Permit • .
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00115
`` DEVE rd ERVICES 639 - 4171 ; Q TE ISSUED: 4/9/99
SITE ADDRESS: 15150 SW 116TH AVE
ARCEL: 2S110CA -01500
SUBDIVISION: ONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 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: $ 5,000.00
Remarks: Tear off existing roofing and replace sheathing and shingles.
Owner: Contractor:
WESTON INVESTMENT CO OAK HILL ROOFING INC
2154 NE BROADWAY 6629 SE HAZEL
PORTLAND, OR 97232 PORTLAND, OR 97206
Phone: Phone: 774 - 8078
Reg #: LIC 117084
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear - off insp
PRMT GEO 4/9/99 $50.50 99- 314371 Final Inspection
5PCT GEO 4/9/99 $2.53 99- 314371
Total $53.03
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Perm itee
Signature: 4k I 64
Issued By: `
Call 639 -4175 by 7 p.m. for an inspection t e next business day
CITY OF TIGARD Plan Check #:
13125 SW HALL BLVD. Rec'd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd:
V- 503 - 639 -4171 X304 Date to PE:
Commercial and Residential Date to DST:
F -503 598 - 1960 Permit #: $.4P /i9f f - sal /JS
Incomplete or Illegible applications Will not be accepted Called: -
• Name of Development/Busine s < :Org, ..: iii:. ::. : : :: : >:E:;:: i:iii:: ::::::::.
/ �/ N
`/ c »::Nlatr#ria .. 0 ... umer# fatforc B! O. Appoi' ksi;')$?.;;:.;;:.;. : :: »: >: :: >: >: > :: :< ::
Street Address' Ste # Please fill out applicable section and attach copy of. roofing
Job Site cs .. � W // specifications.
Bldg # C' /State Zip :< is e :.. lsg :::::::: ;. -.:::<: :: ; litl .::.: :: &::edifi e e . :::B „, :.::: Cy :: : ;: ; :: »:;.«:<:;:;::;::
9 Z iP <:: LstedAssemi�iy;.>::: �: Crrcle::&> Oomplr�f�At:: B:: mr:: C�::::::::;:: �:::: : >::; >�; ><; ><: >< >::
ra C, f oK 9 ?a zv A.
Name 1. Specification #:
199K'gilt t 9 6 : , / #1
Applicant Mailing Address - 2. Manufacturer: G lS A mkt Sb
6,42-9 - 5 i/4
�� Y tee Zip C - Phone *3a UL Classification: I/ (1'5 `1 7 77-64
Roofing Name Listed UL Building Materials Directory Page #:
Contractor Ctrl/ /6 // ,v& ij p (OR)
(Prior to issuance Mailing Address J , / *3b Wamock Hersey :
applicant must �L 79 S E /14. 2e./
provide a copy of City/State - Zip Listed Wamock Hersey Directory Page #:
all contractor _ RC,e o J• e qjz Z - *COPY OF ASSEMBLY REQUIRED
- licenses if Phone # Fax #
- expired in COT 7 77-/51) D 7 ''7y- 8D f $ B. ICBO Research #:-- _
database) State Con tr.Cont . oard # Date Itl.. A S : : i-p— 9 -`T DATED:
�U. �1€ �l.. f,>.;; �NpaE��' 1Q> �.;:.;:.::.;:.;::;<. v.;: �:.;-.::.:. .:::.;:;.: �-.: .;:.::.;::<::<:::>::>::: :<::: >:: >:::<::;:: » >::;: >:;:: SPECIAL-PURPOSE ROOFING: WOOD SHAKES
Building -- Type Of Use: � le one) - • -' (review required by plans examiner)
SF E >rfY COM MF
Building - Type of-Construction: '
VALUATION OF PROJECT $ '
- ,r7 c /c /' sq. ft. - -- of roof area - t - 000 r.
Existing Deck Type: Permit fee based on valuation*
- Combustible (X) ” - . - - - Non - Combustible ( ) .. * see chart on back $ - - - -
1.§.001pmmingsymmotwoott . Aft . ,...... -- -- .
-- 0- REPAIR (MAJOR) (review required by plans examiner) (BUILD ::; y (UBUILO;)
..eg
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit • - 5% State" Surcharge- $ -
Application. ' City u se only WACO k
SUBMIT TWO SETS OF PLANS SPECIFYING.
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 , * 65% Plan Review $ -
space. Vents shall be located in the upper 1/3 of the roof City tse only W ACO
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) (UBUPLN)
venting is provided. ?
TOTAL $.57.•X ®-
:: v ... ::::::::: : : ::g.::isam ERGIAI»«::::: >::91 : : : ::.;:.<:«:>::»•:;:.:;.;:.;:.; ::.::.;;:.;:.;:;. >;:.;:.::.;Ri: I acknowledge that ledge t t I have read this application and that the
Clas o €iWor:k.<:< .
