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Permit A CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00437 , , o , DEVELOPMENT SERVICES DATE ISSUED: 10/25/00 „Ai '�f �! 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16080 SW ROYALTY PKWY PARCEL: 2S110CC -01300 SUBDIVISION: KING CITY NO. 3 ZONING: BLOCK: LOT: 022 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: sid � 7 7 Remarks: R ential re- robf Owner: Contractor: COUNTRYMAN, MARIE + PEOPLES QUALITY PLUS ROOFING COUNTRYMAN, DERAL 1120 PARKWAY DR NW 16080 SW ROYALTY PKWY SALEM, OR 97304 KloneTY, OR 97224 Phone: 503 - 581 -3113 Reg #: LIC 109054 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Roof Nailing lnsp PRMT CTR 10/25/00 $91.30 27200000000 Final Inspection 5PCT CTR 10/25/00 $7.30 27200000000 Total $98.60 • 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. • Pe mi itee Signature: • Ef � 1 Issued By: ,cAr% 7 _ Call 639 -4175 by 7 p.m. for an inspection the next business day Ai Building Permit Application At, d� Datereceived: /6/25/4 Permit rm.:QliP2mo 5 37 1yl City of Tigard - . Project/appl.no.: Expire date: City ojTigard 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 onstructioA ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm Other: 1Ge r o -o k- JOB SITE INFORMATION Job address: /(p0)0 $ Inl Q q i 1 C C..r ',je K:•� JI, Bldg. no.: Suite no.: Lot: I Block: 'Subdivision/ 1 I Tax tap /tax lot/account no.: Project name: Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: OIYiz_ Cara..,., %i - nun-- ( Floodplain ,septic capacity, solar,etc.) Mailing address: s'A rv.r I 1 & 2 family dwelling: City: , C :4- IState: OR,I ZIP: q �ZZt- f Valuation of work $ Phone: (14 333.41 (Fax: E -mail: No. of bedrooms/baths Owner's representative: P P o IRS bZ0 o 4- ,k Total number of floors Phone: Z, ) -3) Fax:; ' .- 6220 E -mail: ` New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Name: 5.21 MI_ 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: Commerelallmdustrlallmulti- family: CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft.) Business name: 1 E o O , ,tom 1 Address: New bldg. area (sq. ft.) 1IZO Ar me � , Number of stories City: 5 k,", I S tate:O g,,I ZIP: ?1-3.o Y Type of construction Phone: /--3 13 Fax :3 7- /-( E-mail: Occu group(s): Existing: CCB no.: ' O � a S's New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITECT /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: I 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: "ZIP:. Amount received $ Phone: I Fax: 1E-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 o MasterCard work will be complied t ith, whe ; r s .` fled , erein or not. l credit card numbs. Exp'r res Aut signatu 41 t' - • .. A . _ tit ) • ate: / 0/ L 0 4 Name of cardholder as shown on credit card Print name: 63'i Cardholder signature 0.r p! . ! / o eAf. gnature 3 Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (doonc:OM) 4 • I ` t RE- ROOFING PERMIT CHECK LIST F SIDENTIAL 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. 1 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 . STEP 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 architect or engineer licensed in Oregon. C. Asphalt or wood shingle /shake. (PROCEED TO STEP 2) COMMERCIAL 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 Assembly (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: $ y� sq. ft. of roof area Permit Fee based on valuation: (see Building Permit Fees chart) 9/, 3 8% State Surcharge: $ 7, 3 0 65% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item "C" above. 4//9 , 2.Q.. ' TOTAL: $ W G U i:dsts \forms\roofchecklist.doc 10/05/00 1 Building Permit Fee Chart v Project Valuation Permit Fee Review Tax 65% 8% Total 1 2,000 62.50 40.63 5.00 108.13 2,001 3,000 72.10 . 46.87 5.77 124.73 3,001 4,000 81.70 53.11 6.54. 