Permit CITY OF TIGARD MASTER PERMIT Vr n
` ��,{, DEVEL SERVICES PERMIT #
DATE ISSUED: 10 - 2 MST 9 7 -0457
�i�, /0/9
__.. 13125 SW Hall Blvd., Tigard, OR 97223 503) 639.4171 46 PARCEL: cS 115PC — 09400
SITE ADDRESS...:16781 SW ROYALTY PKWY ��
SUBDIVISION • k
BLOCK LOT URISDICTION: 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..$: 5817 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 )= 1mK ..: 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 - 2m amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 4m 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 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1Y''. amp.: 0 601+amps -1000 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 0 SYSTEMS: 0
Owner: - - -- ---- - ----- Contractor: --- - - - - -- TOTAL FEES:$ 59.33
RUBY BOHM DAN BURTON CONSTRUCTION CO This permit is subject to the regulations contained in the
16780 SW ROYALTY PKWY 20345 SW PACIFIC HWY Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 STE 109 other applicable laws. All work will be done in accordance
SHERWOOD OR 97140 with approved plans. This permit will expire if work is
Phone 0: 620 -3344 Phone 0: 625 -3044 not started within 180 days of issuance, or if the work is
Reg 0..: 000683 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- m10 through OAR 952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- - - - -- - - - - -- ---- - - - - -- REQUIRED INSPECTIONS --- - -- ---------------- --- — ---- - - --- --------
Framing Insp
Building Final
.
Issued By: Signature: t 6,/j.t.(,L./
++++++++++++++++++++++++ + +± + + + + + + + + + + + + + + + + + + + + + + ++ + + ++ -h + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Recd By: -704___
._
13125 SW HALL BLVD. Date Reed: D-2.10 1
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE:
V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to DST:
Permit #:021f013EV
F-503-684-7297
Called:
Name of Development/Business . STf-F+X::APIVA300f.INGASSEMBWASi:.:.0.:I.i,i0 . ::.W!:•!.: , ,:.it:!; . :::i.i . :trie.::,.:.:j;:*
.f . YAA■401. if :. . iiiiteitai:biliiiiiiiiiiiiiiiiiVadAii4iidlieitii!.1::&::::;:::;::::
Street Address Ste # Please fill out applicable section and attach copy of roofing
Job Site specifications.
Bldg # City/State Zip :';'Llsbi0AssOmblyiq.I'Clr410:&:COMOtite..x.sbecy.g:::::::::::::.i:.ii:.0.:.:::::.
A.
Name 1. Specification #:
R (Alo 66 Liit._
Owner Mailing Adivess 1. k 2. Manufacturer Pa_6c_o
/19 7g0 5/4) / PAA, "L
City/State Zip ne a UL Classification:
k 1 L., g.,. ,
Na e f Listed UL Building Materials Directory Page #:
nAN au 0704 (vtai (OR)
Roofing Mailing Address ,, 3b Wamock Hersey :
Q
Contractor 903 45 .) p ,..,' ...fi /Of
(Prior to issuance Cil/State 'Zip Listed Warnock Hersey Directory Page #:
applicant must 51LO i (1A... 97/ (PROVIDE COPY OF ASSEMBLY)
_
provide a copy of Phone* Fax *
all contractor 14,7S-3) 2.2 (9,275 — 205 14 / B. ICBO Research #:
licenses if State Constr.Contr. Board # Exp. Date
expired in COT 6 g ? V 8'1 'I— fy DATED:
database) COT Bus. Tax or Metro Lic # Exp.Date • (PROVIDE COPY OF ASSEMBLY)
:ButimiSAINFoRmAitomusigatos C. SPECIAL PURPOSE ROOFING: WOOD SHAKES*
Building - ... .e Of Use: (circle one) (' review required by plans examiner)
ar SFA COM MF
Building - Type of ConstDictio • VALUATION OF PROJECT $
wzrier ` r? •''
Existing Deck Type: Permit fee based on valuation*
Combustible (.)Q Non ( ) * see chart on back $
!..RgspENT*1.1.::::.:.1.9m..y: •cla::1; WACO
. :ii:;';:].::. City use only
AREPAIR (MAJOR) (BUILD) , (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. 51( • 5 5% State Surcharge $
City use only: ' WACO:
I
SUBMIT THREE (31 SETS OF PLANS SPECIFYING. (TAX) 1 (UTAX)
A. Roof area & nearest street.
2 , -6 3 65% Plan Review $
B. Attic vents - Providel sq. ft. for each 150 sq. ft of attic City use only: I WACO: • '
space & vents shall be located in the upper 1/3 of the roof. (BUPPLN) I (UBUPLN)
Provide 1 sq. ft. for each 300 sq. ft. when eaves & attic — i
TOTAL $ 7) -- , 5
::: .:::.,.,:, ....... ::::::.
