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11945 SW KING JAMES PL �.,
CITY OF TIGARn BUILDING INSPECTION DIVISION MST qq
24-Hour Inspectior Line: 639-4175 Business Line: 639-4171
U BUP
Date Requested .��'� I G� AM __PM — --_ BLD
Location 1 , L � �� ' �; 1'�/` Suite — MEC
"h 'S� > PLM
Contac` P erson _ ��y I . ! 1 _
Contractor — — _ Ph SWR,Bjb
IL I TF Want/Owner ELC
Re!aining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SUN
Crawl Draw Inspection Notes.
Slab ------ _-- -— --- _----- -- ---- SIT
Rost Beam `
Ext Sheath/Shear
hit Sneath/Shear
Framing ---- ---- —_-- -- - --- ------ -- --
Insulation
DrywallN;cling --------------------_.____ _------_—w—____ _-- --__--- _ —_--
Firewall
Fire Sprinkler
Fire,\larr, —
Susp'd Criling
Roof
Misc: ---------- -- - - - _ -- -------
AS PART FAIL
fflffMBING
Rost8 Beam _------------- ---- _._._...._-----------------
Under Slab
Top Out _
Water Service
Sanitary Sewer
Rain Drains
Final
PAS PART FAIL.
MECHANICAL
Post& Beam -- -- - _ __ -_ ---- --
Rough In
Gas tine --- - -- -- --_ ------ -
Smoke Dampers
Fina; --- -.- .. - __.-__ - —
PASS PART FarL
ELECTRICAL _- ------- -- -____ _._--------___---
Servic:e
Rough In
I)G/Slab
Low Voltage
I ire Alarm _----_-----
Final
PASS PART FAIL ---- -- ------ — — -- --------------
SITE M
Backtill/Grading -------
Sanitary
-----Sanitary Sewer
Storm Drain [ J Reinspection fee $ raquired before next inspection. Ray at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I J Please call For reinspection RE:—_ [ J Unab;e to inspect no access
ADA
Approach/Sidewalk
Other nate 1 Inspector -��� _ _ _Ext
Final
PASS PART _FAIL DO NOT REMOVE this inspection record from the job site.
CITY TY O F T I O Q R D ^__ MASTER PERMIT
4 i PERMIT#: MSf99-00118
DEVELOPMENT SERVICES DATE ISSUED: 4/9/99
13125 SW Hall Blvd., Tigard, OR 9723 (503) 639-4171
SITE ADDRE:S: 1 194; SW KING ,JAMES PL PARCEL: 2S115BA-01300
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
REMARKS: Enclosure of existing 12' x 24'4"concrete patio slab to convert to family room addition.
BUILDING
REISSUE: STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK. 411U HEIGHT. 12 FIRST: 266 of BASEMENT: 0 00 of LEFT 5 SMOKE DETECTORS
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 at GARAGE: 0 st FRONT PARKING SPACES: n
TYPE OF CONST. 5N DWELLING UNITS: 1 FINBSMENT: 0 of RIGHT: o
OCCUPANCY GRP: H7 DORM: a BATH: 0 TOTAL: 288 00 of VALUE: S 20.056.00 REAR: JO
PLUMBING
SINKS: 0 WATE., LOSETS: 0 V:ASHIYG MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN V TRAPS: 0
-AVAIORIES: 0 DISPA,ASHERS' 0 FLOOR DRAINS: SEWER LINES: 0 SF RAIN OPAINS: CATCH BASIN",: 0
';HOWERS: 0 GARBAGE DISP 0 WATER HEATERS: WATER LINES: 0 BCKFLW PRE,NTA_ C GREASE TRAP!! 0
MECHANICAL
OTHER IIXTURES: 0
—FUEL TYPES FURN<10OK: G BOILICMP OHP: G VENT FANS: 0 CLOTHES DRYER: 0
.., FURN>=100K: 0 UNIT HEATERS. 0 HOODS: 01 HER UNITS 0
MA/INP nhtu FLOOR FURNANCES, C VENTS: 0 WOODSTOVES: f1 GAS OUTLETS: 0
ELECTRICAL
' RESIDENTIAL UNIT SERVICE rEEDER l EMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS_ AOD'I.INSPECTIONS
1000 SF OR LESS: �- 0 200 amp: 0 0 - 200 amp. 0 WISVC OR FDR: n PUMPIIRRIGATION: 0 PER INSP'_CTION: n
EA ADD'L 50osr. o 201 - 400 amp: 0 201 400 amp- 0 iftWlO SVCIFDR: 0 SIGN/OUT LIN LT: 0 PER HOUR, n
L IMITED ENERGY. 0 401 600 am[: 0 401 600 amp: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL: 0 IN PLANT. 0
601 - 1000 arnp: 0 601-amps-1000w 0 MINOR LABEL: 0
1000+amp/unit; 0
poconnoct only: 0
?LAN REVIEW SECTION
— —
> 4 RES UNITS. SVCIFDR>a:5 A: >600 V NOWNP L: CLS AREAISPC OCC.