....:. ft:.;:-;;;;§l.;:.;:;.> ::.::.::.:::.::.:o.n.;:.;::.;.:::::::::::.;.;:.;:. ;:.;:;.::.;:.;:.;;:.;:.;:.:.;:- Information even is correct; ,that I am the owner or authorized
Describe work to be done: (check appropriate box) - - agent of the owner, and that the plans (if applicable) are in
❑ RE -ROOF (circle A ,B or C) compliance with Oregon State law.
A. Existing built -up roof covering to be REMOVED and deck
repaired - Signature of Owner /Agent Date . -
• B. Existing built -up roof covering to REMAIN: note applicant. p
must submit an engineer's review of the roof structural b,v# , ' A(A / � j�/ Q elements. Review shall bear the seal (or stamp) of the y( may` T 7 / .
0 architect or engineer licensed in Oregon. • Conta ' Person Name Telephone • •
Asphalt or wood shingle /shake / � u _ , (�"' Q
(PROCEED TO STEP 2) � A�Q�Iti-d 777— /.,D0
iadstslformslroof.doc
CITY OF TIGARD . • -
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65 %) (5 %) FEES
1 -1500 25.00 16.25 1.25 42.50
1,501 -1600 26.50 17.23 1.33 45.06
1,601 -1,700 28.00 18.20 1.40 47.60
1,701-1,800 29.50 19.18 1.48 50.16
1,801 -1,900 31.00 20.15 1.55 52.70
1,901-2,000 32.50 2113 1.63 55.26
2,001 -3,000 38.50 .:25.03 1.93 65.46
3,001 -4,000 44.50 28.93 2.23 75.66
4,001 -5,000 50.50 ; 32.83 2.53 85.86
5,001-6,000 56.50 3573 2.83 96.06
6,001 -7,000 62.50 40.63 3.13 106.25
7,001-8,000 68.50 44.53 3.43 116.46
8,001 -9,000 74.50 48.43 3.73 126.66 --
9,001- 10,000 80.50 52.33 4.03 136.86
10,001- 11,000 86.50 56.23 4.33 147.06
11,001- 12,000 92.50 60.13 4.63 157.26
12,001- 13,000 98.50 64.03 4.93 167.46
13,001- 14,000 104.50 67.93 5.23 177.66 =-
14,001- 15,000 110.50 71.83 5.53 187.86
15,001- 16,000 116.50 75.73 5.83 198.06
16,001- 17,000 122.50 79.63 6.13 208.26
17,001- 18,000 128.50 83.53 6.43 218.46
18,001- 19,000 134.50 87.43 6.73 228.66
19,001- 20,000 140.50 91.33 7.03 238.86 r� 1
20,001-21,000 146.50 95.23 7.33 249.06 '' t , ',, c`1 ,v`
21,001- 22,000 152.50 99.13 7.63 259:26 V ..
22,001- 23,000 158.50 103.03 7.93 269. ASV ,A r, .
23 24,000 164.50 106.93 8.23 279.66 r� §z � `"
24,001- 25,000 170.50 110.83 8.53 289.86 s ?0/5711.f.',.,,,;,,,.., � A `
25,001 - 26,000 175.00 113.75 8.75 297.50 ` ' ` '` � `
26,001- 27,000 179.50 116.68 8.98 305.16
27,001 - 28,000 184.00 119.60 9.20 312.80
28,001- 29,000 188.50 122.53 9.43 320.46
29,001- 30,000 193.00 125.45 9.65 - 328.10
30,001-31,000 197.50 128.38 9.88 335.76
31,001-32,000 202.00 131.30 10.10 "343.40
32,001- 33,000 206.50 134.23 - 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001-35,000 215.50 140.08 10.78 366.36
35,001- 36,000 220.00 143.00 11.00 374.00
36,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 11.45 389.30
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9
IA/ KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224 -2693
si■ Phone: (503) 639 -4082 • FAX (503) 639 -3771
•
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the
appropriate application legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received.
If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are
available at 639 -4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project:
located at: 4/7
tti
` Cc- APRFIIMA RAUL /
King City Representative
I"DSTSKCINST.DOC
5/30/00 Activities for Case #: BUP1999 -00115
3:16:18 PM rp
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA008 Permit created 4/9/99 GEO No Hold GEO 4/9/99
BUPA005 Application received 4/9/99 4/9/99 No Hold GEO 4/9/99
BUPA830 Dryrot after tear -off insp 4/9/99 4/9/99 No Hold GEO 4/9/99
BUPA870 Final Inspection 4/9/99 4/9/99 No Hold GEO 4/9/99
BUPA085 (F) Issue building permit 4/9/99 GEO DONE No Hold GEO 4/9/99
BUPA865 Request inspection research 3/27/00 JMT DONE No Hold JMT 3/27/00
BUPA150 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
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