15215 SW 116TH AVENUE o
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM BLD
Locations /-S //L Suite MEC
Contac.. Pe,-son Ph PLM
Cont--cior_ ?z✓ ��r`,_ _ �On- _ Ph 3WR _ --
56-0'LDING Tena0- �. .�Q^ f� %� ELC
f:ei;,irn.ig Wall ELR
Footing --- -
Founda+ion AcceFPS
NOT REQUESTED >>, C
Ftg Crain
Crawl Drain Insp, FOUND DURING RESEARCH SGN _
Slab - NO INSPECTION(S) FOUND IN FILE SIT
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear v - -
Framing --------_ - - - - --��� -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
------ - - ---
Fire Alarm
Susp'd Ceiling
Roof
ASS,, PART FAIL _—
P BING
Post& Beam -----------
Under Slab
Top Out _----------
Water Service
Sanitary Sewer
Rain Drains
Final - -- -- -- --- - - ---
PASS PART FAIL
MECHANICAL -----_-_-
Post&Beam ------------ - --- -- - - --- -------
Rough In
Gas Line ------------- ---------
Smoke Dampers
Final --- -- — ---- -- - --- --
PASS PART FAIL
ELECTRICAL _.—
Service
Rough In
UG/Slab
C- Low Voltage �- —
Ce Fire Alarm
v~i Final
PASS PART FAIL
SITE
Backfill/Grading T --' � - ------ ---
-4 Sanitary Sewer
w Storm Drain [ J Reinspection fee of$ required before next inspec}ion. Pay at City Hall, 13125 SW Hall Blvd
--' Catcii Basin
Fire Supply Line [ J Please call for reinspection RE:_ — [ J Unable to inspect-no access
ADA c�
Approach/Sidewalk
Other Date -� �� - I _Inspector_- pca'n �.� Ext
---- -- ----
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site.
CITY CSF TIGARD
DEVELOPMENT SERVICES BIJTL.DING P'E'RMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 f TERM T T #. , . . . . . : 31_Jr:19' _..02:39
IaATF. ISSLIED: 06/18/98
PARCEL... `_'E)l1.0('A-8074t
::a]. VE ADDPF"?rs. . . : 1521°3 5W t IGTii AJC
3IJR0TViSII3N. . . . : KING CITY CCkIDO. D1_.D6J l#1. t8 7ONIN(Y:
nL..00K. . „ , . . , . . . ,. LOT. . . . . . . . . . . . . :OOi. JIJRISDICTION:I;ThJ
?r::ISSUE.� FLOOR AREAro'._.........-._.._ _...._. EXTERIOR W,{t_I_ CONSTRIJ(_"I"IOhI—
'LASS OF WORK. :C]TR F 11418 T. . . . , 0 s f N: S: F; W.
YPE OF 1_)3E:. . . :MF SECOND. . . : 0 of PROTECT
-'•Yf'E OF cnAgT. : . . , Qt ,f N: S: E: W:
(:)CC(JP!4NCY GRP. :R3 TWAl__...._ _.__.: 0 r f ROOF CONST: FIRE RET?.
OrCUPANCY LOAD: 0 BASEMENT. : 0 5f nRFA SPF'. RATED:
5TOR. : 0 Fi f: 0 -Ft (3(1f2A0E. . . : 0 =f' OC'CIJ SCID. RATE D:
SSMT": MF7..7_''s REED SFTSACKr---.--_._-_-__
LOOR LOP.D. . . . - r) p s f L.F'FT: 0 ft RCI IT: Q v F"'I I? SI='I;I. : SMOK DET. .
DWEL..I....INS t.JNT.T : 0 FRNT: 0 ft REAP: 0 ft FIR AL.RM: HNDTCP ACC:
BEORMS: 0 BATHS: 0 IMF' S1JRFAC'F:: i;� PRO CORR. PARK I NIG: (h_
VAt_.UE. $ : `3 598
Re ai,--.Arks . Reroof existing unit, tear off and replace with Class A Owens Corning.
