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16550 SW Monterey Lane
CITY
o� ������ _BUILDING PERMIT
C PERMIT#: BUP2002-00273
DEVELOPMENT SERVICES DATE ISSUFD: 7/17/02
13125 SW Hall Blvd.. ,ociard. OR 97223 (503) 639-4171 PARCEL.: 2S116AD-14600
SITE ADDRESS: 16550 SW MONTEREY LN
SUBDIVISION: KING CITY NO.15 ZONING:
BLOCK: 13 LOT: 130 JURISDICTION: KIN
REISSUE` FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: — E: W:
TYPE OF USE: PAF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: sf N: S: _E: W:
OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:.
BJMT?: MEZ.Z.?: REQ_D SETBACKS _ REQUIRED
FLOOR LOAD: I)sf _EF
LEFT: ft RGHT: ft FIR SPKL: — SMOK DET:
DWELLING UNITS: FP.NT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 32,000.00
Remarks: Reroof entire building, trar-off and replace.
Owner: Contractor:
WALSH, MARIE TRUSTEE BOB CARLSON INC EXPIRED^
16550 SW MONTEREY PL PO BOX 63
KING CITY, OR 972?4 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Reg#: LIC 5113
FEES _ REQUIRED INSPECTIONS_ —
Type— By VDateAmount Receipt Dryrot After Tear-Off Insp
5PCT CTR 7/17/02 $10.00 2.7200200000 Final Inspection
PRMT CTR 7/17/02 $125.00 27200200000
Total $135.00
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 for!h in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNc; by
calling (503) 246-6699 or 1-800-332-2344
Permittee
Signature: "11 L
rG?, �-
Issued By: .i Qct-1 _--- -- — —----
Call 639-4175 by 7 p.m. for an inspection the next business day
Ile-Roof 13
Building Permit Application
Datereceived: 7 2 d} Permit Peit no.
City of Tigard
Address: 13125 SW Hall Blvd,'Tigard,OR 97223
ProjecUappl.no.: xpirc date:
C.iryojTigard Date issued: fi v
Phone: (503) 639-4171 y�__J✓. Receipt no.:
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: --- ._ _______ 1&2 family:Simple Complex
i
TYPE
1 .
U I &2 family dwelling or accessory 1.1 Commercial/industrial U Multi-family U New construction :1 Demolition
U Addition/alteradon/replacemeat ❑Tenant improvement U Fire sprinkler/alarm O Other:
JOB SITE INFORMATION
1uh address: 165510 Sa J W> 131dg.no.: Suite no.:
- —- ------
Lot: fliock: Subdivisio . �T'ax map/tax IoUaccount no.:
Project name: - - - -
1
Description and I ation of work on premise special conditions:_��-_. �Yaof �_��.1 f a.Yx nl t's.10
- YY1_tt�a a-k e - ---— -----
Niunc:�k rc� .�
Mailing add s: _ 1 &2 family dwelling:
City: State: O LII': Valuation of work.................................
('hone: Fax: E-mail: _ No.of hedre)oms/baths.................................
t�wncr's representative: _ _ Total number of fl(ars....... ............
I '
Phone: —Cax. E-mail: New dwelling area(sq.ft.) / .
Garage/carport arca(sq.ft.) _
Name: o,,_ .�� Covered porch area(sq. ft.) ......................... _
Mailing address: G Deck area(sq.ft.)........................................
City: Vit p _ State:t,7 'LIPS /l Other structure area(sq.ft.).........................
Phone:`qD- 5( LS FaK:6, .gtgbp E-mail:if, CommerciaUfndustrlal/multi-family:
,.. Valuation of work........................................
Itusiucss name: (p�Q,� �` Existing bldg.area(sq.ft.) ....................... ..
..Address: /5 p /�.�-(�� New bldg.area(sq.ft.) ...............................
--- Number of stories........................................
City. - State:0 g ZIP: }
- — -- Type of construction....................................
Phone:f,•{O- t;23 Fax: o"ytq E-mail: —� -
CCB no.: Occupancy group(s): Existing:
J l 1 - - - -- _------- New:
City/metro lic.no.: Notice:All contractors and subcontractors arc required to be
r licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
M �� - -- jurisdiction where work is being performed. If the applicant is
Address: 03
exempt from licensing,the followingreason a lips
City: - - S atc:p ZIP: 2.12-_ p g' pp� '
Contact person:S4C" t ' Plan no.: - -- - ----
Phone:21fiD-8;$ Fax:.. to-�fefr E-mail: ---- -- _
r
Name: NIA _ lContact person: Fees due upon application ........................... $_
Address: Date received:
City State: ZIP: s Amount received ......................................... $ _
Phone: Fax: E-m;itl Please refer to fee schedule.
I hereby certify I have road and examined this application and the Not all juriubctions accept credit cards.please cdI jurisdiction for more inrormaion
attached checklist.p'1 provisions of laws and ordinances governing this o Visa 17 MasterCard
work will be complied iU w ified herein or not. Credit card rarmbrr
L
`Expires
Authorized signature: Date Z T��(r Namr of cardholder as shownon creditcud
Print name: S o s
— Cardbd sittnatiue Amouol
Notice:This permit application expires if a permit is not obtained Mthin 180 days after it has been accepts-"a.:
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 rovered 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 attir 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
_ _appifeti)..-- ---
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
,.,:d RE ROOF (circle A, B or C):
Cp7Existing built-up roof covering to be REMOVED and deck repaired.
B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon.
1"E-'Asphalt or wood shingle/shake. (PROCEED TO STEP 2) __
C—OftEACIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
_Material Documentation UBC Appendix 15)
Please fill out ap licable section and attach copy cf roofing specifications__ 1
Listed Assembly (Circle and complete A, B or C):_
_
K.7-7—Specification#: A-�
2. Manufacturer: MLl
3a. UL Classification: _
Listed UL Building Materials Directory Page#: See- o-ijo,a htq
OR
3b. Warnock Hersey:__ -
Listed Warnock Hersey Directory Page
'COPY OF ASSEMBLY REQUIRED
B. ICBO Research# b0 _��--- _---- --— _--_
_ Dated:_
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner,) �
VALUATION OF PROJECT: $
_sq. ft. of roof area.---------
Permit
rea __-__Permit Fee based on valuation: $
_ See Building Permit Fees chart �-
8%e State Surcharge: $65% Plan Plan Review Fee: $
(Required for major repairs of Residential or
Assembly item"C" above.
TOTAL: I
I:dsts\forms\roofchecklist.duc 10/05/00