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12365 SW KING GEORGE DR
Page 110. I CASE HIMRY FOR CASE NO.: BUP98-0355
CHARLIE GAY
12365 SW HIND GEORGE DR
10/26/98
A. cion Description Req/ Schd/ End/ Action Notes wisp By Update Upd
:ode Sent Done Done r Le By
BUPA005 Application received / / / / 09/04/98 RECD B 09'04/98 DST
BUPA010 Permit created / / / / 09/04/98 DONE B 09/04/98 DST
BUPA085 (F) Issue building permit / / / / 09/04/98 PASS B 09/04/98 DST
BUPA610 Roof NaiV ng inspection 09/04/98 / / 09/09/98 PASS RC 09/11/98 JMH
BUPA®15 Pre-ro,')Iing inspection 09/04/98 / / / / 09/04/98 DST
SUPA870 Final Inspection / / / / 09/11/90 PASS RC 09/11/98 J•H
BUPA950 Case Finaled / / / / 09/11/98 PASS RC 09/11/98 J*H
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-475 Business Line: 639-4171 ---
(� 1 --2 BUP
D�fe'Wequosted �' r / q AM_?C —PM 8LD
Location_ n 7 'L Suite MEC
Contact Person rr 'M(' G.�ed � i Ph �� � �� PI_M
Contractor 0 f1 Ph SWR
BUILDING Tenant/Owner �� .-cr `- ELC ---- —
Retaining Wall ELK
Footing Access
Foundation FPS ---- -
Ftg Drain SGN
Crawl Drain Inspection Notes. --
Slab SIT
Post& Beam --- --
Ext Sheath/Shear
Int Sheath/Shear T
naming
-- ------ - -- -- --- ---
Insulation
Drywall Nailing ---_-_--
Firewall
Fire Sprinkler
Fire Alann
SugggjL*rreilin9 - --- -- - - ---- - -- -
oof
PASS., PART FAIL
tIMBING
Post 8 Beam --- ----- _.__�.-_-_---
Under Slab
TopOut -----------------_�--_. ... __�----------
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL_
MECHANICAL
Post& Beare�^ _ _ .---------- - - -------- -- ---
Rough In
Gas Ling -- -- _ -_._. ------- - --- -- -- ----- - - --
Smoke Dampers
Final ---- _- - -- --- --- -- - -- ---
PASS PART FAIL.
ELECTRICAL _--
Service
Rough In _ ---- -- - -
t1GlSlab
Low Voltage -- ----------- -.__ _
Fire Alarm
Final
PASS PART FAIL
SITE
I BackfililGrading I --- -----— ---_ _.._----- ---. --- -_�
Sanitary Sewer
Storm Drain ( ( Reinspection fee of$ _ -`_-required before next inspection. Pay at City Hall, 13125 S'N Hall Blvd
Catch Basin ( Please call for reinspection RE: __-- _ _ [ J Unable to inspect- no access
Fire Supply Line
ADA C�
Approach/Sidewalk Dale _`' l) Inspector ?� Ext
Other __ _ --••_ --. ___-_
Final
PASS PART FAIL I DO NOT REMOVE this Inspection record from the job site.
iltr
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L QTY - .�
DF TIGBUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . ..
BU. :
13125 SW Hall elvd- T-ard,OR 97223(503)639-4 171 DATE ISSUED: 09/014./98
MITE ADDRESS. . . : 12365 SW KING GEORGE DR PARCEL: 23109DD-02800
,.3UBDIVISION. . . . : ZONING:
nl-OCK. . . . . . . . . . : LOT. . . . . . . . . . JURISDICT ION.V IN
-------------------------------------
P E I'3'SUE: FLOOR EXTERIOP WALL.. CONSTRUCTION
OF WORK. :[.ITR FIRST. . . . : 0 sf N: 9: E- W.
-rY-PF OF USE. . . :SF SECOND. . . : 0 sf PROTECT OPEN I NIBS?
. b- CONST. -51\1 : 0 s F N: S E:
'FANCY GRP. : R3 TOTAL-------: 0 s f ROOF CONST: FIRE RET":
OL t—PANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
T 0 R. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCLJ SEP. RATED:
BGMT'?.- MEZZ? : REDD SETBACKS--------- REQUIRED---------------------
PLOOR LOAD. . . . : 0 psf LIEFT: 0 ft RGHT: 0 ft I"I R SPK I - 9"UK, VET. . i
DWELLING) UNITS: o FRNT: 0 ft REAR- 0 ft FIR ALRM: HN'DIC11 ACCs
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $: 3917
Remarks : RE-roof
Owner: --------------------------------------------------------- FEES
CHARLIE GAY type amor_tnt by date reept
12365 SW KING GEORGE DR PRMT $ 44. 50 B 09/04/98 98-308879
KING CITY OR 97224 3PCT $ 2. 23 B 09/04/98 98-:3OB879
Phone #: 524--7550
Contractor: ------------------------------
INTERSTATE ROOFING
15065 SW 74TH AVE
T (GARD OR 97227,
Phone #: 684-5611 46. 73 TOTAL
000954
---REQUIRED ACTIONS or INc.3PF(-,'TIONS -
This permit is issued subject to the regulations contained in the
ligard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not s+arted
within 180 days of issitance, or if work is suspended for more
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 OAR 952-00101967.
Yeu many obtain a copy of these rules or direct questions to oX
by cplling (503)246-1987.
-7
Permi t t e e S i g n a t Ur P Issi.ted By:
++++++++++++++++++•++++++++++++++++++++++++++++++++++++++.
