11760 SW KING GEORGE DRIVE .J
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11760 SW KING GEORGE DRIVE
CITY OF TIGARD BUILDING INSPEC i iON DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
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—Date Requested A PV —_ ULD
Location— ;' �(Y Q_ �,i Suite — MFC
Contact Person eivi Ph ( f ���'`J� PUM -----
-ontrartor— __ Ph _ SWR
U -D Tena,it/Owner — _ ELC
Ret ining Wall ELR
Footing ! Access^ -
Foundation I FPS
Ftg Drain _--
Crawl Drain I Inspectio i Notes: SGN
Slab -- _ ___. SIT
Post& Beam -- ----•-----
Ext Sh a ," ear
Framing _
Insulation - - --f �— `-- — -----
Drywall Nai'og
Firewall —
Fir?Sprinkler
Fire Alarm
SuSp'd Ceiling — ..__._�r�, �(./ --(L-
Roof —
Misc -_-- —_-
F
AePART FAIL
GING
Post& Beam ----__ - ---'--
Under Slab
Top Out --- - -- -- -— —
Water Service i
Sanitary Sewer ( — --- -- - - --
Rain Drains
Final -- -- ---- -- —
PASS PART HAIL
MECHANICAL — --
Post R Beam --- - __ ------ -------
---
Roughin
— ---------
Gas Line - - -- -- - -----
Smoke Dampers
Final --- --- --- ---- - - - ------
PASS PART FAIL --- -----_-�-- --- -.--ELECTRICAL - -------- ---- - — _-- ------ --_Service —
Rough In --
UG/Slab - -- - -
Lore Voltage - --------------------_ -----___ --
Fire Alarm
Final --...._--------------
PASS PART FAIL ------._----------�__—.- _ -- ----_.-__
SITE
Backfil/Grading - -- ----- --
Sanitary Sewer
Storrr Drain I ] Rein..,-ection fee of$ _ required before no:.i inspection. Pay at City Hall, 13125 SW Hall Blvd
Catc'i Basin
Fire Supply Line I [ )Please call for reinspection RE __— ___�-- __ [ ] Unable to inspect -no access
ADA � (� �• �
Approach/Sidewalk % ?
Other _ Date Inspector Ext
Final �-•------------- ----
PASS PART FAIL_j 00 NO7' REMOVE this Inspection record fry n the job site.
r
CITY GF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERi-ITT #. . . . . . . . BUF'99-01 1:') 1
13125 SW Hall Blvd,, Tigard,OR 97223(503)639-4171 DATE ISSUED: 03/26/99
PARCEL: 12SI10CA-00400
SITE ADDRESS. . . : 11760 SW KING GEOR(3E DR
SUBDTVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:KIN
REISSUE: FLOOR AREAS------- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. ,-,UTR FIRST_ . : 0 sf N� S- E: W:
TYPE OF USE. . . :9F SLCOND. . . : o s PnOTECT Or-,F*t\'INGS?--- -----------._-
TYPE OF CONST. :`;N . . . . 0 s N'. S: E- W:
OCCUPANCY FiRF-1. - R� T(3TAL-------: 0 Sf ROOF CONST : FIRE' RET?:
,OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREP SEP, RATED:
3TOR. 01 HT : 0 ft GARAGE. . . : 0 F,f OCCU r,-"EF-,, RATED
F,SMT'? ME'7?: RE DD SETBACKS- --- REDU'PED-____._.
FLOOR LOAD. - - - : 0 psf LEFT: 0 ft RGHT: ft FIR Sf71K1..: SMOK DET. . :
DWELLTNG UNITS: 0 FRNT: 0 ft RUA'' ft FIR ALRM: HNDICPI ALC:
BEDRMS: 0 BATHS: 0 IMF., SURFACE: 0 PRO CORR: PARKING: III
VALUE. $ : 5400
Remar-ks : Reroof - remove existing roof down to ;paced sheathing and replace.
Owner: FEES
WEBER type amol,tnt by date r-eept
SW KING GEORGE DR PRMT $ 56, 50 DEP, 03/:7:'5/99 99—:313994
KING CITY OR 97224 5PCT 4 2. 8"3 DEB 03/25/99
99-313994
PLCK $ 36. 73 DEP 03,125/99 99-313999
Phone #: 684-7571
Contractor-:
FREEDOM REFINISHING SERVICE
HERMAN ROYBAL
6288 SW SEVILLF AVE
Li,-iKE OSWEGO OR 97035 ------------------------------
Phone #: 697-6916 $ 96. 06 TOTAL
Reg #. . : J5'3001 --REQUIRED ACTIONS or,
This permit is is upd subject to the regulations rontiined in the
Tigard Municipal Code, State of Ore. Specialty Codes an, all other
applicable laws. All work will be done in accordance w.ch
approved plans. This permit will expire if work is not started
within 180 dayi of issuance, or if work is sus --led for enre
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted b% the Oregon Utility Notification Center. Those
rules are set fortm in OAR 952-'0I-0810 through BAR 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
(4
AtSignatures Tssi-ted
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P e r,m i t t I,
4....... .......�+++++++++++++.++++++.q-+.4......................................4++4-
Call 639-4175 by 7:00 p. m. fat- an in-,p(?Cti0T1 needed the next business day
++++++++++•F++++++++++++++++++-F++++++. ++++-f...............4-+4-+++.4.........4
CITY OF fIGARD
13125 SW HALL BLVD. Plan Chc,ck#:
TIGARD�OR 97223 RE-ROOFING PERMIT APPLICATION Recd ec
Date Recd:
V- 503-639-4171 X304 Incomplete or illegible applications will not be accepted Date to PE: _
F-503-5C',-1960 Date to D T:
Permit#:��
Called:
Name of Development/8 sinrss ;ITER 2, NEW ROOFING ASSEM,3LY
Material Documentation(UBC Apoendix 151
et Addre s Ste aF
Job Site ,, ,`�,,:; �/ q Please fill out applicable section and attach copy of roofing
/°/ 4i�tk f specifications.
