The URL can be used to link to this page

16580 SW MONTEREY LANE i -- L6560 SW MONTEREY LANE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _date Requested r? w AM I BLD Locationl%Q-5 (D (YiG _ Suite ME Contact Person __ Ph _ — (PLM)_ 1 SWR Contractor � 1/h-�.. _ IMr"_ 'h _ -- BUILDING Tenant/Owner __ —_ ELC _ Retaining Wall --___- ELR Footing Ac NOT ItFQIJES'1'ED FPS Ft Found a non FOUND DURING RESEAR('II —_-� - - g , NINSPECTIONIN FILE SGN Crawl Drain In - . O (s) � � --- -�u--�-�-- — Slab _ ,� ff SIT ----- _ ..-.�-- Post&Beam --7/ Ext Sheath/Shear �- Int Sheath/Shear Framing -- Insulation Drywall Nailing "� _ n�"'� Q � f ON 4 C-0- Firewall 0-•Firewall - Fire Sprinkler Fire Alarm � - Susp'd Ceiling -rJ_ - -s�•�— Roof Misr.: _ -- Fina, — PASS PART FAIL. r - Post 8 Beam Under Slab Top Out Water Service �`►`�--(��/N�•.-,�.. -._ _ - __-- __---- �___-_ .__ Sanitary Sewer Rain Drains -- 1n RT FAIL CHA L Po-SMIM5111 ------ --- - __----- —_------ Rough In Gas Line -_-^ __ Smoke y ampers S PART FAIL EL RICAL - --�---�- - -�- - Service _ - -_ --- ---. -, Rough In UG/SlabLow Voltage Voltage Fire Alarm - Final PASS PART FAIL __ ^• — ' ---SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13135 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line [ ]Please call for reinspection RE _ _—__— [ 1 ADA Approach/Sidewalk Date - ,^� Q Irrspectar _ Ext Other _ - ---- - - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY CF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . : F'LM98--0017 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 TATE 1 OSUED. 01 /23/98 PARC:.EL: 2S 1 16AD--14300 SITE. ADDRESS. . . : 16580 SW MONTEREY L.N SUBDIVISION. . . . : KING CITY NO. 15 ZONING: BLOCK. . . . . . . . . . . 13 L_01 •. . . . . . . . . . . . : 127 JURISDICTION: KIN CLASS OF WORN,. . :AI...'T' GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . : R:; FLOOR DRAINS. . . . . . . 0 'TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1. CATCH BASINS. . . . . . . : 0 FIXTURES---__--_.—__-.--__ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . .. . 0 JRINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 L..AVA P.IRIES. . . . : 0 OTHER FIXTURES. . . . : �71 TUE)/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATFR CLOSETS. : 0 WATER t_INE (ft ) . . . : 0 1)ISHWASHE'RS. . . . 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Wollman (-)wnere ____________.__.____.____._______---_______________.___--__--- FEES I._ WOLLMAN type amoi.int by date recpt 16580 SW MONTEREY LN F'RMT $ 25. O0 J5I) 01 /23/98 KING CITY KING CITY OR 97224 5PCT $ 1. 25 JSD 01/23/98 KING CTT`/ Phone '': 968-3064 Cont ract or•--•--_______._.__.___.._.._.____._____________ ('01-UMB I A HEATING & COOL-I NG INC PO BOX 230397 8900 SW BURNHAM 5T STE F-110 ` TIGARD OR '37281--0397 Phone #: 6,24-2704 f 26. 25 TOTAL._ Rey #. . : 000763 ------ - REQUIRED INSPECTIONS - - This permit is issued subject to the regulations contained in the Misc. Inspection Tiqard Municipal. Code, State of fire. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started _r ------ within 160 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregor law requires you to follow rul•rs adopted by the Oregon Iff ility Notification Center. Those rules are set for'h in OAR 9521-000I-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to Ol1NC by calling (503)246-1987. -- --- -- — _ Td By:� Pet•mittpe Signat"-: _ +++++4-++4+•F+++++++++ +++++-F++++++++•h+++++++++++++++++++++A•++++++•+++.1-++++ ++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi_isiness day #++++++++++++++++++ 1+++++++++++++++++++++++++++++.4 +++++++-++++t++++++++4+++++++ JAN-22-198 THU 14:07 ID: FAX N0: 4038 P03 -Y OF TIOAIRD Plumbing Application Roe er__ 125 .3W HALL BLVD. Commercial and Residential Dat'Rsiicd GARD, OR 97223 Dam to P e• Dater to DST,��_ 03) 6394171veetr►ta � f ,tr/`J Print or Type Related SWR Incomplete or illegible applications will not be accepted C"u"d N6rna u�V..�1opr,,.nvP,o�t .FNCr1+t�t�.�q tYirnra�j Job Address SUM Aaereu Laws" 9• nen or Tum ►+oast Come. - o Ou Wow Ck%M Owner 40 +ar�ym '' twos =l coo 1 L Dcr,Jpant kta,itoAmrep 9tatra 1+�99wNutar — i00 _ lautdfr RatMn ir"p a•A0 � yfStst. Z1D Pnone W4v! --- _— _—_—.-- 0.00 QTw Ft,aurae(low") ontractor 1 ,r,r m hau.ws i�'. Ph" 9.00 pn7okle s, an Con9Lent.DomUcs Ev.Data� 9.00 COMIMCk" ^ r _ - 9.00 Fmwa LIL a Eltp-Data Sw,r6r 161100' utlofnvtb 557cn rl'l> > -9.� - e.rlt.oJater6l i ar 00 rrr r-0 t cQ�muss"", as W sue F.,W W 30.00 �ataf�ssarl - N�: Wr10"t$.fviu,-1fA 100' Water;of W %am sddtaQ"20x1' 25.00 krr.hitect 31WM b Rax,Oralrt-16t tar ^- 30.00 fir ^0 9err,n a Man Ra,-rrel� wows 1 kv Sear:. 25.00 ._n g i,tt>c r �.ayr.ave —.'-�",._ i�►,«,. _ c«ryry,rral aao:Fii�rr.�r,o�.+cy.w�n.�:s. zs:4o - _ _ __ Pnatrflort O.vra _ ,rnD+..opt +.. b AAAtek,n o Aneraeon V 140par CRi"Ylinwr Backtiow�*m L)wA s' 15..00 ra sexes, s 1 Non" Welyal O Arty raa or W"at9 Not co vwced fo 6 utuft+ i 900 — C.itirl 00 --1 Wtsp.of E t Wq Phanpsto - 4000- M Spatclikf KSWSi1Sd 1"W>W:WW.S 40.00 uy� •.o+ of �M nq w Dt°9°tty Rain C'sit."at 11�iany 30.00 Kniuka ww of (.roan t Traps -- 9.00 mng of grog" --- _ QUANT"TOTAL 'YOU cam"• ffm'wt0 rx MpL"9 any r1,raym? Yes r] No C] a ria►dh4=n h rnoueW I Quo"T!!tai s 9 Y•s see back of f'trMl `SUBTOTAL Keo►ndorottA9d9r+that 1 hav"rrxt 7"aproiri"m treat tl'ts mformanno --- _ •.n.a rnr,erx.tltal l amtlrq. a av"iwtrevl agent at the rwrr4w arxr 5% SURCHARGE - - alins are rtt711tr,4117flgan 9t]tb aa,=y ,avA pay PLAN REVIEW ZS%OF'SUBTOTAL TOTAL - err . R.O /1 ►rltM! j Mlnhnum pemNl fa"D 525• �tG survlatge WMW Rnmvlk—er l ES14 prr % 7 f U fl[f ( � Pre.er,tfrx,tlrvfac..rtrAlU,is ste-s%s,srMwrge 1•1,plrnapp doe 1296 (d-•r) CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT ##. . . . . . . : MEC98-0021 A17 M 2ft 13125 SW Hall Blvd., Tigard,OR 97223 (503)639,4171 DATE ISSUED: 01 /23/98 PARCEL: 2.c;*116AD-14300 SITF ADDRESS. . . : 1.6580 SW MONTEREY LN SUBDIVISION. . . . : KING CITY NO. 15 ZONING: BLOCV. . . . . . . . . . : 13 LOT— . . . . . . . . . . : 127 JURISDICTION: KIN ------------ --- - -------------------- ------------------------------------------------ CLASS OF WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . -SF- UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRF-,. . :R3 VENTS W/O ADPL: I VENT SYSTEMS: 0 STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: Qi MAX INPUT: 0 BTIJ 15-30 HP. . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE9. . : 0 GA PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: I 10000 cfm: 0 GAS OUTLETS. : 1. FORN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Wollman Owner. FEES L WOLLMAN type amount by date rerpt 16580 SW MONTEREY LN PRMT $ 25. 00 JSD 01123198 KING CITY KING CITY OR 97224 F)P C T $ 1. i 7-,Sj JSD 01/E2/98 KING ci Ty Phone #: 968-3064 Contractor: COLUMBIA HEATING & COOLING INC P0 BOX 230397 25. 