16610 SW KING CHARLES AVENUE 16610 SW KING CMRLF.S AVF.
CITY O F TIGARD
ERIVIT'T 0. 11131,98--.0 1.70
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
k�1-31151.K* 04100
0DI)t:d::*I33_ . :0.66,10 13W 1<111C) (.'A()R1 1 13) (AVE
Fil 0("K.. L.0 I
Remarks; Reroof existing single family dwellina. Tear off two layeTS T*PlaVe with composition.
BUILDING ——--------------------------- --
REIS,RUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REOUIRED SETBACKS---- REOUIRED—---- ----
CLASS 01 W,.:k I HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 8 sf LEFT..........: 0 ME DETECTRS:
TYPE OF Utif...:SF FLOOR LOAD....: 0 SECD&... 0 sf FRIA.;.........: 0 PARKING SIXES: 0
TYPE OF CONST.:5N DWELLING UNIIS: I FINBSMEHI: 0 sf RIGHT.........: 0
OCCUP4,WY SRP.:R3 BDRM: 0 BATH: 0 8 0 1411E,-1!. 5994 REAR..........: 0
—------------------ FL'kML!*I —------------
SINKS......... 0 WATER CLOSETS.: 9 WASHING MACH..: 0 LALW,,Y TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 b01P LINE ft: 9 9: RAIN DRAINS: 0 CATCH BASINS—: 0
TUB/SHOWERS...: 0 Gf'(W DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES, 8
MECHANICAL. ------------- ---
UFI_ TYPES----------- FURN ( IRW 0 BOIL/CK' ( jHP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )400K 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 8
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODST(MS....: 0 GAS OUTLETS...: 0
- ELECTRICAL
--RESIDENTIAL W"IT--- ---cFRVICE/F[FDER— --TFr*, SRVC/FE1-DfAS— --BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS--
two 57 OR LESS: q @ - ?6( amp..- 0 8 - 200 amp..: 0 W.ISVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA PDJ1 L 50%. 0 201 400 amp .. 0 201 - 400 amp..: 0 1st W/O 5VC/FDR: 8 SIGN/OUT LIN LT: 0 PER HOUR......: P
LIMITED ENERGY.: 0 401 00 amp..: 0 401 - 600 amp..- 9 EA ADDL RR CIR: 0 SI(44ALJMEL...: 0 IN PLANT......: P
MAMA HM/SX/FDR: 0 601 IFN AMP.: @ 601+amps-1e88 V: 0 MINOR LABEL -10: 0
18004 amp/volt.: @ PLAN REVIEW SECTION ---------- ------------------------
Reconnect
---------------
Reconnect only.: 0 )r-4 RES UNITS.. SW/FDR)-225 A.: ) 688 V NOMINAL- CLS AREWSK 0((,:
————--------- ELECTRICAL - RESTRICTED ENERGY -------------------------------
A. SF RESIDENT TAI.-- - P. COff*Rt,IAL--------------—----------------------------—-----
AUDIO 8 STFREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDRX LHDSU LT:
BU(; AR ALARM..: RPIR5BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PRefECTIVE SIrA:
GARAGE OPEHER..
CLOCK... ......: INSTRUMENTATION: MEDICAL........: OrHR:
,b
HVAC...........s DATA/TFLE COMM.: NURSE. CALLS....: TOTAL 0 SYSTEMS: I,
Owner: --a—ar: -----_______--------------- TOTAL FEFS:$ 96.86
PETER KWMIU WRMAN ROYBAL This permit is subject to the regulations contained in the
16618 N K!NG CHARLES 6288 SW SEVILLE AVE Tigard Municipal Code, State of Ore. SpK)alty Codes and all
101f, CITY OR 97224 I-WE OSWEGO T 9703b other applicable laws. All work will be done in accordarrp
with approved plans. This permit will expire if Wort, is
Ftrane N: Phone #: 697-6916 not started within 180 days of issuanre, or if the work is
Reg N..: 123801 suspended for more than 1P8 days. ATTENTION- Oregon iam
requi,es you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-01-010 through OAR 952-011-M8. You may -ibtain copies of these rules or
direct questions tv OUNC by calling (5e3)246-1987.
---------_ ------ ----- REWIRED INSPECTIONS
Roof Hailing
Misc. Inspectinn
Final inspection
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CITY OF T!GARD Recd By:
13125 SW HALL BLVD. Date Rec'd:--__.�
TICARD OR 07223 RE-ROOFING PERMIT APPLICATION Date to PE:_
FerT t DST:
V- 503-639-4171 X304 — _
Incomplete or illegible applications will not be accepted enni #: V 4115-
F-503-598-1960
1r6F-503-598-1960 Called,
Name of Development/Lusiness - STEP 2. NEW ROOFING ASSEMRLY
_ Material DocumsnL�t^_: URC A n�tlx!5 _
Street Address Ste# Please fill out applicable section and attach copy of roofing
Job Site � $1W, l ' �, specificatiun_s.
