Permit •
A
4,, - C I T Y OF TIGARD PERMIT
PERMIT #: BUP2002 -00077
��A DEVELOPMENT SERVICES DATE ISSUED: 3/6/02
N`�'` <.��I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11992 SW ROYALTY CT 25 PARCEL: 2S1156A -90125
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: »k1 FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: 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: 4 l Y 3 o q ,ate
Remarks: Re -roof units 25 -32
Owner: Contractor:
ROYLATY COURT CONDOS INTERSTATE ROOFING
KING CITY, OR 97224 15065 SW 74TH AVE
TIGARD, OR 97223
Phone: Phone: 684 -5611
Reg #: LIC 55485
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pre - Roofing lnsp
PRMT CTR 3/6/02 $187.30 27200200000 Final Inspection
5PCT CTR 3/6/02 $14.98 27200200000
Total $202,28
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 -6699 or 1- 800 - 332 -2344.
Pe rm ittee ,8.G),/ e
Signature: --
Issued By: P
Call 639 -4175 by 7 p.m. for an inspection the next business day
BuildingPeimit Application Q, Y
• Date received: 3/ (o in Permit n44r2 i. -000 7 7
�j � City of Tigard /
- s : " I Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: By:. I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: // e Z sal 24, y ez /7 C - 1 - Ki n Y e fir Jik Bldg. no.: �.S- 32. Suite no.: #
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: /20 yr /i Cp- • Conti •
Description and location of work on premises/special conditions: opoi-e 'e-/ a S // 3 B 17 - q 3
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
Name: (Floodplain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: IState: IZIP: Valuation of work $ 7-
Phone: (Fax: I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E- mail: Commerclalf'mdustriallmulti- family:
CONTRACTOR Valuation of work $ / L i l 3o 5'
Business name: 'co-4 Z-4,-c.- Existing bldg. area (sq. ft.) /
Ku s�u�G `� New bldg. area (sq. ft.)
Address: /So 6 S 54- 7 4'
Number of stories
City: "C i' /.a. r' I State:QA- I ZIP: L 72. z 3
Phone: 5e3 G P+'SG // I Fax: G3934'S4(E -mail: Type of construction
CCB no.: S`/� f Occupancy group(s): Existing:
New:
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARC( IITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: (ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: IZIP:. Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. -
attached checklist. All provisions of laws and ordinances governing this ❑ Visa Cl MasterCard
work will be complied wt wheth rfl herein or not. Credit card number. ir e
Auth signature: GL! �� Date: 3 - G - o Z p
Name of cardholder as drown on credit card
Print name: . // G e' / $
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. „t e440-46l3 (603/Cotr)
‘4 2v 2 .2g
RE- ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration
❑ REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and /or
changes are made to roof line.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re -roof if, (1) not more than three layers of
roofing will exist upon completion of the re- roofing or, (2) sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
applied).
COMMERCIAL ONLY - Class of Work: Repair
X ,, EP 1:
RE -ROOF (circle A, B or C):
A. Existing built -up roof covering to be REMOVED and deck repaired.
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
cer O.
� • sphalt archite t or or wood engine shingle /shake. licensed in . ripe gon ROCEED TO STEP 2)
CO CIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix 15)
Please fill out applicable section and attach copy of roofing specifications.
Listed (Circle and complete A, B or C):
A. 1. Specification #:
2. Manufacturer:
3a. UL Classification:
Listed UL Building Materials Directory Page #:
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page #:
*COPY OF ASSEMBLY REQUIRED
B. ICBO Research #:
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans examiner.)
VALUATION OF PROJECT: $
sq. ft. 71 of roof area
Permit Fee based on valuation:
(see Building Permit Fees chart)
8% State Surcharge:
65% Plan Review Fee:
(Required for major repairs of Residential or
•
Assembly item "C" above.
TOTAL:
i:dsts \forms roofchecklist.doc 10/05/00
. _..,.
. _,.i.
ilid KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224-2693
Phone: (503) 639 -4082 • FAX (503) 639-3771
Notice To Contractors Workin 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: , � - e_07 0 - -� �� /,�t.PJj.CL,e__
located at: /Iqq t) ll (? c75 — 3-2_ /
Iek te) )/1-4-
King City Representative 3-6 —d2.
I DSTS KCCNST DOC
CITY OF TIGARD 24 -Hour - •
BUILDI Inspection Line: (503) 639 -4175
INSPECTION DIVISION -. Business Line: (503) 639 -4171 MST
BUP o 000 7 7
Received Date Requested ` AM PM ' BUP
Location 1/ 99,? Suite MEC
Contact Person Ph ( ) 5/9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner / ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 04�Ga�4E/7 hy
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Sus I'd Ceiling
'oo
Other:
PASS PA FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [] Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 9 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 , MST
INSPECTION DIVISION • - Business Line: (503) 639 -4171 200z- ax Art
q/q 2- - /
Received Date Requ ed AM PM rp
`Location //q9 2 - - d
Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: J C d/ 6/4- ELC
Ftg Drain /� ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof �� /��
44 PART FAIL
P a ' BING
Post & Beam
Under Slab
Rough -In •
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE lIl Please cal for eins ection RE. ❑ Unable to inspect — no access
Fire Supply Line ,U 01 0
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL