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11940 SW KING JAMES PI-
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-t'ou. Inspection Line: 639-417.5 Business Line: 639-4171
13UP
- -----i.---Date Requested �] �� _ BLD
AM PM
is ---
Location_-__.__ i `' D Suite MEC
Contac! Person —_� ' _ Ph w�U ���2. PLM
Contractor Ph SWR N
0-1`J - Tenant/Owner ELC
.eta,r,ing Wall ELR
Footi ig Access:
F:,undation FPS
Ftg Dr.-Ain SGN
Crawl gain Inspection Notes' - - - ----
Slab ___-- ----------.---___._..._____�- _ SIT
Post✓3<Beam _
Ext Sheath/Shear
In'Sheath/Shear
Framing ---- - -- ---- --- ----------- ------
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Soo USP'd Ceiling ------ _..-- -- ----------- --- ----- --- - - -
t PA S ART FAIL - - - --- - -- --
PLUMBING I
Post& E3eam --___._-------- ----------------_ --- ____.T_- -----
Under Slab
Top Out -_-------- - -- - --- _,-{- ----- -
Water Service
Sanitary Sewer -- --------- - -- --�
Rain Drains
Final
PASS PART FAIT_
MECHANICAL
P,)st& Beam
Rough It.
Gas Line ------• _—�--
Smoke Dampers
Final -
P,'SS PART F:.'L \
ELECTRICAL —
Se.rvlct
Rough It.
UG/Slab
Low Voltage
Fire Alarm
Final
PASS
PASS PART FAIL --.—
SITE
Backfill/Grading - ----��--^--' "--_----
Sanitary Sewer
Storm Drain ( ]Reinspection fe.e of$_ required before next inspection. hay at City Hall, 12125 SW Hall Blvd
Catch Basin
Fire Supply Line I )Please call'or reinspection RE: _._,. _ ( )Unable to inspect no access
ADA
App!oarh/Sidewalk .
Date Inspector Ext
Other _ _.-..... -- --- - — - _ --
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
CITYOF TIGARD --BUILDING PERMIT
PERMIT#: BUP1999-00180
DEVELOPMENT SERVICES DATE ISSUED: 5/6/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S115BA-01800
SITE ADDRESS: 11940 SUV KING JAMES PL
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REISSUE: _ FLOOR AREASEXTERIOR WALL CONSTRUCTION
CLASS OF WORK: _ALT 1 FIRST: — sf W S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?_
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL.AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: RECID SETBACKS __ REQUIRED
FLOOR LOAF: psf LEFT. ft RGHT: !ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC:
BEDRn,j: BAT'IS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,500.41"
Remarks: Reroof an existing dwell,-ig. Tear off and replace with 30 yE dr comp.
Owner: Contractor:
MITCHELL, LOREN H + DOROTHY J
11940 SW KING JAMES PL
KING CITY, OR 97224
Phone: Phone:
Reg #:
FEES _ REQUIRED INSPECTIONS
Type By Date Amoun' Receipt Misc. lnspuction
PRMT GEO 5/6/99 $44.50 99-315154 Final Inspection
5PCT GEO 5/6/99 $2.23 99-315154
oral $46.73 ORIGINAL
This permi'. is issued subject to the regu!ations contained in the Tignrd Municipal Code, State of OR.
Specialty Codes and all other applicable I,1w. All work will be done in accordance with approved plans.
This pennit will expire it work is not started within 1U0 days of i,»uance, or if work is suspended for yore
than 180 dayo. ATTEN TION Ore n law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- '01-0010 through OAR 952-001-1987. You
may obtain a copy of th;;sa rules o, direct questions to OUNC by calling (503) 246-1987.
Permitee
-.--
issued By:
(3��639-4175 by 7 p.m. for an ir�pection the next business cl y
CITY OF TIGARD Plan Check
13125 SW HALL BLVD. Recd By: —
TIGARD OF 97223 RE-ROOFING PERMIT APPLICATION Date Rec'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 Called:
Name of Developmenb0usmess NEW ROOFING ASSEMBLY
Matertat Documentation(UBC Appendix 15
Street Address f�7 d�Nh Ste# Please fill out applicable section and attach co
Jnb Site
tB
pp py of roofing
specifications.
g# City/State/".77./ Zip Listed Assembiy� (Circle&q,
Cam�fete A,B or C}
-- -- w�( � 1 y A.
