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16605 SW KING CHARLES AVENUE d J � O Vi cn S 0 2 D X r m D m 1 16605 SW KING CHARLES AVE _ •u d v U C yW m m m $ -77 m m m � O .y F i bD w u, Vi Cn hC p a. a 8 a +� O O O C O a, z z z z z Q a a �+'Ari V m Ji e� r U v �d c c J O^J J � 1! i F �) a Q1 v c �,• y, a• � � a, is = �� °' '`' 'u. !:!-� 8. u f;] o r'f h 00 n c o 00 00 o rr te. a a a a¢ a , a BUILDING PERMIT CITY OF TIGARD PERMIT M BUP2001-00229 DEVELOPMENT SERVICES DATE ISSUED: 6/12/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S11513C-05500 SITE ADDRESS: 16605 SW KING CHARLES AVE SUBDIVISION: ZONING: BLOCK: LOT: JURISDICI'ION: KIN RFI"SUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N. S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? UCCUPA14CY LOAD: BASEMENT' sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED____ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: B QTHS: IMP S"IRFACE: PRO CORR: PARKING: VALUE: (p 0 0C? . 00 Remarks: Re-roof and replacement of sheathing. Ow,rer: Contractor: BAXTER, GEORGE C AND ARROW ROOFING MARY A P.J. BOX 55097 16605 SW KING CHARLES PORTLAND, OR 97238 KtI�PhQ CITY. OP, 97224 one: Phone: 503-460-2767 Reg #: LIC 115153 _FEES PE:wUIRED INSPECTIONS Type By Date Amount Receipt Dryrot After Tear-Off Insp PRMT CTR 6/12/01 $100.90 27200100000 Final Inspection FPCT CTR 6/12/01 $8 07 272001000n0 Total $108.97 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. 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 more than 180 days ATTENTION: Oregon lard requires you to follow the rules adopted by the Oregon Utility Nofification Cents:r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by c�.;ling (50)246-6699:41- 1-800-332-2344. Permittee Signature: �— ---- Issued By: �'s� Cali 639-4175 by 7 p.rn. for an inspection the next business day litulding Permit Application -- Date rcceived:r" � Permit no.: City of Tigard ProjccUappl.no.: Expircdatc: Ciryr�jTi�arA Address: 13125 SW Hall Blv-i,Tigard,OR 97223 - — Phone: (503) 639-4171 Date issues , By J`J/ Recriptno.: Fax: (503) 599.1900 Case file nc.: Paymernt type: land use approval: _--__--_ 1&2 family:.:implc Complex: TYPE Or- PERMIT W I &2 family dwelling or accessory U Comniercial/industrial �J Multi-family U New constniction U Demolition U Add itiordalteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: L JOB SITE INFORMATION Jvb a_ddress: l F' i `. Il!dg.no.: _ Suite no.: - Lot: Block: Subdivision: -- — Tax map/tax lot account no.: - - Project name: iE7!t���)��=. -- -- — -- Description and location of work on prcmises/slhecial conditions: 0117�111 FOR SPECIAL INFORMATION, Name: �� ! ��X '. Mailing address: " I&2 family dwelling: Cit State: ZIP 7 Valuation of work.......................... ... ......... $�0 y �- r-�- Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Q Total number of floors................................. - Plume: Fax: E-mail: New dwelling area(sq.ft.) .......................... _- Garagelcarport area(sq.ft.)......................... -- Name: Covered porch area(sq.ft.)......................... __ _. ---- - - ----- -- Deck area ft. Mailing address: .........................Y......... -- �_._..� _ -_-- --- Otter structure area(s ft. _ City: state TZIP: q. -Ls la -`� (:ommerciaUindatitrfaUmulti-famil !'hone: Fax: E-mail: Valuation of work........................................ $_ -- Existing bldg.area(sq.ft.) . Business name: ��-; j fif/, /,�Jf'—`. _ New bldg.cess(sq.ft.) ................................ _ Address: Number of stories City: State'✓% ZIP: Type of construction.................................... __— Phonc: Fax: E-mail: _- Occupancy group(s): Existing: New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nance: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City: State: ZIP: exempt from licensing,Ute following reason applies: Contact person: Plan no.: - -` ---- —� —�- Phone: --�— Fax: E-mail: - -- ---- _ Name: Contact person: Fees due upon application ........................... $ Address: — v Date received: City: State: ZIP: Amount received ......................................... $____....._____ Phone: Fax: Email: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not all Jwisdictiom secq+r eredh cu&,please cal Jurisdiction for nine information. attached checklist.All Provisions of laws and ordinances governing this ❑visa U Mastetcand work will be complied hetbrlr s rr herein or not. Credit card number: - _--- P yvU�.vy i?y sed �, r xp R' Authorized signature: X f'~`�=�— Date:, r / Name of ardholdr�r a.t,mn,on ceteil - s Print name:� .4,! L' - E: 1.:� --_ cranoiee�at"fure -- Amount Notice:This permit application expires if a permit is not obtained within I days fler it hasbeen acceppted/as complete. "04613 OWrt'oM) i� RE-ROOFING PERMIT CHECK LIST RESIDEN'T'IAL ONLY - Class of W(1:i" A.itf;ratiun I REPAIR (MAJOR) (Ilan review me fired by plans examiner) Building permit is required when spaced sheathing is covcrPd by solid sheathing and/or changes are made to roof line SUBMIT TWO (2) S,- ,S OF PLANS SPECIFYING: A. Roof area and nearest street. $. .,ttic vonts: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sqft, when eave and attic venting is provided. 