Permit CITY OF TIGARD MASTER PERMIT
A ' DEVELOPMENT SERVICES PERMIT #.......: MST9B -0043
-^ � �1 13125 SW Hall Blvd., Tigard, OR 97223 503 639°4171 DATE ISSUED: ¢�` s7 9B
__
PARCEL: 25115BB- 0160Q1
SITE ADDRESS...: 16375 SW ROYALTY PKWY
SUBDIVISION... . 2 ZONING:
BLOCK LOT JURISDICTION: KIN
Remarks: Re -roof
- - - - -- - - - - -- 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 BDRM: 0 BATH: 0 TOTAL - - -: 0 sf VALUE..$: 6646 REAR • 0
— - -- --- - - - - -- - - - - - -- PLUMBING — ------- - -----
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— -------- - - - - -- --- - - - - -- MECHANICAL - - - - --
FUEL TYPES -- -- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 6AS OUTLETS...: 0
- -- --- ---- - - - - -- ELECTRICAL -------------- - - - - -- - - - --
-- RESIDENTIAL UNIT - -- - -- SERVICE /FEEDER ---- —TEMP SRVC /FEEDERS— - -- BRANCH CIRCUITS - -- - -- MISCELLANEOUS - - -- — ADD'L INSPECTIONS -
1'A0 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MRNF HM/SVC/FDR: 0 601 - 1' amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 --- - - - - -- PLAN REVIEW SECTION —
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 6■'i V NOMINAL: CLS AREA /SPC OCC:'
-------------------- ELECTRICAL - RESTRICTED ENERGY ---- - --- --- ------- --- ----
A. SF RESIDENTIAL - - - -- - - - -- — B. COMMERCIAL --- - - - - --__________ -- _________ ___ ____ - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: — Contractor: - - -- TOTAL FEES:$ 106.26
MARIAN TRYTHALL HERMAN ROYBAL This permit is subject to the regulations contained in the
16375 SW ROYALTY PKWY 1982 NE HYDE ST Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 HILLSBORO OR 97124 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone *: 681 -8933 not started within 180 days of issuance, or if the work is
Reg &..: 123001 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 --------- - - - - -- --------------- -
Exterior Sheathi
Building Final
Issu By: 6• Permittee Signature. _ ' _. _
++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + +i //+ : ++ + + ++
Call 639-4175
by 7:00 p.m. for an inspection needed n .usines day
CITY OF TIGARD Rec'd By: g.Mckil ,-
1,2.125 SW HALL BLVD. Date Rec'd: - z-- - 2-7 - `11) .
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION -Date-terPE:
V- 503 - 639 -4171 X304 Incomplete or illegible applications will not be accepted Date-to-DST: 2
F- 503 - 598 =1960 P PP P Permit #: rA5T 1-7 �+-'3
Called:
. -•-
of -
Name to menUB i
us
...i �� _ I'> a ctCk?I;i>►ii end ...:.;.. .+► �..::: ::::•• .:... ..........:::::::._...:::::::::
Street A.. ress / ; - Ste # Please fill out applicable section and attach copy of roofing
Job Site /( 3. / specifications. i
Bldg late Zip Lf:: embly : »::: {::Clidtatiii plete i ilbeC ni:: :iili ::'`:> Niiii>:>::: ;: >::
b 97 � A.
Name 1. Specification #: .• '`G.. % %d '��. •
�>. � % I / / i
Owner Mailing Address 7 2. Manufacturer. . 1�
City /State Zip Phone 3a UL Classification:
-2V
Roofin g N a l' ' ' �r"
o /7 • Listed UL Building Materials Directory Page #:
Contractor � !'�'� (OR)
(Prior to issuance Mailing s • ; ; v 3b Wamock Hersey :
p
a licant must i , l 7�J
provide a copy of /Sl_at� p Listed Wamock Hersey Directory Page #:
all contractor � r 7 S (PROVIDE COPY OF ASSEMBLY) _
licenses if Phone # �
expired in COT 6 f 7 /z6 B. ICBO Research #:
database) State Constr.Contr. Board # F�c ate
/2-r30/ i
DATED:
;:.: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES*
iEtlY# �: Il��: tl! Rfilf�' �a01! f:::::::::>::::>::::>::::>::::::::>::>::>:>::::>::»::»>::::>:: :
::>:<>;»:>::::>::::> ::::: >:<: >: >:: »:: >:« <: >:::::::.
Building - Type Of Use: (circle one) (' review required by plans examiner)
........................ ..........
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ ( .( c P ( i / / _ I Q ,co
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible ( ) • see chart on back $
�. .
:::; >If SIQEN':�A� > €....t3 . ... �: 11IfQi'ft.::A�I ::: > >: >:<: » » >; >;:.: »:: >::::::. ,.««. >;; ; : �; ::>:::>:::::::::>::::>: < >:::;:::: >:: >::.:::: >:::: ` > <:::;::: ;::. >::«;:;:::: >;;
.. ........ ....................... �.::::::::::::::::.�........ CI ::.use: on .;;::: »:: >:<: >:<<: <: WACO,:.:.: :.:...::::..::. ...:..:::. :::
REPAIR (MAJOR)
B UILD :<: >: >:: < >; » < >::<: »: UBUILD :<:>::::>:: :.:: :: .