25 25 TO TAL TIGARD OR 972223 Phone #: 624--2704 Reg #. . : 00076", REOUTRED INSPECTIONS This permit is issued subject to the requlations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other HeAtinq Unt Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. this permit will expire if work is not s',art ed within IN days of issuanrp, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are --- set forth in OAR 9552-001-0019 through OAR 952-081-0090. You may obtain copies of these rules or direct questions to OUNC, by calling /T er-f- By Permittee Signa t Ll r . ............ T-- 4.......J.+...........4................1-+A..........#-++++,#•...........4-+-+-+4-+4-++4+++++.h+ Call 639-4175 by 7:00 p. m. for inspections needed the next business day 4......4..............I.....................F++4.....................1-++4.............. FAX NO: 003P P02 -- CITY OF TIGARD Mechanical Permit Application Redd By--_��.__ -. 13125 SW HALL BLVD. Commercial and Residential Data Recd_____.---_-_-- TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 Dare to DST Print or Type Permit a jtl 4s-�}a2 f caned _ Incomplete or illegible applications will not be accepted None 9r Dovelopmen mit" Oertctiptlon (1L11MALTable to Mc4hanical Code OfY PRICE AMT Job 3treolAodrev. 7uloe A)-- PnrmilFyn O -0 1VU0 Address ' i, a r^e .L _ ---- ----- H0901.um Fm �- P 1 ► unce to 100.000 B I IJ 6 0C -� r 0 . ^� mdud dvt3s 8 vents Nasi•(rr +ry.re mitiv,••,rl 1) Fumeee 100.000 OTU+. 7 5o_. Owner p�/ G Including duds 6 vents f -" - Mirttng Adam" � 3,) Floor Furnace 6.00 D r, JMaok,e including vent_ ___--- —_-- rStaerr 1p rr+a+• 4) Suspended heater,welt heeler 600 or floor mourned healer eu—j-e a rlenr d rw•rnwser S.) Vent not included in appllanoe permit .1 00 .3'fes. Occupant '"'W q Add-" o, Butler ui rump,heal pump,our oond. 600 to,1 HP;absorb unit to 100K 9117" _ - CRv(s • 7) %Jar or romp,heat pump,air pond. —11 00 3-15 HP,aDx,rb unit to 500K BTU" Contactor (ry��r,� L - 9) goner or comp,meet pump,sir Wild. 1500 (Prtor to ..t/rr.� I A- �'�a1 1/l q 1�i�0 HF';absorb one S t and BTU" i"k,unrp - Ohm •• 9.) Butler or tamp,heat pump,air Gond, 22.50 applmxnt el)- 6 - L 30-50 NP;absorb unit t-1 75mi1IW— mur+t wnwrrio NII atwo 2360Pmane 10) Rnilei of currip,I eat pump,air Bond. 37,50 rxinbato Ira Q tJocJ ? - >SO HP absorb unit 1.75 mil lkansA orr4m ronin Care Dowd t.r 0 exp.Dore 11 ) Air handlirty unit to 10,000 CFM 4.50 kttormotlon _� ` /C-.-!- -- _ -- The COT C T a,rr n •p rase 12) Air handling unit 10,000 CFM 7.50 AtthftoJt '• 13.) Non-portable evapnrgte cooler 4 SO ne Aaxru+ 14.) Vent tan connnated Iasi Rirtgle duet 3.00 -- — - -- — —— — - - ERAtR� z Engineer CihrSrrrte m p��^• 1'.) Ventilation syStnm not inc--luded in 4 G4 appliance ance pennd IlesUlbt?wont New U AOdltktn Ct Alteration U HepAir v_� _ 16 1 Hood servers by mwhanical ettnaust 4.50 to De dome Ncrsideribal Ca"Non-residential U AddiUunal Diourption of work 17) fiemertlr'In6neminrl; 7.30 18) Corn ercial or industrial type 3000 trrtanerator Y _ farcrbrrg ueo nF — 19) Repair units a 50 huikling fir pmperty 70 1 WnnA Olivia d. Pfopa*wd U1W Lyf 7 t } C:Inthwa 1ry«r ate ! 50 buildinq or prnpeiTV _ _ ---. - - ZZ 1 gther units._ .--.�.— I 4-30 TTpe of fuel-od c- natural yaa LPC U etednl.C7 23.) Gat;pipinq one to lour outlets 2 W I hereby odtnw.ledge that I have read Phil:application,that the Z!