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11925 SW KING JAMES PLACE N cry 5 x z C) C- D m v r i s 119.25 SW KING JAMES PL. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: b39-4171 MST / 62- tyv / 2 :00 VD CDate Requested — C —AM�_ Location Suitt h1EC — -- —_ — Contact Person Ph PLM _ Contractor � — Ph ------- —_ SWR LDINAP Tenant/C?wl ger _ ELC _ Retaining Wall - - - ELR —_ --_ Footing Access: Foundation FPS Ftg Drain - ---- Crawl Drain Inspection Notes: SGN _ — Slab --__ Post 8 Beam --- -- `, — --- ------ SIT Ext Sheath/Shear Int Sheath/Shear ----— Framing Insulation - -- - L)rywall Nailing _ Firewall - - Fire Sprinkler ----- Fire Alarm - - Surp'd!eiling Misc: - - _ Fin L- S PART FAIL --_ -- --_. L ING�� Post&Beam - --- - - --- _ ----- Under Slab Top Out - - — - -- Water Service Sanitary Sewer _ --- - -----.. ..--- -- Rain Drains Final -- --------�...---- PASS PART _ FAIL MECHANICAL - Post& Beam --- - Rough In Gas Line --- -- —_ ----- --_— Smoke Dampers Final ------._—__-_____---- PASS Pt F:T FAIL ELECTRICAL ------ __ .__. -----------. _-. --- Sei:'^.e Rough In UG/Slab _ Low Voltage -- —--- _- Fire Alarm Rnal PASS PART FAILSITE — Backfill/Grading ---- - ---- - S,initary Sewer S!:)rm Drain [ I Reinspectio!-,fee of$ _^-required before next Inspec,;on. Pay at City Hall, 13125 SW Hall Blvd COch Basin Fin. Supply Line [ J Please.,all for reinspection RE.: _ -- p y _ [ )Unable to inspect-no access ADA Approach/Sidewalk --L Other Date 44 _ Ir-pector Ext Final PASS PART FAIT_ 00 NOT REMOVE thif. Inspection record from the Job site. �V I�� D BUILDING PERMIT PERMIT#: BUP1999-00521 DEVELOPMENT SERVICES DATE ISSUED: 12/10/99 13125 SW Hall Blvd., Ticlard. OR 97223 (503) 639-4171 PARCEL: 9S115BA-01500 SITE ADDRESS: ',1925 SW KING JAMES PL ORIGI SUBDIVISION: ZONti;NG: BLOCK: LOT: �r0 JURISDICTION: KIN REISSUE: FLOOR AREAS _ XTFRIOR WALL CONSTRUCTION_ CLASS OF WORK: OTR FIRST: sf N: V S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OP1= :rNGS? 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: f OCCU SEP. RATED: BSMT?: MEZZ?: __ RE_Q_D SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RIGHT: ft FIR SPKL: SMOK DET: L)WELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: a BATHS: IMF SURFACE: PRO CORR: PARKING: VALUE: .'ernarks: Raroof permit, rr move exis.ing roofing material and replace with new. Owner: Contractor: OPOCENSKY, EDWARD JR + OWNER DOROTHY I )WNER RESPONS FORM SIGNED 11925 SW KINGJAMES PL KkCITY, OR 9,7224 .one: Phone Reg rt: Ff`L'S� REQUIRED INSPECi!,7NS Type By Date Amount Receipt Final Inspection PRMT DEB 12/10199 0,59.25 99-320348 5PCT DEB i2/10/99 $4 74 99-320348 Total $63.99 This permit is issued subject, to the regulations contained in the Tigard Municipal Code, State of OR. S—rialty Code:, and all other appf gable law. All work will be done in accordance with approved plans. his perm;t will Expire if work is no, started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rues adopted by the Oiugon Utility Notification Center. Thosc pies are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of tf•es- rules or direct questions to 4JNC by calling (503) 246-1987. Pent.ltee / S i g n alutl is lssue24 i Call 639-4115 by 7 p.rn. for an inspection the next business day CITY OF TIGARD PlanCl eck#: 13125 SW HALL BLVD. Rec'd �= TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Date Rec,'d:/a -- V- 503-639-4171 X304 Date to PE'Date to DST- F-503-598-1960 Permit#: Incomplete or illegible applications will not be accepted Called' Name of Devilopment/Businesc� STEP 2. NEW ROOFING ASSEMBLY Material D3cumentat7on(UBC'A endix 15) Street Address Ste# / Please fill out applicable section and attach copy of roofing Job Site !' ti' '• ✓"�` ty specifications. Bldg# cit /State Zip Listed Assem I -Ircle 8r Complete A,B or C) rNa to ' 1. Specification#: _- 1.1- I� Applicant ailing Addr ss 2 Manufacturer:__--- --_------ � rl sf.may .;. - -- —-- --------- City/State Zip Phone '3a UL Classification Roofing Name — Listed UL Building Materials Directory Page# _ Contractor (�'�"� �� __ (OR) (Prior to issuance Mailing Address '3b Warnock Hersey applicant must provide a copy of City/State Zip Listed Warnook Hersey Directory Page# all contractor _ 'COPY OF ASSEMBLY REQUIRED licenses i` Phone# Fax# expired in COT _ _ B. ICBO Research#: rabase) State Constr.Contr Board# Exp Date DATED: L,' .)ING INFORMATIONC. SPECIAI.PURPOSE RCOFING: WOOD SHAKES Building-Type Of Use: (circle one) ti (review required by plans examiner) SF- SFA COM MF Building- Type of Construction: VALUATION OF �'.,cOJECT $ sq ft`_r��d roof area - — ---- --- ----- -- -- -- _�--_. Existing Deck Typp Permit fee based on valuation" r - Combustible ( ) Non.Combustible ( 1 ' see chart on back $ _ RESIDENTIAL ONL"-Class of Work:Alteration City use only: WACO: — LI 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 8% State Surcharge $ Application. City use only, �WACO: SUBMIT TWO(2)SETS OF PLANS SPECIFYING. (TAX) _ (UTAX) -^_ A. Roof area&nearest street. `Required for 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 113 of the roof. Cit`, -se ase only: Wt, :O: — W Provide 1 sq. ft. for each 300 sq. ft.when eave&attic ^JPPLN) JUBUPLN) - venting is provided 99 TOTAL $ SCEP 1. COMMERCIAL ' ONLY I I acknowledge that I have_ rea_d this application and that the Class of Work: Repair information given is co tact, th I-)am the owner or authorized Describe work to be done (check appropriate box) agent of the owner, d tha e Mans(if applicable) are it U RE-ROOF (circle A ,B or C) compliance wit fl egon to JAW, A. Existing bui!t-up roof covering to be REMOVED and deck repaired- Slgoature of Ow er1 ent X Date / B. Existing built-up roof covering to P;--MAIN note applicant must submit an engineer's review of the rjof structural elements. Review shall bear the seal(ur stamp)of the architect or engineer licensed in Oregoncontact Persor,Name Telephone C Asphalt or wood shinglelshake (PROCEED TO STEP 2) I:dsts\forms\roof.res duc Q. 9126199 1.2-/O � ' Q ,Z. 'f 0 � `f VN � � r It& 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 TiPard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your pen-nit application DOES `OT 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 when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will he returned to Kin; City staff for correction and no processing will occur until a complete. legible application is received. If your permit aprlication 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 firm 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: located at:./Z¢ ` d2 King City R presentative I nsrs KCINST noc 1