12910 SW CARMEL STREET N
U
U
1�55�
S
N
1
3
T.
ro
ro
12910 SW Carmel Street
,I
_ BUILDING PERMIT
CITYOF T I G A R D - PERMIT #: BUP2003-00261
DEVELOPMENT SERVICES DATE ISSUED: 59/03
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S1 16AD-178 10
SITE ADDRESS: 12910 SW CARMEI.. ST ZONING:
SUBDIVISION: KING CITY NO. 18 JURISDICTION: KIN
BLOCK: 23 LOT: 001 `-- _-. .— —_- ----RUCTION
---
REISSUE: FLOOR AREAS____ _„_ EXTERIOR WAIL CONST _
FIRST: sf N: S: E. — W: -�
CLASS OF WORK: OTR PROJECT OPENINGS"?
TYPE OF USE: MF SECOND: si ---
sf N. S: E: W:
TYPE OF CONST: U
OCCUPANCY GRP: TOTAL AREA sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE. sf OCCU SEP. RATED:
STOR: HT: ft REQUIRED SMOK DET:
BSMT?: MEZZ?: _ _R_E4D SETBACKS -
FLOOR LOAD: psf LEFT: ft RCj'(tT:� ft FIR SPKL:FIR ALRM
P ACC:
DWELLING UNITS: FRNT. ft REAR: ft PRO CORR: HNQIARKING.
BEDRMS: BATHS: IMP SURFACE:
VALUE: $ 36,856.00
Remarks: Reroof entire building(install new plywood over spaced sheathing).
(4)units: 12910, 12920, 12930 & 12940.
Contractor:
Owier:
PIPER, JOSEPH W HELEN C BOB
12910 SW CARMEL ST PO BOOXX3
N INC663
*rIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Phone: 503-640-3623
Reg#: LIC 5110o30o11 33
FEES MET REQUIRED61'NSPECTIONS
Date Amount Dryrot after tear-off
Description Final Inspetction
�13UILl)) 1'crnut fcr 519103 $373.30
ITAXj 8 State'fav 5/9/03 $29.86
Total $403.16
This permit is issued subjectto 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 followthrough
OAR/es adopted by 952-001-0100. Youregon may obtain a colpyation of these rules lr di direct questions toare set rOUth tNCO by
952-001-0010 tiro g
calling ( 46-6699 or 1-800-332-2344.
Issued By:
Pennittee p ly
Signature: c _
Call 639-4175 by 7 p.m. for an inspection the next business day
USE
BUii(lin(y Permit A Received
Application ' ' ' '
NLY
� Building DD
Date/By:SG n3 PermttNo.k'N�e��O-3 DC err
L.t f Tigard Planning Approval Other
y ODate/By: Permit No.:
13125 SW Fall B1.'d. Plan Review Other
Tigard,Oregon 97213 Date/By: _ Permit No: —
Phone: 503-639-4171 Fax.: 503.598-1960 Post-Review Land Use
Case No.
Internet: www.ci.tigard.or.us Contact —� Jns.: . See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: /e�/✓ Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction _ Demolition 1 &2 FAMILY DWELLING
Addition/alteration/re lacement Other: "
CATEGORY OF CONSTRUCT]ON _ Note: Permit fees'are based on the total value of the work performed. Indicate
1 & 2-Fami�dwelling Commercial/Industrial the value(rounded to the neatest dollar)of all equipment,materials,labor,
— - overhead and profit for the work indicated on this application.
Accessory Building Multi-Famil
Master Builder Other: _ .
Valuation......................................................... $�—a._
JOB'SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:--
Job site address: `/ otal number of floors.....................................
New dwelling area(sq. ft.)..............................
Suite#: _ Bld ./A t.#: ---�--��---�� Garage/carport area(sq.ft.)............................ _
Pro'ect MC: ,o, -V u' _ fir"_�=T"AX_ Covered porch area(sq,ft.).............................
Deck area(sq. .)............................................
Cross street/Directions to fob site: Deck - -----
429/0 1-�1S//`11d •/IPkl,0 Other structure area(sq.ft.)....... . . ... ...........
i�.73d REQUIRI.D DATA:
_ CONIN1ERCIAL •USE,CHECKLISTSubdi ___vision: __^I Lot#: - --
Tax ma'/ arcel M Note. Permit fees•are based on the total value of the work performed. Indicate
DESCRIPTION F WORK the value(rounded to the nrarest dollar)of all equipment,materials,labor,
--� --�-�-r�O /a overhead ,rid profit for iho work indicated on this application.
