11485 SW GREENBURG ROAD-2 ....._,...._ .-�...,.... ._.._._......_...._........�-_....�,..�r.�u-�..�.......,»,. .............,._ ...._.,_.._.............»,.«....ww...+...n..r.�.�..a...�rw..u.s......�.....,..�.,«��._....,..e��wruw..�+.wu.d.w:�+w...+ard�ciw:uM�rAAy�p�
1 ,
fi
00
ul
s
h
!D
!D
c
O'
G '
ry
vo
� r
1
Qtl02i DIMENSSED MS S96TT
---- ----— — :—TIGARD CIT'Y OF
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . . . . . BIAP,99 0082
13'25 5"Al Hall Blvd„ Tigard.OF?97223(503)639.4174 DATE T SSUED: 03/16/99
PARCEL.: I S 135CD--00300
SITE ADDREFS. . . : 1. 1485 SW GRE"ENDURG RD
SLJ11DIVISION. . . . : Brl''TCHERS ADDITION 7.ONING: R-lw
BI.-OCK. . . . . . . . . . LOT. . .. . . . . . . . . . . :00_►4 JURISDICTION:TIG
REISSUE: FLOOR AREAS-------------- EXTERIOR WALT_ CONSTRUCTION-
CLASS OF WORK. :OTR FIRST. . . . : 0 Sf N: S: E. W:
TYPE OF USE. . . :MF SECOND. . . - 0 Sf PROTECT OF1ENING!=,'?-------------
TYPE OF CONST. : ? . . . . 0 Sf Ns S: E: W:
OCCUPANCY GRP. : R3 TOTAL-------: 0 sf ROOF CONST: FIRE RET? : I
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SLP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 Sf OCCU SEP. RATED:
BSMT?: MEZ Z?: RE DD SETBACKS--------- RE QUI RED------------------- --
FL OOR LOAD. . . . : 0 ps f LEFT: 0 -ft RGHT: 0 ft F I R SPI-{L: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 22562
Remav-ks : Re-roof
OWner,: -- _---____________._._._ .....--...._------•----__-.-. - FEES
THE BIRCHES APgRTMENTS type amnl.rrt by drate r-ecpt
11485 SW GREFNBUIRG RD PRMT $ 158. 5r. B 0_3/t6/99 93-3137.-.',
TIGARD OR 97 '22' 5PCT $ 7. `33 B O3/1E./99
99-313732
Phone #. "" P EP
COOPER MOUNTAIN ROOFING li CONS
14657 SW TEAL. STE 207
SEAVERTON OR 97007
--------------------------
649-2367 f 166. 43 TOTAL
R e c_I #. . . 11.2932
--REQUIRED FICTIONS or• INSPECTIONS
This permit is issues' subject to the regulations contained in the Final Inspection
Tigard Municipal Ende, State of Ore. Specialty Codes and all other _
applicable laws. Al'. work will Le done in accordance with
j approved plans. This permit will expire if work is not started —
within 160 days of issuance, or if work is suspended for more -
than 180 days. ATTENTION: Ore;.:n law requires yn_; to follow the
rules adopted by the Oregon Utility Notification Center. !hose
rules a•e set forth in OAR 952-001-0010 through OAR 952-00101981.
You many obtain a cony of these rules or direct olls:-tions to DUNG
by ca)ling (903)246-1987.
Fprmittee Si. nature: rs s P.i e d B y 6A_AvLL�=_
I
i 1 V4 t'+• ++++++++. ++++4+1-+•++.++++++++++*++++++++++ -+•+•r-++•I-'++-+ +••*++++-++++++++•+++++++•+
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++•+i••4•++++++++++++++4•+++++++++++++++++++ar+++++++++++++++-F+++++•f ++++•/-++++
CITY OF TIGARD Plan Che
13125 SW HAL_ BLVD Recd By:
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date RecP �`
V-503-639-4171 X304Commercial and Residential Date to PE:
F-503-598-1960 Date to DST__
Permit#: G ''
Incomplete or Illegible applications will not be accepted Called:
Name of Development/Business STIP 2.>NEW ROOFING ASSL;MF3t Y -
,; _ Malt9rial Documentation UHC Appendix 16)
Street AddressSte ft Please fill out applicable section and attach copy of roofing —
Job Site //,/ .5" - ;�,, ,. - specifications.
,Bldg# 1 City/State Zipfisted Assembly {GlrolA ;Complete.A,g or Q
Name 1. Specification#:
Applicant Mailing Address -- 2. Manufacturer: 1 A L w=/1-1 Z"o Y/,(
CityiState Zip Phone •3a UL Classification:–�_�__
Roof gig Name Listed UL Building Materials Directory Page#:
Contractorl>'DG.vliikt� (OR) --- ----
�_
(Prior to issuance Mailing Address '3b Warnock Hersey.
