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12415 SW KING RICHARD DRIVE J N Ul �xx .3 LCA n a n a. d n f c l � I 12415 SW King Richard Drive --- CITY OF TIGARD BUILDING INSPECTION DIVISION MST �-- 24-Hour Inspection Line: 639-4175 Business Line: b,,9-4171 BUP _ Date Requested 7' Ila ` —___AM_ , rVII _ BLD — Y Location ,1 k _ �sBit� C) MEC Contact Persons Eh1 �%`� �� e Ph ��7 91 k _ PLM Contractor _ _ Ph SWR Tenant/Owr, ELC --- - Retaining Wall ELR Footinq Access Foundation f/ FPS Ftg Drain r SGN Crawl Drain Inspection Notes: -�-_-- Slab _---._-_— - -------- SIT Post& Beam - — Ext Sheath/Shear Int Sheath/Shear Framing Insulation _.-..- Drywall Nailing _.__ ----__-- Firewall Fire Sprinkler ----__-- Fire Alarm Susp'd Ceiling _.---_----------�__._ - __-- ------- -____ _- -� PASSPART FAIL - -- -------- - __ _ . -- ------ -- --- ------- - -- GING Post8 Beam - ---- -- --- -- --__-_� ___------ -------__-..------___-_.__ - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final --- - -------- PASS PART FAIL MECHANICAL Post& Ream _� - ----- ----- - --- - -----�-__.- 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 ( ( Pcm-1po(lion fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( t Please call for rein,hrction RF — ( J Unable to inEoect-no access Fire Supply Line ADA /7 Approach/Sidewalk ) (� /� Other Date _..K1-_ -----1___1____r�_-� Inspector -____��'1_ _�.. _Ext Final PASS PART FAIL_ DCL NOT REMOVE this inspection record from the job site, CITY GF TIGARD MASTER RERMIT DEVELOPMENT SERVICES F)ERMIT #. . . . . . . : MST98-•0272' 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0E;/30/x-38 F'ARC:E1_: 2 S i 1.5BC--15`300 ',ITE ADDRESS. . . : 1x='41 5 SW KING RIC-11-LARD DR ,3UHDIVISION. . . . : ZC)NIN(3. HL_C)CI;. . . . . . . . . . LCJT. . . . . . . . . . . . . JURISDICTION: I-QIV Remarks: Reroof existing single family dwelling. Tear off replace with 2700 sq.ft of malarkey 3 tab 20 ar. ---------•------------------------------------------------------ BUILDING -----------------•-------------------------------------------- REISSUE: /r//! STORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------- CLASS OF WORK.:F0 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 SPWES: 0 TYPE Or CONST.:5N DWCLLING UNITS: 0 FINBSMEN : 0 sf RIGHT.........: 0 OCCIPRICY GPP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE.. 5810 REAR..........: 0 ------------------ -- --------------- -- -- --- -- ----- ----- PLUMBING -- ------------------------------------------------------ SINKS......... ----------------SINKS.........: a 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 HEAIERF.: 0 WATER LINE ft: 0 BCK,FLW PREVNTR: 0 GREASE 'rRAPS..: 0 OTHER FIXTURES: 0 ----------------------------------------------- ----------------- MECHANICAL ----------------- --- FUEL TYPES----------- FURN ( 10BI( ..: 1, .'1TL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........; 0 OTHER 114ITS...: 0 MAX ;NP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...; 0 --------------------------------------------------------- ---- ELE,,-TRICAL ------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRAI+CH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADD'L 500SF.: 0 201 - 400 amp..: 0 20) - 400 amp..: 0 Ist 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 MANE HMiSVC/FDR: 0 601 - 1000 amp.: 0 601+amps--1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----------------------------------- PIAN REVIEW SECTION ------------------------------ Reconnect only.; 0 1=4 RES IINITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------•--------------------•----------------------- ELECTRICAL. - RESTRICTED ENERGY -----------------------•-------------------------._. A. SF RF_SIDENTIAL----------------------------- B. COMMERCIAL----- ---- - -------------- - -- ------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.; FIRE ALARM.....: INTERCOM/PAGING: O(JTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER........ : HVAC...........: L.ANDSCr1PE/IRRIG; PROTECTIVE SIGNI-: GARAGE OPENER.. . CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL t SYSTEMS: 0 Owner: -----------------------------------Contractor: --- -------------------------- TOTAL FEES:$ 59.33 LEWIS HILTON HERMAN ROYBAL This permit is subject to the regulations contained :n the 12415 SW KING RICHARD AVF 6288 SW SEVILLE AVE Tigard Municipal Code, State of Ore. Specialty Codes and all KING CITY OR 97224 LAKE OSWEGO OR 97035 other applicable laws. All work will be done in acr-ordance with approved plans. This permit will expire if work is Rhone N: 639-0782 Phone JI: 697--6916 not started within 180 days of issuance, or if the work is Reg 1..: 123001 suspended for more than 1B8 days. ATTENTION: Oregon law ___-----.