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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00269 . E •14i DEVELOPMENT SERVICES DATE ISSUED: 5/9/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S116AD 20200 SITE ADDRESS: 16815 SW 129TH AVE SUBDIVISION: KING CITY NO. 18 ZONING: BLOCK: 24 LOT: 001 JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 55,286.00 1 Remarks: Reroof entire building (install new plywood over spaced sheathing). (6) units: 16815, 16835, 16855, 16865, 16885 & 16895. Owner: Contractor: DOROTHY KAILEY BOB CARLSON INC 16815 SW 129TH PO BOX 63 TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: Phone: 503 - 640 -3623 Reg #: LIC 5113 FEES MET REQUIRE6IN9g33 SPECTIONS Description Date Amount Dryrot after tear - off [BUILD] Permit Fee 5/9/03 $503.62 Final Inspection [TAX] 8% State Tax 5/9/03 $40.29 Total $543.91 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued B • _I /_,/ Ji ∎ A- Pe mt it e ��%l� Q Ae.-r Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day • P R . p, ,., T _ .FOR OFFICE USE ONLY uilding Permit Ap llc�atlo�n ® Received Building Date/By: �f % i 44 Permit mh o — I/ O 3 —1,p Planning Approval Other City of Tigard MAY 0 b 200 .; Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TlGP AD Date/By: Permit No.. , / * 1 ^ f\ Post - Review Land Use Phone: 503-639-4171 Fax: 5073 DI1 lI I i Date/By: Case No. Internet: www.ci.tigard.or.us � R^ ��.a Contact Juris.: / ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: K //'/ Supplemental Information .... ., <.- . ... ..., ....._.. .n,......_�M. .,.a> ; ,mo ; ..,.,., __ �.«a - c'a� "'�,�.;�.;- .'"r'':2k - " .?���;. ""�s:�Ct�'�'- 'x:,. :; - ,°, J fn. C'_t S10-$ 2a.^K-y'? -- w.q `�"_" ai _ .WOI2K��. �... ..,_.,_ ;�� � °, $ :DATA: .E OF , t ><.,. '°Y" r I73I2E1 e z a £T�,.. °:fi:�"�,xA - �'3'N" "` -uKK r;� x: �:"r . : 10 New construction 10 Demolition 1 e,&� 2 FA MII PDWFEL k ` ..42..42 ,z:.,,�i:T' � r',w „v,. .te a:. ,zrm.' ' .: - Addition/alteration/replacement ❑ Other: 'Y.,v. ' i ° . S .... � ., _ .. :` _ k ` `' "`` Note: Permit fees* are based on the total value of the work performed. Indicate ' .� - �CATEGQRY�; OFCONSTRU_ CT�ION °_.�,.. �.. : , �;_; , _� 02 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family _ Master Builder j 0 No of baths $ � Other: Valuation l ' � , - „'!;e ._,. .VS ®N a CA Sgb - �---- �.� -- <- .- - ... ` � °-.°- No of bedrooms: � ad _ -_a- ITEIN�FORM � AT r I .,�_._�_ nd�L p Q�_,.:'= _�Ip _,_ „�� :..: r`�r.�,: m� . Job dress: ((/Vy - Iw e t ow ',Rik NPi1(,1 Q , Total number of floors New dwelling area (sq. ft.) Suite #: B /Apt. #: Garage/carport area (sq. ft.) Project Name: Gaech , V i I 1GCX gpkiC l - P IT: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) /6P /5 49 —020x' // 8G5 /99 -p O ther structure area (sq. ft.) Q /G 835 .. ' : -2o /oz) /G J>PS / 9 cpav .-.,„ ,- � - ; , -.,, :: - , K ' '��.�'' °:� ' 3'.':",'�7 -.0`' `' �5 "°c`�f � • �' - e „�' -,' .��� �°`"t:'. ?5 - o2oou_t) /G P95 /?7 r) r: � �.. = REQUITU MDATA,4 3e` r :; /G µ' . ? COMl1 RCIAI: ` IS tilE KLLST ' ; i AV: . Lot #: ��i, =;� a��� . .@ � �: �R..m. , � ,., ��° � _ ._ . - Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate .. m.: ;,",., ;: �:. . iT. 't,TtNj)E --•-• Ia IO - NF WORK :..�.° tW:N , C,VIR� R the value (rounded to the nearest dollar) of all equipment, materials, labor, ° .x* :D,ESRI 1 , t ' � overhead and profit for the work indicated on this application ...1 1 ` o ' el r� r e - , i ^ I 1 r , /a ' G , �� 30 i6 �? II-- , L q1 � Valuation $ 4 ? Cp rn�'7 Existing building area (sq. ft.) New building area (sq. ft.) Number of stories m._ 2.22__2 2222.__ `N . E. . v ..;- H. M: of construction ^ ,PROP�ERT�YOWNER�� :� ..�11 ��E . __. T �»,�M. � ���;�',v�: =ter Occupancy ) : Existing: Name:; CC,),. �+clo�, V g : u a =N`. � Type n "�” r ccupancy group($ t /�ssoG� New: Address: City /State /Zip: lc,1 CtJ, , R'7 1. NOTICE: All contractors and subcontractors are required to be Phone: Fax: licensed with the Oregon Construction Contractors Board under �; `PPVICANT � :1 : _; OiNTAG-* r "- L' = 4 1v:' provisions of ORS 701 and may be required to be licensed in the Business Name: 80b Ca..-1sc••-, ` - 7"C. jurisdiction where work is being performed. If the applicant is exempt Contact Name: Z. - � IS c ' from licensing, the following reason applies: Address: 5G0 sL,1 Maple I Pro_ laen 6.3 , CityLState/Zii:_ Its_+ e, Oe . 0.3 -_ 0063 G - .3 3 Fax: �u --�8y() : ',t � r ; ' �..t a - . Phone: 503 yl7 (� =B %ERIVII F EES* � M E -mail: 9 � � r�d+r� • cor, Please refe fo fees hedu - _* - a. ,;_�f��� t �' CONTRACTORS ,.'::.,�..