15200 SW CROWN DRIVE CA
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-j-'200 SW CROWN DR.
KING CITY
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 M07 -
- Date Requested �LIl�c..� AM _PM BLD
i-ovation^ l r�2-UJ �/'�,.� � Suite .___. _r MEC
Cont ict Person _ Ph R 3 S S_ PLM _
Contrarlor-- — _ Ph _ SWR.
ILDI Tenant/Owner ELC
Retaining Wall —
Footing E L R
Foundation Access:
Ftg Drain FPS
Crawl Drain Inspection Notes: �— SGN
Slab -�
Post& Ream - -- ----------- -- SIT
Ext Shea'.h/S Par i
Framing
__-^-----------
Insulation - '----------
Drywall Nailing _—
Firewall ---
�Fire Snrinkler
- ----Fire Alarm
Alarm ----
S 'd Ceilina
AS PART FAIL.
PLt 131"(!--------
Post 8 Beam - --- --
Under Slab ---
Top Out — -
Wat^.r Service ---1
Sanitary Sewer -- - ---
Rain Drains
inal ---------------
PASS PART FAIL
MECHANICAL
Post& Beam ----
Rough In -
Gas Line
Smoke Dampers - --
Final
PASS PART FAIL - —
ELECTRICAiL�- -- .._-_ ---- -
Service — ----- -
Rough In -
U3/Slab
.ow Voltage - ---
Fi•e.Alarm
Final --`--
PARR PART FAIL
SITE ------------
Backfill/Grading —_
Sanitary Sewer
Storn-,Drain [ ]Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin -
Fire Supply Line [ ) lease call for reinspection RE _--- — [ J Unable to inspect- no access
ADA
Approach/Sidewalk1�.�
Date
Other //_'_ lJ Inspector
--- — --� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUILDING_PERMIT
ITY OF TICARDOR !
DEVELOPMENT SE:RViCES �-, 4 PERMIT#: 4/3/00 0 00100
ATE ISSUED: 4/3/00
13125 SW Ha!I Blvd.. Tiqard, OR 97223 (503) 639.4171
SITE ADDRESS: 15200 SW CROWN DR PARCEL: 2S110CA-80791
SUBDIVI;ION: KING CITY CONDO. BLDG#815 ZONING:
BLOCK: LCT: 004 JURISDICTION: KIN
REISSUE: FLOOR AREASEXTERIOR WALL CONSTRUCTION
CLAc 3 OF WORK: OTR FIRST- sf N: S: E: W;
TYPE OF USE: MF SECONO: sf __PROJECT OPENINGS?
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: fr GARAGE: s. OCCU SEP, RATED:
BSMT7: MEZZ?: REQD SETBACKS __ REQUIR_ED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR 3PKL:__v SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 13,172.00
Remarks: Peroof condominium building, refflove existing roof material and sheathing.
Owner: Contractor. i----_–'—�--�-
ROGERS. WILLIAM L PORTLAND ROOFING & GUTTERS
2155 SW 75TH AVE 5603 SE MILWAUKIE AVE
PORTLAND,OR 97225 PORTr F.ND, OR 97202
Phone: Phone: 8PO-3355
Regi #: '_IC 131678
FEES REQUIRED INSPECTIONS___
T.1 By Date `Amount Receipt Roof naiing Insp
PRMT DEB 4/3/00 $161.00 0001116 Final Inspection
5PCT DEB 4/3/00 $12..88 0001116
Total $173.88
Th,s permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and �II other applicable law. All work will be donF in accordance with approved plans, This permit will expire if work is
not starfed within 180 days of issuance, or if wort; is suspended to! mo,e 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 OAR
952-001-0010 through OAP 952-001-1987. You may obtair a cony of these rules or direct questions to CUNC by
calling (50)246-1987.
