Permit .4: CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00395
JI J DEVEL SERVICES 639 -4171 DATE ISSUED: 9/21 /00
PARCEL: 2S110CD -01900
SITE ADDRESS: 11780 SW QUEEN ELIZABETH ST
SUBDIVISION: KING CITY NO. 2 ZONING:
BLOCK: LOT: 018 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: 0.00 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: $ 3,500.00
•
Remarks: Re -roof and non - bearing roof extension.
Owner: Contractor:
MCKIMENS, JUANITA E TR JUSTIN JEFFREY
11780 SW QUEEN ELIZABETH ST 13262 NW MASON HILL RD
KING CITY, OR 97224 NORTH PLAINS, OR 97133
Phone: Phone: 647 -5484
Reg #: LIC 143465
FEES REQUIRED INSPECTIONS
•
Type By Date Amount Receipt Footing Insp
PRMT CTR 9/21/00 $85.62 27200000000 Framing Insp
Roof Nailing Insp
5PCT CTR 9/21/00 $6.85 27200000000 Pre - Roofing Insp
PLCK CTR 9/21/00 $55.65 27200000000 Final Inspection
Total $148.12
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 -1987.
Permitee ^ /
Signature: / '---7
/. / - 7
Issued By: •` (2 ------ .
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
CITY OF TIGARD Plan Check #:
13125 SW HALL BLVD. Rec'd By: 17c-.4
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: /2//a
V- 503 -639 -4171 X304 / Date to PE:
F- 503 - 598 -1960 / Date to DST:
Permit #: �3 them s
Incomplete or illegible applications will not be c epted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix 15)
( Street Address Ste # Please fill out applicable section and attach copy of roofing
//\ Job Site I) Q 5`(,J Qt/W1 £);Z4Jk specifications.
Bldg # City/State Zip Listed Assembly ( Circle & Complete A, B or C)
K/ C./ q7OP•2/ A.
Name / 1. Specification #:
Applicant Mailing Address 2. Manufacturer:
)/ 7 0 $w Q t)∎Zabe-
City/State Zip Phone *3a UL Classification:
Nni6iy c173-3- 09 -OA
Roofing Nartie Listed UL Building Materials Directory Page #:
Contractor VS1 ih J f er (OR)
(Prior to issuance Mailin Addjss (( n _(( *3b Wamock Hersey :
applicant must tt a- 414.1 / J 7 a 5 o . v / / ( 1<c'
1 provide a copy of City/State Zip Listed Wamock Hersey Directory Page #:
all contractor 464-464-14‘ J � /a)! 0& ( *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT 503 - 8643 69 ) ( B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
/ y6S DATED:
BUILDING INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT n �
sq. ft.. of roof area $ ,5 3 (N, 00
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible ( ) * see chart on back $ PS, 6
RESIDENTIAL ONLY - Class of Work: Alteration City use only: WACO:
// ( REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ 4 - r P5
Application. City use only: WACO:
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) (UTAX)
A3Roof area & nearest street. *Required for major repairs of
Residential
0 ttic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" abov e * 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.
. TOTAL $ /9 , /0
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair — 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 - Signat a of Own: /A. - Date
B. Existing built -up roof covering to REMAIN: note applicant
must submit an engineer's review of the roof structural ' — 19-/— pv
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. _ Contact Perso Name Telephone
C. Asphalt or wood shingle /shake r
(PROCEED TO STEP 2) , 7h �TT�e y gS$ - 6 ���
I:dsts \forms \roof.res.doc
8/26/99
Valuation of Project Permit fee Review Tax 8%
65%
1 - 2,000 62.50 40.63 5.00
2,001 - 3,000 74.06 48.14 5.92
_ 3,001 - 4,000 - 85.62 .55.65 • 6.85
4,001 - 5,000 97.18 63.17 7.77
5,001 - 6,000 108.74 70.68 8.70
6,001 - 7,000 120.30 78.20 9.62
7,001 - 8,000 131.86 85.71 10.55
8,001 - 9,000 143.42 93.22 11.47
9,001 - 10,000 154.98 100.74 12.40
10,001 - 11,000 166.54 108.25 13.32
11,001 - 12,000 178.10 115.77 14.25
12,001 - 13,000 189.66 123.28 15.17
- 1 3,001 - 14,000 201.22 130.79 16.10
14,001 - 15,000 _ 212.78 138.31 17.02
15,001 - 16,000 224.34 145.82 17.95
16,001 - 17,000 235.90 153.34 18.87
17,001 - 18,000 247.46 160.85 19.80
18,001 - 19,000 259.02 168.36 20.72
19,001 - 20,000 270.58 175.88 21.65
20,001 - 21,000 282.14 183.39 22.57
21,001 - 22,000 293.70 190.91 23.50
22,001 - 23,000 305.26 198.42 24.42
23,001 - 24,000 316.82 205.93 25.35
24,001 - 25,000 328.38 213.45 26.27
25,001 - 26,000 336.82 218.93 26.95
26,001 - 27,000 345.26 224.42 27.62
_ 27,001 - 28,000 353.70 229.91 28.30
_ 28,001 - 29,000 362.14 235.39 28.97
29,001 - 30,000 370.58 240.88 29.65
30,001 - 31,000 379.02 246.36 30.32
31,001 - 32,000 387.46 251.85 31.00
32,001 - 33,000 395.90 257.34 31.67
33,001 - 34,000 404.34 262.82 32.35
34,001 - 35,000 412.78 268.31 33.02
3 5,001 - 36,000 421.22 273.79 33.70
3 6,001 - 37,000 429.66 279.28 34.37
37,001 - 38,000 438.10 284.77 35.05
38,001 - 39,000 446.54 290.25 35.72
39,001 - 40,000 454.98 295.74 36.40
4 0,001 - 41,000 463.42 301.22 37.07
41,001 - 42,000 471.86 306.71 37.75
42,001 - 43,000 480.30 312.20 38.42
43,001 - 44,000 488.74 317.68 39.10
44,001 - 45,000 497.18 323.17 39.77
For valuations over $45,000, please contact a Permit Technician for fees.
I : d sts \forms \roo f. res. d o c
8/26/99
•
h KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224.2693
MEEREMETEgms Phone: (503) 539.4082 • 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 Cite 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: /� ie- Roo - 4
located at: /1 790 Queem El iz w 1944d
a , ,
King Representative
DSTS DOC
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 - 4175 'Business Line: 639 -4171
BUP - G�31
Date Requested /) — 6 )> AM PM BLD
Location // 7 V S A' `-1'U .f z,,. 0' Z462 ?Lk Suite MEC
Contact Person Ph PO R PLM
•
Contractor Ph SWR
Bwiah Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
(F nia>
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
c:
F' -
PART FAIL
IMBING
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
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 [ ] Please call for reinspection RE: nable to inspect - no access
ADA �
Approach /Sidewalk
Date // p � / Ext
Other ! d tO `� Inspector �v
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST
`24 -Hour Inspection Line: 639 - 4175 - Business Line: 639 -417 1-1-1)9 rma r
Date Requested /Z_' BLD S
Location / (1 ) SGJJ cUL ... $ • Suite MEC
Contact Person O Ph A8 t- !v Q 9( PLM
Contr Ph SWR
UILDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear /� , 1
Framing `' /�' �-�M I�S `� /�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp' • Ceiling
Misc:
Fiyi
PART FAIL
1
'ost & 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
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk 9/7-e(0 Other Date Inspector v" --5 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST rte`
BUP Z71 - 00 .56.l
Date Requested C ? :hr AM PM BLD
Location 117 E0 4 :Ai QU . Suite MEC
Contact Person c, Ph gew-6,0 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Reta' ing Wall ELR
oot • Access:
oundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall 5 g 6 (le, 5,e , S4e T » /ti' 7
Drywall Nailing i
Fire wall $�. /v� 1 7 /�� F'1
Fire Sprinkler S U�
Fire Alarm
•
o ( Su 'd Ceiling
1fJf � .
isc:
Fi
PART FAIL
PLUMBING
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
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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
Other Date = Inspector YYl Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.