11900 SW KING GEORGE DRIVE ' a
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CITYOF T I G,A,R D BUILDING PERMIT _
PERMIT#: BUP1999-Of 330
DEVELOPMENT SERVICES DATE ISSUED: 7/29/99
13125 SW Hall Blvd., Tigard, (j,: 97223 (503) 639-4171 PARCEL: 2S110CA-02700
SITE ADDRESS: 11900 SW KiNG GEORGE DR
SUBDIVIS ON: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTER")R WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W
TYPE OF USE: SF SECOND. sf _ PROJE
CT OPENINGS? _
'PE OF CONFT: 5N sf N_ S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: I I
STOR: HT: ft GARAGE: cf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REDID SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: — SMOK DET:
'DWELLING UNI FS: FRNT: P REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING-
VALUE: 41V4A
P-,rnark!,: Re-roofing
�'wner: Contractor:
WESTWOOD, FRANCES M BRECKENRIDGE & LECBEI TER STORE
11900 SW KING GEORGE DR 2403 SE 102ND CT
KING CITY, OR 97224 [EXP VANCOUVER, WA 98664
Phone: Phone: 503-977-3000
Reg #: LIC 129244
FEES -^--� REQUIRED INSPECTIONS
Type By Date Amount Receipt Roof Nailing Insp
PRMT BON 7/29/99 $66.25 99-317274 Final inspection
SPCT BJN 7/29/99 $4.64 99-317274
-- Total $70.89 — 1 N A
This permi! is issuad subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done: in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in C„"P 952-001-0010 though OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OLJAC by calli,ig (503) 246-1987.
Pennitee
Signature: -�- --- _
'ssued By:
Call 639-4175 by 7 p.m. 'or an inst.ection the next business day
CITY OF TIGAP.D Plan Check
1-,�,� SW HALL BLVD, Recd By:
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Recd: -
V- 503-639.4171 X304 Commercial and Re:zidential Date to PE:
F-503-59a-1960 Date to DS
Incomplete or illegible applications will not be accepted Called:
'Name of Development/Dusiness ----j gTEp z, N1:W Rt�4SE
NG ASMBL`/
__ 11 _I;AaLet'faF f�oCEunetltatinrt(UBCApp$ndix_'I�
SVeet ddress
Job Site Ste# Please fill out applicable section and artacft copy of roofing
L-C� �. _ specifications.
City/State zip Usted Assembly (Circle S Complete A,B or C
A.
Na a 1. Specif ration#:
Applicant Mailing Add ess :. Manufacturer.
Ci /State Zip. Phnna - •3a UL Classification:
— --- -- --
Roomg Na e
Contractor , / isted UL Building Mr. ?rials Directory Page
L , J c i r, � (OR) -
fhnor o issuance all Address
applicant must . ' '3b V�/?mock ,Jersey
provide a copy of C iState �fi ,jp Listed Warnock Hersey Directory Page
all a-)ntractor v C
_ -
'COPY OF ASSEMBLY REQUIRED
I tenses d Phone# Fax# - ---"--- --------
expired in COT ' ' r �r��,
�G .3 �6G' P 1 6. ICBG Research it:
database) Stateonstr';ontr. Board# Exp.Data
DATED:
BUILDING INFORM.A,nON C SPECIAL PURPOSE ROOFING WOOD SHAKES
Building - Type Of U:e: (circ,e one)
'F SFA GOM MF (review required by plans examiner)
Building ` Type of C o_struct`on ~ VAL-UATION OF PF.OJECT $ --
_� _ _ Boob
-��--_ sq_ft of roof area
Existing Deck Type: �— - Permit fee baser! on valuation'
Combustible ( Non-Combustibie ( ' Ste chart on bark $
RESIDENTIAL ONLY•'Class of'Nork Alteration , J -- -
City use only: WA;:;O:
L:1 REPAIR (MAJOR) (review requires by plans examiner) (BUILD) (U3UILl?) ��� ['_r
i•ermit required ONLY when spaced sheathing is rmverid by - -- - -- `--`--
solid sheathing. Cha,iges to ruof line require Building Permit _ 5% State Surcharge $ -
p ,.lir-a}.on City use only: WACO�
SUBMIT TWO glSETS Or PIANS SPECIFYING. TAX _
( _) (U T_A_X) _
A Roof area& nearest street L*Required for mayor repairs of Residential
L -
1)A'tic.vents - Provide 1 sq. ft. for each 150 sq. ft. of attic "C" above _ " 65%_pian Review $
space Vents shall be locator+ in the upper 1/3 of the roof. City use only: WACO: - —�
Provide 1 sq ft. for each 30( sq, ft. when eave&attic (BUPPLN) (UBIJPLN)
venting is provided --` - — -- -
_ TOTAL
STEP I. COMMEFc..rAL ONLY I Gckr owledge that I have re-3d this application and that the
Class of+Nora: Repair information given is cor-ec!, 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 0
❑ RE-ROvF (circle A ,F or C) compliance with Oregon State law.
A. Existing built-up roof covering to be REMOVED and deck _
repaired- Signature of OwneNAgent - - 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
architect or engineer licensed in Oregon, Con `Person Nam? Telephone
C Asphalt or wood shingle/shake ,
_-`-- (PROCEED TO STEP 2) C.,L * Z > 07-5-
I RGCF1 DOC (dsts)REV 9,'1/98 EXPIRED
t�■►r
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMI'r REVIEW TAX PERMIT
PROJECT FEES (65%) (5%) FEES _
1--150L 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 18.2.0 1.40 47.60
1,701-1,800 29.50 19.18 1.48 50.16
1,801-1,900 31.00 20.13 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 2.53 855.86
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 74.5,0 48.43 3.73 126.66
9,001-10,000 80.50 .52.33 4.03 136.86
10,001-11,000 85.50 56.23 4.33 147.06
11,001-12,000 92.50 60.13 4.63 15, .26
12,001-13,00n 98.50 64.03 4.93 167.46
13,001-14,000 104.59 67.93 - 5.23 177.66
14,001-15,000 110.50 ,1.83 5.53 187.86
15,001-16,000 116.50 75.73 5.83 198.06
16,CC 1-17,000 122.50 79.63 6.13 208.2.6
17,C )1-18,000 128.50 83.53 6.43 218.46
18,601-19,000 134.50 87.43 6.73 228.66
19,0()1-20,000 140.50 91.33 7.03 238.86
20,001-221,000 146.50 95.:3 7.33 249.06
1,001-22,000 15250 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 8.2.3 279.66
24,001-2.5,000 170.50 110.P3 8.53 289.86
25,001-26,000 175.00 113.75 8.75 297.50
26,001-27,000 179.50 116.68 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 20200 131.30 10.10 343.40
32,001-33,000 2206.50 134.23 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 22.9.00 148.85 11.45 389.30
1 ROOF DOC(dsts)REV 5/1/98
7
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