15100 SW CROWN DRIVE • a.
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15100 SW CROWN DR.
KING CITY
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 635-4175 Business Line: 639-4171 MST
1 Bim;
Requested_ 1±4/�_7 AM PM -----
Location_-. _�S( ,�/1I )yam s
Suite MEC
Contact Person
Ph �(,� ��? C-S PLM
Contractor—_ Ph _ SWR —
NG Tenant/Owner — ELC _ `Retaining Wall
Wall -------
Footing El_R
Foundation ACCP.SS: -'-------- —_
Fig Drain FPS
Crawl Drain Fispection IJotes: SGN
Slab I _ -- - ---- --- --
Post&Beare —' - ------- -- ----- ---- SIT
Ixt Sheath/Shear - -- --- — ~-
1 f
ng
--In,,,elation
Drywall Nailing - -
Firewall ------------- _ _
Fire Sprinkler
Fire.Alarm ----_.__- -
Susp'd Ceiling
o -- - -- -- -- -- --- - - -
Misc:
FinaL - - — - --
J1TA-_S1P PART FAIL -
BING -
Post& 9eam - - -
Under Mab
Top Out -
Water Ser,/ice
Sanitary Sewer -
.Sanitary
tjrains
Final
PASS PART FAIL
MECHANICAL - -----.
Post& Beam --
Rough in
Gas Line
Smoke Dampers
Final
PASS PART FAIL - -
ELECTRICAL --- __- -
Service
--- — --
Rough In -- -- __
UG/Slab -
Low Voltage --
Fire Alarm
Final --. _.._ -- -- ----- ----- ----
PASS PARI rA!
SITE - --
Backfill/Grading 1 -----.----- _--_— - -- -
Ssnitary Sewer I - -
Storm Drain [ j Reinspection tee of$^____ required before next inspection. Pay at City Hall, 13175 SW Hall Blvd
Catch Basin
Fire Supply Line f )Please call for reinspec' n RE: _ — [ J Unable to inspect- no access
ADA
Approach/Sidewalk
Other Dzte _ L- _ ` L v Inspector _ � Ext
Final
PASS PART FAIL DQ NOT REMOVE this inspection record from the job site.
Y
CITYOF 'TIGARD ___BUIL4ING-PERMIT
DEVELOPMENT SERVICE., INA
---____
13125 SW Hall Biv1., Tigard, OR 97223 PERMIT#: 4/03/2 U 00099
SITE ADDRESS: - 1503) 63 ATE ISSUED: 04/03/2000
15100 . W CROWN DR 9-4171 +.,,
SUBr!'„ISION: KING CITY CONDO. BI DG008 PARCEL: 2S110CA-80431
BLOCK: ZONING:
---- _ LOT: 008 JURISDICTION: KIN
REISSUE: FLOOR AREAS --�—
CLASS OF WORK: �}I_T~ __ _ EXTERIOR WALL CONSTRUCTION
r
TYPE OF USE: FIRST; sf N;----------
TYPE OF CONST: MSECOND: sf S: E• yy• --`-
PROJECT OPENINGS?
OCCUPANCY GRP: l sf
TOTAL AREA: S: F: ------�.
OCCUPANCY�JAp: sf ROOF CONST: W:
F,ASEMENT: FIRE RET?
STOR: HT: ft GARAGE: �,f AREA SEP, RATED:
BSMT'7: MEZZ?: 'f OCCU SEP. RATED.
FLOOR LOAD: READ SETBACKS
psf LEFT -- '---- — _ REQUIRED__
DWELLING UNITS: ft RGHT: ft FIR SF'KL:
BEDRMS: FRNT: ft REAR: ft FIR ALhM : SMOK DET
BATHS: IMP SURFACE HNDICP ACC:
VALUE: $ 6,785.00 FRO LORR:
Remarks: PARKING:
Own ar: _-- ----- _—._--
CLAUDIA ANDERSON Contractor:
15100 SW CROWN DR#8 PORTLAND ROOFING & GUTTERS
TIGARD, OR 97224 5603 SE MILWAUKIE AVL-
Phone:
PORI-LAND, OR 97202
Phone: 880-3355
Reg#: i-ic 131678
C
Type BY Date ----- _— —REQUIRED INS OECTIONS
Amount Receipt Roof naiing Insp ----
OPCT BON Q4/p3�2000 ---- --
$7.70 0001116 Final Inspection
PRMT BON 04/03/2000 $96.25 0001116
---
Tota $10 5 --------.—
_ I
This ------------ —_-- J
permit is i�,;:ued subject to the regulations contair,Pd in the Tigard Municipal Code, State of
Specialty Codes at-1 all other applicable law. All work will be done in accordance with a OR
This permit will expire if work is riot started within 180 days of icsuance, or if work is sus
than 180 da T approved plans.