................... ...............4-+
Call 639-4175 by 7-00 p. m. for an inspection needed the next bLisinpss day
.............4-+-4...............4.++.4..................4
CITY OF TIGARD Plan Check#:
13125 SW HALL BLVD. Rec'd By: �—
TiGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Rec'd: -
V- 503-639-4171 X304Date to PE:
Commercial and Residential
F-503-598-1960 Commercial to D$.T:
Permit#• } ' -
Incompleto or illegible applications will not be accepted Called:
Name of Development/Business STEP 2. NEW ROOFING ASSEMBLY
Materfat nooumentatfonpBC Apse^.:x 95}
Street Address Ste# Please fill out applicable section and attach copy of roofing
Job Site oj/ , %/�l� G �/c c� specifications. _
Bldg# City/StA a Zip L*ted Assembiy (Circle&Complate A,B or c)
Yl k C<h ' A.; -lI I I
Name �'Specification#: �y�� _
Applicant Mailing Address I 2. Manufacturer: XL� A_u.1:—l' —
i,) 11L L )
City/ tate zip!Li , Phone '3a UL Classification:
�Raofing N e Li:,:Pd UL Building Materials Directory Page# __
Contractor o -(, �� _ _ (OR)
(Prior to issuance Mailing Address "3b Warnock Hersey : _
applicant must ",L)
provide a copy of / tate f Listed Warnock Hersey Directory "age#: _ ___ _
all contractor I. 1, I L{ •CJPY OF ASSEMBLY REQUIRED
licenses ifPIhone# Fax#
expired in COT al `��,1 ��!; ,[ r7 _ B. ICBG Research#
database) State Constr.Contr Board# IF . D le
`>jl- ; ` D_AlED:
_BUILDING INFORMATION
INFORMATION C SPECIAL PURPOSE ROOFING: V`�nOD SHAKES r
Building -Typle Of Use. (circle one) (review required by pians a mminer)
iSF SFA COM MF _
Building - Type of Constructign: VALUATION OF PROJECT $
1„i, CGt', _ sq. fl. of roof area
Existing Deck Type: Permit fee :ased on valuation'
Combustible Non-Combustible ( ) ' sae chart on back $
RESIDENTIAL ONLY-Class of Work: Alteration City use only: WACO:
J REPAIR (MAJOR) (review required by plans examiner) (BUILD) (UBUILD)
Permit required ONLY when spaced sheathing is covered by
solid sheathing. Changes to roof line require Building Permit _ 5% State Surcharge $ cl� CX
Application. Gty use only_ WACO
SU6ivi; 40(2) SETS OF PIANS SPECIFYING (TAX) _ J-1 AX) _
A. Roof area& nearest street. 'Required for major repairs of Residential - w
B. Attic vents- Provide 1 sq ft for each 150 sq. ft. of attic or"C” above ` 65% Plan Review $
space. ''ents shall be located in the upper 1/3 of the roof. City use only WACO'
Provide 1 sq. ft for each 300 sq. ft.when Pave& attic _ —(BUPP01) (UBUPLN)
venting is provided.
___ _ _ _ TOTAL_ $
STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the
Class of Work: Repair information given is correct: that I am the owner or authorized
Describe work to be done. (check appropriate box) agent of the owner, and that the plans (if applicable) are in
L7 RE-ROOF (circle A ,B or C) compliance ,vith Oregon State law.
A. Existing built-up roof covering to be REMOVED and deck _
repaired - Signatpr_e of f)wrnsr/Agent Date -- 1
B. Fxisting built-up roof covering to REMAIN. note applicant
must ss:bmii an engineer's review of the roof structural
elements. Review shall bear the seal (or stamp)of the /6 cG �l
arcniteci or engineer licensed in Oregon CdhUaEtMerson Name Telephone
C hsphalt or wood shingle/shake
(PROCEED TO STEP 2)
1,ROOF I DOC(dsts)REV 5,1/98
CITY :` TIGARD
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT REVIEW TAX PERMIT
PROJECT FEES 65%) (5%) FEES _
1-1500 25.00 16.25 1.25 42.50
1,51)1-1600 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 50.16
1,801-1,900 31.00 20.15 1.55 52.70
1,901-2.000 32.50 21.13 1.63 55.26
2,001-3,000 38.50 25.03 1.93 65.46
3,0014,000 44.50 28.93 2.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
5,0016,000 56.50 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.:2 136.86
10,001-11,000 86.50 56.2.3 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
13,001-14,000 104.50 67.93 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
1';,001-17,000 122.50 79.63 6.13 208,26
17,001-18,000 128.50 83.5? 6.43 218.46
1A,001-19,000 134.50 87.43 6.73 22F.66
19,001-20,000 140.50 91.33 7.03 238.86
2.0,001-21,000 146.50 95.23 7.33 249.06
21,001-2.2,000 152.50 99.13 7.63 259.26
22,001-23,000 158.50 103.03 7.93 269.46
23,001-24,000 164.50 10693 8.23 279.66
24,001-25,000 170.50 110.83 8.53 289.86
25,001--2.6,000 175.00 113.75 8.75 297.50
26,001-27,000 179.50 116.68 8.9P_ 305.16
27,001-28,000 184.00 119.60 9.20 312.80
28,001-29,000 188.50 122.53 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
31,001-32,000 202.00 131.30 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 15,000 215.50 1^,.11.08 10.78 366.36
35,001-36,060 220.00 14300 11.00 374.00
?5,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 11.45 38930
1 ROOFI.DOC(dsts)REV 5/1/98
KING CITY
15300 S.W.116th Avenue,King City,Oregon 97224.2693
Phone:(503)639.4082•FAX(503)6;39-:3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in King City are issued and inspec�ed 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 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 ,vhen 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 i 3125 SW
Hall Blvd. Tiaard. to submit applications and plan,. Development Se3vices 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: _ Q
located ct: 2 '2 o /t ?-�
r
King City Representative
I DS Is Kll`.S I Doc
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