ELECTRICAL•RESTRICTED ENh,,Y
A.SF RESIDENTIAL - B.COMMERC.'' --
AUDIO S STEREO VACUUM SYSTEM: AUDIO B STEREO: FIRE ALARA: IATEF COMIPAGINC, OUTDOOR LNDSC LT:
BURGLAR ALARM OTH: BOILER. HVAC. LAN iSCAPEIIRRIC, PROTECTIVE SIGNS
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: OATAITE'_E COMM: NURSE CALLS. TOTAL p SYST<MS 0
Owner: Contractor: TOTAL FEES: $ 289.06
WE_:T^,h ROOFING+ This permit is Subject to the regulations contained in the
CONSTRUCTION Tigard Municipal Code.State of OR Specialty Codes and
WESTAR IN'/ESTMENT CORP all other applicable laws All work will be done in
2717 SW KELLY#120 accordance with approved plans This permit will expire if
PORTLAND,OR 97201 work is not started within 180 days of issuance,or If the
work is suspended for mnre than 180 days AT 1 ENTICE
Phone Oregon law requires you to follow rules adopted by the
: Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080 You
Ro6r ;s a xray obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 InsUlation Insp
Post/Beam Stf-L1CtL Rain drain Insp
Electrical Service Electrical Final
Electrical Rough It Building Final
Framing Insp
0,4z - y T— uat�ie K.nt , i�,y Y itisiFc�r� cJ
CITY OF 11GARD Residential Building Permit Application Plan chec #3-
13125 SW HALL BLVD. Additions or Alterations Recd -
Dale Ree cd,
TIGAR.D, OR 97223 Sing', rarnily Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST - -�21 ri
F 503-C$4-7297 Permit# 1` -O//
Pint or Type called
Incomplete or illegible applications will not be accepted
Name of Project — Name
Job ---- -
- Architect Mailing Address
Addressi/te�A�d�ddr-es�s�,�
r I � City/State Zip Phone
me
a
8.1 )pa�)_A' q l ----__.�. -- ----- - -
dame
Owner Mailing Address
Engineer Mailing Address
ityl,State Phone g V,
1 7V DQ 72 ity/State Q Zip Phone
General Nam j '�'� _ 2.?Z' �S"_y
Contractor U L Describe work rr/New U Addition Alteration O Repair O
Mailing
--ailing Address to be done fir _.._
PnL to permit 4t < &> Additional Description of Work:
issuance,a copy .- Isla a Zip Phone _
of all licenses Y7 7?�:�0_0 ,.,2 L 1 C-16�
are required if Oregon Const.Cont.Board Exp.Date PROJECT - �
expired in COT uc.# VALUATION $
database J?7_S ,_
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 5q Ft House:`,.1/ r i Sq. Ft. Garage --�
Mailin—Atddress
Prior tooaCtOr permit / l
Contractorg Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo —�
are required if Oregon Const.Cont.Board Exp.Date Energy _ --s-stem Alarms
expired in COT Lic.# Installations Vacuum In-nation
database System S stern
Plumbing Name (check all that Other:
Sub- I apply)
Contractor Mailing Address --- — — Corner Lot YES NO —Flag Lot_T YES NO
(check one) (check one) _
Has the ibdivisiun Plai recoiJF J7 N/ NO
Prior to permit City/Stale �Zlp _ one
issuance a copy __
of all licenses are Oregon Const Cont Board Exp Date
required if Lie# — — -- —
expired In COT I heaiby acknowledge that I have rr'ad this application,that the
database Plumbing Lie # Exp Date information given is correct,that the owner or authorized agent
of the owner,and that pians s%iomitted are in compliance with
I Ore on State laws.
Name q ture of O71
Electrical I I/'r r tl/� t'1t �. '��X>A �N / 11/jdLLA/�— . .--
Sub- Mailing Address o NO Prson a e ''//r(�l Phone#
Contractorj� �%►11''x' _ 7�,;sVoV
Uty,State Zip Phone
F,for to permit
issuance,a copy FOR IDFFiCE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp Date Plat#: Map/TL#: Q n
required it Lic.#
expired in COT � ) a5/15-44 -0/3,7
_
database Electrical Lic.# Exp.Date S thaLkZo e: 5019x:
Electrical Supervisor Llc.# Exp Date Engin ring Approval: F'lann Approv I. TIF:
_- All
r i ldstsHormslsfaddelLdoc 11/20/98
r
KING CITY
15300 S.W.116th Avenue,King City,Oregon 97224-2093
Phone:(503)639.4082•FAX(503)639.3771
Notice To (~ontracrtors Working In King City
Due to an i.,, —1vernmental a&.tcement with the City of Tigard, many building related permits
for proje _ ng City are issued and inspect,--d 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
%�hether you would like the Tigard staff to call you when the permit is ready for issuance or
� hether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff fc-correction and no prnct:ssing 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
requitements. All permit fees will be assessed and collected at the City of Tig,,rd.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project: - 210a4v
located at:IIYY,,)=_
�tativ
King City Re
I M,a 1.5i o„t