11545 SW MAJESTIC LANE 11545 SW MAJESTIC LANE
CITY OF TIGARD �-- BUILDING PERMIT
PERMIT#: BUP2003-00425
DEVELOPMENT SERVICES DATE ISSUED: 7/11/03
13125 SW Hall Blvd., 'I'igard, OR 97223 (503) 639-4171 PARCEL: 2S110CA-80621
SITE ADDRESS: 11545 SW MAJESTIC LN
SUBDIVISION: KING CITY CONDO. BLDG #801 ZONING:
BLOCK: LOT: 001 JURISDICTION: KIN
REISSUE: �' _FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ?cLT FIRST: sf N: S: E: W: T
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY 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: J SMOK DET__
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 13,000.00
Remarks: Re-roof with 3-tab comp. Remove 2 layers roofing, sheet over skip. 68,000 sf.
Owner: Contractor:
SHEVCHEIJKO, EDITH U RAIN DROP ROOFING
11545 SW MAJESTIC LN #1 5127 SW MULTNOMAH BLVD.
KING CITY, OR 97224 PORTLAND, OR 97219
Phone:
Phone: 503-297-6129
Reg#: LIC 135344
FEES REQUIRED INSPECTIONS
Description Date +~ Amount Misc. Inspection :&k_/4'i 11 4
I Ilrrmit Fee 7!11103 $'68.1() ! Final Inspection
I %X I Y ,,~tate"fax 7/11/03 $1345
------- Total $181.55
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all othe, applicable law. All work will be done in accordance with approved plans. This permit will exore if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-600-332-2344.
Issued By: 4
Permittee
Signature: / / -_v''z�� /ti��r��''�D /t`. e'cy <!-
Call 639-4175 by 7 p.m. for an inspection the next business day
07/11./2003 12:55 5036393771 CITY of KING CITY PAGE 02/02
I.
KIND- CITY
+
15300 SN 116th Avenue,King City,Oregon 97224.2693
Phone:(503)639.4082•FAX(5n3)629.3771
I
I
Notice To Contractors `Vorkina In'King City
Due to an intergovernmental agreement N�ith the City of Tigard, n•.anv b1: ld11,.g related permits
for projects in icing City are issued and inspected by the City n+ Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW six,lply cortlplere the
appropriate application legibiv and submit it to the Kine City staff. Tre K ing City staff will
collect all fees and fax the application to the Cit, of Tigard. City of Tigard staff gill then create
the pr emit, issue the permit, and perforin inspections. Please indicate oil We Perrin application
wheth,2r you would like the Tigard staff to call )u when the permit is ready for issuance or
whether you prefer it to be mailed without any +tifieaf.ic+n Any incorilpla�te car illegible
application will be returned to King City staff for correction and no procesjliing will occur until a
complete, legible application is received.
lfyour permit application DOES REQUIRE PLAIN REVIEW, this form ;rust be signed by a
KIno City staff person, King City staff Evill simply sign this form indieatinla lan:l use approval.
"Take this signed form to the City- of Tigard Development Services Counter .located at 1;125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians sire
available at 639-4171 Ext. 301 should.you have any questions concerning submittal
requirements. All pemlit fees will be assessed and collected at the Cit), of I igard,
i
i
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project
- 7
located at
Kin�T Cit epresentatiy
I nsts�:c+.sT ooc
Re-Roof
B11iiding Perm' lication ' OFFICE '
NLY
_ Keceived budding
Datc/B :l c ,i,(,, Permit No.:
City of Tigard Planning Approval Other
Date/By.: Permit No.:
13125 SW Hall Blvd. i1jI_ 200,� Plan Review Other
Tigard,Oregon 97223 Date/BX: _ Permit No.: _-
Q/��� * Post-Review /..and Ilse
Phone: 503-639-4171 11�6P>��a Date/B : — Case No. ____-
Internet: www.ci.tigard.o ��DING DI 1810O1 Contact ris. see rage i for
24-hour Inspection Request: 503-6394175 NamdMethod. - sat Iemental btformation
TYPE OF WORK _ _ REQUIRED DATA:
_New construction Demolition _ I &2 FAMILY DWELLING
Additio lteratiog/re lacement Other. _
'GORY OF CONSTRUCTION Note: Permit ices'are based on the total valve of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accesso Buildin Multi-Family
_Master Builder Ocher: valuation......................................................... $
JOB SITE INFORMATION and LOCATION No, bedrooms: r No.of baths:
Total
number of floors.....................................