Name ).�1 / 1. Specification#:
Applicent Mallinq Address q 2. Manufacturer:
City/State Zip „ Phone '3a UI-classification:
R, �firrg Name J _.�._,L % Listed UL Building Materials Directory Page#:_
Contractor (OP)
(Pnor to issuance Mailing Address i '3b Wornock Hersey
applicant must
provide a copy of City/State Zip Listed Warnock Hersey Directory Page#:
all contractor 'COPY OF ASSEMBLY REQUIRED
licenses if Phone# Fax#
-
_--- ----- ----------------------•----
expired in CCT B. IC80 Research#:
databasa State Constr Contr Board# _ Exp Date —
__ ___DATE_D _
gym-,.�.-�—�,.•.�,��a���._
BUILDING INFORMATION C SPECIAL PURPOSE ROOFING: V'iUUD SHAKES
Building-Type Of Use: (circle one) (review required by plans examiner)
SF _SFA COM_ _
Building - Type of Construction: - LL — VALUATION OF PROJECT $
_ sq. ft. of roof area ---;, 37 (20Existing Deck Type: Peimit fee based on valuation'
Combustible ( ) Non-Combustible ( ) ' see chert to back $
RESIDENTIAL ONLY•Class of Work:Alteration Cityus�t� WACO:
❑ REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUII-D) -
Permit required ONLY when spaced sheathing Is covered by —
solid sheathing. Changes to �,of line require Building Permit _ 5% State Surcharge $ _
Application. City use_wlyc__ I WACO: —�
SUBMIT T�/VO (2) SETS OF PLANS SPECIFYING. �LITA_X)
A. Roof area 8 nearest street. 'Require Tor major repairs of Residential
B. Attic vents - Provide 1 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 on' WACO:
Provide 1 sq. ft. for each 300 sq ft. when eave 8 attic; --(BUprLI., —�—_— (UEUPLN)
venting is provided. — --- �'".— �3
_ TOTAL $`�---�` __ _
STEP 1. COMMERCtAI ONLY J 1 acknowledge that I have read this application and that th_e
Class of Work: Repair information given :s correct; that I am the owner or authorized
Describe work to be done: (check appropriWA box) agent of the ow ler, and that the plans (if applicable) are in
❑ RE-ROOF (circle A ,B or C) compliance witn Oregon State law
A Existing built-up roof covering to be REMOVEr` and deck
repaired - SignatNr*of Owner/Agent Date
B Existing built-up roof covering to REMAIN: rote ar.plicant 7 ` �j/�� -
must submit an engineer's review of the roof stru tural 41 t v / ley'
elements. Review shall bear the seal(or stamp) of the ((��
ar:hitect or engineer licensed in Oregon. Contact person Name Te,ephone
C Asphalt or wood shingle/shake
(PROCEED TO STEP 2)
1 ROOF DOC (dsts)REV 5/1/98
CITY OF TIGA.RD
BUILDING PERMIT FEES_
TOTO.L
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
ROJECT FEES (bC,%) (5%) FEES
1-1500 25.00 1625 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 50.1E
1,801-1,900 31.00 20.15 1.55 52.70
1,901-21,000 32.50 2.1.13 1.63 55.26
2,001-3,000 38.50 25.03 1.93 65.46
",001-4,000 44.50 28.93 2.23 75.66
1001-5,000 50.50 32.83 2.53 85.86
Z),001-E,000 56.:0 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 3.73 126.66
9,001-10,000 80.50 52.33 4.03 136.86
10,001-11,000 86.50 56.23 4.33 147.06
11,001-12.,000 92.50 60.13 4.63 157.26
12,001-13,000 98.50 64.03 4.93 167.46
13,001-14,000 104.5C 6793 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
16,0(1-17,000 122.50 79.63 6.13 208.26
17,C')1-18,000 128.50 83.53 6.43 21846
18,C01-19,000 134.50 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
22,00 i-23,000 158.50 103.03 7.9? 269.ari
23,001-2.4,000 164.50 106.93 8.23 279.63
4,001-25,000 170.50 110.83 8.53 289.86
25,001-26,000 175.00 1 1 3.75 8.75 297.50
26,001-27,000 179.50 116.68 8.98 305.16
27,001 -28,000 184.00 119.60 9.20 312.80
23,001-29,000 188.50 122.53 9.43 320.46
29,001-30,000 193.00 125.45 9.65 328.10
30,001-31,000 197.50 128.38 9.88 335.76
31,001-32,000 202.00 131.:10 10.10 343.40
32,001-33,000 206.50 134,23 10.33 351.06
33,001-34,000 211.00 137.15 10.55 358.70
34,001-35,000 215.50 140.08 10.78 366.36
35,001-36,000 220.00 14;; 00 11.00 374.00
36,001-37,000 224.50 145.03 11.23 381.66
37,001-38,000 229.00 148.8-) 11.45 389.30
LROOFI.DOC(dsts)REV 5/1/98
KING CITY
15-300 W. 116th Avenue,Ding City,Oregon 97224.2693
Phone:(503)6394082•FAX(503)639.3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related hermits
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 fax the applic,tion 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 Kine 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 simple 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. Ali permit fres will be assessed and collected at the City of Tigard.
The City of King City hreby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project:
located at: �\_La.�sj
King City Representati%e
I Dst9 KCINst DOC
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