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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00231 kita 1 - DEVELOPMENT SERVICES DATE ISSUED: 6/8/99 �� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -: , SITE ADDRESS: 16660 SW QUEEN MARY AVE PARCEL: 2S115BC 01200 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: 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: 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: $ 6,148.00 Remarks: Tear off existing roofing material and replace. New sheathing over existing slats. Re -roof an existing dwelling. Class "A" 25 YR Dimensional, Owen Corring: Owner: Contractor: WOLF, RAY E + JOAN NE PLATINUM CONSTRUCTION INC 16660 SW QUEEN MARY PO BOX 80664 KING CITY, OR 97224 PORTLAND, OR 97280 ' Phone: Phone: 220 -1313 Reg #: LIC 119763 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT GEO 6/8/99 $94.00 99- 315964 5PCT GEO 6/8/99 $4.70 99- 315964 Total $98.70 O R 1 GNL • 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 these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee -! /14,47„--z____ r .._.. _..., _ Signature: e f . T . :::::::: - / i l, 7 Issued By: ,% 7 -f, Call 63•-4175 y 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 PERMI APPLICATION Date Recd: V- 503 - 6394171 -X304 , • . Date to PE: , Commercial and Residential Date to DST: ' - • F -503- 598 -1960 .. - Permit #O46f,/0919-0,9,2,37 • • Incomplete or illegible applications will not be accepted . Called: , ' • ° - - • ' , i men ::.... ..... ::. : Name of Develo ::::::::.: <:. :::::.,: ::.::....::::.,.,. p t/Business- : . : 'l'IIS`:: >::. z.. n: :.: < ::::. ;; . i :.:::::.::::::: ._ ....:.:....:. �.'�.. :.: �1 NG# A�r'3 t» IVI Y: >:: >:: >: <s: ?::: >: »: >::;;:: »::;� ::>:<:>::::<: ::::.; ».::.;:.;:.;;:. :;.;:.:; -: EBB Street Address Ste # Please fill out applicable section and attach -copy of roofing Job Site L , G) ? • • , specifications. ' . - Bldg # C' /State : :: ::; :.:'::;: :: ;•:,::::::::::'.;'., ::::> > : ' : : rc ;;.::; ..:.;:::::::;.'::.;':.::::.::: ' ..:............ • g City/State Z ip : fecf:: ksaBmbl.:: >:::«.: > Grrc 04 teto >A g :<:: <: > >:: >: >:: >:> :::: >: N e ( 1. A. Specification #: (_ S S 4 . ()I./Ayr: . _ Applican Mailing A ress •-• • - - 2. Manufacturer: (�,P. - V't � Drf/ ) . -icot,c,0 City/Slat zip Phone *3a UL Classification: ' . • Roofing �,,�, Listed UL,Building Materials Directory Page, #: - - Contractor _ ? l flikA/tn C.;OT \ 1 . (OR) _ _ • • (Prior to issuance ilin ddress p ` (.. .. *3b Wamock Hersey : applicant must 0 � '9')C `000te - - . _ provide a copy of /St ,.�. Zi Z Listed Warnock Hersey Directory Page #:. : . • • all contractor .. _ A ,4 UM1=- / _• - .*COPY OF ASSEMBLY REQUIRED . -, :• '` license s `if -- Ph # Fax # • - — V -= `,expired in COT Z2� ( 7(700 - B ICBO R e search # : - , - - - d ' State Constr:Centr: Board # • : I Exp. Date . - • ! ... - • _ J - - • i' DATED: >:..:.;.:.;,...:.:.:...: ... : ....:..:..:. :. :.:....:.. .:.:<.:.;:.:;.;:....... : . : . : . : ...; : . ; :.;:.;::.::.;::.;,:.. : ;. : ..;.. > .C. S P EC IALPURP — > t < i :11. E O ROO .. LOft� .. ..L�RISftA�'I N:<:::>::::>::::>::::>::»::>::»::>::»::::>::;: ::::« » >: >:: >: G. W D HAKE - Building - •e•Of.Use: (circle one) - . ._.