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Permit 7, CITY OF TIGARD ...... MASTER PERMIT /�„,,a ;\ DEVELOPMENT SERVICES PERMIT #.......: MSTS7- �Zi263 ��IPMEilii DATE ISSUED: 06/27/97 �+I- :_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 231 15BC- 1Z13100 SITE ADDRESS...:16750 SW KING CHARLES AVE SUBDIVISION....: ZONING,: BLOCK.......... LOT .............. JURISDICTION: KIN Remarks: Reroof, major repair. REISSUE: O- STORIES • 0 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED - - -- CLASS OF WORK. :IEP HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : O. OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTAL - - ---: 0 sf VALUE-3: 0 REAR • 0 PLUMBING ------------------ __ - - - -- --- - -- - -- 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 /SHOWERS...: 0 GARBAGE DISP. 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS:.: 0 OTHER FIXTURES: 0 __ --- ----- ---- _ -_---- -- --------- - MECHANICAL ----------------------------- FUEL TYPES--- - - - - -- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOOOSTOVES....: 0 GAS OUTLETS...: 0 — ------- - - - -- ELECTRICAL ------------------ - - - - -- ------ - - - - -- -- RESIDENTIAL UNIT -- — SERVICE /FEEDER - - -- --TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS -- -- MISCELLANEOUS --- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 0 0 - 200 amp..: 0 0:, - 200 amp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - G00 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1vd0 amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0 lvivi+ amp /volt.: 0 - - - -- - - - --- ---- - PLAN REVIEW SECTION ---------------- - - - - -- Reconnect only.: 0 )=4 RES UNITS..: ' ' SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC: — — _ --- — _ - - - - -- ELECTRICAL - RESTRICTED ENERGY ----- --- --- ---- ------------ _- _ - - - -_ A. SF RESIDENTIAL--- _ ---- -------- ------- _— B. COMMERCIAL __ —_— _____ -- _ _ - -- -- _--- _- -__ - -_ AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGN..: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL : OTHR: :: HVAC DATA /TELE COMM.: NURSE CALLS TOTAL B SYSTEMS: 0 Owner: ------- _ ---- — ------ — -- Contractor: - -- - - - - -- TOTAL FEES:$ 42.50 DORIS FORREST NECKS INC This permit is subject to the regulations contained in the 16750 SW KING CHARLES 115 N BLANDENA ST Tigard Municipal Code, State of Ore. Specialty Codes and all KING CITY OR 97223 . PORTLAND OR 97 . . other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone 4: Phone 4: 282 -5743 not started within 180 days of issuance, or if the work is Reg 4..: 009328 suspended for more than 180 days. ATTENTION: Oregon law _- --- _ --- ----- — ---- --- ----- -- _- --- __ --- _ —__ - - -- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through..OAR'952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. -- ----------------- - - - - -- REQUIRED INSPECTIONS - ---- --- ----- ---- ----- ------- -- --- Misc. Inspection Building Final Issued y : + 0 / . 4�L... Aer Signature: ; � '�T /s ,-, +i- + + + + ++ ± +-f ± ++++ i-.++- 1--{-+++ + + + + ++ +++ ++ + ++ +± + + +.+± ++ + ++ ++++ +-F+-I- -1-1-1-' -14 ' 97;' + Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day CITY OF TIGARD Rec'd By:k 13125 SNV4HALL BLVD. Date Rec'd: r', - Q - -7-77 • TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date to PE: if - ,2-7-4 -7 • V- 503- 639 -4171 X304 • Incomplete or illegible applications will not be accepted Date to DST: F- 503 -684 -7297 Permit LE /o3 Called: Name of Development/Business - • STEP 2: ;:NEW'ROOFINGASSEMBLY; ;: :40 ` ' Materla[ Doeeiiiisntatfoni UBC A pe dix 15 ; ;:< >.>.. :; , , ><::, ?M ;: ,<;;:: Street Address . _ - Ste* Please fill out applicable section and attach copy of roofing Job Site _ specifications. Bldg # City/State Zip • Listed:Assembly:; : ::(:.Cli+cte &:.Complete A er :Ok } =: <: <<; : >: < :?.:: i ;;>:: :: <: : : :: A. Name /r'" / � L 7 -:-/ �J: '.� 1. Specification #: � / Owner Mailing Address . Manufacturer 117 s.- /.; 4-- 2 M i/ f � Cit , Zip Phone 3a UL Classification: .' c9 4 2 � Listed UL Building Materials Directory Page #: 7 , ,�I�� (OR) . Roofing Mailing ddress 3b Warnock Hersey : • Contractor 1 f� � (Prior to issuance C 7ee t / Listed Warnock Hersey Directory Page #: applicant must 1/ Y e - 7 / (PROVIDE COPY OF ASSEMBLY) provide a copy of o ,,,..,,, ,,� ' Fa all contractor .---- � ...5:497/2e.<7 " • B. ICBO Research #: • licenses if State Cons6 o Boa Ex . 0 to expired in COT / : DATED: • database) COT Bus. Tax •r etro c. • • Exp.D (PROVIDE COPY OF ASSEMBLY) - • - _. , ' BUILDIN%INFORMATIOt±E .