Bldg# I City/State Zip Listed Assembly _(Circle&Complete A, 8 or C) -
----- l /i-y_ -
Nr! 1. Specification
h
Owner Mailing Address 2. ManLfacturer: � z4�&-N!� �e' tf.:y er r{ ;
itv/swe 2 p / Phone 3a UL Classification:
Roofing Name , Listed UL Building Materials Directory t'age# __
Contractor � ,t ' /I L� (OR)
(Prior to issuance Mailing Address c �n U, 3b Warnock Hersey :___ --__-
applicant must ..',� ,+� J u L :��'L;%G
piovide a copy of City/State ZipListed Warnock Hersey Directory Page
all contractor ' y _ (PROVIDE COPY OF ASSEMBLY)
— -----------------------
licenses if Phone# Fax#
expired in COT I ' 'I_ ' <� '/ B. ICBO Research d:
database) State Constr Contr. Board# Exp.pate
_DATED: ----_- --
BUILDING INFORMATION C. SPECIA6 PURPOSE ROOFING: WOOD SHAKES'
Building-.Type Of Use: (circlu one) a (,''review required by pip-n-axaminer)
`SF ;: A COM Mit
Buildin - Type of Construction VALUATION OF PROJECT $
Existing Deck type: -- ---� —__-__-._ - ---permit fee based on valuation'
Combustible ( ) Nor-Combustible ( ) 'see chart un back $
RESIpENTIAL ONLY•Class of Work:Alteration - City use only: WACO:
rd RFPAI'1 (MAJOR) — (BUILD) (UBUILD) -_ J JT c)
Permit r( tuired ONLY when spaced sheathing is cc;eyed by
solid sheathing. 5% State Surcharge $
City use only: WACO:
SSlAMI_LTHR>RP"rLYLNG (TAX) ��(UTAX)
A. Roof area&nearest street _
_65% Plan Review
B Attic,vents- Providel A. for each 150 s ft of attic Cit use onl WACO: r
I q. y y
space&vents shall be located in the upper 1/3 of the roof (BUPPLN) (UBUPI_N)
Prnvide 1 sq. ft. for Path 300 sq ft when eaves&attic
TOTAL $ Z -(J
51 EP !. COMMFRCtAL ONLY I acknowledge that I have read ti-,is application and that t e
Class of Work: Repair information given is correct, that I am the owner or authorized
Describe work to be done: (check appropriate box) agent of the owner, and that the pl.,ns(if applicabel) are in
U 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 _
architect or engineer licensed Oregon. Contact Person Name Telephone
C. Asphalt or wood shingl0shake
(PROCEED 1.0 FTEP 2)
I:ROOF 1.DOC(dsts)
KING CITY
16300 S.W.118th Avenue,King City,Oregon 97224.2693
Phone:(603)639.4082•FAX(603)639.3771
Notice To Contractors Working In King City
Due to an intergover .mental afire:ment 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 RE . EW, 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:
located at: J/1) 7' > .1
�Clcli
King City Reptesentativ
I DMACrsr DOC
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CITY OF TIGARD BUILDING INSPECTION D➢VISION
24-Hour Inspection Line 639-4175 Business Phone: 6394171
Date Requested: ,� — ty - ( � A.M. `-- P.M.- MST: O/ 70
Location:- - _-�� -� _ Y
Tenant: Suited�] / Bldg: _ MFC:
C'ontractoc-_ 0 Phone: (D-�-- !p�_ PLM:
ONaiec -- Phone: ELC:
ELR:
SIT: _
BUILDING wn't) ' RLUMBING— MECHANICAL ELECTRICAL SITE
Site / 4 B ' ost/13eam Post/Beam Cover/Service Sewer/Storni
Footing xi �/llndl l'Slab Rough-In Ceiling Water Line
Slab i g Top Out Gas Line Rough-In UG Sprinkler
Fcandation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall ;norm Furnace Temp Service MISC.
Masonry Ceiling Rain train A/C UG Slab
Sh 10I u Crawl/Found Ir I lent Ptunp Low Volt
Approved Approved Approved Approved
FAp
pr/Sdwlkk Niir Approved Not Ap,)roved Not Approved Not Approved Not Approved
FINAL, FINAL FINAL FINAL FINAL
0 Call for re' .pec / C7 Reinspection fee of Srequire )re i xt inspection CI Unable to inspect
Inspector. v I)ate:_ — Pages_of