-------------------------- ------------ requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0014010 through OAR 952--001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. ------------ ------- - ---- -------- -------------- REQUIRED INSPECTIONS ----------------------------------- -._.. Misc. Inspection Building Final i issr.ied 8y : - Poermittee Signatr.:re: +++++++++++++++ + ++ +++� — +++•+-++++-+++ +-+++++4 +++a-+-+-+ +��� }+++ Ca11 f,�9-�+175 by 7.00 p. M. for an inspection neede �t`hP 11ecries day CITY OF T'GARD Plan Check#: _ 13125 SW HALL. BLVD. Recd By: I''ARD OR 97223 RE-ROOFING PERMIT APPLICATION fate Recd:_ �- V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to PE: F-503-598-1960 Date to DST: Permit# �1i' Called: Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY M !I/ Material Documentation VBG Appendix 15) Street Address Ste# Please fill out applicable Rection and attach copy of roofing Job Site / _ !- specifications. bldg city/State Zip Listed Assembly (Circle b Complete-� A,B e% — f'/ C/ �'� A. Name 1. Specification Applicant Mailing Address 7 Manufacturer: - _f1 ] TAA 2Cla ,. . W, K11y tflowi !ill City/State ZipPhone3a UL Cin-Afication: '_0 79-2 Roofing Name Listed UI_Building Materials Directory Page#: Contractor - lyyl F (OR) (Prior to issuance Mailing Address 3b 'JVamock Hersey applicant must } (�.; -- provide a copy or City/State Zip Listed Warnock Hersey Directory Page#:_ all contractor / ( PROVIDE COPY OF ASSEMBLY) licenses if Phone Fax --------`------------ ---- ----- expired in COT - � .y/� B. ICBO Research#: _ database) State Constr Contr. Board# Exp,Dat©, -ED: BUILCIING INFORMATION C S. L PU POSE ROOFING: WOOD SNAKES - -�- Building -Type Of Use (circle one) (review required by plans examiner) SF SFA COM MF f t_nIc ng- Type af'Construction: �— - VALUATION OF PROJECT $ Existing-Deck Type: - -��-- -i Permit fee based on valuation* Combustible (`, ) Non-Combustible ( ) _ 'see Chart on back $ RESIDENTIAL ONLY Class of Work:Alteratlon -- City use only: - WACO: - _- Q REPAIR (MAJORA(review required by plans examiner) (BUILD) �� (UBUILD) Permit required ONLY when spaced sheathing is covered by — -- v- - -- solid sheathing or roof line is changed. _ 5% State Surcharge $ City use only. WACO: _,_-- SUBMIT THREE 3 SETS OF PLANS SPECIFYING -1..�-.--.-- (TAX) (UTAX) A. Roof area 8 nearest street --B. Attic vents- Provide 1 sq. ft for each 150 sq. ft. of attic 65% Plan Review $ space. Vents shall be located in the upper 1/3 of the roof. City use only. WACa _ Provide 1 sq. ft. for each 300 sq ft.when eave 8 attic (BUPPLN) (UBUPLN) venting is provided — - --- _ TOTAL_ $ STEP 1'. COMMERCIAL O14LY I acknowledge that I have read this application and that the Class of Work: Repair 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 applicable) are in U RE-ROOF (circle A ,B or C) compliance with Oregon State law. A. Existing built-up roof covering to be REMOVED and deck repaired- Signature of Owner!Agent pate-- - R 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 CArftct PersefiName Telephone C Asphalt or wood shingle/shake -- (PROCEED TO STEP 2) 1.ROOF I DOC(dsts)REV 4!98 CITY OF_TIGARD BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT REVIEW TAX PERMIT PROJECT FEES (65%) (5%) FEES _ 1 -11900 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 9" 2.23 75.66 4,001-5,000 50.50 32.8 2.53 85.86 .5,001-0,000 56.50 36.73 2.83 96.06 5,001-7,000 62.50 40.63 3.13 106.25 7,0014,000 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 20826 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 2.38.86 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 T93 269.46 23,001-24,000 164.50 106.93 8.23 2.79.66 24,001-25,000 170.50 110.83 8.53 289.86 25,001-26,000 175.00 113.75 8.75 297.50 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 2.9,001-30,000 19300 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 13423 10.33 351.06 '13,001-34,000 21100 137.15 10.55 358.70 34,001-35,000 215.50 140.08 10.78 366.36 35,001-36,000 22000 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 QOOF1 DOC(dsts)REV 4/98 1-- i N i 1 � r �a r. �1 �a . It KING CITY 16300 S.W.116th Avenue,King City,Oregon 97224-2693 Phone:(503)639-4082•FAX(503)639.3771 Notice To Contractors `'forking In King Chy Due to an iatergoveramencal 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, t'lis form must be signed by a King City staff person. )ting 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 Kin? City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: u�._! V_ located at: /-7-441— S W i/1� �L� /t�Ltd King City Representative I DSTS,XVINST DCH'