Requires 27 square feet of roof vetting,
!WTIVr': --._.___..._.___..__ _ ..__. _.__�.... .___ .... _ ._..._ _._._ ._.,_._.. _. F=EE'S
'r1KJTrER GROUP type F,mol.tnt I:)./ rd�zte r•er..pt
;1040 SE HAWTHORNE PRMT $ !,6. 5O r SCI m/t8/qs 74ES-_.30664R
'ORTI_i"1ND (]R 97;,7,14 N'F'L"'T $ C2. 833 EEO Of/18 `38 98 -:,O6G4S
NTERSTPT� ROOFING
3065 3W 74T1--I AVE"
"(3007) OR 17F2`2 s
#4:
G B 4 .SC. 1 1. 4 5'.. ;-'3 TOTP11_
- Ftp f?U I RE I1
ACTIONS o r, I N.PELT I ONS.
is crmit is issued subject to the regulations contained in the Fi.rr,al Tnspcctiori
iyerd Municipal Code, State of Ore. Srecialty Codes and all other
-olicable laws, P111 work will be done in accordance with
.proved plans, This permit will expire if work is not started
"
thin 180 days cf issuance, or if work is suspended for more
an 180 days. PTTENTION: Iregon law requires you to follow tha
' Its adopted by the Oregon Utility Notification Center. Those
les are set forth in DAR 952-WI-0@10 through DAR 952-00101987.
r many obtain a copy of these rules or direct qu0inns to DUNG
o calling (503)246-1987.
rrniltre �nin.
3i t_ �Is~s�rF..ri
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CITY OF TIGARD Recd By:
13125 SW HALL BLVD. Date Rec'd: _
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE:
V 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to DST:
F-503-684-7297 Called:
Mama of Development/Buciness STEP 2. NEW ROOFING ASSEMCt.Y
F _
;,. iC'/�(i�� C/Tf Matertai Documentation(UBC A ..endlx 1
Street Address Ste# Please fill out applicable section and attach copy of roofing
Job Site - /;5,2/ Sir,) /le, specifications.
Bldg# 1 City/State Zip Listed Assembly (Circle iS Campletti,A,B OrC)
"K,4116 c/rt' 0712.t/ A. ,�
Name? 1. Specification#: A -
Owner Mailing Address Manufacturer. L�LL�l�2fs L G//1/tfG,*
C( /stat Zip Phone 3a UL Classification:
1�f A4'1 --;),;7 2-1'
Name / Listed UL Building Materials Directory Page
.,Z4�E"J`.Sf'/XC e ,r?Q ISG CG' (OR) —y
Roofing Mailing Address 3b Warnock Hersey
Contractor %�G'4 .S� t!i
(Prior to issuance Cite ✓- , Zip Listed Warnock Hersey Directory Page M_
applicant must AlA l�J✓ �>r�ltc' � -t `j,71Z y ---------(PROVIDE COPY OF ASSEMBLY)
provide a copy of Phone# Fax#
----------------- ---------
all contractor "pl- e) B. i_'90 Rwzearch#: _
licenses if State Constr Contr. Board# Exp. Date
expired in COT 5 :5 f!S 5 Mee % DATED: _
database) COT Bus. Tax or Metro Lic# Exp.Date (PROVIDE COPY OF ASSEMBLY)
BUILDING INFORMATION C SPECIAL PURPOSE ROOFING: WOOD SHAKES' – –
Building-Type Of Use: (circle one) Wreview required by plans examiner)
SF SFA – COM MF) _
Building- Type of Construction: VALUATION OF PROJECT $
Existing Deck Type: ! Permit fee based on valuation*
Cemtustible (X) Non-Combustible ( ) I ` see chart on back $
RESIDENTIAL _ ONLY-Class of Work:Akeralion City u WA O:
U REPAIR(MAJOR) (BUILD) ( (UBUILD)
Permit required ONLY when spaced sheathing is covered by �-
solid sheathing. 5% State Surcharge
SUBMIT THREE(3) SETS QF PLANaQ,P�[LY(NQ. City u 4TAX)eentyWAC (UTAX
A. Roof area&nearest street. ✓
65% Plan Review S
B. Attic vents - Provide sq. it. for each 150 sq. R of attic City use only: WACO:
space 6 vents shall be located in the upper 1/3 of the roof. (BUPPLN) _ (UBU_PLN)
Provide 1 sq R for each 300 sq. ft. when eave- & attic - �-
TOTAL �9
— _ --- .r
r,
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
y Class of Work: AftPralilon
F Describe work to be done (check appropriate box) information given is correct, that I am the owner or authorized
J Z] RE-HOOF (circle A.B ur C) agent of the owner, and that the plans (if applicable) are in