,s:rep I acknowledge that I have read this application and that the •
:
Describe work to be done: (check appropriate box) information given is correct that I am the owner or authorized
C3 RE (circ.le 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 Owner/Agent Date
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 , -- ( m .(,,e,e.„e.._-e_....__ /6)-2-i7
architect or engineer licensed in Oregon. ontact Aer?on Name Telephone
i C. Asphalt or wood shingle/shake re-kr (;674.C.€-_-_ 6 Z2•--
1:ROOF1.DOC (dsts)
I (PROCEED TO STEP 2) I I I
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 68.50 27.40 44.53 3.43 143.86
8,001 -9,000 74.50 29.80 48.43 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 3
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 71.80 116.68 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:ROOF1.DOC (dsts)
c
liki 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: N11 D.c ci - - -
located at: §,4.20 Lt.) l6 -6 y )&4(1-22/j
J ll
(a, \d0
King City Representativ
I: DSTSKCINST.DOC
6/13/00 Activities for Case #: MST97 -00457
2:28:45 PM 4
Assigned Hold Updated 4 �
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 10/20/97 B RECD BON 10/20/97
MSTA008 Permit Created 10/20/97 B DONE BON 10/20/97
MSTA010 Check for prd. restrict. 10/20/97 B PASS BON 10/20/97 .
MSTA725 Framing lnsp BON 10/20/97
MSTA799 Building Final BON 10/20/97
MSTA092 (F) Issue combination permit 10/20/97 B PASS BON 10/20/97
MSTA727 Exterior Sheathing Insp 10/23/97 RC PASS J'H 10/29/97
MSTA945 Request inspection research 5/22/00 ST DONE No Hold ST 5/22/00
MSTA153 Expired by limitation 6/4/00 HAP DONE No Hold AKJ 6/4/00
Page 1 of 1
•
Pruposal
-440 13
•
D • rton Construction Co.
8�
20o SW Pacific Hwy., Ste 109
Sherwood, Or 97140
625 -3272 Attn:
PROPOSAL SUBMITTED TO JOB NAME DATE
Ruby Bohm October 10, 1997
STREET JOB LOCATION
16780 SW Royalty Parkway
CITY, STATE AND ZIP CODE DIRECTIONS
King City, Oregon 97224
HOME PHONE WORK PHONE SOURCE SOURCE DATE
620 -3344 Flyer 10 -08 -97
We hereby submit specifications and estimates for:
Residential Reroof
Tear off all layers of roofing.
Resheet with 1/2" CDX exterior plywood over spaced sheathing.
Install one (1) layer of 15 lb. felt over plywood.
Install closed cut valleys.
Reuse front wall flashings.
Install new painted rake metal. .
Install new painted 1" x 3" drip metal along gutter edge.
Replace existing pipe jack flashings.
Install one (1) new AF -50 attic roof vents.
Replace 8 existing attic roof vents.
No gutter or carpentry work included unless specified above.
NOTE: Price includes permit.
Nail Celotex or Pabco 3 Tab twenty (20) year fiberglass composition shingles.
Customer's choice of color.
Ten (10) year written labor guarantee against any leaks.
Celotex or Pabco 3 Tab twenty (20) year written material warranty. $ 6,123.00 /
70 (u, dt) - S o Crr
Clean up and haul away debris. 6% /7_ Qb
Fully Licensed, Bonded and Insured: Oregon License #68356.
P h.,4 • —
e Propose hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
dollars ($ X 5g /
Payment to made as follows Ca- AJ
1/3 down payment $ ,202)0 — , check # / %3/ , 2/3 balance due upon completion $ 13 e/7 :--
A late charge of 1 per month or maximum allowed by law will be applied to delinquent accounts.
All material Is guaranteed to be as specified. AU work to be completed In a workmanlike Authorized
manner according to standard practices. Any alteration or deviation from above Signature / fiLG•lJe
specifications involving extra costs will be executed only upon written orders, and Peter Gonce
will become an extra charge over and above the estimate. Our workers are fully
covered by Workmen's Compensation Insurance. Attorney fees will be charged to Note: This proposal may be 7
customers if turned into collection. withdrawn by us if not accepted within days
fclreptance Of proposal The above prices, specifications, and
conditions are satisfactory and are hereby accepted. You are authorized .4
to do the work as specified. Payment will be made as outlined. Signature X U �' ` - e �J - ��•.