4 Note: No permit is required for residential re-roof if, (1) not more than three layers of roofing will exist upon completion of the roofing or, (2)sheathing is not being applied over spaced sheathirq (spaced sheathing usually exists when wood shingles were initially - COMMERCIAL ONLY - Class of Work: Repair STEP 1: ---- - -- --- -- ------- ❑ RE-ROOF (circle A, B or C): A Existing built-up roof covering to be REMOVED and deck repaired. B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's review of thf, roof structural elements. Review shall bear the seal (or stamp)of the I architect or engineer licensed in Oregon. J C. Anhalt or wood shin le/g shake�(PROCEED TO STEP ?; COMMERCIAL ONLY - Class of Work: Repair - STEP 2: NEW ROOFING ASSEMBLY Material DocumentationUBC Appendix 1)__ Please fill out applicable section and attach copy of roofing specifications._ Listed Assembly _Circle and^complete A, B or C): A. 1 Specification #: 12 S f1k, 2. Manufacturer:_�_fZ�.i�i] 3a. UL Classification: EJListed UL UL Building Materials Directory Page#: OR 3b. Warnock Hersey:____ Listed Warnock Hersey Directory Page 'COPY OF ASSEMBLY REQUIRED B. ICBO Research #:—_,_ _ Dated: C_ SPECIAL PURPOSE ROOFING: WOOD SHAKES Review required by plans examiner. VALUATION OF PROJECT: $ _sq. ft. ,�of roof area C? Permit Fee based on valuation: (see Building Permit Fees chart) 8% State Surcharge: 65% Plan Review Fee: (Required for major repairs of Residential or Assembly item"C"above. TOTAL- i.dsts\forms\roofcheckIIst doc 10/05/00 n T, KING CITY 15.'.;#0 AV.116th Avenue,King City.Oregon 9-,'—"'4'693 Phone:(503)639.4082•FAX(003)639-3771 Notice To Contractors Working In Mina City Due to an mter,overnn:c:ra:.i a_grecrnent with the Cite of Tigard. many building related permits for projects in King Cir: are issued and inspected by,the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW. simple complete the appropriate application legibly and submit it to the King City staff. The Kine City staff vvill collect all fees and fax the application to the City of Tigard. City of Tigard staff v.ill then, create the permit, i;=:ue the permit. and perform inspections. Please indicate on the permit application wl' ether you would like the Tigard staff to call you when thepermit is ready for issuance or whether you prefer it to be mailed \yithout anv notification. Arty incomplete or illegible application a.ill be returned to Kim: City staff for correction and n:1 processing vyill occur until a complete. legible application is reWved. If your permit application DOES REQUIRE PLAN REVIEW, this form must 11C signe d by a )'ling City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the Cite of Tigard Development Services Counter located at 1312-5 SVS' Hall Blvd. Tieard. to submit applic,tions and plans. Deyeleptnent Services Technicians, are available at 6.39-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the Cite of Tigard. The City of King CitN hereby authorizes applicant to pursue permits at the City of Tigard Building D,!partment for the following project: ky ��11 � D located King City City Represen f < < - C►f1i(�( �9 `J � 1 ���.� �',✓res 3 3 �` � �s,��� -� 1713 T 6v 1 vt�I�SC, ,ano CITY OF TIGARD BUILDING INSPECTION DIVISION MST y 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- � - — j BUP U 2Z Date Requested Z �--—_PM _- BLD Location /4/D S�54L ��r � � &Cc: Lite — MEC Contact Person _— _ Ph "Z Z— 3 PLM _— Contractor _ Ph — SWR _ - --- -- Tenant/Owner — 4 F.LC Retaining Wall ELR Footing Acces Foundation FPS —_— --_ Fig Drain SGN Crawl Drain Inspection Noter: --- — Slab __----_-- ----- — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear / Framing 4 _—_-- Insulation Drywall Nailing -___y'/) ITS fXT r-'7 o--- r Firewall Fire Sprinkler Fire Alarm d Ceiling -- —�� Roo Fina — �ASS PAR r FAIL. ---- -------- PLUMBING �yi Post& Beam �— —_— -- — -- l Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - -- ----- . -- — -- Rough In Gas Line - ------- _.. - --- - Smoke Dampers Final ------ ----- _ - --- — PASS PART FAIL ELECTRICAL Service — Service Rough In UG/Slab - - - --- --- ------- -- Low Voltage Fire Alarm — — Final PASS PART FAILSITE Backiiil/Grading a ---- Sanitary Newer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply!_ine [ J Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Sidewalk ! Other Date _ Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.