Permit CITY OF TIGARD MASTER PERMIT
4, DEVELOPMENT SERVICES PERMIT # • MST98 -0368
5 .. ''--- EI 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 N� DATE ISSUED: 08/18/98
1‘ 1 4 0 PARCEL: 2S115BC -09500
SITE ADDRESS...:167O0 SW ROYALTY PKWY
SUBDIVISION T ONING:
BLOCK LOT • JURISDICTION: KIN
Remarks: Reroof an existing single family dwelling, tear off and replace with
asphalt shingles.
BUILDING
REISSUE: STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS --- REQUIRED
CLASS OF WORK.:OTR 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 6RP.:R3 BDRN: 0 BATH: 0 TOTAL 0 sf VALUE-8: 4600 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 PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- MECHANICAL
FUEL TYPES FURN (100K ..: 8 BOIL /CMP ( 3HP: 0 VENT FANS • 8 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 -
1m SF OR LESS: 8 0 - 280 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 408 alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR 0
LIMITED ENERGY.: 0 481 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 8 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps- 1m 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 SI6NL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS TOTAL R SYSTEMS: 0
Owner: - --- - ---- -- Contractor: TOTAL FEES:$ 53.03
DELORIS PULLIAM UNITED ROOFING & CONSTRUCTION This permit is subject to the regulations contained in the
167v SW ROYALTY PARKWAY 7276 SW BEAVERTON- HILLSDALE HWY Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 97224 STE 199 other applicable laws. All work will be done in accordance
PORTLAND OR 97225 with approved plans. This permit will expire if work is
Phone #: Phone #: not started within 160 days of issuance, or if the work is
Reg #..: "19 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
Building Final
Issued By: !,� ) Permittee Si gnat ure
1iQ4
+ + + + + ++ + + ++ ++++++++++++.+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ — + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next bu iness day
CITY OF TIGARD Plan Check #:
13125 SW HALL BLVD. Rec'd By:
TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd:
V- 503 - 639 -4171 X304 Date to PE:
Commercial and Residential Date to DST:
F- 503 - 598 -1960 Permit #: 41 ' F Q SS - 636$'
Incomplete or illegible applications will not be accepted Called:
NaTe ot m Develo n in
P
e t/ s
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is €�twP y'hlfrli'Irt... .
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Y'l( -� l ttfleiita :
f`.::. p[ idt. 8,. ::::.......
II t , e Add n, .4 Ste # Please fill out applicable section and attach copy of roofing
Job Site 4' • 1 " e S r specifications.
Bldg City ate . J Zip :Lwted::Asste y: >;: *C cIe: &:;Csiotete:A B.;or:Gg: : :« >: : .,:: : : > : >:r :
A.
7 h+1
1. Specification #:
Applicant rgAa_ i�gg Address. ildES � 2. Manufacturer:
t/ St tl atg Zip one 6 *3a UL Classification:
Roofing Narie //6-0)-e- (OR
Listed Building Materials Directory Page #:
Contractor -5
(Prior to issuance Mailing Address *3b Wamock Hersey :
applicant must
provide a copy of City/State Zip Listed Wamock Hersey Directory Page #:
all contractor *COPY OF ASSEMBLY REQUIRED
-
licenses if Phone # Fax #
expired in COT B. ICBO Research #:
database) SAO Constr.Con Board # p. Date
s' /o- O a DATED:
;:1 F... .. ;;::>:::::<: :::>::: <:: » » » ><: SPECIAL PURPOSE ROOFING: WOOD SHAKES
:.:
><.:.;:. ,:. ,:.;;:;::
.:.:.;:. ::. ::.;;;.;:.;:.:.:. ». O ES
Buildi • t l ie Of Use: (circle one) (review required by plans examiner)
SFA COM MF
Building - ype of Construction: $ `` II % VALUATION OF PROJECT j /
1 ' t 0 d�T sq. ft. of roof area / coGo
Existing Deck Ty Permit fee based on valuation* _ - Combu ) Non - Combustible ( ) * see chart on back $ ff�' 5 6
» RESp �:.;:.: �.; �::.. �. �:: :: O: I! I)r. ...�::::�as�;:vg::dV("orfc.. er a ►: : >;;:;.;:.;�.;:.�: ::::::::,...: City. use..on ...� .. WACO:
ty ly
Li REPAIR (MAJOR) (review required by plans examiner) :, (BUILD): (UBUILD) ``
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit 5% State Surcharge $ ' J
Application. ; < :. use. only.:: :: :.WACO <::: .. .:,.. • .. .
SUBMIT TWO (2) SETS OF PLANS SPECIFYING. i.: :
:; . I - (TAX }:.: . ;: (UTAX)
A. Roof area & nearest street. *Required for major repairs of Residential n ? 3
B. Attic vents - Provide 1 sq. ft. for each 150 sq. ft. of attic or "C" above * 65% Plan Review $ ' O" '
space. Vents shall be located in the upper 1/3 of the roof. 'City:use.only: -:,. •-W . ACO : '::';
Provide 1 sq. ft. for each 300 sq. ft. when eave & attic -" : (BUPPLN)` `:-- ,,, : ' (UBUPLN) •
venting is provided.
TOTAL $ •S' S /
><STEM:'1 »:i.IIM?COMMERCIAE' <> >O
.. I acknowledge that I have read this application and that the
ss.of
.1fltork.:...