Date X / G' —
y'
' Specifications Colors
;r ; SG -25 GG -20 SG -25 GG -20
Size 13 -1/4 x 39 -3/8 13 -1/4" x 39 -3/8 • • Black
.7
Exposure 5 - 5/8 - 5 - 5/8" ■<a
• Cinnamon Frost
a
Approx. Bundles .i: Xtd
A Per Square 3 3 s,4lr ;. r
`'"
— 71 __ Approx. Shingles 65 65 • Evergreen Y `
' per 100 Square Feet
I
- -- I • • Gray Frost • 'ffii-Ai , '
. 1 SG 25 and GG-20 shingles meet or exceed the , --9-.
- q ; ',. • v'.
requirements of the ASTM D 3018 Type 1 and .,�=:
C are UL Wind Resistant and Class `A' Fire Rated. • • Maple Red �'
The 3MTr" Algae Block Copper Roofing Granule
'°i - - System is available upon request in the SG - 25. ,
• Mint Frost t ' f1-'
GG-20 Walnut Brown `� ':•= .,.,}
-,n lr.i
f. r •n
1.0 • • Slatestone
PABCO SG -25'
\ • • Star White 17-;x.
and GG -20 ® Shingles
1 •
9 m rs h ` of ..,
The SC. 25 and nc�• CC -20 offer 1 vVI de array NF.;-1`4 '• ` • I r• �� " �� z `-�'
of colors ro choose from to compliment any '. �� �_ „� • • • Timber Ble nd :•,i '
'.
1 '. F Self - sealing adhesive strip „ 4� ,,f.r ...;:..:^:
home in an nei r;.; %i Self - aligning tabs for easier installation «' ��� `...
• .r
As with all PARCO products, SG -25 and CC -20 Embedded ceramic - coated granules •
Walnut Brown
shingles feature a durable, fire- resistant fiber- 55% more weatherproofing asphalt than conventional organic shingles
provides longer roof life
Mass near base for dimensional stability; _
Strong, fiberglass mat base ensures Class 'A' fire - resistance rating — the • Weathered _
weatherproof asphalt coating; and embedded highest attainable from Underwriters Laboratories Inc. • • Wood
ceramic - coated granules that resist weathering.
Plus, a 11111(.1111' Self- sealMg strip, activated by Primed colon shown in this brochure may vary from actual shingle colors.
We recommend color selection be made from actual shingle samples.
the sun's heat, provides additional wind
protection and resistance to the elements.
. () PABCO® Roofing Products
—dD
•
......
.:...* . (1 ('IPABCO
`,..----"' :_._ • .. ,...,
_____
,,,SM,N� An Economical - -li �, —
AR Investment ] „ ;; R
_ . _ -25 0 -20 0
Y 25 Your home is a valuable invest- 19 ' ;` �.,
' . ment that deserves the beauty and Durable Fiberglass Shingles
extra protection of the most _.
6011 .
economical, durable shingles tale
available — the SG -25 and the • I
sHiN .r-rr:1 � .
w AR � ^ m GG -20. Their durability pro- I }��;; �,;; :; h
0 vides longer roof life and the L ; , -_ 45'.....-1-. I _ e i
Y f '4R$ transferable pro -rated limited SG - 25 Gray Frost
warranties of 25 years or 20 years
can enhance the value of your When it Comes to Roofing —
home because the warranty We Cover the West! ;
protection can be passed to any PABCO Roofing Products covers the West with .
plants in California and Washington that serve the
successive owners. SG 25 and , .. Western United States, Western Canada, Alaska, �`
::' -
GG -20 shingles also have a Class Hawaii and the Pacific Rim. Through a network of ~ ~ " y -
'A' fire rating and UL Wind independent distributors, PABCO Roofing Products
Resistant label for that extra is uniquely qualified to satisfy residential building 1 7 '�
:
protection for you, your family needs in a timely and efficient manner. '- I \ •
PABCO Roofing Products manufactures other _ - ____ _���
and your home. , , _ =___
,.
fiberglass, Class A fire rated shingles, as well as -
mi n eral- surfaced roll roofing, asphalt felt and - III
other specialty roofing products. I , _
�t' 1
I 1 1111
Distributed By
I
SG - 25 Evergreen
() PABCO® Roofing Products
w A Division of Pacific Coast Building Products
Tacoma, WA (206) 272 -0374 Richmond, CA (510) 234 -2130
01996 PABCO Roofing Products. All trademarks ® are registered trademarks. SG -25 and G6 -20 are
registered trademarks of PABLO Booting Products. 3M and Algae Block are trademarks of 3M.
Printed in the U.S.A. (Tacoma)
7/96