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Permit CITYOFTIGARD DEVELOPMENT SERVICES PERMIT # BUILDING PERMIT TF'98 -0088 .1440' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 02/20/98 PARCEL: 2S11OCC -02300 SITE ADDRESS...: 16290 SW ROYALTY PKWY SUBDIVISION • KING CITY NO. 3 ZONING: BLOCK • LOT -032 JURISDICTION:KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION — CLASS OF WORK.: O FIRST • 0 sf N: S: E: W: TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST.: 5N .... 0 sf N: S: E: W: OCCUPANCY GRF'.:R3 TOTAL • 0 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 1 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 7685 Remarks : Reroof existing single fa.ily dwelling. Tear off and replace sheathing, replace with comp roofing material. Owner: FEES MARTHA BUSH type amount by date recpt 16290 SW ROYALTY PARKWAY PRMT $ 68.50 GEO 02/20/98 98- 303463 KING CITY OR 97224 SPCT $ 3.43 GEO 02/80/98 98- 303463 PLCK $ 44.53 GEO 02/20/98 98 -03463 Phone #: Contract or: HERMAN ROYBAL 1982 NE HYDE ST HILLSBORO OR 97124 Phone #: 681 -8933 $ 116.46 TOTAL Reg #..: 123001 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 fore 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 - 00101987. You .any obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. u Permittee Signat_ire- Iss_ied By: 4 + + + + + + + + + + + + + + + ++ +;+4. +++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +,! + + +++ + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next bi iness day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Recd By: 13125 SW HALL BLVD. Date Recd: TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date to PE: V- 563- 639 -4171 X304 • Incomplete or illegible applications will not be accepted Date to DST: F- 503 -684 -7297 Permit # . 4, '�` Called: Name f Q evela Business STEP ,N 2:: ROOFING A93EMBLY..:'.:<: ' >:< 7-� (./ atsrfai ooeuin.ntitlon'(tJec Appendix � 1ST ' � °:°:. >;. >.:::�.:�<: ><: >:::� >': Street A C� 0 Please fill out applicable section and attach copy of roofing Job Site lb 2, . l 2 4c4r z ' specificatio s. Bldg # City Stat j, • Listed Ass . ;. ( Circle B Complete A. B or C)� " ; :!, :-s. ;<; <:; :: . ::• ;.. � 7 A. Name 1. Specification #: Owner Mailing Addre 2. Manufacturer. City /State 1 Phone 3a UL Classification: 96r -vzs N e , / GG Listed UL Building Material Directo - age #: , �?/' rS10/ L Au ✓ i i (OR) - Roofing sing Address c 3b Wamodk Hersey : Contractor 6,2e '.S,l��, S .aiYi k (Prior to issuance C t fe Zi) _ Listed Wamodt Hersey rectory P- • e #: applicant must #'ip c 2 . Y0D35 - (PROVI COPY OF AS MBLY) provide a copy of Phone* # all contractor bf 7 6, /. B. ICBO Resear licenses if State Constr.Contr. Boards Exp. ate . expired in COT a- 300 f 5 r DATED: database) COT Bus. Tax or Metro Lic S Ex .Date (PROVIDE COPY OF ASSEMBLY) BUILDING:INFORMr4TIQN \ \•: <;t:<; : <;{ '; • < ; <s4> _: >;z:.;> ; :: C. SPECIAL PURPOSE ROOFING: ..... :....... .:. \. \ .�.a�..,.�.a...�,.`.a�.a •: .�,:�.:: >�:� >:: >;:<.��.�..�;::. 1NG: WOOD SHAKES' . Building - Type Of Use: (circle one) ('review required by plans examiner) SFA COM MF 3uilding - Type of Construction: VALUATION OF PROJECT xistin e Deck Type: $ 7 & J �' 9 yP Permit fee based on valuation' (X') Non - Combustible ( ) • see chart on back S R_S 1 _ WEI�FiA�<< <:sONI:. _: ligi � ::;: >:.: >fi� > :..., . . �:,,; :«::.:::,.... .... ., ,... . ,.:,,<:..,....,.;.: : City use only: � WACO: EPAiR (MAJOR) (BUILD) 1 (UBUILD) �p 5 Permit required ONLY when spaced sheathin i s covered b P sheathing by solid sheathing. 5% State Surcharge 5 3, 7 3 City use only: '.. - ; WACO: - • -- ( U MIT THREE (3) SETS OF PLANS SPECIFYING. (TAX) - • • t • - (�qa) Roof area & nearest street 65% Plan Review $ 2ttic vents - Providel sq. ft. for each 150 sq. It of attic City use only: WACO: space & vents shall be located in the upper 1/3 of the roof. - (BUPPLN) l (UBUPLN) 5:3 Provide 1 sq. R for each 300 sq. ft. when eaves & attic / C�{6 TOTAL $ f / L O • EP 1:_ :: >::> :<:: <:::..94 t3�ERCt/?tE. > ::::«?.:::,'.:::,;:::.:-:< i:i- ;. :::::::;: >:. I �� � ...... acknowledge that I have read this application and that the Jesaibe work to be done: (check appropriate box) information given is correct that I am the owner or authorized O RE - ROOF (circle A .B or C) agent of the owner, and that the plans (if applicable) are in A. Existing built -up roof covering to be REMOVED and deck compliance with Oregon State law. repaired - Signature of Owne • gent Date B. Existing built -up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural e .-- / r" 0 ,- a 0 elements. Review shall bear the seal (or stamp) of the , - " architect or engineer licensed in Oregon. '`C • - e o • a Telephone C. Asphalt or wood shingle/shake � �� �� / _G7 _ n (PROCEED TO STEP 2) r /fey C�7 i:ROOFI.DOC (dsts) CITY OF TIGARD BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT • FEES (40 %) (65 %) (5 %) FEES 1 -1500 25.00 10.00 16.25 1.25 - 52.50 1,501 -1600 26.50 10.60 17.23 1.33 55.66 1,601 -1,700 28.00 11.20 18.20 1.40 58.80 1,701 -1,800 29.50 11.80 19.18 1.48 61.96 1,801 -1,900 31.00 12.40 20.15 1.55 65.10 1,901 -2,000 32.50 13.00 21.13 1.63 68.26 2,001 -3,000 38.50 15.40 25.03 1.93 80.86 3,001 - 4,000 44.50 17.80 28.93 2.23 93.46 4,001 -5,000 50.50 20.20 32.83 2.53 106.06 5,001 -6,000 56.50 22.60 36.73 2.83 118.66 6,001 -7,000 62.50 25.00 40.63 3.13 131.25 7,001 -8,000 - •8.50 27.40 - 0 p 143.86 8,001 -9,000 74.50 ' 29.80 • =. • 3.73 156.46 9,001- 10,000 80.50 32.20 52.33 4.03 169.06 10,001- 11,000 86.50 34.60 56.23 4.33 181.66 11,001 - 12,000 92.50 . 37.00 60.13 4.63 .194.26 12,001 - 13,000 98.50 39.40 64.03 . ._ 4.93 _ _ 206.86_ _... - . 13,001 - 14,000 104.50 41.80 67.93 5.23 219.46 _ 14,001- 15,000 110.50 44.20 71.83 5.53 232.06 15,001- 16,000 116.50 46.60 75.73 5.83 - 244.66 - 16,001 - 17,000 122.50 49.00 79.63 6.13 - - 257.26 • .