Permit A .
, . • •
CITY OF TIGARD MASTER PERMIT
�� ,,�,� DEVELOPMENT SERVICES
PERMIT # • MST98 -0281
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
DATE ISSUED: 07/01/98
PARCEL: 2S1O9DD -05300
SITE ADDRESS... :12640 SW PRINCE ALBERT CT
SUBDIVISION ZONING:
BLOCK LOT • JURISDICTION: KIN
Remarks: Meyers re -roof
BUILDING
REISSUE: ofje. STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRE
CLASS OF WORK. $L-r HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL - - -: 0 sf VALUE..$: 6179 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 PREUNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--- - -_ MECHANICAL -- -
FUEL TYPES — FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 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 — — MISCELLANEA— — ADD'L INSPECTIONS -
1,,,,, SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 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 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1wx. amp.: 0 601+amps -1 „, 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:$ 65.63
MARY MEYERS GARY FOSTER CONSTRUCTION This permit is subject to the regulations contained in the
2211 SW 1ST AVE *502 673 SE 69TH CT Tigard Municipal Code, State of Ore. Specialty Codes and all
PORTLAND OR 97201 HILLSBORO OR 97123 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone t: Phone t: 848 -8875 not started within 180 days of issuance, or if the work is
Reg 0..: 105429 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 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS
Pre- roofing insp
Ponding before t
Dry -rot after to
Building Final -
Issued By: Permittee Signature: wi4+—
+ + + + + + + + + ++ =!mmr. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by a p.m. for an inspection neede• the ext business day
CITY OF.TIGARD Plan Chec .—
13125 SW HALL BLVD. Recd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Recd: a C
V- 503 - 639 -4171 X304 Date to PE:
Commercial and Residential Date to DST:
F- 503 - 598 -1960 Permit #: jdt 5Y c I ""75
- --n . Egl
Incomplete or illegible applications will not be accepted Called: ?
Name of Development/Business
TfwP V .. ,�
f :: ': ��'�;:iCi > r:::r t :.;: o i•:.: : •.:.... ..r ; _,z:,::;,:,;;�.79(1 > ` > : > ? »`> 3 � `��'< < :g:
i.i�octme#o�n { �8� 4ppe�taac <7�jk.,::: : .::. :.::.:<.:<.::..; ...::
Street Address Ste # Please fill out applicable section and attach copy of roofing
Job Site ,_,. ibNee 71 ,_ I 1 specifications.
:Idg # City/State Zip :<- ::::..:..;.:::;:::::,: :..: »>;:: .::::.::.; ,,.::::::::::.::.:: <::::::::: : :::::: ::::: : ::.�::::.:.:::.::
P : >:f:... Oiircts..8i�oe>A . te:.A.:B.� >.0 ::« :: >�;: >:`::<:;:'::`:< <:;<. <. ..:
• 4117 6/1 _ oR A.
Name 1 . Specification #: 1 5 1 5 p - 3 7 J s ? Y e _ /
//7 r'/ iley S n�7
Applicant Mailing A d ress x1 2. Manufacturer. Ve b c?
p2.5 5w / � #.57eZ GG �O r
City /State Zip Phone a UL Classification: �/
P 9'720/ I '3
-0799
Roofing Listed UL Building Materials Directory Page #:
Contractor Na 6- , -W2 7le 7 fr7 j (OR)
(Prior to issuance MiL d Cr *3b Wamock Hersey :
applicant must
provide a copy of City/State Zip Listed Warnock Hersey Directory Page #:
all contractor /9;7 /S h�� _ 97/2 3 *COPY OF ASSEMBLY REQUIRED
licenses if Phone # Fax # -
expired in COT gg�� B. ICBO Research #:
database) State Constr.Contr. Board # Exp. Dote
/(2- 5 y�f f . DATED:
i�.. . :� : : .:- :� :.. : .: ..: : ... . iii:.. iir:. .: ii? viiii l: : ivi•:• ii: S . :i . iii:: J-�-
.t lz:D
:1 F : C. SPECIAL PURPOSE .... .
.. �.. a...:.- �.:: � i4.:: 1�? �>::>:<:>: �>::::>: i» ::::>::>:: > : : >::>:<: »: : > i : • : :>:::;<:;: �>:: �:: >: .: >: >:;:: >:::::: >: > . i :.: - U OSE ROOFING. WOOD SHAKES
.. ......... .... .. ...............................
Building - •e Of Use: (circle one) (review required by plans examiner)
SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $ '
„2X `i Sfiac �Trr - sq. ft. / f roof area 6/
Existing Deck Type: Permit fee based on valuation*
Combustible ) Non - Combustible
( ) see chart on back $
:<:::RESII E NTIAf •` r :ONL, ::r:Cl .ss::: W < . '::Alte : : : : : ::iiiiii :
:::«<::::
:::> :::::
.;,:; <.i; <:.:.: >;: :. iii::,:,: ::.:::�: ::?�;:asQ'P:a�c.i:: :::::.�: r�.:.: .:::iiiiiiii; >i City use on ::::::..::: WACO:: >: ;
REPAIR (MAJOR) (review required by plans examiner) '. (BUILD):. :• '(UBUILD) • t C. `��)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $
Application. City use only:. : ::: VACO ::
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. . . ::: (TAX) . • . _1 ►) -5
A. Roof area & nearest street. *Required for 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 • - (BUPPLN} °' •> _'. • (UBUPLN) :
venting is provided. / e--- 7
TOTAL $ t (� ' t"
....:............:.:: ....:.:M.fVIEERC IEAE::::::< ;:sO WE1fi:s: » < <:::a< ><: »:::::: >;<: ><:::: > ::> »; » >:<:;: » >:«:>
...: I acknowledge that I have read this application and that the
€:::Class :of €
9 P
P
1It(
::::::. Repai:::. i:.;:. i:. i:.>; i:;.;:. :.::;.;;:-: .; >i:.:.i:.i:.i:.i:::::.::::. �:::;:;:.::.;;:. i:;- ;;:.;:;.;:.:�:.i:.i;:.;;;:;.;
...... .... 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
❑ 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 73/337 Date .
B. Existing built -up roof covering to REMAIN: note applicant �/ g
must submit an engineer's review of the roof structural �.
elements. Review shall bear the seal (or stamp) of the / 4
architect or engineer licensed in Oregon. C ct Pe n Name Teleph ne
C. Asphalt or wood shingle /shake S
(PROCEED TO STEP 2) Ihh/�/ /ZL�/ /mod 2_2_6 C,7?/
I:ROOF1.DOC (dsts) REV 5/1/98
CITY OF TIGARD
BUILDING PERMIT FEES
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
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 28.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86 6/2- 0- 90/
5,00 - 0 56.50 36.73 2.83 6_,._(1.6.13/ zs
0 - 2.50 40.63 ® 106.25
7, 001 -8,000 68.50 44.53 3.43 .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
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 9.88 335.76
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:ROOFI.DOC (dsts) REV 5/1/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Gil-N8
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p c� BU P
( 01 1 Date Requested S g 0 AM ` -W PM BLD
Location 1 4O PA,un -�— Cr Suite MEC
4 112/111r______ Contact Person Ph PLM
Contractor Ph SWR
LDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation / ;tit, ��,r,,, C Chi FOPS
Ftg Drain `"`� 1,
Crawl Drain Inspection N,es: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
d Ceiling
Roof
isc:
PASS PART FAIL
ING
Post & Beam
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 r 1 ,
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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
ADA
Approach /Sidewalk D '" j Q ` CA Inspector
Other -rn, Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.