9655 SW NORTH DAKOTA STREET-1 1
IS VIONVQ HIHON MS 5996
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9655 SW NORTH DAKOTA ST
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
gzjwm 13125 SW Hall Blvd., ngard,OR 97223(503)639-4171 PERMIT 11. . . . . . . : BUP98-0550
DATE ISSUED: 12/15/98
PARCEL: 1S135CA-00307
SITE ADDRESS. . . : 09655 SW NORTH DAKOTA ST #31
SUBDIVISION. . . . : TAMAkYN APARTMENTS ZONINGtR-1.2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG
---------------------------------------------------------------------------------
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORIt. :OTR FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :MF SECOND. . . : 0 of PROTECT OPENINGS?-------------
TYPE OF CONST. t5N . . . : 0 sf N: So E: Wt
OCCUPANCY GRP. : R3 TOTAL------: 0 sf ROOF CONST: FIRE FET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REOD SETBACKS-------- REDUIRED---------------------
FLOOR LOAD. . . . : 0 ps f LEFT. 0 ft RGHT: 0 ft F I R SPKL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL-RMt HNDICP ACG:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2500
Remarks: Reroof an existing apartment.
Owner: ---------------------------- — -__----- --- __— ---___ FEES
TRC INC type amount by date recpt
9655 SW NORTH DAKOTA PRMT f 38. 50 DEO 12/15/98 98-311552
TIGARD OR 97223 SPCT $ 1. 93 SEO 12/15/98
98-311552
Phone #:
Contractor: ----•------------------------
K & M ROOFING INC
14314 SW ALLEN BLVD
STE 408
BEAVERTON OR 97005 --_.--------------------------------_.-.
Phone #: 693--6606 f 40, 43 TOTAL
Reg #. . : 000880
--REOLIIRED ACTIONS or INSPECTIONS-- --
This permit is Issued subject to the regulations contained in the Roof nai ing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection -
applicable laws. All work Mill be done in accordance with
I- approved plans. This permit rill empire if work is not started
R within IN days of issuance, or if worm is suspended for more _
N than 180 days. ATTENTION: Oregon law requires you to fo;low the
rules adopted by the Oregon LItility Notification Center. Throe _
J rules are set forth in OAR 952-01-1811 through OAR 952-8101987.
m You many obtain a copy of these rules or direct questions to Ol1NC
Wby railing (503)246-1987. _
Permittee Signature: IssuL _
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++�+
Call 63.9-4175 by 7,00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++•*+++++
CITY OF TIGARD Plan Check
13125 SW HALL BLVD. Rec'd By.
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Ftec'd:
V-503-639-4171 X304 Commercial and Residential Date to PE-
F-503-598-1960 Date to DST:_
Permit
Incomplete or Illegible applications will not be accepted COW:
Name of Development/BusinessSTEP 2. _1111 I I
street-Address- I_eN- — please rill out applicable section andattachcopy of roofing
Job Site q& 4_:;11 �31-33 specifications.
Bldg 0 Cii /State lip Listed Assembly
*�o Com,,
Ciro 0 a 06 ,
A.
Name V 1. Specification
_ X ty, Clr�, ice
Applicant Mailing Address *e 2. Manufacturer. Cw (Lt4
"w
Cfty/State Zip *3a UL Classification: 4
Roofing Nam eW /1 Listed UL Building Materials Directory Page#:
.,
Contractor 9-:74/E C (OR)
(Prior to issuance Mailing Address (-I *3b Warnock Hersey:
applicant must
provide a copy of City/State -71p Listed Warnock Hersey Directory Paget:
all contractor
A01+V ASSEMBLY REQUIRED
licenses if Phone Fax 0
expired in COT 1 617 qW B. ICBO Research#:
database) Stat a Constr,Contr.Board 0 Exp. Date
DATED:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES -
Building-Type Of Use: (circle one),& (review required by plans examiner)
SF SFA F )
Building- Type of Construction: VALUATION OF PROJECT
WaQ FtAinrz sq.ft.1100 ofroof area 2-12V
Existing Deck Type: Permit fee based on valuation*
Combustible Non-Combustible see chart on back $
RESIDENTIAL _6_NLYCutts of
WWA*000: Ci WACO:
LJ REPAIR(MAJOR)(review required by plans examiner) BUILD (IJBUILD)
Permit required ONLY when spaced sheathing Is covered by
solid sheathing. Changes to roof line require Building Permit _ State Surcharge $
Application. CltyAwr", -TWACU
OjQ�jETqQl:PLANS SPECIFYING. (TAX)�
SUBMIT DY (UTAX)
A. Roof area&nearest street. major rep—airs of Residential
B. Attic vents-Provide I 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: FWACO:
Provide 1 sq.ft.for each 300 sq.ft.when eave&attic (BUPPLN) Itj
BLIPLN)
venting is provided.
ej-Z
U) STEP 1. COMWEkCIAL app
__5NLYI acknowledge that I have read this cation and that the
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 t owner, and that the plans (if applicable) are in
LI RE-ROOF (circle A,B or C) con7c it Oregon Stat
A. Existing built-up roof covering to be REMOVED and der.k
repaired- Sigriature of'Owner/Agent Dot
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. Contact Person Name Telephone
C. Asphalt or wood shingle/shake
(PROCEED TO STEP 2) 1 Kwatj p PZ
iAdstq\forms\roof.doc
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES 65%) 6%) FEES
1-1500 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 18.20 1.40 47.60
1,701-1,800 29.50 19.18 1.48 50.16
1,801-1,900 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 28.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
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 74.50 48.43 3.73 126.669
9,001-10,000 80.50 52.33 4.03 136.86
10,001-11,000 86.50 569.23 4.33 147.06
11,00112,000 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
16,001-17,000 122.50 79.63 6.13 208.26
17,001-18,010 128.50 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
20,001-21,000 146.50 95.23 7.33 249.06
21,001-22,000 152.50 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 8.23 279.66
24,001-25,000 170.50 110.83 8.53 289.86
25,001-29,000 175.00 113.75 8.75 297.50
26,001-21,0(+U 179.50 116.68 8.98 305.16
;x
27,001-28,00C 184.00 1'19.60 9.20 312.80
28,001-119,000 188.50 122.53 9.43 320.46
29,001-30,000 193.00 125.45 9.65 328.10
.r
30,001-31,000 197.50 128.38 9.88 335.76
® 31,001-32,000 202.00 131.30 10.10 343.40
w 32,001-33,000 206.50 134.23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,00135,000 215.50 140.08 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
37,001-38,000 229.00 148.85 11.45 389.30
i:ldstslformslroof.doc