Job site address: / s l.,) ilrf f t - c2. New dwelling area(sq.ft.).............................. —
Suite#: _ Bld ./A t.#: _ Garage/carport area(sq.A.)............................
Project Name: �. •• l.t �• .na•'tic✓w Covered porch area(sq.ft.).............................
-- - Deck arca(sq. ft.)...........................................
Croseet/Direc ns to job site: Other structure area(sq.ft.)............................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: �Lot#:
Tax maSrcel #: Note: Permit rocs'are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application,
'W"usJ v tr,rs f c9 0
-ex-1
GValuation......................................................... S
'�7 j Existing building area(sq.ft.)..... .. ................
�t✓e.,v c>M - �^' New building area(sq.ft.
0 _ Number of stories...................................... .....
PRO-PERTY OWNER TENANT Type of construction....................... ...............
�-- Occupancy group($): Existing:
Name: J C b c,t New: i—
Address: //I cI S'�cJ Al e'5 .'c G✓ J -
City/State/Zip_ ,�
- NOTICE.: All contractors and subcontractors are required to be
Phone: (,rYy If 3L2-� +ax licensed with the Oregon Construction Contractors Board under
APPLICANT' CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Natne: Iry ���� f'^'L E L t- jurisdiction where work is being performed. If the applicant is exempt
from licensing,the following reason applies:
Contact Name _f >�✓
Address:,t—L-, 7 �v /r.v�,r,�.�! LCity/State/Zi --
Phone:J J if Fax: L -/ BUILDING PERMIT FEES*
E-mail: Please refer to fee schedule.
_
CONTRACTOR
Business Name: 2- yV 4 1JG L «' ices due upon application........... . . .......
Address: v7 1�2Nr'��t'^ '�4
Amount received...................... ...................... S
Cit /State/Zi LJ
Phone:_Ta - -ui' '_L f L f Fax: 4-4d y 153'"l f Y Date received:
CCB Lic. #:
Authorized Notice- I hls permit applicatOn expires it a permit is not nhtalned%%'thin
Signature: Date: v 3 IRO doss after it has been accepted as lontplete.
�L/ eA,//_ i_ •ht•e methodology sit he l'ri-(bunk Building industry Scour Board.
-� (Please print name)
i\Usts\Permit romu\BldgPermitApp.doc 01/03 / y{
REROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration y ---
L_] REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
changes are made to roof line.
SUBMIT TWO (2)SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall he located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. f1. when eave and attic
venting is provided.
Note: No permit is required for residential re-roof if, (1)not more than three layers of
roofing will exist upon completion of the reroofing or, (2)sheathing is not being applied over
spaced sheathing (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 the roof structural elements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon
C. Asphalt or wood_ship
I�a/shakes (PROCEED TO STEP 2)
COMMERCIAL ONLY --Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix 15) —
Please fill out a licable section and attach copy of roofing specifications.
Listed Assembly (Circ and complete A. B or C�
A 1 Specification#:
2. Manufacturer: _ —
3a. UL Classification: --
Listed 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��ans examiner.— _ ---
-iVALUATION OF PROJECT: $
_ sq• n.�;9y4�o of roof area ----_—
Permit Fee based on valuation: $
see Buildino Permit Fees chart)
8%State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item"C"above. -
TOTAL: $ —
i dsts`,formsVo0checklist.doc 10/05100
CITY OF TIOARD ?4-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP 3 -oma L/a
Received __..._---._____-(.-- Date Requested_._-i — AM ___ PM BUP
Location _—L�_� __l_ C-�_-_ _-_----Suite - ---__ _ MEC
Contact Person --_--___--_ __ Ph(�___ -_) PLM
Contractor Ph( --- ---- SWR ----
BUILDING Tenant/Owner ELC
Footing ELC _-
Fuundation Access.
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam ----__-.--.__-----_..__- -- __-
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation I
Drywall Nailing - --- -- --
Firewall
Fire Sprinkler �-
Fire Alarm
S 'd Ceiling -'- -" ---� -
Other:
DSAS PART FAIL
Post&Beam
Under Slab -
Rough-In
Water Service --
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain _.-
Shower Pan b _
Other:
Final -
_ PASS 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 Reinspection fee of$—__-_--_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL r�
SITE Please call for reinspection RE:_ _. _ l_1 Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Daft '7 /J
010 3 Inspector ` j 7��. Ext---
- -- ---
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL