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11650 SW KING GEORGE DRIVE
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CITY OF TIGARD bUILDING INSPECI ION DIVISION
24-Hour Incpection Line: 639-4175 Business Phony;: 6394171
. f,exk�, 4 -
/ 9 MST:
Date Requested: A.M. P.M�
l,ocation: 1165 a YY� b0p: 9
M
Tenant: ✓ Suite: __Bldg: WC:
Contractor: Phaile: PLM:
Owmer: '''hone:
fj &S ELC:
1-a ELR:
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C/ SIT:
BUILDING 4 1Pq 4+",t) PLUMBING MECHANICAL ELECTRICAL SITE
Site --niq"Zm Post/Beam PostiBearn Cover/Service Sewer/Sturm
Footing UndFI/Slab Rough-h Ceiling Water Line
Slab jV15'e"g Top Out Gas Line Rough-In UG Sprinkler
Foundation Insilation Sewer I loo&Duct Reconnect Vatilt
Bsmt Damp Drywall Storm Fumacc Temp Service misc.
Masonry Ceilirg Rain Drain A/C UG Slab
Shear/Sheath Fire SpkIr/Alm Crawl/Yound Ot Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/S(1,Alk Not Approved Not A%pptt)%ed Not Approved Not Approved Not Approved
FINAL FINAI, FINAL FINAL FINAL
oCall lutrein. n C3 Reinspection fee of S required txArc next imqmction C1 Unable to inspect
Inspector: Nte: pdgeof
CITY OF TIGA RD MECHANICAL PERMIT
,.-.f DEVEILOPMENT SERVICES PERMIT#: MEC2001-00 113
1 A 25 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/06/2001
PARCEL: 23110CA-01300
°.;TE ADDRESS: 11650 SW KING GEORGE DR
SUBDIVISION: ZONIN-j:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: —
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCr.;UPANCY GRP: R3 VENTS W'O APPL: VENT SYSTEMS:
STORIES: _ BOILERS_/COi,"3RESSO_RS _ HOODS:
_ FUEL TYPES 0 - ` HI' 1 DOMES. INCIN.
GAS —� 3 - 15 HP: CCMML. INCiN:
MAX 1'iPLIT: 0 131U 15 - 30 HP: REPAIR UNITS:
'IR DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU. 1 AIR HANDLING UNITS CLU DRYERS:
— --- OTHER UNITS:
FL!F.N >-10011% BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace and A/C unit.
Owner: — ----_ — ---_---__F_EES -- — -
JUANITA HAGAN Type By Date Amount Receipt
11650 SW KING GEORGE DR PRMT BFB 04/06/20( $72.50 KING CITY
FINN CITY, OR 97224 5PCT BFB 04/06/20( $5 80 KING CITY
Phone- Total $78.30
_� .------- -- ------
Contractor:
GEORGE MORLAN JLUMBING
9806 SW TIGARD ST
T'3ARD, OR 972.23 REQUIRED INSPECTIONS
Heating Unt Lisp
Phone:771-1145 Cooling Ur,t Insp
Reg #:L.IC 02,734 Final Inspection
PLM 26-60P
1 his permit is issued subject to the regulations contained in tie Tigard Municipal Code, State of Ore. Specialty Codes
and all otner applicable laws All work will be done in accordance with approved plans. This permit will expire if worts is
not started within 180 days of issuance. or if worts is sus0ended for more than 180 dabs. ATTENT11 Uregon law
reaui�es you to fo'low rules adopt.d in the Oregon Utility Notification Center. 1 hose rules are set forth in OAR
951-001-0010 through c_ i" 952-001-0080. You may obtain copies of these rc les of direct questions to OUNC by
calling (503)246-0189
Issue By 4� k � �1 _ Permittee Signature: r
Call (503) 6:319-4175 ,3y 7:00 P.M. for inspections needed the next business day
04/05/2001 12:57 _ _503639377:1 CITY OF KING CITY PAGE 02/02
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hojccl numu: y - _ juritdictian's fee srhedt,lr ror rr.sidenuel ?Ir�it f-rr
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CITY OF TIGARD �
- 11ILDINS PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP,97--0556
'
13125.0W Hall Blvd., Tigard,OR 97223 (50-3)639.4171 DATE: ISSUED: 12/16/97
PARCEL: 2S 1 10CA-01300
SITE ADDRESS. . . : 1167-50 SW KING 5EORGE r R
SUBDIVIS"ION . ZONING—
BLOCK. .
. . . . . LOT. . . . . . . . . . . . .
JURISDICTION:KIN
REISSUE: FLOOR ARE(a8-- -------- EXTERIOR WALT_ CONSTRUCTION—
CLASS OF WORK. : r' ��' FIRST. . . . . 10 s N: S: E: W:
TYPE OF USE. . . :SF" ` SEI..CIND. . . : 0 s f PROTECT OPEN I NGS?-------------
TYPE= OF CONST. .-5N . . . . 0 s f N: S: E- W:
OCCUPANCY GRP. :R1*3 Tri"EAI._--- - —: 0 s f ROOF CO°.ST.- FIRE RET ? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEF'. RA-i ED:
STOR. : 0 HT. : 0 ft IaARAGE. . . : 0 sf C)CCU SEP. RATED:
BF,MT7: ME ZZ? : REDD SETBACKS----.__---- REUUI RED
F L_COR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft F I R SPKL_: SMOK DET. . :
DWELLING 'JNITS: 0 FRNT: 0 ft REAR: 0 ft FIR A[- RM: IANDICP ACC:
BEDRMS: ih BATHS: IMP SURFACE: 171 PRO CORR: PARKING: 0
VALUE.
Remarks : 4roof - remove exi• town to spaced sheathing and replace.
Owner: _.__.._._____.______ __.__________.____________--__---_—.-- FEES
RUTH E CORINGE type amoi_1nt by date t°ecpt
11650 SW KING GEORGE DR PRMT $ 25. 00 GEO le/ 16/97 97-301613
KING CTTY OR1i,EP4 5 P C 1 $ 1 . 25) GEO 12/16/97 97••-301X313
F'l_CN $ 16. 25 GED 12/16/97 97-301813
I Gh n c
#: '968-6585
OWNER
F�hane #: $ 42. 50 TOTAL_
Reg #. . : 000000
- — -- -- REQUIRED INSPECTIONS
----
This permit is issued subject to the reu,dat•,ons contained in the y °,. _dl.�_�€� .�'71)
'Tigard Nunicipail Code, State of Ore. Specialty Codes and aP other
appiicable laws. All nor;: will be done in accr,rdance with _� t�r
approved plan,. This permit will expire if w',rH i not started `T �QF► L yge Cif
within 188 days of issuance, or if ;.nr1< is suspended for pore
than 188 dans. ATTENTION: Oregon law requires you to follow tho
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 9S2 PP'-8818 through OAR 952-(18181987.
ft. many obtain a ropy of these rules or d'rect ques�ions to OUNC
by calling (583)246-1997.
Permittee S i g n a t rjr p : A ►tl- I s s 1_r e d Py . _
++++++•F++++++i•++++++++-+•h++++++++++-1-+-+•1-+++-f-++++++.+++++•1-++++++++•ti++++++-F+++++++++
Cal. 1 639-4175 by 7:00 p. m. frit- an inspection needed the next bi.tsiness day
+++ ++1-+++++++++++++1 +++++++++a•++++++++++++++++++++++•+-+++++++++++++•++++++++•+++
:ITY OF TIGARD Recd Fly:
13125 SW H?,LL BLVD. Date Recd:
TIGARD OF 97223 RE-ROOFING PERMIT APPLICATION Date to PE:
4- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date�c DST
P-503-Fi84 297 Pemv rr o� !16'x.�_ns�(�
Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY
Material Documentation(IJ8C Appandlx 1 S
Street Address Ste M Please fill out r,ppil.:able section and attach copy of roofing
Job Site / 5(ter t--9 (-re speciflcatlonti. _
Bldy 0 C;tyl8tate '.ip Listed Assemoly (Circle&Camplete A, B or_C}
Name1. Specification fk'
L-cm-i
Owner I Ma!�lin�Address 2. Manufacturer:
CrtylstateZip Phone 3a UL Classification:^_
Name Listed UL 3uddino Materials Directory Page W
Roofing Mading Address 3b Warnock Hersey
Contractor _
(Prior to issrance Cityrstate Zip Listed Warnock Hersey Directory Page 0:
applicant must I _�- (PROVIDE COPY OF ASSEWLY)_____r_`�
provide a Copy of I Phone a Fax 0 ^ - ---' !- ----�
all contractor B. ICBO Research#
licenses if State Constr'.Contr. Board M Exp. Date
expired in COT DATED:
datanase) COT Bus.Tax or Metro Lrc 0 Exp Date (PROVIDE COPY OF ASSEMBLY)
'IUILVI4G INFORMA'Tt DR r SPECIAL PURPOSE ROOFING. WOOD SHAK i' -
,udding-Type Of Use: (circle one) ('review required by plans examiner)
3F SFA COM MF
lulding ;ype of Construction, VALIDATION OF PROJECT It
xisting Decx Type: Permit fee based on traluatlon'
Combustible ( ) Non-C;ambustible ( ) ' see chart on back S
P.ESICENTIAL ONLY City use only: WACO'
CO REPAIR (MAJOR) (BUILD) I (UBUiLD)
Permit required ONLY when spaced sheathing is covared uy
solid sheathing. 5% State Surcharge $
City use only_WCO:
