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Permit • . A CITY OF T I G A R D BUILDING PERMIT PERMIT #: BUP1999 -00447 0Yl DEVELOPMENT SERVICES T E ISSUED: 10/14/99 �. I� 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 6 • Z, GIN A D SITE ADDRESS: 15855 SW QUEEN VICTORIA PL P ARCEL: 2S110CC -11100 SUBDIVISION: KING CITY NO. 3 - . . ZONING: BLOCK: LOT: 024 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: UNK : 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: $ 5,085.00 Remarks: Reroof, old roofing to be removed. Owner: Contractor: MCCAIGE, BARBARA LEE COOPER MOUNTAIN ROOFING + CONS 15855 SW QUEEN VICTORIA PL 14657 SW TEAL STE 207 KING CITY, OR 97224 BEAVERTON, OR 97007 Phone: Phone: 649 -2367 Reg #: LIC 112932 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Dryrot After Tear -Off Insp PRMT DEB 10/14/99 $87.00 99- 319083 Final Inspection 5PCT DEB 10/14/99 $6.96 99- 319083 ° Total $93.96 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 - les or direct questions to OUNC by calling (503) 246 -1987. Pe • ee /'/ S'gnature: V�U. % L _ �,�.,,, Iss , ed By: , ��� \ J Call 639 -4175 by 7 p.m. for an inspection the next business day • CITY OF TIGARD Plan C eck #: al _ ' 13125 SW HALL BLVD. Rec'd :: ..i`' - TIGARD OR 97223 RE— ROOFING PERMIT APPLICATION Date Rec'd: 4 - Aj' V- 503 -639 -4171 X304 Date to PE: — F- 503 - 598 -1960 Date to D • : , Permit #: y �al /� ,/, 7 Incomplete or illegible applications will not be accepted Called: Name of velopment/B ines STEP 2. NEW ROOFING ASSEMBLY p c Af - 15 f -2A— Material Documentation (UBC Appendix 15) Street Address I Ste # Please fill out applicable section and attach copy of roofing Job Site /s 85s - ea. Ecf Urc.r at4 .. specifications. Bldg # ,,// City /State ip Listed Assembly i le & Complete A, B or C) 'I(t fu e I T� /7ZZ A. /STS') 1) - 5((!o Z A7 N me 5 1. Specification #: /4<rl41 .D-36 I S d � c 2w )241O4 Ai Applicant Mailing Address 2. Manufacturer: ( PH ID CO /y40S'7 $ l -Su k rc...9 --aq v t- 7 O - =ate Zip on h *3a UL Classification: U L S' 1 CA) ii.( .T . 9 7oa7 A34°) Roofing Name / � Listed UL Building Materials Directory Page #: Contractor e� ¢,ei rilr �b 04--r OR) (Prior to issuance Mai ing Address Al -1 *3b Warnock Hersey : applicant must /V(p '7 < &J %- 4'4_sui rid '7 provide a copy of /State Z Listed Warnock Hersey Directory Page #: all contractor t / 67i- `2 *COPY OF ASSEMBLY REQUIRED licenses if hone # Fax # expired in COT (d/9 „: 23 B. ICBO Research #: database) State Constr.Contr. Board # DaJ� / DATED: BUILDING INFORMATION z 2 01 C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Buildin• - •e Of Use: (circle one) (review required by plans examiner) SFA COM MF Buildi (0 pe of Construction: VALUATION OF PROJECT $ a o W 0 pp. FZ„(G L sq. ft26O0 of roof area .5 8 Existing Deck Type: Permit fee based on valuation* tible ( ) Non - Combustible ( ) * see chart on back $ RESIDENTIAL ONLY - Class of Work: Alteration City us WACO: �� • - (MAJOR) (review required by plans examiner) , ( LD (UBUILD) 7- Permit required ONLY when spaced sheathing is covered by solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ Application. City u WACO: / Q SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (T (UTAX) ( % w A. Roof area & nearest street. *ReEralffd 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: I WACO: Provide 1 sq. ft. for each 300 sq. ft. when eave & attic (BUPPLN) I (UBUPLN) venting is provided. TOTAL $ q3. 9‘ STEP 1. COMMERCIAL ONLY i 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 ❑ RE - ROOF (circle A ,B or C) complia ce with Oregon State law. • A. Existing built -up roof covering to be REMOVED and deck repaired - Sig =ture of w er /Agent Date B. Existing built -up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural /0 - (6 / elements. Review shall bear the seal (or stamp) of the ` architect or engineer licensed in Oregon. C,ithf t erso`n Name Telephone C. Asphalt or wood shingle /shake >1c1-7- J S �, -p3 6 2 (PROCEED TO STEP 2) 7 I: dsts\forms\roof. res.doc 8/26/99 - . . . . . • lilt 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: - . located at: /58-5 J .5 t4 J Ultez.. g eu Lg.... • King City Representativ 1:'DSTS'KC[NST.DOC g IJ A LI ps 00 Sr CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1/ c 1�'-DOL Date Requested /6 1/22 -- AM PM BLD Location J� g�� L.J2J2't'l (/[� -C�- )Suite o MEC Contact Person Ph 3 7 0 7 7O 3 PLM Contractor Ph SWR BUILDING 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 Fire wall S-�� / ae /✓ a/^, ,2 4 R 00 —� Fire Sprinkler Fire Alarm Susp'd Ceiling fi6) U 6*- 177.4 G..., /2oefr Roof Misc: faa 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 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 /�) Other Date �(J/ `. Inspector C/ E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.