}Mare than 4 per outlets(each) 50 information giw++1%cafrt-M that I am rhe owner or authartzed agent of _ the ownpr,that plans submitted are in r-omphanry with Ort.Ton State QTY SLIPTOTAI_ Signature HA nt Date 'SUBTOTAL 5%S URr:,A Name Rf;E — n. phone I'1-AN Rr-VIFW 25%OF SU9TOTAL i TOTAL vlstinrecnprnt.epc (rets 9 -IMinimuPArrrltt too iR 47ti*R5(r SURhartla `13esideribal AIC reautres site clan showing pl4Ctment of un(L g5t" CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Dine: 6394175 Business Phonc: 639-4171 Date Requested: __----- _.— �� A P.M MST: — Locrdion: _ v ,Q.f. BUP: Tensnt: _— Suite:_ fildg: MEC:�Q__ Contractor: Phonc: PLM: c%„er: — GL 1.-- — Phone: _9G�fl �� ELC: — — ELR: SIT: BUILDING BLDG(con't) 'PLUMBING ECHANIU ELECTRICAL SITE Site Post/Beam Post/Besmos�'_ Cover/Service Sewer/Storm Footing Roof UndFUSlab lou rin Ceding Water Line Slab Framing Top Out a :inn Rough-In IIG Sprinkler Foundation Insulation Sewer I1(K. )uct Reconnect Vault Bsmt Damp Drmall Storm Fu.r,ice Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shue/Sheath Fire Spklr/Alm Crawl/Found Dr !leaf Pump Low Volt Approved Approvedprose Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL N , FINAL FINAL 444 m4s?Y L L,a r7 q It/ �.�•� �,...�1.��a i� ��► %"�r�� >� _ Sytf �lS _ S1 ::nL�'' �j7�I�I O Call for reinspec ' O Reinspection fee of S _required before next inspection O Unable to inspect Inspector:__ -- —.— Date: —ore -- Page of CITY OF T I G A R D __ BUILDING PERMIT PERMIT#: BUP2002-00272 DEVELOPMENT SERVICES DATE ISSUED: 7/17/02 13125 SW Hall Blvd..Tiaard, OR 97223 (503) 639-4171 PARCEL: 2S116AU-14300 SITE ADDRESS: 16580 SW MONTEREY LN SUBDIVISION: KING CIT/ N0.15 ZONING: BLOCK: 13 LOT: 127 JURISDICTION: KIN v�REISSUE: F!OOR AREA5 ---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: J W:~ OCCUPANCY GRP: TOTAL AREA: 0.00 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 _ T FLOOR LOAD: psf LEFT: ft RGHT: _ ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: f! FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO GORR: PARKING: VALUE: $ 32,000.00 Remarks: Reroof entire building, tear-off and replace. Owner: Contractor: WALLMAN, LOUIS E + DOROTHY M BOB CARLSON INC 16580 SW MONTEREY LN PO BOX 63 E P# Fn KING CITY, OR 97224 HILLSBORO,OR 97123 Phone: Phone: 640-3623 Reg #: LIC 5113 FEES REQUIRED INSPEC 1 IONS Type By Date Amount Receipt Dryrot After Tear-Off Insp PRMT GTR 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 starred 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 952-001-00 10 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. Pemlittee Signature: ,-ya( 0 Issued Bv. 1' )a�li_� Call 639-4175 by 7 p.m. for an inspection the next busi less day Re--Roof 431 Building Permit Application ity of Tigard /� -.. _�---- bate received: '7 O s- Permit no.: r �-�7•. (: Address: 13125 SW Ball Blvd,'Cigard,OR 97221 Projecdappl.no.: date: � I hone: (503) 639-4171 bate issued: B Receipt no.: Fax: (503)598-1960 Case fle no.: Payment type: Land use approval: l&2 family:Simple Complex: t U I d:,.2 fancily dwelling or accessory U Commercial/industrial U Multi-family U New construction El Demolition U Additiorlaltctation/rcplacement U Tenant improvement U Fire spanider/alarm O Other: 11 SITE INFORMATION Job address: k $ Q C�k.,3 Bldg.no.: Suite no.: Lot: I Block: Subdivision: V Tax map/tax lot/account no.: Project name: ,� Description and location of work on premise special conditions: es '0Uto oz. -C.Ow ffl&�larka-j VV OWNER tOR SPECIAL INFORMATION, Name- i llY� (Floi i r i Mailin---g///aaddre.:s: 1 &2 family dwelling: City: Statc: p ZIP: ?