Leant must /.�
a — --- ----_ _--
PP � ' .' e�rG�1i del,, ', !. •?�I
provide a copy o' C;ty/State Zip Listed Warnock Hersey Directory Page#:
all contractor c �� 'COPY OF ASSEMBLY REQUIRED w
li,.enses if Phone f Fax N
expired in COT �',r, `) 7 B. ICBO Research#:
database) State Constr.Contr.Borird# Exp.Date — –
_ 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: - — Pcrmit fee based on valuation'
Combustible ( ) Nan-Gombust,ble ( ) ''see chart.on back $ _
RESIDENTIAL ONLY-Class of Work:Att%►ation � City use only: ��WAM -
O REPAIR (MAJOR)(review required by plans examiner) (BUILD) _I .(UBUILD)
Permit required ONL Y when spaced sheathing is covered by
solid shertning. Changes to roof line require Building Permit 5% State Surcharge $
Application. City use only: WACO: _ -�
SUBMIT TWO(2)SETS OF PLANS SPECIFYING. A`)
A. Roof area 8 nearest rfreet * � {UTAX)
Required for major repairs of Residential
B. Atti,.: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.H. for each 300 sq ft.when eave b attic (BUPPLN) �- (UBUPL N)
venting is provided —`
TOTAL $
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 c-authorized
Ur%,r ribe work to be done. (check appropriate box) agent of the owner, and that the plans(if applicable) are in
Ll 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 OwnerlAgent Date
B Existing built-up roof covering to REMAIN note applicant
must submit an engineer's review of the roof structural / �
elements Review shall bear the seal(or stamp)of the :+G
architect o, engineer licensed in Oregon. C at Person Name Telephone
C. Asphalt or wood shingle/shake G Iia
_-s-__-- (PROCEED TO STEP 2) -_ /��?;� e,LAC LYI; a r� /&
EXPIRED
1:ldstslforrnslroof.doc
CITY OF TIGARD
BUILDING PERMIT Z=EES
TOTAL.
PLAN STA'o'E BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES (65%) (5%1 FEES
1-1500 25.00 16.25 ''./-5 42.50
1,50', 1 c J0 25.50 17.23 1.33 45.06
1,601-1,700 28.00 18 ., 1.40 47.60
1.701 1,800 29.50 19.18 1.48 50.16
,1,80,1-1,900 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 2.8.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
5,0111-6,000 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 ,36.86
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
15,001-17,000 122.50 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
2.0,001-21,000 146.50 95.23 7.33 249.06
21,001-22,000 152.50 99.13 '7.63 259.2.6
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
26 901-274 ,000 179.50 116.68 8.98 305.16
27,001-2.8,000 184.00 119.60 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 10.110 343.40
32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001.35,000 215.50 110.08 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
1.ldsts\fonnsVoof doe
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Ur,d/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
j t.c6-0'�lc G-y
Other:
Date: .11-_!l 7'— A.M. P. Entry:
Address: T ,—�J(,1� 'y!y_'x �_---
Tenant: ��_ Ste:__ MST.
Con/Own:_415BUR
Z_ MEC:
_7 —_o - —
PLM: L
ELC:
THE FOLLOWING CORRECTIONS.ARE REQUIRED: ELR:
Inspecta l: Date:/
>,-PROVED ___DISAPPROVED/CALL FOR REINSP. CF CO
CITY O F TIUAR D ��-1- �-�
DEVELUPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . .. PLM96-0,331
DATE ISSUED: 11/13/46
SITE ADDRESS. . . : 1J.485 SW GRU RPARCEL: IS135CD-00300
SUBDIVISION. . . . : BOETCHERS qDDITION ZONING: R-12
BLOCH . . . . . . . . . . : LOT. . . . . . . . . . . . . :4
CLASS DF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : Vi
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW PRF IV'NTRS. . : 0
OCCUPANCY ('7RP. . rR3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . iA
STORIES. . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES---L' . . . LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
IAVATORTES. . . . . .. 0 OTHER FIXTURES. . . . : I
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 200
WATER Cl.-OSETS. . : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 200
Remar[(-5 : Stnrm drain syster,
See EN(396-0062 for Sop
Owner: FEES
GARY LEWIS type amount by date roept
3975 SW 97TH PRMT $ 64. 00 JMH 11/13/96 96-286402
5
PORTLAND OR 97225 APCT $ 3. 20 JMH 11/13/96 96-286402
Phone #.- 297--5439
Contractor:
J R. S LANDSCAPING
9180 SW 66TH AVE
TIGARD OR 97223
Phone #: 452-0482 f 67. 20 TOTAL
Reg #. 0596et
------- REQUIREL, INSPECTIONS -------
This permit is issued subject to the regulations contained in the Storm Drain Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than IN days.
