Permit CITY OF TIGARD MASTER PERMIT
At: I DEVELOPMENT SERVICES PERMIT # - MST98 -0344
ii DATE ISSUED: 07/28/98
!+L _ 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171
639.4171
PARCEL: 2S110CD -02700
SITE ADDRESS...:15820 SW ROYALTY PKWY
SUBDIVISION -KING CITY NO. 2 ZONING:
BLOCK LOT °008 JURISDICTION: KIN
Remarks: Re -roof
BUILDING
REISSUE: STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED
CLASS OF WORK.:OTR HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT : 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 0 PARKINS SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL 0 sf VALUE..$: 2000 REAR : 0
PLUMBING
SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 8 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 8 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL —
FUEL TYPES FURN ( 1w ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 8
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOYES • 0 GAS OUTLETS...: 0
ELECTRICAL
— RESIDENTIAL UNIT— - -SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLANEOUS— —ADD'L INSPECTIONS -
1V,r. SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 8 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 608 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HN /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps -1 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 - PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL 8 SYSTEMS: 0
Owner: -- Contractor: TOTAL FEES:$ 34.13
MARY WERT ROBERT BARTON III This permit is subject to the regulations contained in the
15820 SW ROYALTY PKWY 13555 SE JUNE CT Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 SHERWOOD OR 97140 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 8: Phone 8: 625 -7109 not started within 180 days of issuance, or if the work is
Reg 8..: 84393 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 - 00110 through OAR 952- 081 -0880. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS
Pre- roofing insp
Roof Nailing
Dry -rot after to
Building Final
Issued By: .Ej:(/
ig "---- Permittee Signature: —
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Plan Check :
13125 SW HALL BLVD. Rec'd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: 1-7
V- 503- 639 -4171 X304 Commercial and Residential Date to PE:
F- 503 - 598 -1960 Date to DST: � -
Permit #:1119g 5 - cam -1 r
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business
to lfsE :, 644Mi < : >.a:>; < :te.
:: > >•< :,`',' A_ 5 ; �. : > <: < : »: <: >: is :: : :! : :: :i >:i: :; a::: >::> : : >':; :';
E.Dc��ltelrtl�.!# a. �i11� Appertd�c: �� :. >.:<.: >:.:::.;:;:.:: : : : �: >:;;:::::;;::.:::,.«..
Street Address Ste # Please fill out applicable section and attach copy of roofing
• Job Site /.5 Z) /79 (rick, 6./A v specifications.
Bldg # C ' /S ate ' Zip :- ::::..;• :;:.:.:;;:.;;.:.; > _ > •:::: > :: : : > :> ..:::..:::.: :;: .;:.;;:,.;: :..::<;: >• �::;:: •:.:.:. :.: :::::; :..:..:::::.:.: ::.::::::.
'ty P : s: t: rsil: d:W ittett�ly::« : ::1Circle:: & >Complete::A * >8?:c )t :«;: `,<::> ::e.:><: >::. >.:: >::<:;:
0 4,9 A.
QWN Name 1. Specification #:
Applicant Mailing Address • 2. Manufacturer:
13 N .5 C ..� LJ—
Ci / Zip Phone *3a UL Classification:
-r ""*"" q 7/ YO _ 66=77(
Roofing Name Listed UL Building Materials Directory Page #:
Contractor Roger - &if (77& LUa bc.77o (OR)
(Prior to issuance Mailing Address *3b Wamock Hersey :
applicant must / 3SS 55 30 s- (J
provide a copy of City /State Zip Listed Warnock Hersey Directory Page #:
all contractor r 7 6)0c � ' O *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT 6,67 7/ y 6,a r- 7/07
B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
.................. .
iY cl 39 3 GcTS' f� DATED:
BUIL:O� I ;IiNF
: �. s..Q .:.::
�. ;:.:;.;;:.;:.: <.;::.:; �;: :<.;;;;
.;:.;:.::.;;:.;; >::»> :: » :::;
<. »:: >; >::«: >:: >:: ::> .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 $ I 1 90
sq. ft. of roof area r
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible ( ) ' see chart on back $
:; :RESIDENTIAE> : :: : €: €:ONL >:
:: .....: :. :........................._.. Y.:p ...,1M... catlf#a#oi , .. ,
❑ REPAIR (MAJOR) (review required by plans examiner) •••• (BUILD):• .: ` .. (UBUILD) Zz - SD
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $
Application. .City use; ;only: •: WACO:::::
SUBMIT TWO (2) SETS OF PLANS SPECIFYING.
,:. »(TAX).;::::..:.:; ... : 1 ' ( i )
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.
TOTAL $ ' I. ‘ 3
s::STEP':7 > : €:: >:::`< :COMMERC `:<::<:::::
.:: I acknowledge that I have read this application and that the
ss of
]Af
9
PP
orlc....
.. ... information given is correct; that I am the owner or authorized
. ... . o
Describe work to be done: (c approp box) agent of the owner, and that the plans (if applicable) are in
❑ RE -ROOF (circle A ,B or C) th regon to l aw.
A. Existing built -up roof covering to be REMOVED and deck �, �- ----'
repaired - (Signature of Owner /Agent Date
B. Existing built -up roof covering to REMAIN: note applicant
must submit an engineer's review of the roof structural
Review shall bear the seal (or stamp) of the /
architect or engineer licensed in Oregon. ontact Person Name Telephone
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2)
I:ROOFI.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 .
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
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST e f—e:03 1 -6Z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location A ,`J < <� - ti - MEC
Contact Person e h PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: n
Foundation , vim FPS
Ftg Drain 1 1, 1 ���///IIIJJJ ��I
Crawl Drain J�3 SGN
Slab No - SIT
Post & Beam Found During R €search –\
Ext Sheath /Shear Tv�
Int Sheath /Shear No Tncnectinn(cNnfle —'
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
(Roo
Ceiling
00
Sgi4W PART FAIL
- '_r ' 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
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
Other Date / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.