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Permit
CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00385 l DEVELOPMENT SERVICES n I GilVA D ATE ISSUED: 9/2/99 611 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63.94171 t SITE ADDRESS: 16685 SW KING CHARLES AVE SUBDIVISION: l PARCEL: 2S115BC -06000 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF 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: $ 6,210.00 Remarks: Reroof, remove existing roofing material down to spaced sheathing. Add additional roof venting to bring up to code. Owner: Contractor: HENDERSON, JACK R AND MARY S COLUMBIA CONSTRUCTION SERVICE WISE, GWENEVERE L 13755 SW 118TH CT 16685 SW KING CHARLES AVE TIGARD, OR 97223 KPhoneTY, OR 97224 Phone: 684 -9123 Reg #: LIC 116607 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection . 5PCT - DEB 9/2/99 $6.74 99- 318078 Dryrot After Tear -Off Insp Final Inspection PRMT DEB 9/2/99 $96.25 99- 318078 Total $102.99 . 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- s . • Pe ' e 'gnature: ,f1_��j<� ■_ 1 1 ' 111)ff Call 639 -41 5 by 7 p.m. for an inspection the next business day CITY OF TIGARD Plan C r eck #: 13125 SW HALL BLVD. Rec'd : : _.1 - TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: - -, V- 503- 639 -4171 X304 Commercial and Residential Date to PE: F-503-598-1%0 Date to DST: Permit #: igt. KW( - 0'0 g S Incomplete or illegible applications will not be accepted Called: Name of Development/Business <I \x.I F- NI \l\ I _ > 60 Lgr:Yat::Doci fie t t of 8C >Apperrd.W15)::;:: >: <:» :: »:::::::i >: > : :::::: .:::: < • Street Address Ste # Please fill out applicable section and attach copy of roofing Job Site I Li t 43G 5i I1.0,14 Cfm-r_.uS specifications. Bldg # City /State Zip < :Usteid ; :: : :;..:.:.... : : w ,. ::rim . ete >:: : . _ : ::: g::: : : : : : : ......: 10: . j � i ssems.. :..(:Gf>'cl.. .ptel#e. t:I .. pr< C} ::::::: ::::::::::: >:::::: >::;: >:::< >;: V,I .k f r ti - ty �/i- q7' 3 A. Nam,e- /� 1. Specification #: t v:;t) k, �. (�� 02-C 7(a/f� f • Applicant Mailing Address 2. Manufacturer: PA- --0 Zt.) S u? r 4i t -7, . n . City/State Zip Phone *3a UL Classification: 1`--t T i.c4M t2 p(t, 6r) 223 (v* -(* R3 Roofing Name r Listed UL Building Materials Directory Page #: Contractor : o(...1- , M ,g, 4 6, Tai,(37Q.( �l�hc IU,C • (OR) qq (Prior to issuance iling Address *3b Wamock Hersey : 0 applicant must 2-C7 j LU.7 &J M NE- 1- 4',•_i 4---7 provide a copy of City/State Zip ' Listed Wamock Hersey Directory Page #: all contractor - 7 44.--0 O1 o pj C(7Z23 *COPY OF ASSEMBLY REQUIRED licenses if Phone # Fax # expired in COT 2: 14 _q I 2- 6e4-/"-tg B. ICBO Research #: database) State Constr.Contr. Board # x"a (o1,07 I Q E/ /S . D/u� , DATED: :I3t. '(({{ `` i__ IS�.j " ORVFR'I'I ' . ': isi ::: ii' i ::,:.;:;: : v:;:; iy:> : i ::i;:: i ii : ri i ; ^': :::::i:: ?::i::i::i #)N. ......y; ....:::: ......:........ : ::::::::::::.. C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Building - pe Of Use: (circle one) SFA COM MF (review required by plans examiner) ' F Building pe of Construction: VALUATION OF PROJECT sq. ft ;/ ©? of roof area („02. j Q, oD Existing Deck Type: Permit fee based on valuation* Combustible ()( ) Non - Combustible ( ) see chart on back $ RESIDENT#A > :;:::: >; NL OY :, :: itiO ::. ...::.: " "; < : < .. e :.: " .......::: >:::» >:::::<::: >:::: < : >,,, :, i .:... - ' , 0�5 :. :Cass cf F�fark,: Alte raff� ..:: - . .:.= "- ❑ REPAIR (MAJOR) (review required by plans examiner) (BUILD.;:':;:;:`".; '::;:: ; > : (UBUIL . Permit required ONLY when spaced sheathing is covered by J� solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $ C..- , T Application. City:'us oii,fy >:. : : : : : W >: :: , :, ..- . . ::... -..- ..: :.: . SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) . „ ( 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 use; Only; : < ?_ " <, WACO; ;:" ::::._:;,' •:: Provide 1 sq. ft. for each 300 sq. ft when eave & attic (BUPPLN) (UBUPLN) . . venting is provided. ( t > 9 STEP>:'t: >: >: : » >:: > > . : 1 TOTAL $ ( acknowledge that I have read this application t the and that a P P .:............... .....................:::. information given 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 - Sig ature o ner /Ag - 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 , ' _ e 9/ - � architect or engineer licensed in Oregon. _ ____ \ ,ontact Person Name - Telephon C. Asphalt or wood shingle /shake c _ (PROCEED TO STEP 2) P4 � J , t! 6\77 - �Z__ G -91 2 1 :ROOF1.DOC (dsts) REV 5/1/98 - 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 . j 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 5/1/98 ti O ii • \) t l V ( 4,c; v • (A/ 6,1 e6Q 6, co, i(e(e?7 ( *44 t\ CITY OF TIGARD BUILDING INSPECTION' DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ( 5-17-9 �j s-5/ BUP J Date Requested / AM 1 � "�M / 3 BLD Location I Co OqC GI J Suite �-7 MEC Contact Person patu. ? Ph (g t� �> / / -qi C ,3 PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing flL tion Access: s FPS Ftg Drain J� SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear • Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: • SS PART FAIL L 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 ELECTRICAL Service _ 16/(7\ Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE • 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 [ ] Pleasecall for reinspection RE: • [ ] Unable to inspect - no access ADA Approach /Sidewalk Date / I Inspector I v� Ext Other ( p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.