Permit CITY OF T1GARD MASTER PERMIT
,w, ,.f, ; DEVELOPMENT SERVICES PERMIT # • MST98 -0233
° �I DATE ISSUED: 06/08/98
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S110CC -05500
SITE ADDRESS... : 16235 SW ROYALTY PKWY
SUBDIVISION •KING CITY NO. 3 ZONING:
BLOCK LOT •029 JURISDICTION: KIN
Remarks: Reroof, tear -off and replace sheathing.
------------------ BUILDING - - - -- — - - - - -- - - --
REISSUE: STORIES • 0 FLOOR AREAS - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- -
CLASS OF WORK.:ALT HEIGHT • 0 FIRST • 0 sf GARAGE • 0 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 GRP.:R3 BORN: 0 BATH: 0 TOTAL - -- -: 0 sf VALUE..$: 4m REAR • 0
-- — -- PLUMBING — - - -- - -
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— — -- MECHANICAL — - - - -- - - - - --
FUEL TYPES- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES • 0 GAS OUTLETS...: 0
- ----------- -- --- - - - - -- ELECTRICAL -- - -- - ----- --- - --
- RESIDENTIAL UNIT -- — SERVICE /FEEDER --- -TEMP SRVC /FEEDERS- - -- BRANCH CIRCUITS— -- MISCELLANEOUS — - -ADD'L INSPECTIONS- -
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 asp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 40 amp..: 0 201 - 4'%%' amp..: 0 1st W/O SVC /FOR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1''." amp.: 0 601 +apps 1M v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 - - --- -- - - ---- PLAN REVIEW SECTION ------------------ __ -
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
-- - ELECTRICAL - RESTRICTED ENERGY ----------------- ----- ------- -- --------- --- ----- ----
A. SF RESIDENTIAL- B. COMMERCIAL --- --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .• BOILER HVAC • LANDSCAPE /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: - - -- ------ - - - - -- Contractor: - - - --- TOTAL FEES:$ 75.66
JOHN BURTON KENYON MARTIN ROOFING & CONST This permit is subject to the regulations contained in the
16235 SW ROYLTY PARKWAY 10701 SE HWY 212 UNIT R6 Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 CLACKAMAS OR 97015 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: 650 -8773 not started within 180 days of issuance, or if the work is
Reg #..: 128516 suspended for more than 180 days. ATTENTION: Oregon law
- -- -- -- - -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
--- _ -- - - - -- REQUIRED INSPECTIONS -
Pre- r oofinn ;
t
Roof Nailing -
Bry-rmt after t
Final inspecti a A / .40 \
Issued By F'ermittee Signature: �,. + ++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +.+ + + + + + + ++ Aliligr + ++ + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next busii=ss day
•
CITY OF TIGARD Plan Chec '
13125 SW HALL BLVD. Rec'd By: °J
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: G.. f ,
V- 503 - 639 -4171 X304 Commercial and Residential Date to PE: ---
F- 503 - 598 -1960 Date to DST: �- �--
Permit #:=/!r7 P 3
Incomplete or illegible applications will not be accepted Called:
�a fF 3ThL( PTO 0
Name of Develo P ment/Busine
ss
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Street Address i'G'1S5 Rol N='9 14Jt.Ste # Please fill out applicable section and attach copy of roofing
Job Site specifications.
d Ci fa te zi
046191014 K►r►6, cat� q . il►ssetet�i Q :: A:
�Z,! � .:_ .. y..: ...�:.�i.Ir�ih:Ct.�it�l Fret@.. A.►: p.. �.. ii.• ��:; �i;:: iiii:: i�' >EEiiE�iE�ii ;:2E��` r����``i�E
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Name 1. Specification #:
s ,M ,u�;
Applicant Mailing Addres 2. Manufacturer:
nil. T NfAD
City /State ip Phone '3a UL Classification:
oe 112 ILI 21t/ -1121
Roofing Name Listed UL Building Materials Directory Page #:
Contractor if l(p t p,nyi peyr,h,4, (OR)
(Prior to issuance Mailing Address , '3b Wamock Hersey :
applicant must 1(70) c /1}') Z L ► U'1 rr),2 e
provide a copy of City/State Zip Listed Warnock Hersey Directory Page #:
all contractor Clik4ANIS oQ �7C5/S *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax #
expired in COT ij 9< B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Date
I7 i:; 4, DATED:
.. :..:..i ..: ..:.: ...: ..:....:..:....:..:.:....: ...:':'.iiiiii'.i:::.i: .iii ii ;:.i::. ?. is i iJ
C. SPECIAL ..E � 1 SEC L PURPO R
. NP SE POOPING: G. W
OOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ �
2./ . sq. ft. 'diet, of roof area ,LZXJ
Existing Deck Type: Permit fee based on valuation'
Combustible ( ) Non - Combustible ( ) ' see chart on back $ 4; 000
> ;aRES5IDENTIAE ; >s<<:: >ONLYs- :Class: >? ?:V.. ork : A tame ton :: :::<: > :< ili:: :.
City use only WACO:':-.: .. ..:.
❑ REPAIR (MAJOR) (review required by plans examiner) .. (BUILD) .. - (UBUILD): •:. ‘7141.
Permit required ONLY when spaced sheathing is covered by a
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) • • (UTAX)` :::•.--::-• `',
A. Roof area & nearest street. *Required for major repairs of Residential l �
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" above * 65% Plan Review $ of 9 3
space. Vents shall be located in the upper 1/3 of the roof. :City:- only: . . : WACO:
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) (UBUPLN) ...
venting is provided. ,
TOTAL $ 7,; ' C" ee
€: >STEP 1 >'> » > : =»s:COMMERG >:; »:<:<;::
...................... � ......... ONE: 1f>:<>:<:< s> ::>:>: ><:< >:;:: >; ::: >:: >:: >:::�:: >; :: �: :
. :: I acknowledge that I have read this application and that the
:Cass :i • :::.:.:::
9 PP
111t�rr.... .
information given is correct that I am the owner or authorized
. ..
Describe work t:;.
to be done: (check appropriate box) �• �• ���� agent of the owner, and that the plans (if applicable) are in
❑ RE -ROOF (circle A ,B or C) compliance with Oregon State law. 4 A. Existing built -up roof covering to be REMOVED and deck
repaired - Signa f er /Ag D ate
B. Existing built -up roof covering to REMAIN: note applicant '
must submit an engineer's review of the roof structural - �— J c(
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. C ct Person Name Telephone
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2)
I:ROOF1.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, UU 1 - 1b, UUU 175.00 113.75 13.75 197.50
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
KING CITY
15300 S.W. 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: — }Le-'
located at: /4=235 , ...11.4.) u)cl
ADCZA
King City Representatie
I.'DSTS\KUNST.DOC
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7r- or0Z3 3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G
BUP
Date Requested AM PM BLD
Location , Z • .• • - to MEC
Contact Person - h PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: p��
Foundation I y�l— 510 FPS
Ftg Drain
Crawl Drain 1 SGN
Slab Not Requested SIT
Post & Beam Found During Research (0 I/
Ext Sheath /Shear
Int Sheath /Shear = l�r►3 nsneetinnfs) in File 411.
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
d Ceiling
Roof
Mis •
.4,S1= PART FAIL
• UMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
F 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 �1
Approach /Sidewalk v - 1 Ext
Other Date /6 / (1 99 Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•