Permit CITY OFTIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #.......: BUP99 -0101
13125 SW Hall BIvd ., Tigard, OR97223(503)639 -4171 DATE ISSUED: 03/26/99
PARCEL: 2S110CA -00400
SITE ADDRESS...:, 11760 SW KING GEORGE DR
SUBDIVISION....: ZONING:
,BLOCK LOT JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. : OT R FIRST 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN .... 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. $ : • 5400
Remarks a Reroof - remove existing roof down to spaced sheathing •and replace.
Owner: FEES •
WEBER ink) type amount by date recpt
± GEORGE DR PRMT $ 56.50 DEB 03/25/99 99- 313994
KING CITY OR 97224 SPCT $ 2.83 DEB 03/25/99
99-313994
PLCK $ 36.73 DEB 03/25/99 99- 313994
Phone #: 684 -7571
Contractor:
FREEDOM REFINISHING SERVICE
HERMAN ROYBAL
6288 SW SEVILLE AVE
LAKE OSWEGO'OR 97035
Phone #: 697 -6916 $ 96. -06 TOTAL
Reg #..: 123001
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This perait 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 '952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987. �� Aze_ /J GL � „ ���
• - g _
Permittee Signature: I / Issued L /
- -
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + +++ + + +++ + + + + + + + + ++ +++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next • business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++
CITY OF TIGARD Plan Check #:
13125. SW - HALL BLVD. Recd By:
TIGARD 'OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd:
• V-• P
503- 639 - 417.1: X304 Incomplete or illegible applications will not be accepted Date to PE:
- 503 - 598 -1960
Date D T:
F
Permit #' O /D/
Called:
Name of D veto m - ness
e p ent/B s i ; ::g:: P' ; : `. Y:: >::<::<::::>.i]i i : :::< ::;<:: a> :: :::::::�: >: >: :: : ::s:: >: ::. :
<::> » ».»
<.:. :.> �.. NEW,: R �p�t t± tGA53EIV# �4.:.;:.:<.;. ::;:- :.;:.;;:.;..;;;::. ;;;:: >:..< :::;:. ;:. ;::.<
/\ i/i a (-i 7 ' IS ater:rak::1JOcuttmentation iUB0::Appendix::35} : `:: >' ::<.: >::i:::::> : >: :: :::::: >::: »: <: : >;:>
St et Addre� s /, A Ste # Please fill out applicable section and attach copy of roofing
Job Site �� '� ®u,J 1 Alb (�gotibi t� specifications.
Bldg # City/State Zip C
9 tY
p cet bly.:::: (:0tF0i t*Enp[efa. Je B.pr?c}< << `< >< < >:> <: >:`<
6/0- tit'/ Pit 770 A.
Name 1. Specification #:
4s, VgbAA
Applicant Mailing Address 2. Manufacturer: az„0,6 t4 (O,( IA/ H 6
//(S ,w, £ »g 6 /ea(0 ,
City/State Zip Phone 3a UL Classification:
/0/16. G, ri ? bfr% 737/
Roofing - Name Listed UL Building Materials Directory Page #:
Contractor Fif /d=ye/j/As /f//.(v (CMos, (OR)
(Prior to issuance Mailing Address / � 3b Warnock Hersey :
Z-
applicant must &, S,Za 56a / LLt /1 (f'•
provide a copy of City /State - r '. Listed Wamock Hersey Directory Page #:
all contractor LAKZ & 5v,l�� 20 35 (PROVIDE COPY OF ASSEMBLY) _
licenses if Phone # Fax #
expired in COT 6 77 6r/‘ 5 ?9-o0B. ICBO Research #:
database) State Constr.Contr. Board # Exp. ate
/ OO I 190 DATED:
C
. SPE IA PURPOSE F
C L URPOSE ROO IN
G. WOOD SHAKES
B33 tCOt�I� #$stFOf�VF1�t> > : ' : > > < > >' <<>:< >:: > » >: >: > > >?: >::< ><::: > >: ><... S
Building Of Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT , $
sq. ft. 37.,Dof roof area 3 y ou ,
I
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible * see chart on back $ 56„ 5b
:S €€1!ENTIAl_<: : iii:pw ; »:Cla :::..: < :. •:: ; ::. : ; :: «;:.:: : : :: <: :: ;_. :: ;:: :.:. . ,.
_ ............................................... ss.. �sfalVc�rk,. A) teraf�n3n :: >:= :<::<::: > : < ::�::::;;.CI ;:u on :::: > .- ..._::>: >:::W .. .. » ;: >:. . - .: :.. . .
. ::RE ....................... . ... . ... ......
.�;
❑ REPAIR (MAJOR) (review required plans ) ( q by p ans examiner
Permit required ONLY when spaced sheathing is covered by 8.3
solid sheathing or roof line is changed. • 5% State Surcharge $ 01 '
Ci :'use`. :on ' -
aY: - X� -
SUBMIT THREE (3) SETS
U REE OF PLANS -
O LANS SP IFYI
EC NG.
TAX
„ t7TAX � `
0 Roof area & nearest street. 6,
,O. Attic vents - Provide 1 sq. ft.)for each 150 sq. ft. of attic $,
65% Plan Review '
space. Vents shall be located in the upper 1/3 of the roof. Ci ,: use; : : ;� ' . > :WACO <:: ' >s.: ::`:: :. :.
Provide ov de 1 f r
1 s q. ft. o each
300 s .ft.whe
n eave & attic
O 6 ...:.:
venting is provided. 9 � -
TOTAL $ 7
::> STEP: :g,: :> >;< _iig OMI1
.... ............................... . .
I acknowledge that have read this application and that the
:iip'0, . 4:t::.:;-;:-;,.; � :::::.:.:..:.;;..:; :
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
- ROOF (circle A ,B or C) compliance with Oregon State law.
40 isting built -up roof covering be REMOVED and deck '
repaired - Signature of Owner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant j, ( - fi
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. Contact Perso, 'a a Telephone
C. Asphalt or wood shingle /shake (- 1 6 /6 /(0- lee /7 6 - j r' 67/
(PROCEED TO STEP 2) (�7 J (/
I :ROOF1.DOC (dsts) REV 4/98
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
33,001-34,000 211.00 137.15 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
I:ROOF1.DOC (dsts) REV 4/98
KING CITY
_ -
15300 S.W. 116th Avenue, King City, Oregon 97224-2693
• Phone: (503) 639 -4082 • FAX (503) 639 -3771
Notice To Contractors Working In Kin 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: Qom- - /et
located at: 4 Sit 71 `n?
King City Representativ
P 'DSTSIKCINST DOC
oo Ll
'T/(29 N' )f it's __._.._..
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 `"l
BUP y
`e q-0101
�
/_/,, 9
Date Requested ! AM PM BLD
Location II � -4 " r � Dt • Suite // MEC
�}A
Contact Person ck �1,d�1 Piayi , Ph C9 (7 PLM
Contractor JJ
Ph SWR
® : ► * = .h .. " Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sh -a _ ear
Framing
Insulation
Drywall Nailing /a) 1cq
Firewall
Fire Sprinkler
Fire Alarm / (
Susp'd Ceili g � � 4 1/ V / L /4
Roof
Misc:
PART FAIL 4
= ® BING
Post & Beam
Under Slab
Top Out
Water Service
_ ,Sanitary Sewer
Rain Drains •
Final
PASS PART FAIL
MECHANICAL; :. ?°
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
Approach /Sidewalk C , I
Other Dat / Inspector . Ext
Final
/ /
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.