141.34 4,001 5,000 91.30 59.35 7.30 157.95 5,001 6,000 100.90 65.59 8.07 174.56 6,001 7,000 110.50 • 71.83 8.84 191.17 7,001 8,000 120.10 78.07 9.61 207.77 8,001 9,000 129.70 84.31 10.38 224.38 9,001 10,000 139.30 90.55 11.14 240.99 10,001 11,000 148.90 96.79 11.91 257.60 11,001 12,000 158.50 103.03 12.68 274.21 12,001 13,000 168.10 109.27 13.45 290.81 13,001 14,000 177.70 115.51 14.22 307.42 14,001 15,000 187.30 121.75 14.98 324.03 15,001 16,000 196.90 .127.99 15.75 340.64 16,001 17,000 206.50 134.23 16.52 357.25 17,001 18,000 216.10 .140.47 17.29 373.85 18,001 19,000 225.70 146.71 18.06 390.46 19,001 20,000 235.30 152.95 18.82 407.07 20,001 21,000 244.90 159.19 19.59 423.68 21,001 22,000 254.50 165.43 20.36 440.29 22,001 23,000 264.10 171.67 21.13 456.89 23,001 24,000 273.70 177.91 21.90 473.50 _ 24,001 25,000 283.30 184.15 22.66 490.11 25,001 26,000 290.80 189.02 23.26 503.08 26,001 27,000 298.30 193.90 23.86 516.06 27,001 28,000 305.80 198.77 24.46 529.03 28,001 29,000 313.30 203.65 25.06 542.01 29,001 30,000 320.80 208.52 25.66 554.98 _ 30,001 31,000 328.30 213.40 26.26 567.96 31,001 32,000 335.80 218.27 26.86 580.93 32,001 33,000 343.30 223.15 27.46 593.91 33,001 34,000 350.80 228.02 28.06 606.88 34,001 35,000 358.30 232.90 28.66 619.86 35,001 36,000 365.80 237.77 29.26 632.83 36,001 37,000 .373.30 242.65 29.86 645.81 37,001 38,000 380.80 247.52 30.46 658.78 38,001 39,000 388.30 252.40 31.06 671.76 39,001 40,000 395.80 257.27 31.66 684.73 40,001 41,000 403.30 262.15 32.26 697.71 41,001 42,000 410.80 267.02 32.86 710.68 42,001 43,000 418.30 271.90 33.46 723.66 43,001 44,000 425.80 276.77 34.06 736.63 44,001 45,000 433.30 281.65 34.66 . 749.61 45,001 46,000 440.80 286.52 35.26 762.58 46,001 47,000 . 448.30 291.40 35.86 775.56 47,001 48,000 455.80 296.27 36.46 788.53 48,001 49,000 463.30 301.15 37.06 801.51 49,001 50,000 470.80 306.02 _ 37.66 _ 814.48 • I: \dsts \forms\feechart.xls 10/01/00 1 , • • KING CITY 15300 S.W. 116th Avenue, Bing City, Oregon 97224.2693 miannorassim .d., 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: \I.P lx c- O,y - 4 located at: S.70 e . : _ [/ / I/ <U — 25-400 King City Representative 1 DSTS4:CINST DOC .1 • • ..- ()a\ 1 • it tAvV ° CiL>1 - ' ) 2,.‘41Y. 0 ri- 44 _6 Cs .._. , .. A go svi eo 0 P k . - - ''' .., i , ott -woe- ,. _ e .... , i ',,, _, ,„,,..„... a f ,,_ _. d Lf: .). ‘) ki+Ak e, 4-- ?/ _ Cisj(-41'-'% Qfr f. 5 5. . . . lli .34 _ . i vnr t 3 =!p lia . .N ,0 1• 3 �. �s..'► ..Z!1.. , 5 `'� `� . . . _ . b , b ,s" 0 1 .-1 1 ._,"_. _21:$4,.., L i , . 0 7 t;4 wc;k1 370m 3 y CITY OF TIGARD BUILDING INSPECTION DIVISION MST 241Iourtspection Line: 639 -4175 Business Line: 639 -4171 BUP 2,650— 00 4 ?7 Date Requested //-' I AM PM BLD Location /Gd PU 5441 RG7 L,f lee Suite MEC Contact Person Ph 5 9 7Z-- Di/37 PLM Contractor Ph(6/3 33 SWR (BUILT Tenant/Owner /.,// 503 - 2 3( eoO ELC Retains' r g all ELR Footing Access Foundation f / pile cG / �� ��� � / of FPS Ftg Drain �G � -/ !/ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm s 'd Ceiling Roof isc: 0 1110 PART FAIL MBING 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 ,/ 7- ed Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT" OP TiGARD BUILDING INSPECTION DIVISION MST 24-lournspection Line: 639 -4175 Business Line: 639 - 417.1 BUP "s.e4v -vv z13 7 Date Requested / d' 3 I AM PM BLD Location /G a Pr a 5 ytil P K (. y Suite MEC Contact Person / / Ph ,Ir3 y 3 Z G 3 7 PLM Contractor Ph 5D3 Z3 L 9°ci, SWR BUILDING Tenant/Owner • ELC Retaining Wall ELR Footing Access �� / / Foundation C-G.Gt ! c FPS Ftg Drain R. ? �G ' Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing / ,VSj c 7 iv Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Sus a'. Ceiling woof dlgeli T isc: Final AR FAIL P UM NG 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 id — 3,0-0a Inspector . Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.