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Permit • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00062 ; x r DEVELOPMENT SERVICES DATE ISSUED: 2/14/01 r�I II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11992 SW ROYALTY CT 3 PARCEL: 2S1156A -90203 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: E FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 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: $ 13,150.00 Remarks: Recover ceftwith 25 year Class 1 Fiberglass Architectural shingles. Boor Owner: Contractor: WAYNE MARTIN INTERSTATE ROOFING 11992 SW ROYALTY CT #11 15065 SW 74TH AVE KING CITY, OR 97224 TIGARD, OR 97223 Phone: Phone: 684 -5611 Reg #: LIC 55485 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 2/14/01 $177.70 27200100000 Pre - roofing inspection 5PCT CTR 2/14/01 $14.22 27200100000 Total $191.92 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. Pennitee / Q Signature .40 _�,_,._ Issued y: i / _ 4 i "� P Call 9-4175 by 7 p.m. for an inspection the next business day Z 0 cl 096T 26S 20S :1•101:1.3 ONI30013 S.LV.LSHR.LNI :O.L L0:60 T0— t7T -30 41), . Building Permit Application Daten:ceived: ///D Permitno.:8I l )D(pa �' `{��'�yi° City of Tigard 1 Address: 13125 SW Hall Blvd, Tigard, OR 97223 Pro)ecdappl.no.: F�tpi redate : City of Tigard Date B Recei [ao.: Phone: (503) 639 - 4171 y p Fax: (503) 598 - 1960 Casefileno.: Payment type: Land use approval: 1 &2 family:Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial Multi- family ❑ New construction ❑ Demolition Addition/alteration/replacement O Tenant improvement O ire sprinkler /alarm ❑ Other. JOB SITE INFORMATIO, Job address: / / 'fZ .s Ai R0 yea riy eye /kvt &/ BBldg.no.: 3 Suite no.: Lot: Block: 'Subdivision: /7 z.. z'/ / 'Tax map /tax lot/account no.: a 5//54i4'Sb,So� Project name: O>'rf?L ca-.Dew- e on/D Q Description and location of work on premises/special conditions: Iee - t=.rll/ie-e rotes kV i 0 , S .era- r'Jase / Fti. ' /ass 4,€ i ie fuQ/ , r OWNER FOR . PECIAL INFORMATION, USE CHECKLIST Name: idaufL � 1 /�j ( Floodplain ,septiccapacity,solar,etc.) Mailing addr : / . / , zf t o`// 1 & 2 family dwelling; City: ,k e , 4 . IState: I ZrP:9972yy Valuation of work..._ $ Phone: 6 - . pt/ (Fax: I E-mail: No. of be irooms/baths Owner's representative: 5Ce4ttar...- Total nuniber of floors Phone: Fax: E -mail: New dwe.ling area (sq. ft.) APPLICANT Garage/c:rport area (sq. ft.) Name: Covered irorch area (sq. ft.) Mailing address: Deck ace`. (sq. ft.) City: I State: I ZIP^ Other stn cture area (sq. ft.) Comdten lal/mdttstrial/mniti- family: 2 / Phone: Fax: E-mail: : Valuation of work $ /� /51) .CONTRACTOR Business name: �,4/ck4� - • ' " f� w G Existing bldg. anew (sq. ft.) G / New bldg. area (sq. ft.) Address: LS-46 .S s 74/7.1-1, Number c f stories City: .ems I Star I ZIP: 479"4/ Phone: 4 ty -,SG // I Fax: I °'mail: Type of canstrtrction Occupancy group(s): Existing: CCB no.: SSS/,,f New: City/metro lic. no.: c) 00 0 / c/7 6 Notice: /11 contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provision; of ORS 701 and may be required to be licensed in the Address: jurisdictiun where work is being performed. If the applicant is City I State: I ZIP: exempt fi om licensing, the following reason applies: Contact person: ( Plan no.: Phone: Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: (State: IZWP:. Amount received $ Phone: (Fax: 1E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the ' xm air p risdictions accept crecfir raids, please call iarisdicdon for more mformotioo. attached checklist. All provisions of laws and ordinances governing this ❑visa O Mastercard work will be complied wi j wheth cif j herein or not / ' Credit ca a nnmnv Expires Authorized signature: f ... Date: 0 -/ 4 _ / !lame of cardholder as shown on credit card • Print name: / 7 ,// # � Cider s b Amount Notice: 'this permit applicatio - xpires if a permit is not obtained within 180 days after it has been accepted as complete. a 13 (4AO/Con) ZO01J (R1V9I,L dO A.LID 0961 86S COS XVd 10 :60 GRA IO /b1 /Z0 • .14V KING CITY 4aa. rr�r 15300 S.W. 116th Avenue, rung City. Oregon 97224 -2693 CrigiESSEINEEMESI Phone: (503) 639-40S2 • FAX (503) 6.39-3771 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 whet er 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: 1 — .x; 0 • i_ d,do located at: /MIA .& J >ec..Q Kin City Representative o2 ./ Q / I DSTS\KCI \ST COC: CITY OF TIGARD BUILDING INSPECTIO ► . DIVISION MST 24-Hour Inspection Line: 639-4175 Busin - �. Line: 639 171 41:23, _ o � 4 • Date Requeste 3/0 ( �u P BLD Location l (1- C-T 'Lite MEC Contact Person Ph v 0 / E PLM Contractor /: -Q /0.a.)& Ph G l- £/ Q9 SWR UILDIN Tenant/Owner S fa ELC raining Wall 7 ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear /1 1 Framing [\ ' 7(9 Se�ug i`kp�1x4e -; c m1G -->!6S /-f pL06iN 0064_ Insulation //]► Drywall Nailing CAM I BS7z.J� iNS fhc-r 01011‘1-6<- Firewall UU Fire Sprinkler Fire Alarm ,, f r� I � Sus.'d Ceiling 21 U i-& , o �S , 6 A- V 1 be gCto oof 'i PART FAIL BING 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 I 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 Date 3/ 1 � JO 1 Inspector &C/41 EXt�� VC. Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTIO 24 -Hour Inspection Line: 639 -4175 Business Line: 639-41/ ;, • BUP � GUd So Z Date Requested ' " al AM PM BLD Location //,f . Rtr i /7 &- Suite MEC Contact Person / Ph 414 57. ( o( PLM Contractor - 241 kZ / G' c SWR 3UILQLN Tenant/0 er /21,4 !'� . i • ELC Retaining Wall h ✓{ [.G cam- G,. 514 • ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear " �� �' Framing Alb A1 4li: ��� `� t-1/'\/1 Insulation tn Drywall Nailing ` 1 �C-∎ ( x , \ /) Firewall Fire Sprinkler Fire Alarm r,f/'`f � / � 7 - t tru) Suu'd Ceiling G.:1.1e/ct Roof isc Final SL PASS PART �b �� PLUMBING c��IU V"ex viA t/Ly. 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 �7 Approach /Sidewalk Date 7/S76 I. Inspector Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION . . 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -41 •i �, J � e)i -- cant eon Date Requested " - vi AM PM BLD Location // sio / ,1. (',.G nsuite 3 MEC Contact Person Ph 2 (2-14 PLM Contractor a" / Ph SWR BUILDING Tenant/Owner "T- S' i irc 1,��T 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 Ib Insulation 1 Drywall Nailing tin _ Firewall Fire Sprinkler Fire Alarm Susp' Ceilyg c ' ; ) s c 4 .S7{ /') gittr Final PASS PART FAI PLUMBING 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 A p pr oach /Sidewalk ` Z / G / Ins pector 7 Ext G R I E x D ! I Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.