days. ATTEN TION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OA suspended for more
may obtain a co 9 R 952 OU1 1987. Ycu
copy of these rules or direct questions to OUNC by calling (503) 246-1987.
Pe rm it ee �� -71)
�'
Signature: [/
Issue;I By:
i
Call 6394176 by 7 p.m, for an Inspection the next business day
CITY OF 1'IGARD Plan Che
131?� SW HALL BLVD. Rec'd B :.
T'GARL OR 97223 RE-ROOFING PERMIT APPLICATION Late Recd: =
V-503-339-4171 X304 Date to PE: -
f' .5Permit#: 9
Incomplete or Illegible applications will riot be accepted Called
Name of Development/Business STEP 2 NEW ROOFING ASSEMBLY
Material Documentatlonj_q C Apendix 1
Street Address Ste# Please fill out applicable section and att.-ch copy of roofing
Joh Site LSC specifications. _
Bldg# City/State Zip Listed_Assenrbly (Circle 4 Contptete A,B or C
T_ O CZZ c/ A.
Name 1. Specification#:
�l�1A/tl
Applicant Mailing Address 2. Manufacturer:
b cI
City/State Zip Phone •3a UL Classification. _
b J%
Roofing Nem Listed UL Building Materials Directory Page#: _
Contractor f 7T' (OR)
(Prior to issuance Ma11' Address �. '3b Warnock Hersey:
applicant must ' -
provide a copy of City/ to Zip Listed Warnock Hersey Directory Page#:
all c:ontmctor & / pZ "COPY OF ASSEMBLY REQUIRED
licenses if Phone# Fax#
expired in COT _r zzS- 9 _p � � B. ICBO Research#: _
database) State Constr.Contr Rnard# Exp.Date
VA 11L41NG-INFOF+MA'fION,; r , C. SPECIAL PURPOSE ROOFING: WOM SHAK S
tduildina -Type Of Use (cirr,(e one) (review rer!�ered by plans examiner) A s
SF SFA COM MF ,' s
Building- Type of Construction: - VALUATION OF PROJECT $
_ sq.ft._d �Af roof area
Existing Deck Type: Penult fee based on valuation' z i
Combustible ( ) Non Combustible ( ) "see chart on back $
(tgrittio4. ' City use only: WACO:
EPAIR(MAJOR)(review required by plans examiner) __BUILD) (UBUILD) _
Permit required ONL`.when spaced sheathing is covered by
solid sheathing. Changes to roof line require Buildir J Permit _ 8% State Surcharge $
Application. City use only: WACO:
SUBMIT TWO(2,SETS OF PLANS SPECIFYING. (TAX) (UTAX)
A. Roof area&nearest street. 'Required for major repairs of ---
Residential
cl"ttic vents-Provide 1 sq.ft.for each 150 sq.ft.of attic or T" above '65% Plan Review I $
space. Vents shall be located In the upper 1/3 of the roof. City uEe only: WACO.
Provide 1 sq.ft.for each 300 sq.ft.when eave&attic r(BIJPPLN) (UBUI✓LN
venting is provided.
_ TOTAL $ 'cv.5 �s
P1. COMMERCIAL OF(.Y I acknowledge that I have read this application and that the
lessof 1ri1� information given is correct: that I am the owner or authorized
rile work to be done:(chv*appropriate box) agent of the owner, and that the plans(if applicable) are in
(.i RE-ROOF (circle A,B or C) compliance with Oregon State law.
A. Existing built-up roof covering to be REMOVED and deck
repaited- Signature of Owner/Agent 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 ��L � .
