 181 days. ATTEMTROt Oregon law
----- requires you to follow riles adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-881-0110 through OAR 952-01-8888. You may ubtai:. copies of these rules or
direct questions to OUNC by calling (503)246-1987.
REQUIRED INSPECTIONS -------------- ------------_�_____
Misc. inspection _
Building Final _
Issued
++++++++++ / Permittee t
e SiSignat -i e.
+ +++++++++++i.+++++++++++++++++++++++++.1.+++++++++++++++++. +++++++�
Call 639-4175 by 6:140 p. m. f''or an inspection needed the next business day
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'IT"Y OF TIGARD �Mi�IERCiAL •�" Permit#� •��
3125 SW HALL BLVD Date Recd:
IGARD OR 972123 RE-ROOFING PERMIT Bldg: s_ .>c
503-6?- "1 X304 APPLICATION Plan Chk: $ 77
503-66 7 St. Sur. Chrg.S_
r'
Incomplete e_r illegible applications will not be acc pled
—� Name of Developmenb'Business
Date work is to begin:j l?Date Compleied s 2 y7
Soo
.SOB Address NEW ROOF=ING ASSEMBLY
SITE q ?Zr lj• s"A-41 I-e2 —
Building Use
STEP 2
N e ` New Roofing Material Documentation (UBC Appendix 15) i
�C(1, 4_ Sk.� ,15c.xPlease Fill Out Applicable Sections &
OWNER Mailing Address Attach Copy Of Roofinq Specifications
cri t n, J sc,:C4 k yZ_ —
/State Zip Phone
1 L�ARD
01Z
Name
- ``\\ -- (( . Listed Assembly:
Al
ROOFING Mailing Address 1. Specification #:
,:ONTRACTOR ISUES ✓J �`1 � �_�
(All licenses City/State Zip Phone Manufacturer.-
have
anufacturer:have to be p)( �fe °t� Z� G �y141/
i' current at State Crmstr.Contr. Board# Ex D e UI_ Clzssification.
time of _
Issuance) COT Bus Tax or Metro Lic# Ex Qp to (or)Warnock Hersey:
r43 S
STEP 1 Listed UL Building Materials Directory Page#:
Describe work to be done: (circle one) Listed Warnock Hersey Directory Page#:
RE-ROOF
'�� --- (PROVIDE COPY OF----------------------- ------
ASSEMBLY)
-- _ _ -
xisting roof covering to be REMOVED and deck ( OR
repaired - PROCEED to STEP#2.
2, ICBG Research#:
B. Existing roof covering to REMAIN: NOTE APPLICANT Dated: i�
MUST SUBMIT AN ENGINEER'S REVIEW OF THE ROOF STRUCTURAL ( PROVIDE COPY OF ASSEMBLY )
--------
£LF,AENTS REVIEW SHALL BEAR THE SEAUSTAMP OF THE
___.------------------------
ACHITECT OR ENGINEER LICENSED IN OREGON 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
((PROCEED TO STEP 0 2)
'REVIEW REQUIRED BY PLAN 5 EXAMINER
REPAIR (MAJOR)
WHEN STRUCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE
tFPLACED A PLAN REVIEW IS REQUIRED. 3_$ $OF Pt.AA
`+r _MU_ST VALUATION OF PROJECT:
�UAMlLTJ~Q
Existing Deck Type: %k)Cr_ ��-
I HEREBYTATE THAT THE ABOVE INFORMATION IS
TRUE Al ACCURATE
Combustible ( �
SIGNED. II 1\
Non-Combustible ( )
DATE-
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