Permit (20) CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00366
° , COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AB - 01902
SITE ADDRESS: 09386 SW TIGARD ST ZONING: I - P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 055 JURISDICTION: TIG
PROJECT: ATLAS
Project Description: Re -roof, remove and replace.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: UNK 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: s--0 a 9v -
Owner: Contractor:
ATLAS LAND COMPANY BOB CARLSON INC
9380 SW TIGARD PO BOX 63
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 640 -3623
FAX 503 - 640 -4840
Reg #: LIC 5113
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/13/200E $371.50
[TAX] 12% State Surch 11/13/200E $44.58
Total $416.08
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 1.800.332.2344.
Or/0k A
Issued B� ` i •ermittee Signature: �, i ie
Call 503.639.4175 by 7:00 a.m. for an inspect on t =t business day:
This permit card shall be kept in a conspicuous place on the ob = ate until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
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' ,Dai d'n Permit Application ��`` FOR OFFICE USE ONLY .
V
/
City of Tigard • Rea[e�ved
13125 SW Hall Blvd., Tigard, OR 97923' ` 1 �
V Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 NQ V
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T I G A R D Inspection Line: 503.639.4175 �`�� I • to Ready/By: El See Attached Checklist for
Internet: www.tigard- or.gov •\% • O ®\ Notified/Method: Supplemental Information
TYPE OF WO REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addit ion /alteration/replacement IX Other: ?e ?co equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ 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: – 1006 -\,°� S' , New dwelling area: square feet
City /State /ZIP: \' 09 1 ‘, \a Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: \ k O S e % s . `. \\ n°\ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
! Valuation: $
{- .r�51- 1( oc� 0V
,.-.•" Jrt ob-t. - �.S' C1 - d a'�
„
� Existing building area: square feet I �.�
– �\ \ jea C,( 1 ./k�� r .6 AA. l 1
tn t\ \ New building area: square feet
lrJ t,�e: 1 tM• ( Ifs COCA/NZ) b�e� . n���
Et,PROPERTY OWNER ❑ TE ANT Number of stories: i �°
Name: Type of construction: eC.r <RoOY--
Address: `R a, OX 9,2 \ L} Occupancy groups:
!
City /State /ZIP: w �c V e?..., _ c a€ l Existing:
Phone: ( ) ` Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: Jib Ciprkb BUILDING PERMIT FEES*
Address: �' 6 s o.) ,`� ,s'L PO. e . SOK, 443 review (Please refer (or deposit): posit)
City /State /ZIP: t.4...:,.\%,51 n Z (t 1 laS Structural plan review fee (or deposit): /
F.1 L S nlan vw e
iee (if applicable): qty, SE' Phone: ) ‘ �O . cf)a9 3 Fax: 8D6 ) 646 e /...01,0
CCB lie.: �, I c0 Total fees due upon application: a( /6 .
`) Amount received: ��O ���
Authorized signature: \
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: JAy�y� Date: r (/..R / mg * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\BUP- PermitApp,doc 03/21/06 44046I3T(II /02/COM/WEB)
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City of Tigard Building Department q
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Re-Roof re- Inspection Report Form :.; k
Requested by „rr S hI Re
T
Telephone t
Job Address 7 3$ C ""T; , 5+
Roof Access Location L4 d, e e
Date Requested / 3 Nom 0 8
Time Requested /O • "j0 A
Type of Existing Roof
1. Slope of roof deck Yy / foot
2. Roof /Penetrations/General Conditions (ratio)
❑Fair ❑ Poor
3. Are there blisters? ❑ Yes
❑ No
4. Are there cracks? ❑ Yes
❑ No
5. Is there evidence of water pondng? ❑ Yes
❑ No
6. Is moisture present under roofing (leak)? ❑ Yes
❑ No
7. Is roof insulation existing? ❑ Yes
❑ No
8. Is roof insulation wet? ❑ Yes
❑ No
9. Property line setbacks on all sides > 10 feet ❑ Yes
10. Roof Area ❑ No
❑ `— 6000 s4 ft ❑> 6000 sq. ft
11. Building height 2 Stories >
2. Class of roof required ❑ 2 Stories
1 2 ❑ Non-rated
Type roof deck ❑ B• ❑ C.