A. Existing built-up roof covering to be REMOVED and deck compliance with Oregon State law.
repaired- Signature of Owne(!Agent Date
B Existing built-up roof covering to REMAIN note applir,.nt .�
must submit an engineers review of the roof structural
j elem,ants Review shall bear the seal(or stamp)of the ,rC architect or engineer licensed in Oregon. r:ontact Ps Name / /� / T linh!on
C. Asphalt or wood shingle/shake , l�V[�L'C / LY
RJOFI DOC(dsts)
(PROCEED TO STEP 2)
CITY OF TIGARD
BUILUNG PERMIT. EM
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT F.L,S. REVIEW TAX PERMIT
PROJECT FEES (40%) (65%) (5%) FEES
1-11500 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 28.00 11.20 18.20 1.40 58.80
1,701-1,800 29.50 11.80 19.18 1.48 61.96
1,801- 1,900 31.00 12.40 20.15 1.55 65.10
1,901-2,000 32.50 13.00 21.13 1.63 68.26
2,001-3,000 38.50 15.40 25.03 1.93 80.86
3,001-4,000 44.50 17.80 28.93 2.23 93.46
4,001-5,000 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 62.50 25.00 40.63 3.13 131.2.5
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 80.50 32.20 52.33 4.03 169.06
10,001-11,000 86.50 34.60 56.23 4.33 181.66
'11,001-12,000 92.50 37.00 60.13 4.63 194.26
12,001-13,000 98.50 39.40 54.03 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 5.53 232.06
15,001-16,000 116.50 46.60 75.73 5.83 244.66
16,001-17,000 122.50 49.00 79.63 6.13 25726
17,001-18,000 128.50 51.40 83.53 6.43 269.86
18,001-19,000 134.50 53.80 87 ,13 6.73 282.46
19,001-20,000 140.50 56.20 91.33 7.03 295.06
20,001-21,000 146.50 58.60 95.23 7.33 307.66
21,0('I-22,000 152.50 61.00 99.13 7.63 320.26
22 001-23,000 158.50 83.40 103.03 7.93 332.86
23,001-24,000 164.50 65.80 106.93 8.23 345.46
24,001-25,000 170.50 6820 110.83 8.53 358.06
25,001-26,000 175.00 70.00 113.75 8.75 367.50
26,001-27,000 179.50 71.80 116.68 9.98 376.96
27,001-28,000 184.00 73.60 119.60 9.20 386.40
28,001-29,000 188.50 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 10.10 424.20
L
32,001-33,000 206.50 82.60 134.23 10.33 433.66
33,001-34,000 211 .00 84.40 137.15 10.55 443.10
34,001-35,000 215.50 86.20 14008 10.78 452.5E
35,001-36,000 220.00 88.00 143.00 11.00 462.00
36,001-37,000 2.24.0 89.80 145.93 11.23 471.46
37,001-38,000 229.00 91.60 148.85 11.45 480.90
1 ROOF t DOC(dsts)
KING CITY
11"S.W.116th Avenue,King City,Oregon 97224-2693
Phone:(5(13)639.4082•FAX(503)&39-3771
Notice To Contractors W01-king In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits I
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 f'" 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 REVIEW, 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. 301 should you have any questions concerning submitta'.
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
a Building Department for the following project: -
Lei
> located at:
J
'
-' King City Representative
I DMAMST DOC
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