��� ,_ `' , a � �� \� \ ` ti ;. _;,_; t > e C. SPECIAL PURPOSE ROOFING' WOOD SHAKES • Building - Type Of Use: (circle one) . • r review required by plans examiner) ,. F SF SFA COM MF . • ' Building - Type of Construction: VALUA ON OF PROJECT ' • • d - -=mil % $'' . N ' .✓' ° ✓® Existing Deck Type: „, ., Permit fee based on vat ation° .... . Combustible ( ) Non - Combustible ( ) ° see chart on back $ • RE Sif3Ei rld . 9 :.... ,,..:: :.:.;:.;: >:;;.:. >:; ::::.:::.. �� ....::- ItY use on WACO:. AIR (MAJOR) (BUILD) , (U ,, - D; Permit required ONLY when spaced sheathing is covered by J/ ‘ ‘ solid sheathing. - 5% State Surcharge $ _ . • - ' City use only :.-- i WACO :. ,: , SUBMIT THREE (3) SETS OF PLANS SPECIFYING. • • (TAX) 1,- t • •••:;-.' - ` (UTAX) ” :. ; ,.. ' -' ' . • ; A. Roof area & nearest street _ • • _ 1 , �� 65% Plan Review $ < 6 i B. Attic vents - Provide/ sq. ft. for each 150 sq. ft of attic City use only: . WACO:. - • I space & vents shall be located in the upper 1/3 of the roof. (BUPPLN) (UBUPLN) V " Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic /! + TOTAL $ "f STEP ?::1 f > > `:>?:>< .. . ............................. .::: I acknowledge that I have read this application and that the - Describe work to be done: (check appropriate box) - information given is correct; that I am the owner or authorized J RE -ROOF (circle A .B or C) agent of the owner, and that the plans (if applicable) are in - A. Existing built -up roof covering to be REMOVED and deck compliance with Or- • •n State law. • repaired - Signa re of Owner/- • � /, Date B. Existing built -up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal (or stamp) of the me " ; 7 el architect or engineer licensed in Oregon. Cor tact Pers. Na e Te ephone C. Asphalt or wood shin STEP a 2) (PROCEED TO f 2 J � STEP ) � �,� � J /��,� I: ROOFI.DOC (dsts) CITY OF TIGARD BUILDING PERMIT FEES t TOTAL PLAN STATE BUILDING VALUATION OF PERMIT -- - - F.L.S. REVIEW - - TAX PERMIT PROJECT FEES (40 %) (65 %) (5 %) FEES 1 -1500 25.00 10.00 - 16.25 1.25 52.50 1,501 -1600 26.50 10.60 17.23 1.33 55.66 1,601 -1,700 28.00 11.20 18.20 1.40 58.80 1,701 -1,800 29.50 11.80 19.18 1.48 61.96 1,801 -1,900 `\ 31.00 12.40 20.15 1.55 65.10 1,901 -2,000 32.50 -° 13.00 21.13 1.63 - 68.26 2,001-3,000 38.50 ' 15.40 25.03 , 1.93 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001 -5,000 50.50 20.20 32.83 2.53 106.06 5,001 -6,000 56.50 22.60 36.73 2.83 118.66 6,001 -7,000 62.50 25.00 40.63 3.13 131.25 7,001 -8,000 68.50 27.40 44.53 3.43 143186 8,001-9,000 74.50 29.80 48.43 3.73 156.46 9,001 - 10,000 80.50 32.20 52.33 4.03 ` ' 169.06 10,001- 11,000 86.50 34.60 56.23 4.33 . 181.66 • 11,001- 12,000 92.50 37.00 60.13 4.63 194.26 • 12,001-13,000 98.50 39.40 64.03 4.93 . 206.86. _ 13,001- 14,000 104.50 41.80 67.93 5.23 219.46 14,001- 15,000 110.50 44.20 71.83 5.53 232.06 - 15,001- 16,000 116.50 46.60 75.73 5.83 244.66 - - 16,001- 17,000 122.50 49.00 79.63 6.13 257.26 17,001 - 18,000 128.50 51.40 83.53 6.43 269.86 18,001- 19,000 134.50 53.80 87.43 6.73 282.46 19,001- 20,000 140.50 56.20 91.33 7.03 295.06 20,001 - 21,000 146.50 58.60 95.23 7.33 307.66 21,001- 22,000 152.50 . 61.00 99.13 7.63 320.26 - 22,001- 23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 - 345.46 24,001 - 25,000 170.50 68.20 110.83 8.53 358.06 25,001- 26,000 175.00. 70.00 113.75 8.75 367.50 26,001- 27,000 179.50 71.80 116.68 8.98 376.96 27,001 - 28,000 184.00 73.60 119.60 9.20 386.40 28,001- 29,000 188.50 75.40 122.53 9.43 395.86 29,001- 30,000 193.00 77.20 125.45 9.65 405.30 30,001- 31,000 197.50 79.00 128.38 9.88 414.76 31,001- 32,000 202.00 80.80 131.30 10.10 424.20 32,001- 33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 .86.20 140.08 10.78 452.56 35,001-36,000 220:00 88.00 143.00 11.00 462.00 36,001-37,000 224:50. 89.80 145.93 11.23 471.46 37,001- 38,000 229.00: 91.60 148.85 11.45 480.90 ` \r 7 � CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour In pection Line: 639 -4175 Business Phone: 639-4171 i \ _ _ Requested: °I Date R ,2 �l A .M. P.M. • MST: � � a 3 . Location: ✓ T� la _ // _ ...4., 41/ / �r _.<. _ A _ ,...' :UP: • Tenant: / Suite: Bldg: MEC: Contractor: Phone: -- � r /. )PLM: Owner: Phone: J ELC: / • / • SIT: BUILDING G n't PLUMBING MECHANICAL ELECTRICAL SITE Site o (co eam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof Ctad UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation A Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath F' /Alm Crawl/Found Dr Heat Pump Low Volt L Approved Approved Approved Approved Approved Appr /Sdwlk ro ved Not Approved Not Approved Not Approved Not Approved IN FINAL FINAL FINAL FINAL d IlljP , 1 1 5)1 ,......... ) . A V .... I / / f t 0 Call for reinspection , O Reinspection fee of $ equir • before next inspection O Unable to inspect Inspector: Date: • Page of