13. T
bustible ❑ Non - Combustible
14. Roof drains Provided
❑ Required Adequate
15. Overflow drains
❑ Provided ❑ Required ❑ Adequate
16. Attic ventilation
❑ Provided 0 Required 0 Adequate
•
17. Roof listing ❑ F,yided
18. Scope of work ❑ Required
Tear off ❑ Overlay =
To re-roof this structure the following conditions must be met
u % ire J m o1'g } rL
Over
The re -roof proposal is ❑ Approved for permit issuance if the conditions listed above are met. After obtaining your
Building Division for an inspection when the roof deck is ready for the first ins
permit
you must contact the
inspection. For a built-up roofing system (overlay), the first ins pection is at the start of the job: After the re -roof is complete, a final inspection is
required.
Inspector f!3 S
Ext. e a 3 Date /3/Lo oS
i+eu+din pr.,
SECTION 1506
FIRE CLASSIFICATION
1506.1 General. Roof assemblies shall be divided into the
classes defined below. Class A, B and C roof assemblies and
roof coverings required to be listed by this section shall be
tested in accordance with ASTM E 108 or UL 790. In addition.
fire - retardant - treated wood roof coverings shall be tested in ac-
cordance with ASTM D 2898. The minimum roof coverings in- •
stalled on buildings shall comply with Table 1505.1 based on
the type of construction of the building.
- 1506.2 Class A roof assemblies. Class A roof assemblies are
those that are effective against severe fire test exposure. Class A
roof assemblies and roof coverings shall be listed and identified c. 9' ° c
as Class A by an approved testing agency. Class A roof assem- c) 5 — m c g c , c = •
to co r.
blies shall be permitted for use in buildings or structures of all 3 c — c c -, 3 c f
types of construction. a" ° a c e _ i cli
Exception: Class A roof assemblies include those with coy- o `^ :/,
^ ° s n -- Z
Brings of brick masonry. slate, clay or concrete roof tile, ex m ° c ° 4 °• u 3
posed con roof deck, ferrous or copper shingles or = w g g m n rg 8 ., W ,„ r C
• sheets. e .6.... o c a_ c °O C
15063 Class B roof assemblies. Class B roof assemblies are o to a a " e 3 ° 3 . B' 3
those that are effective against moderate fire exposure. Z r 5 'o o n m R — n m m m —
Class B roof assemblies and roof coverings shall be listed and °). r. n c , p c z m r N n co
identified as Class B by an approved testing agency. 1 3 a C7 = c _ 0 < m
Exception: Class B roof assemblies include those with cov- t c 7. 3 -.g w > a
Brings of metal sheets and shingles. n g o n ag p = Z ° v,
_
1506.4 Class C roof assemblies. Class C roof assemblies are F 2 c m c m R - 5. ti •
A n = -4 n
those that are effe against light fire -test exposure. Class C $ > ; 3. c 5. ,, v C > c
roof assemblies and roof coverings shall be listed and identified s n c E B • .9 cr - �o -4 N
as Class C by an approved testing agency. , , n ra S 3 ^ 5• 3 _
Nonclassified roofing is ap- ^ la 2 n n * z It
15065 Nonclassified roofing. n
m `g 3: 5. = °H D
roved material that is not listed a s a Class A, B or C roof cover z F. n - , n = < - 7 S o r- D Z
g ? oo n cc
1506.6 Fire- retardant - treated wood shingles and shakes. h < c m o 2. n .
Fire-retardant-treated wood shakes and shingles shall be treated 5. _ A m 72
by impregnation with chemicals by the full -cell vacuum -pres- ° m z c c 9, a • w n m •
sure process, in accordance with AWPA Cl. Each bundle shall H '0 3 n - - •
be marked to identify the manufactured unit. and the manufac- ,
curer, and shall also be labeled to identify the classification of the
material in accordance with the testing required in Section .
I I 1506.6, the treating company and the quality control agency.
1506.7 Special purpose roofs. Special purpose wood shingle •
or wood shake roofing shall conform with the grading and ap-
I I plication requirements of Section 1508.8 or 1508.9. In addi-
tion, an underlayment of 0.625 -inch (15.9 mm) Type X
water- resistant gypsum backing board or gypsum sheathing
shall be placed under minimum nominal 0.5- inch -thick (12.7
mm) wood structural panel solid sheathing or 1 -inch (25 mm)
nominal spaced sheathing.