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16505 SW Monaco Lane
-- BUILDING PERMIT
CITY OF TIGARD
PERMIT#: 130132002-00284
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S116AD-04700
SITE ADDRESS: 16505 SW MONACO LN
SUBDIVISION: KING CITY NO. 11 ZONING:
BLOCK: 13 LOT: 110 JURISDICTION: KIN
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJE ,r OPENINGS? _
TYPE OF CONST: sf N: S: E:— W:
OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASE=MENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED _
FLOOR LOAD: pst LEFT: fl RGHT: ft FIR SPKL: SMOK DET:'
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMF' SURFACE: PRO CORR: PARKING:
VALUE: $ 32,000.00
Remarks: Reroof entire building, tear-off and replace.
Owner: Contractor:
MEAGHER, MARY TRUSTEE BOB CARLSON INC
16505 SW MONACO LN PO BOX.63
KING CITY, OR 97224 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Reg #: LIC 5113
_ FEES _ REQUIRED INSPECTIONS --
Type By Date Amount Receipt Dryrot After Tea,-Off Insp
PRMT CTR 7/17/02 $62.50 27200200000 Final Inspection
5PCT CTR 7/17/02 $5.00 27200200000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules ar direct questi-s to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Permittee
Signature:
Issued Bye.-_ _--
Call 639-4175 by 7 p.m. for an inspection the next business day
Ile-Roof / l
Building Permit Application
u- - Date received: 7 f Pcrmit noj:A 'QN
City of Tigard — ---
Projecdappl.no.: cc date:
Address: 13125 SW Hall Wvd,T'itcard,OF 97221City,)j Tigard Phone: (503) 6394171 f;ate issued: fay Receipt no.:
Fax: (503) 5913-1960 :ase file no.: Payment type:
Land use approval: _ _ 1&2 family:simple Complex:
TYPE OF PERMIT
U 1 &2 family dwelling or accessory U Commerei, 4w,trial U Multi-family U New construction U Demolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
JOB SITE INFORAIATION
Job address: )v$l S t.) 1'V�—�„�;v` C Bldg.no.: Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name: 'LjQP,&, ?R0 R�me %j ZAAU-r ` ,�� � �
Description and location of work on premise special conditions: td.�/�M _ � f eQ
OUNER FORINFORMATION, (NECKLIST
Name: .t„t�jJ� Q , solar,
Mailing addr .s: 1 &2 family duelling:
City: Statc: p ZIP: -- Valuation of work........................................ $ _
Phone: Fax: Email: No,of bedraoms/baths.........
.
Owner's representative: Total number of floors......... �'.b. ...0' 1
Pho Fax: E-mail: New dwelling area(sq. ft.) ..........................
TMINQ 7Garage/carport area(sq.ft.).........................
Name: _ Covered porch area(sq.ft.) .........................
Mailing address: Deck area(sq.ft.) ........................................
-- Other structure area(s .ft.)
State: �I,II': .........................
_ city: - p
Phone•440- Se t3 hax:(��p-�1iyo E-mail: Commercial/industrial/multi-family:
i 1 Valuation of work................................ ....... 5
�MK
Existing bldg.area(sq. ft.) .......................... ^,
Business oallic: (p �„ yet ,H,c�,
Address: / Q. �i► — New bldg.area(sq.ft.) ................................ _—
Cit tate: Z1P: g} J Number of stories........................................
Y' Type of construction....................................
Phone:(,•10-3V 23 Fax:`J_.ytgdE-mail:
CCR no.: - Occupancy group(s): Existing:
—��� New-
City/metrolic.no.: 9 3 Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
'� - jurisdiction where work is being performed.If the applicant is
Address: o ,�, A)a .S w�i L.�
cit), S atc:p 7_- 7-12-
Contact
exempt from licensing,the following reason applies:
Y o —_
Contact person:S}t,K # Plan no.: —
Phonc:Z$D-8'T Fax:Z'110-rT&Ir I E-mail: --�
a 1
"Naime: ___ ontact person: Fees due upon application ........................... $Address: -- -�--� C _�-- Date received:
City: _ State_— ZIP: Amount received ......................................... $ _
Phone: Fax: - Email Please refer to fee schedule.
I hereby certify 1 have read and examined this application and die Not at jurixdici,om accept MXW cards,pteaw call j11-ix fiction for,bare inrot„taa«t
attached checklist.All provisions of laws and ordinances governing this O visa U MasterCard
work will be complied ith w t cificd herein or not. Credit cud number: — - .__L__L_
Expires
Authorizedsignature:t — Date: _ Z Nurse or cardholder v xhrnm on credit card
Print name: ! tti --- caratrdder xi we s Amotmt
Notice: lltis permit application expires if a permit is not ohtnined within 180 days after it has been acccpicd as cemplete ,ia(sDbr'�r.t
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration _
❑ REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is required when spaced sheathing is covered by solid sheathing and/or
changes are made to roof line.
SUBMIT TWO (2)SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be located in
the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when eave and attic
venting is provided.
Note: No permit is required for residential re-roof if, (1) not more than three layers of
roofing will exist upon completion of the re-roofing or, (2)sheathing is not being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
® RE-ROOF circle A, B or C):
Existing built-up roof covering to be REMOVED and deck repaired.
B. E=xisting built-up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Raview shall bear the seal (or stamp)of the
architect or engineer licensed in Orer)on.
C. s hp alt or wood shin leg /shake. JPROCEED TO STEP 7�_
CO C(AL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation UBC Appendix 15)
Please fill out applicable section and attach copy of roo_flng specificatiun:. I
Listed Assembi Circle and cometete A, B or C : _
A. 1. Specification#: � _ t PT. %J-
r,sort _
�2 Manufacturer: 1 �.-
3a. UL Classification:
Listed UL Building Materials Directory Page #_�re,__c>��4 Q ae i+t
OR
3b. Warnock Harsey: __--
Listed Warnock Hersey Directory Page
"COPY OF ASSEMBLY_REQUIRED
B. ICBO Research#: -S,Sbci z_ _�.._
Dated:__ _ _ __._--
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner.)
— VALUATION OF PROJECT: $
ft. of roof area - -- �. — - --- --
Permit Fee based on valuation: $
_(see Buildin2_Perrnit Fees chart
8%State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
Assembly Item"C"above.
TOTAL:
i:dstsVorms\roofcheckhst.doc 10/05/00