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Permit . CITY OF TIGARD ��E��U�U������U�0�~���U�R��U��U��� BUILDING PERMIT PERMIT # ^ BUP97-0213 =� 13125 SW Hall Blvd., � - � � ' DATE ISSUED: 04/29/97 PARCEL: 28115BC-14400 SITE ADDRESS..: 12490 SW KING RICHARD DR SUBDIVISION....: ' ZONING: BLOCK..........: LOT.............: JURISDICTION:KIN _ REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION- CLASS OF WORK.:ALT FIRST....: ' 0 sf N: S: E: W: TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CQNST.: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 'sf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 •ft FIR ALRM.L HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR. PARKING: 0 VALUE.$:- ' 2100 Remark's: Residential re-roof Owner: FEES. WALT FORMAN type amount by date recpt 12490 SW KING RICHARD PRMT $ 38.50 B 04/29/97 97-293864 KING CITY OR 97224 PLCK $ 25.03 B 04/29/97 97-293864 5PCT $ 1.93 B • 04/29/97 97-293864 Phone #: 624-9541 Contractor: --- MAXIMUM ROOFING GARY D MARQUEZ 9055 SW BLAKE TUALATIN' OR 97062~ -- - Phone #: 692-6726 $ 65.46 TOTAL Reg #..: 011527 ' ' ' REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations containedin•the Tigard Municipal Code, State of Ore. Specialty Cndes•and all other • applicable' laws. All work'will be done in-accordance with approved plans. This'permit will .expire 'if work. is not started • ' within 480 days of issuance, or if 'work is suspended for more,. ~ ' ' • than 180. days.' • KU [ ---- ---- Permittee Si Issued By Yr�`�' ----- ---- ' Call for inspection - 639-4175 `'k, ..( .. 0)2 c1 4� p Cr'i Y OF TIGARD t{ Permit #: P Di 13125 SW HALL BLVD. Date Rec'd: ' - a,5' -/ i TIGARD OR 97223 RE- ROOFING PERMIT Bldg: $ - ,-So , TJ V- 503 - 639 -4171 X304 Plan Chk: $ Z5 G3 F- 503 -684 -7297 APPLICATION St Sur. Chrg:$ - - /_ 4 7,3 - Incomplete or illegible applications will not be accepted Name of Development/Business G j .'- Y, Date work is to begin: ' / i)ate Completed ` ( a - l - 1 JOB Addr ` ' J NEW ROOFIN ASSE SITE \ (,), e l , 61, Building U STEP 2 Na - ' New Roofing Material Documentation (UBC Appendix 15) �� --O 1 I Please Fill Out Applicable Sections & OWNER Mailing Address Attach Copy Of Roofing Specifications • . .''` icor Rt 41,6, CitS en At zi� 22 6 21 0 ��7� Name `(�! Listed Assembly: � ,�x(IAtAM 'ZOv ki 4A-1 _ ROOFING Mailing Address ,,. ( 1. Specification #: X45 CONTRACTOR l" ',�' �� P (4( (All licenses _i , to Zip d2 Phone Manufacturer: (5i.i).,2�� ✓ r3I. have to be 1 current at St to • �� �onstr.Contr. Board # F UL Classification: ' CO - FLVIL L time of 1 lb 2-7 7 issuance) COT Bus. Tax or Metro Lic # Exp.Date (or) Warnock Hersey: b © t y� -s -91 s as STEP 7 Listed UL Building Materials Directory Page #: Describe work to be done; (circle one) Listed Warnock Hersey Directory Page #: RE - ROOF (PROVIDE COPY OF ASSEMBLY) C) Existing roof covering to be REMOVED and deck ( ) repaired - PROCEED to STEP # 2. 2. 1C8O Research #: B. Existing roof covering to REMAIN: NOTE: APPLICANT Dated: MUST SUBMIT AN ENGINEER'S REVIEW OF THE ROOF STRUCTURAL, ( PROVIDE COPY OF ASSEMBLY ) ELEMENTS. REVIEW SHALL BEAR THE SEAL/STAMP OF THE ARCHITECT OR ENGINEER LICENSED IN OREGON . (PROCEED TO STEP # 2) 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES' *REVIEW REQUIRED BY PLANS EXAMINER _ ' REPAIR (MAJOR "WHEN - UCTURAL ELEMENTS OTHER THAN SHEATHING IS TO BE � � O�J REPLACED A PLAN REVIEW IS REQUIRED. 3 SETS OF PL II�U ANS ST VALUATION OF PROJECT: $ BE SUBMITTED, J Existing Deck Type: I HEREBY STATE THAT THE BOVE INFORMATION IS TRUE AND • %CURATE. Combustible ( ) 1/ c1/ SIGNED: -.A/ Non - Combustible ) DATE: _ 1 - -4 -- -- - 7 !:hoof cod 1/97 (DST) 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 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: ! 1_40- " At ' •i VI., ^ 11I or — located at: • aL.90 du) t<I Y1Cf /CCCPLa.td /t..e� King_ City Representative IADSTSIKCLNST.DOC i 'e k--- / --t e 10..CCe-vi # j , it - _ uJ ( % - / ' ' - / C .e. , .. \W(0 WAXIVUV ROOFING Contractor # 115277 9055 S.W. Blake Street Bonded & Insured Tualatin, OR 97062 Date: April. 23 , 1997 (503) 692 -6726 Submitted To: Location: Same Name: Mr Forman Address: Address: 12490 SW King Richard City: State: OR Zip: City; King City State: OR Zip: 97224 Contact: Gary Home Phone: 503 -624 -9541 Phone/ Fax: (503) 692 -6726 Fax Phone: Mobile:,503) 936 -2112 wiliMINE Er . . ' ., i 1 ' ira4 'Dila ' 1 )7 I , .,A. -4i : 13 L . ' " I I 6 c oNi•••• WEN • e G 041BrarilliMMEIMMIIPZIMEIMMEMIMMINI EMIR 1 60 \ lerilia MEW G 061 We��. ® ®51RINAlr� . — I Mil °t R \ 'i�lI�l'.1O all- �1 S \- ellIll iV �� �_U � �1 MN 30 PINTEiMISIM IMIll r M M :.•._E'r• __r MIME l_ rz Ii. ' � �� 1 I 1 Total SQ.: 1,f Felt: 2,.► 3 Tear Off: 'ir d- # of layers: Z Ridge: ( Starter: '4 s What Type of Materials? e u i i / N Valley 0 T- Metal: 1 1_0' Plywood: C b ‘I V^- ( 3 Sheets/ sq.) 4 10 Tin Shingles: 106 ` Vents: S Roof access? 1i5 Pipe Flashings: 1112': y, 2': 1 ,.Other: Other: NI in& t CCs4'P S '('e *Ake lnoo SCi c tee 5rt Thank_y_ou_f_or doin bus i . nea . s_with_M . aximum_Roof_ing . . 0 77 / - 0 t--/ k W (( z— S / r�' '<.�7 a/ 11 7 1; .,P (AP/A / I ÷ ( 7( G .e. e/ce A 7 °•.< At.-- CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 I Footing Rain Drain Cover /Service FINA1 : Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. . 411 _ Other: �r'i.. Date: 5 to - A.M. P.M. IF nt Address: / �, Ct ,Q K / /r' Aa>7� /.�' Tenant: St1 MST: BUP' Con /Own: 6 Z ce 70-4 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: I � / , Date: / APPROVED /DISAPPROVED/CALL FOR REINSP. CF CO