_;L-jLY Valuation of work...................�rar Phone: I Fax: E-mail: No.of bedrooms/baths.............4w. Owner's representative: Total number of floors................................. Phone: F:x: E-tnail: New dwelling area(sq.ft.) .......................... Garagelcarport area(sq.ft.)......................... CIA ►�!. Covered porch area(sq.ft.) - Mailing address: D (� beck area(sq.ft.) ........................................ City: State:Q Z1 P: �Z Other structure area(sq, t.)... .................... Phone:(�a�a- �k L3 I'ax:(.g0-4tq1D E-mail Commercial/industrial/multi-family: i i Valuation of work.. ................................. _. $ Business name: (p Oso sira.G Existing bldg.area(sq.ft.) .......................... --1New bldg.area(sq.ft.) Address:%� /� �� (� ................................ '►3 0- -- Number of stories City: � St:ttc:p�'J.IP: � ........................................ Phone: " t/ 2 3 Fax: p y ty Type of construction.................................... I? mail: -� -�`-=-- � ------ Occupancy group(s): Existing: CCB no.: -- - New: _ City/metro lic.no.: ((�q 3 Notice:All contractors and subcontractors are required to be 1 licensed with the Oregon Construction Contractors Board under Name: e,ppip�-/ �,�. provisions of ORS 701 and may be required to be licensed in the �V- jurisdiction where work is being performed. If the applicant is Address: t{O 35_��-S� 2O exempt from licensing,the following reason applies: City: �1Q - atc:0 ZIP: Z Contact persrut:S��,K t8r�� flan nu.: --- ��— -- fMtonc:2$0-10$ I ax:2t0-pt blr Email - -- Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na all jurisdictions acceM cft&i cards,please call jurisdiction ror more inrormatim attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be complied ith w tC cified herein or not. credit card numbw—--_-- --1--� Bcpires Authorized signature: r t ____ DateG' um c w shown on credit card Print name: �o1^v. e o►�_ _ -� id—h T si -- $ mature Ausoaot Notice:This permit application expires if a permit is not obtained Hidtin 180 days alter it has been acc.cptcd as wropiev: 44C-460 t6MCOtd. 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 a-ppliedl__- - --COMMERCIAL ONLY ONLY - Class of Work: Repair STEP 1: ---- f Il_ RE-ROOF (circle A, B or C): — Existing built-up roof covering to be REMOVED and dick 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. _ C. sphalt or wood shin le/shake. (PROCEED TO STEP 2) CO CIAL ONLY Class of Work: Repair STEP 2: NEW ROOFING ASSEMBLY Material Documentation (UBC Appendix 15) _ — Plea3e fiil out applicable section and attach copy of roofingspecifications. Listed Assemb)e (Circle and complete A, B or C): _ A. 1. Specification#:4v pT l --- 2. Manufacturer: - 3a. UL Classification: Listed UL Building Materials Directory Page#:._�e�_a1-lo OR 3b. Warnock Hersey: — Listed Warnock Hersey Directory Page#: 'COPY OF ASSEMBLY REQUIRED R. ICBO Research#: C. SPECIAL PURPOSE ROOFING: WOOD SHAKES Review required t.y plans examiner.) — VALUATION OF PROJECT: $ sift, of roof area Permit Fee based on valuation: $ see Building Permit Fees chaff - 8%State Surcharge: $ 65% Plan Review Fee: $ (Required for major repairs of Residential or Assembly item"C"above. TOTAL: $ i:dsts\forms\roofcheckllst.doc 10/05/00