• . _ - - -' _ - -- (review.' requ by •plans-exam _ .. • - - ,.SFA -.. , COM MF -- . . - - - Building ::Type of:Construction: .. - _ - VALUATION - OF = PR OJECT , :$ /' / : • • (�( �f / .... - .. • sq. ft. 4 r of roof area . . 1 ' • - Existing Deck Type: . ,. _ .t -._ ' Permit fee based on valuation* , Combustible' „'(% - ;, _ =Non C ( ) _ *,;see chart on. back:.;$. = - ?.iiiiiiiF :::.:iii: i:,':•i.Z ?} v. : : :::i : .f::: - '..:::::::. : .::: niJi:�:iiiiiiiiii }ii }: }ii �ii" -�'::. :::::: :..: �: .: .a :: ...:. . .:. - .. _ - .l ::• .. .: la ..... a :: �Y ..: i:: i::::' r ::i:- ::.'�i::.'i:::i:::i::i:::: �i: ':. is is •:.:'.:';:.ii . :: _. i::::�: �::: i:: :. %:.iiiiiiii ii :.: .i :i.i' ii: � : . ..:. :.:. ... ..... ... .. . ; ❑:REPA M IR AJ OR '� view r ' i e e uredb - r lans�ex mi r a ne - �_, ::.:.: is ,, :':::: _ if " Permit, u ire d , O N LY :w he n , s aced s heathin is cover *: ;.:ys- r.. ; .r = , *, .La F: = --144A ` „ � < : '_ :r- •"•so d•s eath n ;Ghan es to`roof`line re uire Building' Permit - -.. ',-" £ ? 9 q -: 5 / State urcha ; ;t:� ' c o • , , • ;: :.. MIT• . ::. ...:.:.::..:::: .;: <i; . ii;:; - .:.;::..:<: _ - . A :• : ,> ;;: > : >: ; <: SUB : :- Tif46i'Z ''SETS O F PLANS S PECiFY iNG - . . H ti :„A.. •Roof area neare_ street.. : " . :;' : ',:: : ..:1 r: ;.. ' -- • *Required formajor repairs :of Residential . -' ' ,1 r„a , •,,:� = _ s a ' .. B.' & st Attic vents,: Provide 1 sq. ft. for•each:,150 sq. ft.:of_attic • ':or "C" above • " *:65 %d Plan Review. .$ - - s pace. Vents shall be located inahe u er.1 /3 -of the r � .. .. .: : . . :. >::<. !a :, ..:::..... Provide .1 s q . ft. f o r : . : . _ : :. > ii;:. iii;: >: : . : :;.: : ;;; ::i ii::__ ii; : :: :.;. each 3 00 s . ft. when eave &attic - q venting is provided: •- • ,��11 TOTAL $ �V - : P::1:t : :4:i : a?:: :: . I acknowledge that I. have-read and that the 9 ;fans of o par ;:: :<::: >: ><:::;;::: Information iven is correct; that I am the owner or authorized g Describe work to be done: (check appropriate box),..:. _ agent of the owner,,and th the plans (if applicable) are In . 1:1 RE , (circle A ,B orC) • • .: ._ compliance with Oregon State - law. - : - - Existing built -up roof covering tto be REMOVED and deck • • repaired - : •' - • , • ' - r . ' - - Signature of Owner /A • • t • Date _ . 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. ` . • . Contact Person am _ • , Tele 6 ( 9 / 9 ne 0 Asphalt or wood shingle /shake • _ I e'V f (((J / i:\dsts \forms\roof.doc w CITY OF TIGARD - • 4. BUILDING PERMIT,F : . 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- 2,00 , 32.50 -.'• - -- 21:13 - • - • 1.63 . . 55.26 2,001 =3;000 • -- 38.50 - _ :. X25 :03 • --- 1•.93 ' 65.46 ' - - 3,00 -4,000 - 44.50 '._: - - -: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 '-3.1 '106.25 - - :7,001-8,000. • • -68.50 : - :44 :53 j' ' 3:43 - 11 • • ' 8,00.1 -9,000 1- 74 :50_1 :48.43 :2= 373 -:: : :• 126 :66 •-•-• - - ... 9,001=10,000 = 1••" • 80.50'. .52 :33 = . i 4 :03`.. ::,--_.• 136.86 • • .10;001 1 ' , 8 :50 ' . : 4.3a' . 147 :06 - _ • . - _ ' ": 1:1,001=12;000 : 92.50 : 60.13...: -- ;. 4 :63 "_:•-----': - • ' 457:26 - 12,001- 13 ,000 • .98.50. i ..;.; -' :64.0.3 . - 4.93 - . � =' '1167.46 - -- 1:3,001 -14 ;000... 104 :50 -;, 67.93 ...s • _ _ .. , .;_5.2 . 3 _'. -- :.1:7.7.66• - • _ . ., - 14;001.1.5,000 :: - .7 :11 71.83 -''' 5`.53 -- - .187.86:•: - t , 15;001 .. . ..- :: " :y - : .