�,.�:.....`�.,�. Business Name: Ni, (9 i- Tr.(' , Fees due upon application $ ' / Address: 56,0 S w ML r-, 4 I p.(5. j8, G 3 Amount received $ City /State /Zip: Ick (�S , ofe r 7fa3 -� ._o Phone: 5o3 C, - 3 • 3 Fax: 503 (9zio -48 Date received: CCB Lic. #: /1 3 Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: Y id E/63 180 days after it has been accepted as complete. 1 6 rci ' a_ c,-L$1•_ *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) 46 .� � / - `Dsts\Permit Forms\BldgPermitApp.doc 01/03 /lo , j / 04/28/2003 08:21 5036393771 UllY Uh K1NU U1lY NAVE 02/02 - 1. . .. A. lial KING CITY 15300 S.W. 116th Avenue, King City, Oregon 97224.2693 mININNIMMIININ Phone: (503) 639 -4082 • FAX (503) 839 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many bulling 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, si .ply complete the appropriate application legibly and submit it to the King City staff. The Ins 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 reacbv for issuance or whether you prefer it to be mailed without any notification. Any incompl - to 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 indicatin 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 Service Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning s abmittaI requirements. All permit fees will be assessed and collected at the City of 7 "igard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard r Building Department for the following project: i _ -- L i ! " dpi z L x pp 11� d V, located at: A lkOia.) King City Representative , 1 DST5XCINST DOC Malarkey Roofing -272 Legacy SBS Modified Laminated Shingle Page 1 of 2 J - L j f € vim Cb TECHNICAL PRODUCT DATA SHEET #272 LEGACY® SBS MODIFIED LAMINATED SHINGLES WITH POLYGLASS ® MAT PRODUCT DESCRIPTION Product Use: #272 Legacy SBS modified laminated shingles are used whenever increased flexibility, architectural design, tensile strength and tear - resistant shingles are desired. These SBS rubber modified asphalt shingles are designed for a 5 5/8" exposure_ Precautions: #272 Legacy SBS modified laminated shingles require dry storage or plastic - covered storage and protection from the weather until applied. Do not use on roofs where the slope is less than 2 ". For slopes 2" to 4 ", additional deck protection is recommended. #272 Legacy SBS modified laminated shingles have a factory applied self - sealing strip that activates in warm weather. When applied in cold weather or windy location, hand - sealing is recommended but not required if sealant activates. In high wind areas, six nails are required. Contact Malarkey for further conditions and instructions. Composition and Materials: #272 Legacy SBS modified laminated shingles are mineral- surfaced and self- sealing, made with SBS rubber modified asphalt coating and fire - retardant fillers on a Malarkey polyglass fiber mat, and feature the exclusive design of "The Zone """. TECHNICAL DATA - #272 Legacy are available in 9 standard colors, with other colors available upon request with a 300 square minimum. Typical Average Properties: Approximate Weight 275 lbs. (124.74 kg) per square Dimensions 13'/4" x (t 1/8'.) (.33 m x 1.02 m) Exposure 5 5/8" (142.9 mm) Shingles per square 64 shingles (4 bundles /square) Granule Adhesion 0.5 gram loss Fire Rating Class A Warranty 50 -year Limited Warranty 110 m.p.h. Limited Wind Warranty The Legacy meets or exceeds UL 2218 Class 4 Impact Resistance, ASTM D 3462, ASTM D 3018 -90 Type I, ASTM D 3161 -97 Type I, ASTM E 108 -91 Class A and CAN /CSA A 123.51998, ICBO ER- 5300. The Legacy Limited Wind Warranty may have conditions attached to it. Please contact Malarkey Roofing for further details. APPLICATION PROCEDURE All shingles should be applied over underlayment, Malarkey Right Start UDL or an approved substitute. Shingles should be attached to decking by approved fasteners, comply with bundle printed instructions and meet industry standards contained in NRCA or ARMA manuals. Malarkey recommends the use of nails for fastening. For specific installation instructions, consult Malarkey Roofing Company. WARRANTY #272 Legacy SBS modified laminated shingles carry a 50 -year limited warranty and a 110 m.p.h. limited wind warranty. Documents http: / /www. malarkey- rfg.com/Technica1/272.htm 6/27/2002 TFWZ.R4299 - Prepared Roof Covering Materials Page 1 of I 0 Online Certifications Directory TF VZ.R4299 Prepared Roof Covering Materials Page Bottom Questions? - Previous Page - - ; I Prepared