Ori f^Ct�1` t
Id a Valuation................... ..................................... $
col
Existing building area'sq. ft.).........................
—---- - — New building area(sq. ft.)...................... ........
Number of stories............................................
.. MOPERTY.OWNER_ TENANT Type c of construction............. ......... ............... _
��--- �" Occupancy group(s): Existing:
Name: New:
Address:
Ci /State/Zi : K%t. G OR q?aj�
Phone: Pax; NOTICE: All contractors and subcontractors are required to be
,APPLICANT &N-TACT PERSON licensed with the Oregon Construction Contractors Board under
-- provisions of ORS 701 and may be required to be licensed in the
Business Name: Bmb :,�C jurisdiction where work is being performed. If the applicant is exempt
Contact Name: *11$C,, from licensing,the following reason applies:
Address: 5&0 Si 4 Plu. a&r 63
~--
City/State/Zip: 14j hs6cv 0( T7 j,�J .--
Phone:503 Gyv- 3 Fax:5c3 G4iu--4f$4V —_- BLJILDING PERMITFEES+
E-mail: It,,.� �, (a 66cew $,,roo ` Picase refer to tee schedule-
CONT
RACTOR
chedule.CONTRACTOR --- --- ___-- -----____-.
Business Name: ��+ _ lees due upon application............. .... .. _ $ �0
Address: %0 Sw Mn-4
Cit /State/Zt : Amount received...................................... .. $_
Phone: Lr303 loYo- - Fax: -o Date received:
CCB Lic. #: 6111
Authorized - l %�+ +� Notice: This permit application expires If a permit Is not obtained within
Signature//:'� _. Date k
��1� 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building industry Service Board.
(Please print name)
kDsts\Permitforms\BldgPermitApp.doc 01103
04/28/2003 08:21 5036393771 CI.'Y OF KING CITY PAGE 02/02
KING CITY
15300&W,,116th.venue,Kine City,Oregon 97224.2692
Phone:(603)639.1082 6 FAX(503)639-3771
Notice To Contractors Working In King City
Due to an intergovernmental agreement with the City of Tigard, many bu,]ding 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 King City staff will
collect all fees and fax the application to the City of Tigard, City of Tigard staff%%ill then create
the permit, issue the permit, and perform inspections. Please indicate on die permit application
whether you would like the Tigard staff to call you when the permit is reac v 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 FLkN 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 abmittal
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: L--A44 "
L)
located at: oabL&�1 -biwi-.n.�
OL) 4"Xd
Ding City Representative
I DSTSNCINStOoC
�I
Malarkey Roofing-272 Legacy SBS Modified Laminated Shingle Page 1 of 2
TECHNICAL PRODUCT DATA SHEET
#272 LEGACY`'
SBS MODIFIED LAMINATED SHINGLES
WITH POLYGLASS""MAT
PP,Q=T DE5CRIPTION
Product Use:#272 Legacy SBS modified laminated shingles ere used whenever increased flexibility, architectural design,tensile strength and
tear-reelstant shingles are desired.These SBS rubber modified asphalt shingles are designed for a 5 518'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-sosling is recommended but not required if sealant activates. In high wind areas,six nails are required.Contact Malarkey for further
rbndRions and Instructions
Composition and Materials: 0272 Legacy SBS modified laminated shingles are mineral-surfaced and self-sealing, made with SBS rubber
modified esphalt roating and fire retardant filters on a Malarkey poyglass fiber mat,and feature the exclusive design of'The Zone"e1
TKt1WQAL DATA
#272 Legacy are available in 9 standard colors,with other colors available upon request with a 300 square minimum.
Typical Average Properties.
Approximate Wlalght 275 lbs.(124.74 kg)per square
Dimensions 11374"x 40'(t 118'.)
(.33 m x 1.02 m)
Exposure 5 518'(142.8 mm)
Shingles per square 64 shingles(4 bundlesisquare)
Granule Adhesion 0.5 gram loss
Fire Rating Class A
yyaffanty 50-year Limited Warranty
110 m.p.h.Limited Wind Warranty
The 90
ype
TM
108-91 Legacy
lass A and CAN Cmeets or SA A 12.3.51998.ICBO ER-5300 Tds UL 2218 Class 4 Impact he Legacy Limited Wind Warrranntyce.ASTM D 3462,ASTM D BmayTh verconditions attached topit Plea e E
confect Malarkey Roofing for further details.
