Permit t.
CITY OF TIGARD BUILDING PERMIT
• PERMIT #: BUP1999 -00180
filij DEVELOPMENT SERVICES DATE ISSUED: 5/6/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S115BA 01800
SITE ADDRESS: 11940 SW KING JAMES PL
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AL-?` 0 1-0--- FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,500.00
Remarks: Reroof an existing dwelling. Tear off and replace with 30 year comp.
Owner: Contractor:
MITCHELL, LOREN H + DOROTHY J
11940 SW KING JAMES PL
KING CITY, OR 97224
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PRMT GEO 5/6/99 $44.50 99- 315154 Final Inspection
5PCT GEO 5/6/99 $2.23 99- 315154
Total $46.73 ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of th- - rules or direct questions to OUNC by calling (503) 246 -1987.
Perm itee ,
Signature: r /►�►��
Issued By: - #,�� �'���� - -
l �
1 639 -4175 by 7 p.m. for an inspection the next business day
•CITY of TIGARD Plan Check #:
13125 SW HALL BLVD. Recd By:
TIGARD OR 97223 . RE- ROOFING PERMIT APPLICATION Date Recd:
V- 503 - 639 -4171 X304 Commercial and Residential Date to PE:
F- 503 - 598 -1960 Date to DST:
Permit # :7i —# o /$d
Incomplete or illegible applications will not be accepted Called:
Name of Development/Business .. . G >> - -"
... I� . EV1 :R BI .. b0rreE:0.0.gmenla#tocsE..{UH ;Appendn.<15k...: :::.:: ;:.;:: >: >:::> :<;::;:; ".; ::<: : : ::
• Street Address 4•/ yl ast6 5, Ste # Please fill out applicable section and attach copy of roofing
Job Site rune 6 ,10, f specifications.
Bldg # Ci /State Zi " "
Zip :�i:#�s�ediAss0ei#ii <:<: >'?CiFCI�:Bi:��m: :B:c► ::::>:;:::>: �_: : >:::i:<::: >::::_ >:: >: »::>
�� Y ... ............ pie..... ►.... .... }...:: ....:.:. ::... :.:.:. A.
NameI ,rte `A e r r` 1. Specification #:
Applicant Mailing Address / / � 2. Manufacturer:
i1g4061,o_ i me, )'A(e
City /State Zip Phone *3a UL Classification:
K- 2-7- m 70
Roofing Name ))� ) �) Listed UL Building Materials Directory Page #:
Contractor al�V+e- (6' e (OR)
(Prior to issuance Mailing Address % *3b Wamock Hersey :
applicant must •
provide a copy of City /State Zip Listed Wamock Hersey Directory Page #:
all contractor *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax # -
expired in COT B. ICBO Research #:
database) State Constr.Contr. Board # I Exp. Date
DATED:
FORMA
.BUtLDIEN+G:INTIO . :
: >:: >::> ;:::::::>::;>s:::>:::» :;::�<:;::::>:
:; <::<;<: > :: :::i:
��:.;;.;;;:;.;: : ::::: >.. :;:.;:.;:.:.:;:..::>:: ...: �::;.>:::;:»:::<::: :: » » >:< :: : > C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building"--Type Of Use: (circle one) (review required by plans examiner)
(F• SFA COM MF •
Building - Type of Co tru ion:
VALUATION OF PROJECT
WOO/ +7W'24 3 - a Y°6 sq. ft. of roof area 00 `r
Existing Deck Type: Permit fee based on valuation*
Combustible ( ) Non - Combustible ( ) * see chart on back $
Alr 404.4. *. ,.: lass of Vt►oo Af.**.0.on;:: ::;:::: >:> ::::: > Clti us :: WACO: .
CI REPAIR (MAJOR) (review required by plans examiner) ) (" ) :., G/ - " •
Permit required ONLY when spaced sheathing is covered by .
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $
Application.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING.
":. (TAX "'' -: ' ...: .. ( tJl'AX) ::.:::.`. -.':--'!'1: v?
` ;: a "
A. Roof area & nearest street. '*Require or major repairs of Residential
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" above * 65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof.
City >use; only;: `:;;.<: WACO::. > ;:;:` <::"".: .
Provide 1 sq. ft. for each 300 sq. ft when eave & attic g
venting-is provided. , // �
: ST'#::: >: :: >:: >:: > ::...
TOTAL $ `7�
:: ;..;.::;.;:..,. ;:::. ;::>:::. >
>: . ;: . . .;.; :. . .:: : : :; :,:;.::.:.:;::. I acknowledge that I have read this application and that the
Class ; ii -t orc:::: ::Re ll`.;::::: <: >;: >:: >;:;:;::: >:: >:: >:::: >:;: >;:» ;::;::;;: >: >:;::: >::;;:::::,;:; ;:.;;:<.;;: •..,;;.;:<,;:;.;;;:.; .
Des :;::<;;
Information given is correct that I am the owner or authorized
tribe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in
❑ E (circle A ,B or C) compliance with Oregon State law.
A. x 'sting built -up roof covering to be REMOVED and deck .
repaired - . • Signet e of Owner /A•ent Date
B. Existing built -up roof covering to REMAIN: note applicant i 1/ / ( / r 4 /
must submit an engineer's review of the roof structural / J k'/ " /2
elements. Review shall bear the seal (or stamp) of the ,
architect or engineer licensed in Oregon. _ . _. Contact.P_ersso Name _. _ _ __ Tel / - - - - - - - - --
C. Asphalt or wood shingle /shake
(PROCEED TO STEP 2) / \ / . /> 7 / 7 t/ � _ ' j 7 : - 3 7
I:ROOF1.DOC (dsts) REV 5/1/98
CITY OF TIGARD
BUILDING PERMIT FEES V
-- -- - - - - -- -- -- -- -
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65 %) (5 %) FEES
1 -1500 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 V
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 V 38.50 25.03 1.93 65.46
3,001 -4,000 44.50 28.93 2.23 75.66
4,001 -5,000 50.50 32.83 2.53 85.86
5,001 -6,000 56.50 36.73 2.83 96.06
6,001 -7,000 62.50 ' 40.63 3.13 106.25
7,001 -8,000 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 6.13 208.26
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 7.03 238.86
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 7.93 269.46 =-
23,001- 24,000 164.50 106.93 8.23 279.66
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 . r:
28,001- 29,000 188.50 122.53 9.43 320.46
29,001- 30,000 193.00 125.45 9.65 328.10 .
30,001- 31,000 197.50 128.38 9.88 335
31,001- 32,000 202.00 131.30 10.10 343.40
32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001- 35,000 215.50 140.08 10.78 366.36
35,001 - 36,000 220.00 143.00 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
I:ROOF1.DOC (dsts) REV 5/1/98
. .
liiit KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224 -2693
® Phone: (503) 639 -4082 • FAX (503) 639 -3771
Notice To Contractors Workin 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: QZ.a.C.) ok - -' -Aa-
located at: 940 - n .� ,t_
King City Representative
I: DSTS \KCI \ST. DOC
,/
:
f .
�7
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BuP i 99 �� ` g �
Date Requested r -- - l q l g AM PM BLD C
Location l [ d 'J lalY Q O Suite MEC
Contact Person Ph (670 1 M2 PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain 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
c:
i
P S >ART FAIL
; PLUMBIN G.
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL ' s a- t
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ""° y " ,11I
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Approach /Sidewalk a q
Other Date 7 -F- "/ / Inspector i ��� Ext
Final
PASS PART FAIL DO NOT REMOVE this _inspection record from the job site.