Permit required ONLY when spaced sheathing is covered by
solid sheathing. 5% State Surcharge $
n : > :. <WA , O <> : > > :» :!> >:: >:_> `: »> ; <: <:=:::< ; >: :< < < > ?:
;City,: use o. fY:_:.: > <� .. ; ; :::>; �.;:.:;;:.;::.; .;:.; >: >;:;:; . >;. >: >:: »:::<<: »
SUBMIT THREE (3) SETS OF PLANS SPECIFYING. , ;::; :; >:: .::.;;.; .; >::;.;;;,. ;:
O ::::::0::: (TAX).:::::::;:::::;:;:::::::::;:::: _ >:. >: >:: >::::: >:: j:UTAX):::::: >::> >: <:> . .......... ::..: :. ::::: :::
A. Roof area & nearest street.
65% Plan Review $
i e 1 ft. for Attic vents Prov d sq. ft o each 15
B. ttic ents 150 s . ft of attic
AGO > >: "::: >: >:` > <s::: >:::`> ' :' ::<' ; >: >::<::: > >
_ q q ; City_ use:: only'< W .:.:::::..:::;::.:; .:;::. >:::<.:<.:<.::. >:.,.;::> ::.;:.;:::: .
:: <:
shall be located in the roof. :< > <, : : : :.. : :::::::.. BUPUN '
space & vents sh e t e u er 1/3 of the roo BUPPLN : :: ::; > ::<: > ::::::::::: >:: >::::: I:I> <:' i:::;.;::... :;::::., ;.:;;:.:
Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic
TOTAL $ 1 0 (o A 7-C
:.P? . > < > wi:C .: > <° <> : NLY > > >` ; :<: > > > > > » this application and that the
� .:::.�: r !M IV�� �! .::::::::::. � I acknowledge that I have read t PP
0 ,1f.::��::> R ..:.....:::...:::::..:::::::::::::::::::::::::::::::::::: :N::::E::::::::::::: information given is correct; that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicabel) are in
f ( ' RE - ROOF (circle A ,B or C) compliance with Oregon State law.
A. Existing built -up roof coveting to be REMOVED and deck
repaired - Signature of Owner • , ent AO Date
B. Existing built -up roof covering to REMAIN: note applicant / ,1% 7.
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. • - ct Pe .- o . ame Telephone
C. Asphalt or wood shingle /shake <l 97 —��
��
(PROCEED TO STEP 2) </ `� G
I:ROOFI.DOC (dsts)
. _. -- - . . •
•
4/24/00 Activities for Case #: MST98 -00043
5:09:14 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 2/27/98 B . RECD BON 2/27/98
MSTA008 Permit Created 2/27/98 • B DONE • BON 2/27/98
MSTA010 Check for prcl. restrict. 2/27/98 B PASS BON 2/27/98
MSTA799 Building Final 3/9/98 KS PASS J *H 3/10/98
MSTA727 Exterior Sheathing•Insp 2/27 /98 2/27/98 KS PASS J'H 3/5/98 Approved as noted: Provide
ventilation at upper portion of
roof ARSA 1/300.
MSTA092 (F) Issue combination permit 2/27/98 B PASS BON 2/27/98
MSTA970 Case Finaled 3/9/98 KS PASS J *H 3/10/98
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Page 1 of 1
3 -
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
(j Y Date Requested: ( P 5 / A.M. P.M. MST: 7 O ' O0
Location: f 3 50 N /'# a/ ;" or BUP:
Tenant: 11 Suite: Bldg: MEC: •
Contractor. _ Phone: �p q7-6q/-6 PLM:
Owner: N.1 r p Phone: �o a- 5 of- JAS / q ELC:
U ELR:
SIT:
BUILDING BLDG (con't) . PLUMBING MECHANICAL ELECTRICAL SITE
Site Po o ' • st/Beam Post/Beam Cover /Service Sewer /Storm
Footing • oo / • % ndFl/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
Approver Approved . Approved Approved Approved
Appr /Sdwlk o proved Not Approved Not Approved Not Approved Not Approved
�1� FINAL FINAL FINAL FINAL FINAL
fa . -o c =__A•■ /.C,4,, D AV _ ` U -,c- v e #Oti e5'. ' ate°
,4i s 4 3 00
0 Call for re' .:.. o 1 / 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
..... irA
Inspector: Date: 3 -5 Page of
3' �� an/ X2 2 '4106 • CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / — 1 I 0 A.M. K / P.M. MST: q8 -0043
Location: 16 350 � £ey i // Pkei�L/i— BUP:
Tenant: Suite: fJ Bldg: :
dg MEC•
Contractor: Gii 0 ROYAAl- Phone: A 7- 6 9 i & PLM:
Owner: 17--Y1 k L{...-- Phone: ELC:
ELR:
SIT:
BUILDING — , LDG 1 n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site •ost/Beam . (/ Post/Beam Post/Beam . Cover /Service Sewer /Storm
Footing ; oo ... UndFl/Slab Rough -In Ceiling Water Line
Slab ramie 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
• I , o : ■ Approved Approved Approved Approved
Appr /Sdwlk • o • roved Not Approved Not Approved Not Approved Not Approved
AL FINAL FINAL FINAL FINAL
I
O Call for reinspec • • 1 4 Cl Reinspection fee of $ required before next inspection Cl Unable to inspect
Inspector: •
Or
Date: — 5'2 Page of