Permit CITY OF TIGARD MASTER PERMIT
PERMIT # • MST97 -0184
^T�.,l"-r;����� DEVELOPMENT SERVI DATE ISSUED: 06/12/97
PARCEL: 2S110CC- 07000
SITE ADDRESS...:16030 SW QUEEN VICTORIA PL
SUBDIVISION • ZONING:
BLOCK LOT • JURISDICTION: KIN
Remarks: Major Re -roof
- - -- — --------------- BUILDING -- --
REISSUE: STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED -
CLASS OF WORK.:ALT HEIGHT • 0 FIRST 0 sf GARAGE • 8 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 : 0
OCCUPANCY 6RP.:R3 BDRM: 0 BATH: 0 TOTAL - -: 0 sf VALUE-4: 5200 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 • 8 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 0
- -- -- -- ELECTRICAL — -- - - - - --
- RESIDENTIAL UNIT— -- SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — --- MISCELLANEOUS -- — ADD'L INSPECTIONS—
l' , SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 amp..: 0 W /SVC OR FUR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 alp..: 0 201 - 4v, alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM/SVC/FDR: 0 601 - 1'Y/ amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
1000+ 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..: 0TH: •• BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: - -- — Contractor: TOTAL FEES:4 59.33
JUDY HOOTS CASCADE ROOFING This permit is subject to the regulations contained in the
16030 SW QUEEN VICTORIA 14905 SW 74TH AVENUE Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 TIGARD OR 97224 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 638 -5658 Phone B: 620 -2711 not started within 180 days of issuance, or if the work is
Reg 0..: 039079 suspended for more than 188 days. ATTENTION: Oregon law
----- - - - - -- — - - - -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-'''•1- v through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- ----------- - - -- REQUIRED INSPECTIONS - -- ---
Erosion Contol Post /Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Post /Beam Str. Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
/�
Issued 'y: ■ _ . d' s! .LL - Permitt Signature: � AA •
+ + + + + + +- + �++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ + 44- + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
rn
-
MAY -16 - } r �7 FRI 10: 34 ID: FA., X 5 N0: #D4b P01
CITY OF TIGARD Recd By:
13125 SW HALL BLVD. Date Recd 51 1
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date to PE'
DST.
V 503 - 639 - 4171 X304 Incomplete or illegible applications will not be accepted Date to Permit St M
F - 503 - 684 - 7297 Called: CY.o3`74 oo
SA- cia.r - v
N e of Develo • ent/Business :5.T. g �C N N>ti> : =1 � . :; ; • ? :s
•'�� :' ��f9�t ':tlii�t},i(l�ac>t�?�or;�.. � �� � ;�: �� CNdix' •i ,,: 5:3.` <':::�;�,::::s: Ka1:::;:.•
U.� `,tea " `'�. >� ..
Street Add ess - ., . ste # Please fill out applicable section and attach copy of roofing
/reAT
Job Site L_03o > �jl41,131.1 , `4 pecificationa.
1 Bldg* e xt atl::Aitilt.itti ; .Ci 1't��'$c Ci�MV10'! F< � tic ................:.
N me t t' Spec„ •j'icin #: --
._1. - , 4A1■
)wner Mailing Art . roF , 2 ::,a.•,. ...k,,,P •
- — 6 , ,
li n ' ,RPM, t..
Ity/ tote Zip Phone 3a. UL ClassrFlcation:
_ - -kt kil. e <r lo3! !y
(lame Listed UL Building Materials Directory Page #:
(OR)
• �ing Address I1 ` 3b Warnock Hersey •
, t, a �t
m 4o f 3b Listed Warnock Hersey Directory Page #:
9t•k �', V6 f. LeA I ,S 1-6.1,1s (PROVIDE COPY OF ASSEMBLY)
of V one # ' j QS. 1r' ' � Research : x � __
'+lrA ^tL�• -6 , ' B ICBO Rrch #:
-tf , Sta Conetr Conti Boer. a i• E Y Da . •
. -.t r • ;,OT 0 0 ' - ' 0 r � : . , DATED.