APPMAT10N PAt7CEDVRE All shingles should be applied ovor underlayment,Malarkey Right Start UDL or an approved substitute Shingles
should be attached to decking by approved fasteners,comply with bundle printed instructions and"wet industry standards contained in NRCA or
ARMA manuals Malarkey recommends the use of nails for fastening For specific Installation instructions,consult Malarkey Roofing Company
WAFMNTY 0272 Legacy SBS modified laminated shingles carry a 50-year limited warranty and a 110 m.p h limited vend warrant). Documents
http://www.nial arkey-tfg.com/Techni cal/272.htm 6/27/2002
1
"I'F W7..R4299 - Prepared Roof Covering Materials Page l of
Ceitifica' tions Directory
TFWZ.R4299
Prepared Roof Covering Materials
Page Bottom Questions? Previous Page
Prepared Roof Covering Materials
Gu dr,-110ff "I n
HERBERT MALARKEY ROOFING CO R4299
3131 N COLUMBIA BLVD
KENTON STATION
PO BOX 17217
PORTLAND, OR 972.17 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 ruin 15/32 in. thick plywood decks.
N[oli_ee-of ftdaimur Q � tit)t19? Previous Page J
Page'�4-p — -- -
Li"JIte -and Classified UL_WM ized Pro�us>19 Certified
PrQ"05 Components for Cen-ade
This page and all contents arc Copyright V 2002 by IJnderwriters Laboratories InOt
The appearance of a company's name or product in this database does not its itself assure that products so identified have been
ulattufactured under LJL's Follow-Up Service. only those products bearing We 11L Mar' :,hould be considered to be Listed
and covered under UL's Follow-Up Service.Always look tot the Mark on the product.
littp-.Hdatabase.ul.cora/cgi-bin/XY V/tetnplate/Ll SEXT/1FRAME/showpage.html?name—T... 6/27/2002
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
.aaUP 3
Received _ Ga Date Requested AM,.. _. PM ____--_- BUP _
Location _ r D Suite MEC
Contact Person Ph(.17/ ) S� - `93 PLM ------ __ _ ._—
Contractor__-._.__- SWR -- ---
BUILDING TenanVOwner ELC ----
Footing ELC --
Foundatwn Access:
Ftg Drain ELF! --
Crawl Drain SIT
Slab Inspection Notes: -
Post&Beam -----
Shear Anchors OR I - G
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Sus 'd Ceiling _
00 - - —
r: w 4
�A�S - PART FAIL
PLUMBING
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 FAII
ELECTRICAL —
serviceRough-in
UG/Slab _-
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
ADAoach/Sidewalk Data_-._ 1 Inspector - - --Ext --
P
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Ins-rection Line: (503) 6394975 MST
INSPECTIGN DIVISION Business Line: (503)639-4171 BUP 7j 'OC> �2
Received Date Requested -'?-I AM PM -____---_ BLIP
Location — a 916 - �dil/YYl¢.t� J�t_ Suite_ MEC
• Sb3 - `s3t �
Contact Person Ph(_-_11 ) PLM --
Contractor -_ ---- Ph( ) -- SWR -- -- -_ —
BUILDING TenanUOwner --- ELC - --- --
Footing ELC
Foundation Access:
Ftg Drain ELR -
Crawl Drain SIT
Slab Inspection Notes:
Past&Beam — -
Shear Anchors
Ext Sheath/Shear -- --
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing -- -
Firewall _
Fire Sprinkler -- ---- - --
Fire Alarm
Susp'd Cellirg
Floor ..J-
Other:
Fi
ASS PART FAIL
Poct&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 T
Final —.—
PASS PART FAIL
ELECTRICAL - -_--�
Service
Rough-In
UG/Slab
Low Voltage -_—.... —
Fire Alarm
Final Reinspection fee of$ _required befr,re next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:--- Unable to inspect-no access
Fire Supply Line
ADA Date -�� Inspector Ext
Approach/Sidewalk
�_ -----
Other:_ -
Final RA NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL