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CIT` CSF TIGARD
DEVELOPII�Ii IVB!' SERVICES BUILDING PERMIT
!:E RM I T ##. . . . . . . : BUF X37-0361
13125 SW Ha,,'Blvd., Tirard,dR 97223 (503)639.4171 DATE. ISSUED: 07/24/97
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PARCEL: 2S 1 1 1 AA-022,00
':ITE ADDRESJ. . . : 08G01 SW INL1. ST
UBD I V I S I ON. . . . : GREENSWARD PARI'. ZON T NG: R••4. `.5
BLOCK. . . . . . . . . . . LOT. . . . . . . . .. . . . „ : 16 JLIRI5D1.CTION:TIG
REISSUE.: FLOOR AREAS _____---_-_-- EXTERIOR WALL- CONSTRUCTION--
CL.ASS OF WORK. -P FIRST. . . . : 0 sf N: S. E: W.
TYPE OF USE. . . :SF SECOND. . . : V! S 1' PROTECT OPENINGS''-
TYV E"� OF CONST. :CN . . . . 0 5f N: S: E: W:
OCCUPANCY EIRP. : R3 TOTnl-- __-- - 0 s f ROOF CONST: FIRE RET''
OCCUF''ANCY I_.OAD: 0 `BASEMENT. : Ln sf PREA SEP. RATED:
�STOR. : 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
13SMT? : MEZZ?: REDD SETBACKS----------
I-1-00R LOAD. . . . : 0 pa f L_1 .T: 0 ft R(3314T : 0 ft f"TR SF'KI_. : ,MOV. DET. .
DWELLINP UNITS: 0 �R,dT: 0 f1: REAR: 0 ft FIR ALRM: HNDICF' AGC:
B DRMS: 0 BnTHS: 0 1MP SU.1Rr-ACE: 17.1 PRO CnRR: PARKING- 0
VALUE. $ : 0
RemAr,ks : Major reroof,
Dwnrer,: ____ _ _.______...____..___.__.___._.__._ FEES
BANK ROT)aF.R5 type amui.tnt by date recpt
GE,05 SW INEZ_ ST �/ PRMT $ 31. 00 DRA 07/24/97
T 'rr,nRD nR 97224 EXPIRED PLCI! $ �'O. 15 DRA 0?/;-'4/97 '37...297526
SPCT $ 1. 50 DRA 07/24/97 97-297526
`.:);!`(PILOT RESTORATIONS
DANIEL EARL LAWL.ER
4504 SE (SLE-1\1W0OD
PORTLAND OR 97206
Phoney #: -777--1715 $ 52. 65 TOTAI...
Rey #e. . . 17112f''05
_.. REDI. I RED I NSPECT I ONS •-_ __.
This pernt is issued subject to the regulations contained in the Jk4-L ?A2—.--t -
Tigard Mr-icipal Code, State of Ore. Specialty Codes ano all other
appl icable laws. All work will be done in accordance with
approved plans, liis perait will expire if work is not started ....... __�__.__ __ ____•_.�__ __
within 180 days of issuance, or if work is suspended for morethan 160 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set fort: in OAR 952-001.0010 through OAR 952-00101987.
You nary obtain a cipy of these rules or direct questions to 911NC
by calling (503)246-1987
Per~mittee Si gnat Ur 0 .. ___-- Issued EI
+++++++-F+4+4+++++4 4-r-+4++4-++4+++-F++4++-►-+++-r•4-1-++•++++++++4-++4++++++++++++++++++++
Call 639--4173 by 6:00 p. m. for, an insper.t: ion needed the next Lousiness day
F
.+-4-+4+++++++++A-++-F+++4+-1-++4.++++4-4 4•++++++++++•+++++ ✓+++++++4+++++4++++44+4-44-+-1 1
:ITY OF TIGARD Recd By:
13125 SW HALL BLVD. Date Recd: -
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE_ --'
V- 503-639-4171 X304Date to DST:
P-503-684-7,2197
Incomplete or Ilerqble applications N111 not be accepted Permit #- 1' r
-.,.�
C filled:
Name of DwvelopmenuBusiness STEP 2. NEW ROOFING ASSEMBLY
Materia(Documentation(UBC Aepeiidlx 152_
Street Acdri" Ste s please fill -iut applicable section and attach copy of roofing
Job Site specifications.
-- Bldy a C tyrState Zip- Listed Assembly (Circle&Complete A,B or C
A.
Name (//� 1 Specification#•
//
Owner Mailing Address 2. Manufactu•er
vi iz Z_. -4
Citym zip Phone 3a UI- Classification:
Namef� Lasted UL Building Materials Directory Page
a -A- 41, ��1 f�v (OR)
RooAng Madr AAdress ,. 3b Warnock Hersey
Contractor / ! 7l � - Rl
i'/
'nor to issuance City to , Zi q 7 Listed Warnock Hersey Directory Page#:
plicr+nt must 7�t�Co+l' ,-- - (PROVIDE COPY OF ASSEMBLY)
ride a cony of Phone• Fax#
--- ----- ---------- ---------- ----- cf
ail contractor f'/' // y, B. ICBO Research#
licenses if Stats Constr.Contr. Beard Exp N Date
expired in COT L ��� DATEC
database) I COT Bus.'Tax or Met")Lic a Exp Date (PROVIDE COPY OF ASSEMBLY)
BUILDING INFI 2MATION C SPECIAL. PURPOSE ROOFING: WOODS 1AKES'-
3widinn-Type Cf se. (circle one) ('review required by plans examiner)
SF SFA _COM MF
3wlding- Type of Construction: VALUATION OF PROJECT $ /
xis-ti ny Deck Type: Permit fee based on valuation'
Combusnble ( ) Non-Combustible ' See Chart on back S t
?ESIDEN'TIAL ONLY City use only_1ACO:
_I REPAIR (MA '.:R) (BUILD) y _ (UBUILD)�
Permit requi ed CNLY when spaced sheathing is covered by ,-
solid sheathviq. 5% State Snr`harga S
City use only --T—_.
SU8AJLLI_1E.—: (3) SETS._4E-P1E L� �FS1F_Y1tlSi. (TAX_) i (UTAX) _
A. Rool area&nearest street.
65% Plan Review 5 _
B. Attic vents- ProvideI sa. ft. for each 151 sq. ft of attic Gty use only: W 'CO:
space& vents shall be located in MR upoer 1/3 of the rr_of. (BUPPLN) (UBUPLN)
Provide 1 sq ft for each 300 sq. ft. when eaves& attic _
TOTAL 5
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this ariplication and that the
Pescnbe woiK to be done. (check apprnpnate box) information given is correct; that I am the owner or authcnzed
J RE-ROOF (circle ,a 3 or C) agent of b1e owner, and that the plans (if applicable) are it
A. Existing built-up roof covenng to be REMOVED and deck compliant►with Oregon State law.
repaired - Signature of OwnerfAggnt i� Onto
8. Existing built-up roof covering to REMAIN note applicant
must submit an ergineer's review of the roof structural
elements 'eview shall bear the seal ;or stamp)of the
architect or engineer licensed in Cregon. Contact Person Name Telephone
C. Asphalt or wood sningle/snake
(PROCEEC 0 STEP 2)
RCOF1 DOC(dsts)
1
QEDLQ-F TIQARD
ILJINQ PERMITFEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT
PROJECT FEES (40%) (65%) (5%) FEES
1-1500 25.00 10.00 16.25 1.25 52.50
1,501-1600 26.50 10.60 17.23 1.33 55.66
1,601-1,700 2.8.00 11.20 18.20 1.40 58.80
1,701-1,800 29.50 11.80 19.18 1.4 61.96
1,801-1,900 31.00 12.40 X0.15 1.55 65.10
1,901-2,000 32.50 13.00 21.13 1.63 68.25
2.001-3,000 38.50 15.40 25.03 1.9.' 80.86
3,001-4,000 44.50 17.80 28.93 2.23 93.46
4,001-4,000 50.50 20.20 32.83 2.53 106.06
5,001-6,000 56.50 22.60 36.73 2.83 118.66
6,001-7,000 62.5C 25.00 40.63 3.13 131.25
7,001-8,000 68.50 27.40 44.53 3.43 143.86
8,001-9,000 74.50 2.9.80 48.43 3.73 156.46
9,001-10,000 40.50 32.20 52.33 A.03 169.06
10,001-11,000 86.50 34.60 56.23 433 181.66
11,001-12,000 92.50 37.003 60.13 4.63 194.26
12,001-13,000 98.50 39.40 64.03 4.93 206.86
13,001-14,000 104.50 -41.80 67.93 5.23 219.46
14,001-15,000 110.50 44.20 71.83 5.53 232.0E
15,001-16,000 116.50 46.60 75.73 5.83 244.66
16,001-17,000 122.50 49.00 79.6:. 6.13 257.26
17,001-18,000 128.50 51.40 83.53 6.43 269.86
18,001-19,000 134.50 53.80 87.43 6.73 282.46
19,001-20,000 140.50 56.20 91.33 7.03 295.06
?0,001-21,000 146.50 58.60 95.23 7.33 307.6E
21,001-29,000 152.50 61.00 99.13 7.63 320.26
22,001-23,00,3 158.50 63.40 103.03 7.93 332.86
3,001-24,000 164.50 65.80 106.93 823 345.46
24,001-25,000 170.50 68.20 110.83 8.53 35806
25,001-26,000 175.00 70.00 113.75 8.75 367.50
26,001-27,000 179.50 71.80 116.63 8.98 376.96
27,001-28,000 184.00 7360 119.60 9.20 386.40
29,001 29,000 188.50 75.40 122.53 9.43 395.86
29,001-30,000 193.00 77.20 125.45 9.65 405.30
30,001-31,000 197.50 79.00 128.38 9.88 414.76
31,001-32,000 202.00 80.80 131.30 10.10 42420
32,001-33,000 20650 8''2.60 134.23 10.33 433.66
33,001-34,000 211 00 8440 137.15 10.55 443.10
34,001-35,000 215.50 86.20 140.08 10.78 452.56
35,001-36,000 220.00 88.00 143.00 11.00 4c:200
36,001-37,000 224.50 89.80 145.93 11.23 47-.46
37,001-38,000 229.00 91.60 148.85 11.45 48090
1 RCCFI DOC(dstx)
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CITY OF TIGARD
C afiA.. 'roved. .. ...... ... ............. .
For only the work de cn ed'ir%
OX f! PERMIT NO.-_
����✓ I See letter to: Follow. . . .......................
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