' COT B s. Tax or Metro Li # E p rate (PROVIDE COPY OF ASSEMBLY)
" ,. <' " C. SPECIAL PURPOSE ROOFING: WOOD SHAKES'
I BU►;..C�tttit• �- "'OI�IfATIfJCr : :<'�. :h ;: : ::� � >; ., ,
l t):,.10:0, .ise (circle one) I (' review required by plans examiner)
SFA COM MF
7 4dN' - - 0 r - 07-,••uctIon + VALUATION OF PROJECT $ I,- CYO i
sto Deck' — Permit fee based on valuation
-.• ,/
Co- ( {{ HL 1 Non- Combustible I ) (see r.hart on back) $ 549 ,
STEP - 4, . C`AL.. O3:,CC ':Y'i:::S S:i.S: {
. t
r ggcrtbf• ,, • .e -)rye tchee idi c) 5% State Surcharge $ a- 8 3 _
' .] f.at - uU.:t ., , _V a. of B)
rx
ring to be REMOVED and deck 65% Plan Review $
'',FFr) TO STEP 2)
p t to REMAIN note applicant TOTAL S
I , ePr's review of the r oot structural
N -r'ew shall bear the seal (or stamp) of the //
r ..... engineer licens in Oregon I acknowledge that I have read this application and the
t' ECC' TO STEP 2) the information given is correct; that I am the owner or
•$TAP i�;'••. , R .$t NTl L " QN,ii,y,, • ••'''•; ••'• .' : authorized agent of the owner, and .hat Me plans
.. Of applicable) are in compliance with the Oregon State laws
X REPAIR (MAJOR,
Permit required ONLY when spaced sheathing is covered by
solid sheathing
Signature of Owner/Agent Date
SUBMIT THRFF (31 SETS OF PLANS SPECIFYING
A Roof at ea & nearest street. I ' 1 . ' C, _ 1 J tie‘, LCI B. Attic vents - ProvProvide sq. ft for each 150 sq n of attic CQnta : PPr lime • Telephone
space & vents shall be located in the upper 1 3 of the roof ! f 1 , f
1 {
Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic ,
vents are .rovided. _ I _ _ __•_ _
N�t' i/ ' fr 77 J
1 ,\roof.cod 1/97 (DST) ,
05/19/2000 Activities for Case #: MST97 -00184 .
1:12:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 • Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 05/19/1997 JDA PASS JDA 05/23/1997
MSTA008 Permit Created 05/19/1997 JDA PASS JDA 05/23/1997
MSTA012 Plans routed to Plans Examiner 05/19/1997 JDA PASS JDA 05/23/1997
MSTA026 Plans approved by Pln Examiner 05/27/1997 RT PASS JD 06/03/1997
MSTA030 Reviewed plans routed to DSTS 05/27/1997 RT PASS JD 06/03/1997
MSTA032 DST Post - Review Completed 06/03/1997 JSD PASS JD 06/03/1997
MSTA700 Erosion Control lnsp 844 -8444 JDA 05/23/1997
MSTA703 Grading Inspection JDA 05/23/1997
MSTA705 Footing Insp JDA 05/23/1997
• MSTA706 Foundation Insp JDA 05/23/1997 '
MSTA710 Post/Beam Structural JDA 05/23/1997 •
MSTA711 Post/Beam Mechanical • JDA 05/23/1997
MSTA713 Crawl Drain JDA 05/23/1997
MSTA717 PLM /Underfloor • JDA 05/23/1997 •
MSTA720 Mechanical Insp JDA 05/23/1997
MSTA722 Plumb Top Out JDA 05/23/1997
MSTA723 Electrical Service JDA 05/23/1997
MSTA724 Electrical Rough In JDA 05/23/1997 •
MSTA725 Framing Insp JDA 05/23/1997
MSTA726 Shear Wall lnsp JDA 05/23/1997
MSTA727 Low Voltage JDA 05/23/1997
MSTA730 Fireplace Insp JDA 05/23/1997
MSTA735 Gas Line lnsp JDA 05/23/1997
MSTA736 Gas Fireplace JDA 05/23/1997
MSTA740 Insulation Insp .
JDA 05/23/1997
MSTA745 Gyp Board Insp JDA 05/23/1997
MSTA755 Rain drain lnsp JDA 05/23/1997
MSTA760 Water Line Insp JDA 05!23/1997
MSTA761 Water Service lnsp JDA 05/23/1997
MSTA765 Appr /Sdwlk Insp JDA 05/23/1997
MSTA790 Electrical Final JDA 05/23/1997
• Page 1 of 2
05/19/2000 Activities for Case #: MST97 -00184
1:12:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
•
MSTA795 Mechanical Final JDA 05/23/1997
MSTA797 Plumb Final JDA 05/23/1997
MSTA799 Building Final 10/14/1999 RB PASS DGW 10/14/1999 Inspection request (research) to
Hap 9/28/99/// /passed by
review. New owners as of
March 1998////
MSTA080 (F) Ready to issue 06/03/1997 JSD PASS JD 06/03/1997
MSTA092 (F) Issue combination permit 06/12/1997 DRA PASS DRA 06/12/1997 Computers down, was not able
to issue until this date. Copy of
•
plans released to contractor on
6 -9-97. Copy of this permit will
be mailed to contractor.
MSTA970 Case Finaled 10/14/1999 HAP PASS No Hold DGW 10/14/1999
•
Page2of2 .
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APPROVED FOR CONSTRUCTION
CI OF TICS •
PERMIT NO, nst _ . -Oft - ' • • - goa3u s , A,4,. I)cioi;a /71,
SY j DATE S =
4-------
I I
4� LIABILITY: The Cl of . I i ard, Care � 9n, Qr
its employees, shal n ot be repor4blii for
discrepancies which may appear hereon,
14905 S.W. 74th Avenue License #39079 TEL (503) 620 -2711
Portland, Oregon 97224 FAX (503) 684 -2892