� > - :�; - 116 :50_'�: `7573 -" ..:5:83:: ��: = ' " 19806 " _ . _ •� ' ..:::::16 = F` " , : . : " 122.50 `� ,. _ ';79. 6 - - _ _. . ----:-.-'••;"` - 63;= - ; g..13• - ._:� - '2082 - °- - : : : °1.7 ;001 _ •$ ; - _ . _ . : x : : ..e 3,r :';128:`5,0 � �� : •' � 4 83 - 53 . : `-.. • 6.43 -: .2= 18:,.46 ;; ;.. �; . � q - ;. _ .. . - 18;00'1 -•i9 r �-. . _ ., . ®0 _134:5.0; - ;87:43 � . 6:73 �' " : j . - �- :: ,.,. . _ , =,; • °' q �;. , . = :2 : -' -- ��. :��� s ; r , :1':',. 1`9 =001 20 000` =1 • r�.14 ;:> r: -�r 0:50 "91:33. X 7:03: -';� _ - 'i� 23p pp er�++ - ..�i�.= ��� <<, '20 - 2 01•;:1 := ,�.. X1 4 ���,. X ::��.: a�y 6:50 .ti a � .. , :_ . 95:2;3 > � .249:06 - �::� -� h . �:: ] 000 �.r .,i � =ii; ;rz�;. - :�. . 1. t- • a• :21.x•001 -22' :.�K ^:, :�:._ . :3•. ��,� ���: ,0• ;. x,.::152.50 99 :393, % - - �. � ; � =7.63 , _�� .:�_:259:26 � . - - °t: :� ..� ▪ " •2 ,00123;000 �' 1:5 850=• .103:03 ' � y �;:_ � �L .y, ;�:_ �.'7.�93' ,ja. ° 269 . 46 . _ ,.� -- 2 - 24,000 "w '' �, ,r _ - �:. r t -� % : �C° , q .50,. _ �,. , :.1.0 x '= 27 9: 6 61 - t •� =: -:-;',.-&;,--::-.24 _ i, s.. , v . , yr � !�'• 164 , Vi c := �- i�,,*a - - - ` ; � •�;� � : �� • :i'�:�: <N • 00. =t.., , 5 : :,' W, = • . 1 . , •• •�; ; . 1.,,.., 7: ,; 1:1 8. :53 :_' = ' ' 6 . ,� _,'. :•' � _ ;:'•:c.,"' .�� � :.s;. , . ° '�'� o - '� � � . s.� _'� ; • 25,001- 26,000 - N 175 :00 ' `;�;r,11 .3` 75 ` _;' _ - '' '297.50 '' ` ' f ••� • • 4.4 . 26,001- 27,000 - - :179.50 • . : .116.68 _ -- 8.98 . : ' _ • ; T _ :� ' 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 - 32,000 :202.00 '. _ 131 30 : -- .1 0.10 ; - 843.40 k '" • • 32,001-3 206.50 X134.23 • - :10.33' - 351 1 .06 , . :Y', - . - - 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 ,1 220.00 143 :00 ` 1 :00 374.00 •36,001 -37 ;000 • 224.50. ' 145.93 _ : 11.23 ,381:66 r • 37,001- 38,000 • 229.00 148.85. 11.45. 389.30 { i:klsfsiformslroof.doc "I' . , • . _ *'. : ,./._,' ,. r . , • , • __...---- ---" _.,.. .--- ----- ----- / __.....--------- _.... ------ ----- „-.--- ,------ . . , 1'1 , . , )11 . . . . --s'''.. N...........N...........4.............„....„.......„.......... „. v ., ( . . . . , r-r-- 'IP . . . . . . . - si.. . 1- _._ ..... ... . . ...-- : ( \ 7 .,.., ,,;: ...-- ..,------T- ........ ._ . — .------ ___________________ --_____—. -. '.„, ` f • ' 2 ( . ( b) ., ( 0 i , / .1 ........._ I c,) ,--- ( f 1.7 7. 'Y i , .• .______....... .......... ...___..... ._ . . \ -- --- \ ,.......L. .. — • KING CITY yF 15300 S.W. 116th Avenue, King City, Oregon 97224 -2693 NOINNimEml Phone: (503) 639 -4082 • FAX (503) 639 -3771 Notice To Contractors Working 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: Off— located at: / 01 / 1 4 King City Representativ I:'DSTS'XCINST.DOC 5/30/00 Activities for Case #: BUP1999 -00231 1:34:34 PM EXPI r I Assigned Hold Updated E® Activity Description Date 1 Date 2 Date 3 To Done By .Disp. Level By Updated Notes BUPA005 Application received 6/8/99 BON DONE, No Hold GEO 6/8/99 BUPA010 Permit created 6/8/99 GEO DONE No Hold GEO 6/8/99 BUPA870 Final Inspection 6/8/99 6/8/99 No Hold GEO 6/8/99 BUPA085 (F) Issue building permit 6/8/99 GEO PASS No Hold GEO 6/8/99 BUPA865 Request inspection research 5/19/00 JMT DONE No Hold JMT 5/19/00 BUPA150 Expired by limitation 5/22/00 HAP DONE No Hold AKJ 5/22/00 • Page 1 of 1