Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999-00314
,�� DEVELOPMENT SERVICES DATE ISSUED: 7/21/99
13125 SW Hall Blvd., Tigard, O 97223 (503) 639 -4171 ` .-10 PARCEL: 2S110CC -11400
SITE ADDRESS: 15885 SW QUEEN VICTORIA PL �
SUBDIVISION: KING CITY NO. 3 e0 ZONING:
BLOCK: LOT: 027 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: Li g Z D. Cj D
Remarks: Re- roofing
Owner: Contractor:
GOODELL, TERRY A AND CHERYL L UNITED ROOFING + CONSTRUCTION
9316 NW HOPEDALE CT 7276 SW BEAVERTON - HILLSDALE HW
PORTLAND, OR 97229 STTE •
Phone: P Pho a ND, OR 97225
Reg #: LIC 00091955
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pre - Roofing Insp
PRMT BON 7/21/99 $75.50 99- 317044 Final Inspection
5PCT BON 7/21/99 $5.29 99- 317044
Total $80.79 ORES! NA
. .
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.
•
S itu ' I
Signature: e: U 0)..._. Issued By:
„ L_
Call 639 -4175 by 7 p.m. for an inspection the next business day
T.
CITY OF TIGARD Plan Check ,;•.
13125 SW ALL BLVD RE- ROOFING PERMIT APPLICATION Date By: 'd /21
TIGARD OR 97223 ,Z i
V- 503 - 639 -4171 X304 Date to PE:
F- 503 - 598 -1960 RESIDENTIAL Date to D s T:
Permit #: 6. MEd 003 /`f
06 ri / 5 Incomplete or illegible applications will not be accepted Called:
- e of Developrr ent/Busi ess STEP 2. NEW ROOFING ASSEMBLY
cd tui , (r( Material Documentation (UBC Appendix 15) -
Stipp; d ss l S Please fill out applicable section and attach copy of roofing
Job Site i 3 � %SLR)(l,u2p,� L I e # Q, (& j specifications.
Bldg # A3ity/Statsc Listed Assemb Circle & Com ; Iete B or C
- me. 1. Specification #:
.. ' ' ill , ._./- 1 i , k. ^�_J
Applicant ! Ding Addre-
idi / �� 2. Manufacturer:
*3a UL Classification:
Roofing - _ , Listed UL Building Materials Directory Page #:
■ Contractor • ajl, 4 , 9,.ji (OR)
(Prior to issuance i -Din � *3b Wamock Hersey
applicant must / l ) 0 (I ) I r 1( i � Y(
provide a copy of /St. e Zi • Listed Wamock Hersey Directory Page #:
all contractor . IAA/ ' A r *COPY OF ASSEMBLY REQUIRED
licenses if Phone # r I,' + w,/.�
expired in COT ( )lo 100 - -_ == __. --�_� B. ICBO Research #:
database) Sate C str.Contr. Board # E . Date
1 S -- 5 (1/0 6 DATED:
BUILDING INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Building - Type Of Use: (circle one) (review required by plans examiner)
SF SFA COM MF
Building - Type of Construction: VALUATION OF PROJECT $
sq. ft. of roof area
Existing Deck Type: Permit fee based on valuation* r
Combustible ( ) Non - Combustible ( ) *see chart on back $
ESIDENTIAL ONLY - Class of Work: Alteration City use only: WACO: a."-- Y
i
REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUILD) r
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 7 % State Surcharge $
Application. City use only: WACO: (, 5 . : i
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TA)() (UTAX) ,), ,
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. �
TOTAL $ 0,
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair 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
CI 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 Date
B. Existing built -up roof covering to REMAIN: note applicant
must submit an engineer's review of the roof structural /� l I�.
elements. Review shall bear the seal (or stamp) of the
Glititi C.I-�J
architect or engineer licensed in Oregon. contact V ontact Pers n Name . Telephone
C. Asphalt or wood shingle /shake
(J
(PROCEED TO STEP 2) Ili Ay 4Th 0;
I: dsts\forms\roofres.doc .
CITY OF TIGARD
1p
RESIDENTIAL BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65 %) (7 %) FEES
1 -2,000 50.00 32.50 3.50 86.00
2,001 -3,000 57.00 37.05 3.99 98.04
3,001 -4,000 66.25 43.06 4.64 113.95
4,001 -5,000 75.50 49.08 5.29 129.87
5,001 -6,000 84.80 55.10 5.92 149.42
6,001 -7,000 94.00 61.10 6.58 161.68
7,001-8,000 103.25 67.11 7.23 177.59
8,001-9,000 112.50 73.13 7.88 193.51
9,001- 10,000 121.75 79.14 8.52 209.41
10,001- 11,000 131.00 85.15 9.17 225.32
11,001- 12,000 140.25 91.16 9.82 241.23
12,001-13,000 149.50 97.18 10.47 257.15
13,001- 14,000 158.75 103.19 11.11 273.05
14,001 - 15,000 • 168.00 109.20 11.76 288.96
15,001-16,000 177.25 115.21 12.41 304.87
16,001- 17,000 186.50 121.23 13.06 320.79
17,001- 18,000 195.75 127.24 13.70 336.69
18,001-19,000 205.00 133.25 14.35 352.60
19,001-20,000 214.25 139.26 15.00 368.51
20,001-21,000 223.50 145.28 15.65 384.43
21,001-22,000 232.75 151.29 16.29 400.33
22,001-23,000 242.00 157.30 16.94 416.24
23,001-24,000 251.25 163.31 17.59 432.15
24,001-25,000 260.50 169.33 18.24 448.07
25,001-26,000 268.00 174.20 18.76 460.96
26,001-27,000 274.75 178.59 19.23 472.57
27,001-28,000 281.50 182.98 19.71 484.19
28,001- 29,000 288.25 187.36 20.18 495.79
29,001 - 30,000 295.00 191.75 20.65 507.40
30,001- 31,000 301.75 196.14 21.12 519.01
31,001- 32,000 308.50 200.53 21.60 530.63
32,001- 33,000 315.25 204.91 22.07 542.23
33,001- 34,000 322.00 209.30 22.54 553.84
34,001- 35,000 328.75 213.69 23.01 565.45
35,001- 36,000 335.50 218.08 23.49 577.07
36,001- 37,000 342.25 224.46 23.96 590.67
37,001- 38,000 349.00 226.85 24.43 600.28
is \bldprmfe.residential.doc (dsts) 1
..
VI/ KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224-2693
IIIMMIMNIIIIN 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: l i t - . - Ae.J0
located at: `5 8F5" $ w a (Jc ctdr«
)C-Dj c.. 0/1 _
King City Representative
1:'DSTS%ACUNST.DOC
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5/30/00 Activities for Case #: BUP1999 -00314
EXPIRE
1:38:50 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA005 Application received 7/21/99 BON DONE No Hold BON 7/21/99
BUPA010 Permit created 7/21/99 BON DONE No Hold BON 7/21/99
BUPA815 Pre- Roofing Insp 7/21/99 7/21/99 No Hold BON 7/21/99
BUPA870 Final Inspection 7/21/99 7/21/99 No Hold BON 7/21/99
BUPA085 (F) Issue building permit 7/21/99 BON DONE No Hold BON 7/21/99
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
•
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