-architect or engineer licensed in Oregon. Contact PwIson Name Telephone
/r
lAsphalt or wood shingle/shake
k! (PROCEED TO STEP 2)
1:dstslform s\roof.res.doc
13/26/99
® KING CITY
16300 S.W. 116th Avenue,Kine City,Oregon 97224.269,3
Phone:(603)639.4082•FAX(503)6.49.3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects ' King Cii;1 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 Cite of Tigard. City of Tigard staff will then create
the permit, issue the perm;'., and perform inspection!i. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready For issuance or
Nchether VOL! 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. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Z igard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the follownw, project:_ t�.y
Fu
located at: �3 _
King City Representativ
I DSMXCINST Do'
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BUP - Building Permit _ ELC - Electrical Permit _
inspection Description Date Missed B• Inspection Description Date Passed B
Footir.g/Setback __— Underground cover
Foundation walls_ _ Wall cover
Footing drain _ Ceiling cover
Wate root'bsmt walls _ Electrical rough-in_
Slab _ Electrical service
Crawl drain _ Electrical final
Underfloor insulation
Post/beam structural
Shear walls/anchors —_ ELR - Restricted Ener y_1'ermit
Roof nailing Inspection Description Date Passed B
Firewall _ i_ Low voltage
Tilt-up anel --- �---
Electrical final
Masonry/Reinforcement ��-
Framing
MFG-Structure set-up _ MEC - Mechanical Permit
Insulation Inspection Description Date Passed By
D wall nailing Post/beam mechanical
Suspended ceiling Gas line
En ineered soils _ Mechanical rough-in
WeldingLab Final - -
— - Fire damper _
Concrete Lab Final Duct work
Bolting Lab Final _ _ Smoke detector
Fire roofing Lab FinalMechanical final
Structural observation _ -
Final ins ection -
- -- ---- PLM - Plumbing Permit
BUP - Fire Protection System Permit Ins ection Description Date Passed B
Plumbing underslab
inspection Description Date Passed By Crawl drain
Sprinkler underfloor/slab Post/beam plumbing
Sprinkler rough-in Plumbing top-out _
Sprinkler final _ RP/bac!--flow preventer
Fire alarm final _ Rain drain
Storm drain —
Water service
SIT - Site Permit_ Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings _ _— _ _ Pump/fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor/slab
Catch basin/Manhole SWR - Sewer Permit _
Engineered soils — _ Inspection Description Date Passed
En ink eerin acceptance Sanitarysewer _
Final inspection - — Final insertion
-i
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
—� F3UILDINuPERMIT
CITY OF TIGAR --
DEVELOPMENT SERVICES/ PERMIT#: 4/3/3//0 000-00099
...""� DATE ISSUED: 300
13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 ARCEL: 2S110CA-80431
SITE ADDRESS: 15100 SW CROWN DR
SUBDIVISION: KING CITY COIZO. BLDG#808 ;tJNING:
BLOCK: LOT: 008 JURISDICTION: KIN
REISSUE: — FLOOR AREAS — EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK: ALT �_.--F(I�T�_.—�f -- �'—�--r�-TYPE OF OF USE: MF SECOND: rf PROJECT OPENINGS?
TYPE OF CONST: sf ��— --'—
OCCUPANCY GRP: R1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT7: MEZ,Z?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: —__ff ------it ---FIP SPKL: --
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,785.00
Remarks: Re-roof
Owner: ^— ------! Ca,itractor: — —CLAUDIA ANDERSON PORTLAND ROOFING & GUTTERS
15100 SW CROWN DR#8 5603 SE MILWAUKIE AVE
TIGARD, OR 9722.4 PORTLAND, OR 97202
Phone: Phone: 880-3355
Reg#: L!C 13167e
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Pre-Roofing Insp —
5PCT BON 4/3/00 $7.70 0001116 Roof naiing Insp
PRMT BON $96.25 0001116 Final Inspection
This permit is issued 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
riot started within 180 days of issuance, or i1 work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the 17� agon Utility Notification Center. -rhose rules are set forth in OAR
952-001-0010 through OAR 952-U01-1287. You :nay obtain a copy of these rules or direct questions to OUNC by
calling (503)246-1987.
Perm!tee
Signature: — — --- _—^-- -------- 0
Issued By:
Call 639-4175 by 7 p.m.for an Inspection the next business day