Permitee /�
Signature: k
Issue*By: �
Call e33-4175 by 7 p.m.for an inspection the next business day
CITY OF TIGARD Plan Cr
Rec'd B
13125 SW HALL BLVD. D Dato Rac'd: _3'�'n
TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date to PE
V-503-639-4171 X304 Date to DS
F-503-5981960 Permit M
Incomplete or ill,agible applications will not be accepted Called:
-"------ Name u'f DevelopmentlBusiness STEP 2. NEW ROrJFiNG ASSEMBLY _
Material Documents. UeC_p ep ndix
Street Address ate# Please fill out applicable section and attach copy of roofing
Job Site specifications.
i Brdg# Cit`;/State Zip 02 Z Listed Assembly (Circle 8 Complete A,B or C
Name 1. Spt:oification#: —.—_
Applicant Mailing Add e4 �y� 2. Manufauturee
r �F
�gtylState Zip Phone "3a UL Classification: - —
/
Roofing _ Listed UL Building Materials Directory Page
Nae ,
Contractor
(Prior to issuance Mailing Address—
applicant must O
provide a copy of Cf tate Zi Listed Warnock Hersey Directory Page#:
all contractor qt ate 64- COPY OF ASSEMBLY REQUIRED
licenses Phone# F # _
expired in COT %v 7 j`j' 2 d7 B. ICOO Research#: ---
database) State Constr.Contr.Board# Exp.Date
DATED:L)C.✓��.a r C�z� '� `SHAKES.Z
NG
INC31NFpR A. C. SPECIAL PURPOSE ROOFI : WOOE5 SHAKES
Building Type Of Use: (circle one) (review required by plans examiner) /S # r. 'e7
SF SFA COM MF VALUATION OF PROJECT $
Building- Type of Construction:
s .ft. ' � of roof area _Z_S
Exfr,Nng Deck Type:
Permit fee based on valuation"
Combustible ( ) Non-Combustible ( ) see chart on back $
--- baa ; City use only: WACO:
VAIR( J )(review required by plans examiner) — (BUIL�_ (UBUILD)
Permit required ONLY when spaced sheathing is covered by t�
solid sheathing. Changes to roof line require Building Permit 8%State Surcharge $
Application. City use only: WACO:
SUBMIT 'TWO(2 Sl ETS OF PLANS SPECIFYING. _—�1�4X) I (UTAX)
A. Roof area 8 nearest street. "Required for major repairs of
Residential
?4ttic vents-Provide 1 sq.P.for each 150;y. ft. of attic or"C"above " AC65% Plan Review $
space. Vents shall be located in the upper 1/3 of the roof. City use only: WACOBUPLN
Provide 1 sq.ft for each 300 sq.ft.when eave&attic BUPPLN) )
venting is provided.
TOTAL $ /
STEP 1. COMMERCIAL UNt_Y 7 " f I ar knowledge that I have read this application and that the
Class of Work: Repair information given is correct; that I am the owner or authorized
Oescribe work to be done: (check appropriate box) agent of the owner, and that the plans(if applicable) are in
,O—RE-ROOF (circle A ,B or C) compliance with Oregon State law. _
A. Existing bulli-up roof covering to be REMOVED and deck Signature of owner/Agent Date
repaired-
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 Contac a on ams Telephone
architect of engineer licensed in Oregon.
CC� Asphalt or wood shingle/shake £
(PROCEED TO STEP 2)
l:dsts\forms\roof.res.doc
8/26/99
K I N C 1 T Y
15800 S.W.116th Avenue,King City,Oregon 97224.269:1
Phone:(503)639-4082•FAX(503)639•3771
Notice To Contractors Working In hang City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in King City are issued and insrected 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 anti fax the application to the Cite of Tigard. City of Tigard staff.vill 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 D02S REQUIRE PLAN REVIEW,this form must be signed by a
King City staff person. King City staff will simple sign this form indicating land use approval.
"fake this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd. Tigard, to submit applications and plans. De,,,elopment Services Technicians are
available at 639-4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees gill be assessed and collected at the City of Tigard.
