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Permit . f , CITY OF TIGARD D BUILDING PERMIT PERMIT #: BUP2000 -00143 444 W1 4 ' DEVELOPMENT SERVICES �/ v n DATE ISSUED: 4/25/00 - r � ) I " 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16615 SW ROYALTY PKWY 2S115BC -09900 SUBDIVISION: ZONING: BLOCK: 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: $ 6,250.00 Remarks: Reroof - tear -off and cover skip sheathing. Preinspection of skip sheathing required prior to cover. Owner: Contractor: PATRICIA KNIGHT WILLIAM J. MONICAL 16615 SW ROYALTY PKWY DBA STORM ROOF SYSTEMS KING CITY, OR 97224 1103 N PINE S 7 T O9 3 Phone: 266 -4090 CPFio: no Reg #: LIC 135764 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT DST 4/25/00 $96.25 1692 Final Inspection 5PCT DST 4/25/00 $7.70 1692 Total $103.95 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 � : R 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pemiitee Signature: N K Issued c • �.-:A. - jp.7 - OP ..A..-i Call 639 -4175 by 7 p.m. for an inspection the next business day • IIP s*. ' r "' • CITY OF TIGARD Plan Che #: '"- 13125 SW HALL BLVD. Rec'd By: TIGARD OR 97223 RE- ROOFING PERMIT APPLICATION Date Rec'd: 4 -9S t ? V- 503 - 639 -4171 X304 Date to PE: -- Date to D F- 503 - 598 -1960 Permit #: /e/3 Incomplete or illegible applications will not be accepted Called: Nam of Development/Business / 2. NEW ROOFING ASSEMBLY . Pq , 16 M / ,C,Jyt • �eS /e' // Material Documentation (UBC Appendix 15) Street Address „ I n Ste # Please fill out applicable section and attach copy of roofing Job Site // S S //4 W/P //j/ ;Q'wy specifications. Bldg # City /State � / n err ?y Zip( Listed Assembly ( Circle & Complete A, B or C) k �' (,, /7` / / / y D / /r A. Name 1. Specification #: / U / /Q /Viciiie 4 / • Applicant Mailing Address 1 2. Manufacturer: /Os 6/Lme_ City /State Zip Phone *3a UL Classification: Let? • 4 OP 97 /3 .214-VV9O . Roofing N rne, / Listed UL Building Materials Directory Page #: Contractor 1,111 �I I r yh J. A'ION I C Q I (OR) (Prior to issuance Mailing Address (-.), *3b Wamock Hersey : applicant must //) 5 A/ 11 N E provide a copy of ty /State Zip Listed Wamock Hersey Directory Page #: all contractor anb oR , `�7U/ - *COPY OF ASSEMBLY REQUIRED licenses if Ph n # 1' p t� Fax # expired in COT (9 _1/(J / B. ICBO Research #: • database) State str.Con r. Board # p. Date • 1 57 0 y (' - dre/ DATED: B INFORMATION C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Buildi Of Use: (circle one) (review required by plans examiner) SF SFA COM MF Building - Type of Construction: VALUATION OF PROJECT $ , n sq. ft. of roof area � Y Existing Deck Type: Permit fee based on valuation* C/ a Combustible ( ) Non - Combustible ( ) * see chart on back $ W RESIDENTIAL ONLY - Class of Work: Alteration City use only: WACO: `REPAIR (MAJOR) (review required by plans examiner) . (BUILD) (UBUILD) Permit required ONLY when spaced sheathing is covered by 7. 70 solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ Application. City use only: WACO: SUBMIT TWO (2) SETS OF PLANS SPECIFYING. (TAX) • (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 $ 3 , STEP 1. COMMERCIAL ONLY y 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 -' (check appropriate box) agent plans (if applicable) • �; ,���',�;��ork to b done: check a ro riate box a ent oft •owner, and that the lans If a licable are in �o_;�. • F 'rcle A ,B or C) complia e with Oregon State law. \ ' ; :::7_r ting built -up roof covering to be REMOVED and deck � • eppir - Signa re of Owner /Agen Date B. Existing built -up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural , e0 elements. Review shall bear the seal (or stamp) of the architect or engineer licensed in Oregon. ontact Perso' ' ' eleghgne C. Asphalt or wood shingle /shake 3l (PROCEED TO STEP 2) K gill WPM CA-c X 2( - D 2+ a. I:dsts \forms\roof.res.doc I �l L. - Lit/` -0 # �� 8/26/99 %-- /1 - - - 41 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: NIX -61A -- - 1�-e- 4 - = "y t 1 located at: • • .. ..,+, i . • 6'/n '¢, + King City Representat e I:'DSTS'KCINST.DOC • 6/15/00 Activities for Case #: BUP2000 -00143 1:27:29 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPA005 Application received 4/25/00 DEB DONE No Hold DST 4/25/00 BUPA010 Permit created 4/25/00 DB DONE No Hold DST 4/25/00 • BUPA800 Misc. Inspection 5/9/00 TLP PASS No Hold AKJ 5/9/00 ext sheathing entire roof completed BUPA870 Final Inspection 5/11/00 TLP PASS No Hold AKJ 5/11/00 BUPA085 (F) Issue building permit 4/25/00 DEB DONE No Hold DST 4/25/00 BUPA950 Case Finaled 5/11/00 AKJ DONE No Hold AKJ 5/11/00 • Page 1 of 1 4v4 r� ,5 , I k ! � OG V Sis -a V X k . X )( 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ?pop- 00) Li 3 Date " /I 1. equested 5/I1 /,�AM PM BLD Location t Lo Co l I S ept4 4) / uite MEC ° q Contact Person ,/ 6 1 1 Ph U 3i 8 g PLM Contractor Ph SWR ILDI 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 Firewall Fire Sprinkler �\ Fire Alarm / o Q Susp'd Ceiling Roof Misc 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 L � Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.