__ 17,001- 18,000 128.50 - 51.40 83.53 6.43 269.86 18,001 - 19,000 134.50 53.80 87.43 6.73 282.46 19,001- 20,000 140.50 56.20 91.33 7.03 295.06 20,001- 21,000 146.50 58.60 95.23 7.33 307.66 21,001- 22,000 152.50 61.00 99.13 7.63 320.26 - 22,001- 23,000 158.50 63.40 103.03 7.93 332.86 23,001- 24,000 164.50 65.80 _ 106.93 8.23 - 345.46 24,001- 25,000 170.50 68.20 110.83 8.53 358.06 25,001- 26,000 175.00 70.00 113.75 8.75 367.50 26.001 27,000 179.50 7t80 116.68 8.98 376.96 27,001- 28,000 184.00 73.60 119.60 9.20 386.40 28,001- 29,000 188.50 75.40 122.53 9.43 395.86 29,001- 30,000 193.00 77.20 125.45 9.65 405.30. 30,001- 31,000 197.50 79.00 128.38 9.88 414.76 31,001- 32,000 202.00 80.80 131.30 10.10 424.20 32,001- 33,000 206.50 82.60 134.23 10.33 433.66 33,001- 34,000 211.00 84.40 137.15 10.55 443.10 34,001- 35,000 215.50 86.20 140.08 10.78 452.56 35,001- 36,000 220.00 88.00 143.00 11.00 462.00 36,001- 37,000 224.50 89.80 145.93 11.23 471.46 37,001 - 38,000 229.00 91.60 148.85 11.45 480.90 I:ROOFI.DOC (dsts) } ligif KING CITY 15300 SW. 116th Avenue, King City, Oregon 97224 -2693 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: .1,ca Off - /�, 21. located at: A 5 L) 1 e 4 Z4 ), ,ei King City Representa ve f: 'DS TSUCCENST.DOC 1 - 46 / 4 I\ , . . / . • C7 1 • / .., ,-. . �I a ' C CITY OF TIGARD I Approved [ ]: / . Conditionally Approved [ ]: For only the work described in: PERMIT NO. 4 03 . 0/J "crc) See letter to: Follow [ ): Attach [ J 1 Job Ad ss • 0 2 C1 Sir Rf 4� rY OA Cli S B C Date: 02 - 2X1 -1 - 5" . 2)Y471 ■6‘e--4.-, /4 a r �/ ,r • / bzga V, L(4 ,,li,Gee 0123 toi CITY OF TIGARD BIIILDING SPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: o . - o - - - 9 8 A.M. P.M. MST: f ` / Location: ) 22 q O key ally, of BUP: ?s - /� Tenant: I i T A C� p ` Bldg: MEC: O /L� Contractor: .�' Phone: (D ! 7 - 7 6 PLM: Owner: fi Phone: ELC: ELR: SIT: BUILDING BLD (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site ost/Beam ' Po Post/Beam Cover /Service Sewer /Storm Footing ' oo ,4 '/ I e dFl/Slab Rough -In Ceiling Water Line Slab - . g op Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt <=2W- pproved Approved Approved Approved Approved Appr /Sdw7k proved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL IIP Q - • , __ ..' AL ..1 0.0.../. : !/./ - "-F d . /.v• 0 - r4 r l C It Ar AI --'V -' � 3 c v A 4 7 , ' Y 4 4 ) / 1USr , ,c-T - Ye/c..) • - -se -,.-- C.. - , -,� r$. - ©' '��0., O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Z - ,s' - "S Inspector: Date: —' Page of 3 -4 CITY OF TIGARD BUILDING INSPE ION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: ,3 98 del l \ P.M. MST: Location: / :5,.(A) a / P ` BUP: 98 -x./88 Tenant: ��JJ CJ Suite: p Bldg: MEC: Contractor: 4 / s/_ &t j y, Phone: 6'97 ! �� PLM: Owner: '722 . Q Phone: ‘?6 D s0 –S ELC: ELR: SIT: BUILDING B P - + I PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Cover /Service Sewer /Storm Footing • oof UndFl/Slab Rough -In Ceiling Water Line Slab raining Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt pproved < Approved Approved Approved Approved Appr /Sdwlk pproved Not Approved Not Approved Not Approved Not Approved ,--rrINAL') FINAL FINAL FINAL FINAL • 0 Call for re =. '.1 0 Reinspection fee of $ r =• uired be • e next inspection 0 Unable to inspect ilia Inspector: 0 Date: Page of