The City of King City hereby authorizes appiicant to pursue permits at the City of Tigard
Building Department for the follo%ving project: awM
located at:_ AY160
King City Representativ
1 DsmKCM1SrDOC
�4
CIT�/ �� �'���� BUILDING PERMIT
Y �" ' PERMIT#: F3UP20i10-00100
�.,.� DEVELOPMENTSERVICES DATE_ ISSUED: 4/3/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S110CA-80791
SITE ADDRESS: 15200 SW CROWN DR
SUBDIVISION: KING CITY CONDO BLDG#815 ZONING:
BLOCK: LOT: 004 JURISDICTION: KIN
RE'SSUE: FLOOR AREAS EXTERIOR WALL CC NSTRUCTION
CLASS OF WORK: OTR -TiR19T.----
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: INK. sf -R.— —W--
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROUr- -:ONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT. sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZ.Z?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf ZF'T---ff-RGHT rt --SMUKTT"T---
DWELLING UNITS: FRNT: ft HEAR: ft FIR ALRM : HNDICP ACC:
BE:DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 13,172.00
Remirks: Reroof condominium building, rem,)ve existing roof material and sheathing
Owner: Contractor:
ROC ERS, WILLIAM L PORTLAND ROOFING & GUTTE RS
215S SW 75TH AVE 5603 SE: MILWAUKIE AVE
PORTLAND, OR 972.25 PORTLAND, OR 97202
Phone: Phone: 880-3355
Reg#: LIC 131678
FEES vv REQUIRED INSPECTIONS
Type By Date Amount Receipt Pre-Roofing Insp
PRMT DEB 4/3/00 $16.1.00 0001116 Roof naiing Insp
5PCT DEB 4/3/00 $12 88 0001116 Final Inspection
-- Total $173.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and al!other applicable law. All work will be done in accordance with approved pians This permit will expire if work is-
not
snot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon Idw
requires you to follow the rules adopted ')y the Oregon Utility No'!fication Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-19b1 You may obtain a copy of these niles or direct questions to OUNC by
calling (503)246-1987.
Permitee
Signature
Issued By:
Call 6394175 by 7 p.m.for an inspection the next business day
a
BUP - Building i,�rmit ELC - Electrical Permit
Ins tion Description Date Passed By Inspection Description Date Passed B
Footiir !Setback _^ Under round cover _
Foundation walls Wall cover _
Footing drain _ — Ceiling cover _
Waterproof bsmt walls _ _Electrical rough-in
SlabElectrical service_
Crawl drain _ _ _ _ Electrical final
Underfloor insulation
Post/beam structural
Shur walls/anchors _ _ ELR - Restricted Energy Permit _
Roof nailing _— _ — Ins tion Description Date Passed B�
Firewall _—_ Low voltage _
_Tilt-up panel _ Electrical final
Mason /Reinforcement _ ---- – -
Framing
MFG-Structure set-up _ MEC - Mechanical Permit
Insulation Inspection Description Date Passed�B
_ Drywall nailing Post/beam mechanical
Suspended cCilin�_ _^— Gas line
WeldingLab Final
Engineered soils Mechanical rough-in
—
h-i_
Concrete Lab Final Fire damper
_ Duct work
BoltingLab Final _ _ Smoke detector
Fireproofing Lab Final — Mechanical final
Structural observation — — J
Final inspection _ --- -
-- PLM - Plumbing Permit
BUP - Fire Protection System Permit
Inspection Description Date Passed By
underslab
Ins ection Description Date Passed B YlumbinCrawl drain
_ Sprinkler underfloor/slab — Post/beam lumbinpz_
Sprinkler rough-in _ plumbing top-out
Sprinkler final _ _ _ RP/backflow reventer
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 sum lines — —_— L I
S rinkler underfloor/slab
Catch basin/Manhole SWR -_Sewer Permit
Engineered soils Inspect on Description Date Passed B
En ineeLing acceptance Sanitary sewer _
Final inspection Final ins ection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
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