Roof Covering Materials Guide Information HERBERT MALARKEY ROOFING CO R4299 3131 N COLUMBIA BLVD KENTON STATION PO BOX 17217 PORTLAND, OR 97217 USA Asphalt glass fiber mat shingles, for installation as Class A prepared roof coverings. Asphalt glass fiber mat shingles, for installation as wind resistant roof coverings. Asphalt glass fiber mat sheet roofing, for installation as Class C prepared roof coverings. Modified asphalt glass fiber mat shingles, for installation as Class A prepared roof coverings for installation on min 15/32 in. thick plywood decks. Page Top Notice of Disclaimer Questions? Previous PageL UL Listed and Classified UL Recognized Products Certified Products Components for Canada This page and all contents are Copyright © 2002 by Underwriters Laboratories Inc.® The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Follow -Up Service. Always look for the Mark on the product. http: / /database. ul. com /cgi- bin/XYV /template/LISEXT/ 1FRAME/showp age.html ?name =T... 6/27/2002 CITY OF TIGARD 24 -Hour BUILDING . Inspection Line: ( AA 4175 MST INSPECTION DIVISION Business Line: (51 " 0"-b°•=2? bO a . Received �7 Date Requested t 2 "/3 A PM BUP a 7 Location ! �P 1� / / "- Suite MEC Contact Person t Lam- Ph ( 7 ( ) SZ 3- '/3 /3/ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC • Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: i leg g ( 32 1( k5'4 SIT Post & Beam Shear Anchors ) 1 ' 1 Ext Sheath/Shear l a tP Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -t Fire Alarm Susp'd Ceiling ther: r i . /I PART FAIL �! - BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage , Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA D b c /l 3 / Approach /Sidewalk �l Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received , �` Date Requested ° AM P1 ! BUP Location _Li L e , U 1g I a` ? A-o.e-- Suite MEC Contact Person Ph ( q7( ) 5e„ 3 -93(8 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing cJ ELC Foundation Access: ✓✓ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Other: `1 ` , PART FAIL '• 1.7 `= ING Post & Beam • Under Slab t` Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan - Other: Final Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line A �) t DA Approach /Sidewalk Data ( C' Inspector Ext _ Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST -6 1P - F ^ /,c). �a Received `-/ j /2.,2Z� Date Requested �� /� AM PM BUP Location / S � f y Suite MEC Contact Person 1�� Ph ( 1/) cjZe3 93 /D p PLM Contractor Ph ( ) SWR rf4:0 e Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof � Other: / Fit g PART FAIL -'� �, :ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain - Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach /Sidewalk Date I/ f ''/ (o Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By Inspection Description • Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough-in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation 4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Structural observation Mechanical final Fireproofing Lab Final Final inspection 6/ l0 / o5�" PLM - Plumbing Permit Inspection Description Date Passed By BUP — Fire Protection System Permit Plumbing underslab Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer -4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts\ forms \InspRecotdBUP.doc 04/17/01 A w,i, C IN�'Y ®F TIGAR® BUILDINGPLRMIT, PERMIT #: .BUP2003 -00269 DEVELOPMENTSERVICES DATE ISSUED: 5/9/03, 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 16815 SW 129TH AVE PARCEL: 2S116AD -20200 SUBDIVISION: KING CITY NO. 18 ZONING: BLOCK: 24 LOT: 001 JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 55,286.00 Remarks: Reroof entire building (install new plywood over spaced sheathing). (6) units: 16815, 16835, 16855, 16865, 16885 & 16895. Owner: Contractor: DOROTHY KAILEY BOB CARLSON INC 16815 SW 129TH PO BOX 63 TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: Phone: 503 - 640 -3623 Reg #: LIC 5113 gggg FEES MET REQUIRE ?6INSPECTIONS Description Date Amount Dryrot after tear -off [BUILD] Permit Fee 5/9/03 $503.62 Final Inspection , ..r [TAX] 8% State Tax 5/9/03 $40.29 Total $543.91 . ' ' 1' This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes v and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, 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 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued B • • _I ii" 11 . � i � �_ iitip Pe rm ittee Signature: , L /� %��c Call 639 -4175 by 7 p.m. for an inspection the next business day