Bldg# J ity/StateZips. Luted Aasemh�I f Complete A,B or
A.
Nd,ne 1. Specification M
Applicant Mailing Address 2. Manufacturer l� �J' 4 (�liA
Cjry/State Zip Phone 3a UL Classification:
Roofing - Name ( Listed UL Building Materials Directory Page#:
Contractor f�,<<"���: ��; /N/ (OR)
(Prior to issuance Mailing Address
applicant must 3b Warnock Hersey
"' �
provide a copy of City/State Zip Listed Warnock Hersey Direc'ory Page#:
all contG^'I) IC'
licen Phone M Fax# (PROVIDE ,OPY OF ASSEMBLY)
-------------------
expired 11 7 &C;/G _ L dd B. ICBO Research#
database) State C no str Contr Board# Exp. ate -
�l' C � _ DATED:
BUILDING INFORMATION " ��"'_�"ROOFING:_ WOOD SS _
C. SPECIAL PURPOSE HAKES
Buildin :Type Of Use (circle one) (roview required by plans examiner)
--F - SFA COM
F3uildiny - Type of Construction: VALUATION OF PROJEC-TT$
E�sting Deck Type -' — s4- ft.2,1,:L10f roof area 1�J,
Permit fee based on valuatlon�
Combustible ( ) Non-Combustible ) _ ' See chart on back $ ��� • J
RESIDENTIAL ONLY-Class of VNorft:Alternt4on City use only: WACO: _
❑ REPAIR (MAJOR) (review required by plans examiner) (BUILD,/ � (UBUILD)
Permit required ONLY when spaced sheathing is covered by -�-
solid sheathing or i sof line's changed. 5% State Surcharge $
S
SUBMIT THREESETS OF PLANS SPECIFYING City use only. WACO: —�
-T (UTAX)
,A. Roof area&nearest street. - ---
.`g. Attic vents- Provide 1 sq. ft. for each 150 s ft. of attic o
q' —on-1
65/� Plan Reviev $ �•=(�'• �
space. Vents 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 eave&attic (BUPPLN) (UFJUPLN)
venting is provided --- --
-�f r ri
TCTAL
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
ROOF (circle A,B or C) compliance with Oregon State law.
/A.)2xisting guilt-up roof covering to be REMOVED and deck
�-' repaired- - _
Signature of Owner/Agent ,
Dote/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
architect or engineer licensed in Oregon ��' C et Perlo a Telephone
C. Asphalt or wood shingle/shake !- '
(PROCEED TO STEP 2)
I RC.)F1 COC(dsts)REV 4/98
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CITY OF TIGARD
E1-1ILDING PERMIT FEES
TOTAL
PLAN STATE BUIL DING3
VALUATION OF PERMIT REVIEW i AX rERRAIT
PRCJECT FEES (65%) (5%) FEES
1-150G 25.00 16.25 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 19.13 1.48 50.16
1,801-1,900 31.00 20.15 1.55 52.10
1,901-2,000 32.50 21.13 1.63 55.26
2,001-3,000 38.50 2503 -1.93 65.46
3,001-4,000 44.50 28.93 1_.23 75.66
4,001-5,000 50.50 32.83 2.53 85.86
5,001-6,000_ 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 4.03 136.86
10, 101-11,,00 86.50 56.23 433 147.06
11,001-12,000 92.E 60.13 4.63 157.26
12,001-13,000 98.: 64.0'3 4.93 167.46
13,001-14,000 104.5( 67.93 5.2.3 177.66
14,001-15,000 110.E 71.83 5.53 187.86
1.5,001-16,G00 116.51. 75.73 5.83 198.06
16,001-17,000 122.50 79.63 6.1J 208.2.6
17,001-18,000 128.50 83.53 6.43 218.46
18.001-19,000 134.50 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 2,4906
21,001-22,000 '152 50 99.13 7.63 259.2.6
22.001-23,000 158.50 103.03 7.93 269.46
23,001-24,000 164.50 106.93 8.2.3 279.66
24,001-25,000 170.50 110.83 8.53 289.86
25,001-26,000 175.00 113.75 8.75 2.97.50
26,001-27,000 179.50 116.68 8.98 305.16
27,001-28,000 184.00 119.60 9.20 312.80
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
34,001-35,000 215.50 140.08 10.78 366.36
35,001-36,000 220.00 143.00 11.00 374.00
36,001-37,000 224.50 145.93 11.23 381.66
37,001-38,000 229.00 148.85 1145 389.30
1 ROOF DOC(lists)REV 4198
KING CITY
15300,.W. 116th Avenue,King City,Oregon 97224-2693
Phone-(503)6.39.4082•FAX(503)&79.3771
Notice To Contractors Working In Ding City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
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 application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit. and perforni inspections. Plea.,c indicate on the permit application
whether you would like the Tigard staff to call you when the pel-nit 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 ;.
complete, legible application is received.
If your permit application DOES REQUIRE PLAN REVIEW, this form must be simied 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
requirctrents. All permit fees will be assessed and collected at the City of Tigard.
The City of King Cit% hereby autho.-izes applicant to pursue permits at the City of Tigard
Building Department for the following project: _)CA
located at:44156 S t✓ ,n4 h" rzsu—
King City RepresentativC
I D9rS KC1N5i DOC
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