. -. -- .. information even 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
re fired - Signature of Owner/Agent Date
B. Existi built -up roof covering to REMAIN: note applicant
must subrnit.an engineer's review of the roof structural (Q l
elements. Review shall the seal (or stamp) of the A / t tq _
4 architect or en fine icensed in Oregon. Contact P on Name Telephone
Asphalt wood shin /shake /_X
1PROCEED TO S P 2) , cC Q� S 9 th
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
5,001 -6,000 56.50 36.73 2.83 96.06
6,001 -7,000 62.50 40.63 3.13 106.25
7,001 -8,000 68.50 44.53 3.43 116.46
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 1 79.50 116.68 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
l
KING CITY
15300 S.W. 116th Avenue, King City, Oregon 97224 -2693
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: '`--4- ,.' ' o
/64
located at: Qe
--
A514.- �a
King City Representative,
1:'DSTS\KC[NST.DOC
I 1 L43+ -
'1if .bC,-)
ROOFING ESTIMATE 7 276 SW Beav -Hills Hwy.
AND PROPOSAL UNITED ROOFING Portland. Oregon 97225
& Constr Inc
— uction, • — (503) 526 -0260
Contract Copy Fax (503) 643 -0489
Bonded • Licensed • Insured
#91955
OMER'S N E _ . NOME PHONE OFFICE PHONE
, 1211 1
ADDR SS CITY . aCSTE ZIP CODE
, ,
NEAREST CR SSj.TREET Al ill I - TA if ON ADDRESS IF DIFFEREN / CITY STA ZIP COO
CC / /YW//�^/ SS � SKETCH Show roof measurements including rise.
Shade out any part of roof(s) not r be covered.
Show location of gutters, downsp ts, overhaanand trim.
Type Roofing . / /`I _ Show location of any s.
Color• i� ri :/ / _ � ..�•ti{C!
• • is show less variation in shade due to light reflection than solid colors. Black ... 49 - • s ! • - • • • •
normally has some shade variation. :::
To be installed on a / -story house. Ri�" IN 12 ". ,f I • -
Type Roof: ❑ Shingles ain, or able, or ❑ Mansard, or • • • • • • • • • •"r —•
L Cut -up ' ❑ Hip, or ❑ Gambrel .....
❑ Low Slope (2" Rise up to 4 ") ` Rise " IN 12"
❑Built-up (Must be under 2 ") Rise " IN 12" • • '�' • D • • 13. -� • n. • ' n
/ •
V type _ -
YADD VENTILATI IN per Sketch ,it .../ ,, IO :P.1 , •
... _... _._.._......... _....., .. ---...-----
Adequate ventilation consists of 1 Sq. F . Free Ope'ea for every 1 i q. ' • ' • '
Ft. of attic floor space (50% located at r' •ge, and 50% at ea es). ' �•
EXISTING RO FIN consists of avers of at • • / ; ; : : ;
< MM
� Contractor will , V .... .. .
❑ Apply over existin shingles. CAUTION: New shingles will conform to uneven-
ness of existing deck and /or shingles. —... • a ..__._._� _
or .... ...
❑ Cut off and haul away tabs of existing asphalt shingles to provide a smoother • • • • .
more even deck, apply shingles.
r ear off existing
roofing to the deck, cover with No. / , apply shingles.
ROOF LEAKS - ❑ Existing leaks are indicated on sketch. - - . . . - -. . . . . . . . . . . . . . . . . . . . .-
R O T T E N OR DETERIORATED WOOD • No charge has been made for replacing
rotten or deteriorated wood, unless specifically stated under special instructions.
If such conditions are found during installation, an additional charge will be made
in writing using a separate form. • ' . • • . • •
❑ GUTTERING *. Special "40,r
C LOR AND DESCRIPTION) Instructions 1 .4 4'
will be installed as shown on diagram. A
' TRIM COLO •
Drip Rake Ad Vents �� - �' _
/_:3
INSTALLATIO ESTIMATED 1 understand that this is, I,• an estimated date and I will be con -
TO BEGIN WEEK OF tacted prior to this da to schedule the actual installation date.
y1 )CAS•/ PRICE) (DATE)
/ T } ��� Customer can buy For information regarding —
at this price until 1 your installation call:
I We Propose - - - to furnish . - - 'al and labor - c•,jf•lete in . cordance ' -bove� =cif , for the sum of: 0
�� �. � _ _ - ! dollars ($�r`�`�' ).
• PAYMENT OBE MADE AS FO S l deposit ($ ).
I Late e
I OR Sub � �a, ' -.' pieiloid
A late charge of 1 1/2% per month or maximum - •.ed by law will be applied to delinquent accounts
Oyer nc
I Acceptance of t' roposal he ab prices, specifications and '
conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined. By signing Signature / � � � �� .
..
I this notice you are indicating that you have received "Information Notice to 9 —, v — I — D. = i
Owners About Construction Liens have read it and understand it.
6/13/00 Activities for Case #: MST98 -00368
2:27:21 PM 4;
Assigned Hold Updated 4 0
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • ‹t‘40
MSTA005 APPlication received 8/18/98 GEO RECD DST 8/18/98
MSTA008 Permit Created 8118/98 GEO DONE DST 8/18/98
MSTA799 Building Final DST 8/18/98
MSTA092 (F) Issue combination permit 8/18/98 GEO PASS DST 8/18/98
MSTA757 Roof Nailing 9/18/98 RC FAIL J *H 9/18/98 not ready, no one at site.
MSTA945 Request inspection research 5/22/00 ST DONE No Hold ST 5/22/00
MSTA153 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
•
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