permittee SignAts-ir-4 '
T y
Call for inspection 639-4175
:ITY OF TIGARD `J
Plumbing Application Recd By C�
13125 SW HALL BLVD. Commercial and Residential Date Recd- II`('�. G
TIGARD, OR 97223 Date to P F,
503) 639-4171 Dale to DST i '
Permit s til ,41 16, 0.3-; 1
Print or Type Related SWR 0 j]
Incomplete or illegible applications will riot be accei)ted Called 4-►'3 c .4
wame of DevelopmentlPmlect FIXTURES (Individual) UTY PRICE AMT
Sink
Job H9.00
.lid FA; �'
Address Street Address Suite— Lavatory 9.00
/ ETEN�x-R E; R rub or rubrShower Comb. --T 9.00
Bldg a t tyrState =io Shower Orly
_ 9.00
Name OIC 9?,� iTL..- Water Closet -- 9.00
Uj/ S Dishwasher I 9,00
Owner Maiwp Address _ Suits Garbage Deposal — 900
Washing Machin — 9.00
cltymate Zip Phone Floor Drain 2=-^
9A0
Ibr�TI>�+NrJ 97r��s 5Y�`
me
Na3� 9.00
vt min _ a 9.00
Occupant P Address Suite Water neater aq.50
q
_ Laundry Room Tray 0
GtyrState Zip Phone t nnal -
0
arae - Uther Fixtures(5peafy) --- 0
E N ZA — Ca ,�1;, V�---'— _ ;r
Contractor Mornay Address Suite \=-
9.00
� City/51ate Zip Phone _
900
9.00
Oregon Const.Cont.Board 1.1c 0 Exp.Date 9.00
e0ne1 Copy of --
9.00
Careet Ptianbing Llc.tZ P c^ Exp.Date Sewer-1 st 1000 00
Ll*nese S U — S- 31-9 7 -
Sewer-each additional i00' 25 00
COT Business Tax or Metro t Exp Date _
y !I
LIZ— Water Servrx- 1st 100' -- I 30.00 --
Na ~� Water Sennce-each additional 200' 25 00
me
r AR:F1fteCt Slwm S Rain Drain- 1st 100' 10.00 SC
or I Mailing address g, ;e Slom!d Rain Drain-each additional 100' 25 0
Mobile dome Space 0
- 25 0 1
FnglneerI Cavi State Zip Phone �- Commeraai Sack Flow Prevention f:e\nce or Anti- I 2500 I
_ _ __ _ Pollution C"ce —IL
Deaa*e;OW*- 'vew G Addition C Alteration Reowr J - Residential Backflow Prevention Covire' I 15.00
b'ae done: 9esidertial O Von residential Any Trap or Waste Not Connected to a Fixture !_ - I 900
Addle ug deAti-mpt:on of work 1111 _
jGv�aQ-ei1c�' in ,gyp r. f0 e+. r1L lA� Catch9asm _� _L_tpe,ihr 9.00 �J
•A t ^ I a(�tst_l I to t r v� o'�L/ asp of c<isunq f'urnbmg 4000
! //��
�- L�.?-r.tnt_ �ll�t.Y--� oZL--i Z �� ��t.t,.c ------
Sceaaiy Requested Inspecions I a0 UO
-��LOU ]t I oerrhr
xaidrrg ar PxooenY ��` Ram i;(ain, single'army dwelling I r e 00 —(
oaosm usr:of Grease Traps 9.00 i
wddirg or property Az_rt
QUANTITY TOTAL
Are yet capping. moving or repl:anq any fixtures') 'les Q No Iswvb-r.3r nasi avagram a reourea it Cuanay Totri is >9
(if yes see back r It form) __ _ "suRrorAi
a.
I hereby acknowledge that I he read th s aoplicition,that the information
givens correct, nal I am the owner or authorized agent of tl•e owner and 5% SURCHARGE
hat clans 0itsmitted are�n compliance with Cregoi State Laws. —_�-
3ignaiurw of 0wnenAgent'� — I Date PLAN REVIEW 25% OF SUBTOTAL
:Zeoured o,-1y 1'trture Iry 'Otal.s 3 9 V
TOTAL1
patios Peron Name I Phono /
� �-
'Minimum permit fees S25 5%surcnarge.except Residential Backflo
Prevenbon Cevice.which is S15 • Sit surcnaige
'- — i:Ws1mplmapp.doc 5196
ti\
PI F:A5E-C-QM-PUIE--A-$--APP—RQP-RIATE IQ DeQJF
Fixtures to be capped, moved of replaced
Sink
Lavatory ---..—
Tub or Tub/Shower Combination
Shower Only �-
Water CYoset _
`Dishwasher _ —
Garbage_Disposal _--�
Washing Machine -
Floor Drain _ 2"—
Water Heater _ —
Laundry Froom Tray
Urinal —
Other f=ixtures (Specify) -�^--
COMMENTS REGARDING ABOVE:
JOSEPp A,COSE
aw am Ave
OR !7M
til
I
a
Com_`.
A,C*avaA
6 2 �' --;Y G 0
•
VS 5- St,J
a
`'""Z
-y\
c -t welie
!NN ,QJ�'t1t til
/d'-t- Citi-h-•-sl Q�_ '� �p �