Permit ,A CITY OF TIGARD
, , DEVELOPMENT SERVICES BUILDING PERMIT
(�IU�dhb( PERMIT # ° BUP98 -1004
=__.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41.71 DATE ISSUED: 08 / 18 / 98
PARCEL: 2S115BB -07200
SITE ADDRESS...: 16470 SW KING CHARLES AVE
SUBDIVISION - ZONING:
BLOCK..........: LOT : J'URISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD ° 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 5180
Remarks: Re -roof
Owner: FEES
GANNETT, DENISE & TERESA type amount by date recpt
HAMS— CIAPANNO PRMT $ 56.50 B- 08/18/98 98- 308353
10720 SW 63RD SPCT $ 2.83 B 08/18/98 98- 308353
PORTLAND OR 97219
Phone #:
•
Contractor:
MORROW CONSTRUCTION
720 E EXETER ST
GLADSTONE OR 97027
Phone #: 650 -9636 $ 59.33 TOTAL
Reg #..: 127288
-- REQUIRED ACTIONS or INSPECTIONS--- -
•
This permit is issued subject to the regulations contained in the qre - OCYik � oo _
Tigard Municipal Code, State of Ore. Specialty Codes and all other V 1✓l �r
applicable laws. All work will be done in accordance with 11
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 - -0010 through OAR 952- 00101987. . - _
You •any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
4 , J �, ,
P e r m i t t e e Signature: ;/ �l ��D't - ���fU Issued B y°
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
I
CITY OF TIGARD Plan Check
13125-SW HALL BLVD. Rec'd By: / f.
' TIGARD OR 97223 . RE- ROOFING PERMIT APPLICATION DateRec'd: • - , y ;
V- 503 - 639 -4171 X304 Commercial and Residential Date to PE:
F -503- 598 -1960 Date to D T:
Permit #: ) - 100 5I
Incomplete or illegible applications will not be accepted Called:
. Name of Developme Busine s
7gP. :g....IVEVIf:a3 > ., .. ,,..:. :
NJ-- : €::Doctt alntatton::.. BC:: t
Stre i 'N.6 - Ste # Please fill out applicable section and attach copy of roofing
Job Site / 6 547 5 C.ItAg(, ,41 J specifications.
Bldg it City/State Zip :::::::: :.:. >:: :: _:...:... ;; :.:.;:::. ere ' > : > :: ; .:
1 ss ectxbiy::> :;: >4;G1FCIe: & > kli tfit ><:::: >.: :'< > > »; :;11:1 ::
A.
Name 1. Specification #:
Applicant Mailing Address _2. Manufacturer:
City/State Zip Phone *3a UL Classification:
Roofing Name Listed UL Building Materials Directory Page #:
Contractor Ail n /' d ut) Oa Ns 11 C - po ICU (OR)
(Prior to issuance Mailing Address *3b Warnock Hersey :
applicant must -- 7 23 E. CX i
provide a copy of raAte l Zip Listed Wamock Hersey Directory Page #:
all contractor )957 - 6 YV
q 70Z^] *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax # -
expired in COT 6,.s--6,_.9,36, � B. ICBO Research #:
database) State Constr.Contr. Board # Ex Da '
P
283 Z6
2 b DATED:
Bi3Et: O€ NGsINFORMATION<:::::::::>:<:>::>::::>::::>::::<:>:<:::>::>:::;::»:.>::>:<:>:;:: »:: »:: »::.:;:: >:: >;:;;::,::;:.; :
g::.:;.;:.g C. SPECIAL -- --
.................... ECIAL PURPOSE ROOFING: WOOD SHAKES
Building y e Of Use: (circle one) (review required by plans examiner)
SF,J SFA COM MF
Building ype of Construction: 1 VALUATION NI I��� $ 5 OF PROJECT _ �/
sq. ft.Z `It of roof area / (5 P
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible
( ) see chart on back $
RESt€3E > <iP29.P :� :PO# :0:Work_ .110 .::: g f ,. _
use_on
R EP A IR ETfI (MAJOR) (review required by p examiner) "'` .�) (. ) _ • -... d
:.,::.....(BUILD :: :.. UBUILD ::- <..:..:. -
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $
Application.
City: use: onl V :. >.': : ::--. . :.. :.. -
SUBMIT TWO (2) 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. - i < ..
Cary. useonly< ;. > : ` WAC,O:;<.::::;: <::: :;; :. ;::'.;.; , ::.:::. •:::.:-,.: •
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BU,PPLN)' (UBUPLN) •
venting is provided.''
TOTAL $ 61-.5
'> STEP?. ::> : » »> >::: .:., .
� .
C. :: : c7[ .. :::::.:;:::.............;
o€ I acknowledge that I have read application this a lication and that the
1( tt .
:.: Information 9 iven 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 - Signatu e of • ner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant /
must submit an engineer's review of the roof structural ---0 / - r 1 g 9
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. _ __. _Contact Person Name_ _ Telephone
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2)
I :ROOF1.DOC (dsts) REV 5/1/98 '
1
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 21.13 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 36.73 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
20,001- 21,000 146.50 95.23 7.33 249.06
21,001- 22,000 152.50 99.13 7.63 259.26 '
22,001 - 23,000 158.50 . 103.03 7.93 269.46
23,001- 24,000 164.50 106.93 8.23 279.66 -
24,001- 25,000 170.50 110.83 8.53 289.86 ,
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 21100 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 -
•
I:ROOF1.D0C (dsts) REV 5/1/98
7 KING CITY
r '. t •': i`
'.% 15300 S-W. 116th Avenue, King City, Oregon 97224 -2693
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: \cc c. 9 - Ae
located at: 4 /70 . fft e
King City Representativ
I:DSTS'KCINST.DOC
3 Tt B . �,TSHn6 -�C s • M OR-�L& C:o ►) 5 n2o o 1\l_ 12_72 ?�3
4 (Ai r5 FEAT o Al
PPS E 4 R� Roo
I -' 0.6.8. 11 470 s. (d . K l ivg= Calik uS 71
JA iL; iC : 6 c je 84 K i NCB Crr�
Hj 1 1 1 I I
.z.
t Lam.
II I ii
I �
gooe
ao ❑ 0 D 0 � 0 • 0 0 u � `
N �
__ --
!ZOO F I PLA
��M P X18 -4 roaq
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP -- %/0 6 4 1
Date Requested . r (' - j 9 j 8 AM PM BLD
Location /67 it 70' to MEC
Contact Person R,e4) u) Ph PLM
Contractor //e4 (wk/ . Ph SWR
B IU LDIN; ELC
Tenant/Owner
wain all ELR A
Footing Access: H/-`
Foundation FPS ��
Ftg Drain
Crawl Drain Inspection Notes:
SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
S._ •'d Ceiling
R. o
PART FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains -
Final
PASS PART FAIL
MECHANICALap t`
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
•
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
_ ADA � ?
Other ns p
Approach /Sidewalk D (/ Inspector d Ext • Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.