JP�LLItiRF.k ( I S.ELS_IJE PLA (1 AX) t (LITNO
A. Roof area&nearest street.
65% Plan Review W
B. Attic vents- P ovide1 sq. rt for each 150 sq. ft of attic Cit , use only: WACO:
spare 8 vents shall be located in the upper 113 of the roof. (BUPPLN _
)yam (UEiUPLN} -
Provide 1 sq. ft. for each 300 sq, ft. when eaves&attic
TOTAL $
TEP 1. COMMERCIAL ONLY I acknowledee that I have read this application and that the
escribe work to be dor (check appror,ate box) information given is correct-, that I am the owner or authorized
J RE-ROOF (circle A ,B or C) agent of the owner, and that the plans (if pplicabie) are in
A. Existing built-up roof covering to be REMOVED and deck compliance with 0_ ren ,_tate law_
repaired- Signature of OwrprrlAgent Datn
e Existing built-up roof covering to REMAIN- note applicant
must submit an engineer's review of the roof strut".ural
elements. Review shall bear the seal (or stamp) of the
architect or engineer licensed in Oregon. Ce ct PerscnNamj7— Telenrrone
—C. Asphalt or wood shingle/shake
(PRQCE p STEP
TO STEP?) � �,c)�Z..C/7.-••' �� S�'
I:RC^F1.DOC(dsrs)
1
-Q-lrY 0f TJfzARQ
EMQ h A-e-EHMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT
PROJECTFEES (40%) (65%) (5%) FEES
1-15CJ 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 11.213 18.20 1.40 58.110
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 53.46
4,001-5,000 50.50 20.20 32.83 2.53 106.06
5,001-6,000 56.50 22.6 36.73 2.83 118.66
6,001-7,000 62.50 25.00 40.63 3.13 131.25
7,001-8,000 68.50 2.7.40 44.53 3.43 143.86
8,001-9, 100 74.50 29.80 48.43 3.73 156.46
9,0'01-10,100 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 co 13 4.63 194.26
12,001-13,000 98.50 39.40 64.0231 4.91 206.86
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 6.13 257.26
17,001-18,000 128.50 51.40 83.53 6.43 269.86
18,001-19,000 13.1.50 53.80 87.43 6.73 282.46
19,001-20,000 140.50 56.20 91.33 7.03 29~.06
2.0,001-21,000 146.50 55.60 95.23 7.33 307.66
21,001-22,000 152.50 61.00 99.13 '.63 320.26
2.2,001-23,000 158.50 63.40 103.03 7.93 332.86
23,001-24,000 164.50 65.80 10693 8.23 345.46
24,001-25,000 170.50 68.20 110.83 8.53 35806
25,001-26,000 175.00 70.00' 113.75 8.75 367.50
26,001-27,000 179.50 71.80 116.68 8.98 376.96
27,001-2.8,000 184.00 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 77.20 125.45 965 405.30
30,001-31,000 197.50 790C 128.38 9.88 414.70
31,001-32,0,00 202.00 80.80 131.30 10.10 424.20
32,001-33,000 2.06.50 82.60 13423 10.33 433.66
33,001-34,000 211.00 84.40 1;7.15 10.55 443.10
34,001-35,000 215.50 86.2.0 140.08 10.78 452.56
35,001-36,000 22.0.00 88.00 143.00 11.00 462.00
36,001-37,000 224.50 85.80 145.93 11.23 471,46
37,001-38,000 229.00 91.60 148.85 11.45 480.90
I:ROOF 1,DOC(dsts)
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10
KING CITY
1 6300 S.W.116th Avenue,King City,Oregon 97224-2695
v1 Phone:(502)639.4082•FAX(503)639.3771
?notice To Contractors Working In King City
Due to an intergoverrunental agreement with the City of Tigard, many building related permit--
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
coll!ct 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
N�hether 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 ..o processing will occur until a
complete, legible application is received.
If your permit application DOES REQUIUE 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 !his 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: _ % . 0—t,/
located at: 1105-�L) (-'Levy,
King City Representative
I DSTS KCI>ST DOC