16625 SW MONTEREY LANE i
16325 SW Monterey Lane
CITY OF TIGARD 14-Hour
BUIL' IING Inspection Line: (503)639-4175
MST
INSPEOTIGN DIVISION Business Line: (503)639-4171 _
BUP
Received __-UateRequested___.___10 ,-10 AM_ ___.....___ PM -__-___ B� 3
Location ►` -_-i-_- Suite_ -_ _ -__ MEC ---
Contact Person __._�_ ��"`��. -�----- -- Ph (_g1.1__ ) .___SlQ- _' _1_. .. PLM _-
Contractor-- - ------ -- - - - -- Ph ( - % - --- - - SWR ----- ---
BUILDING Tenant/Owner -_�_.. _--- __ ELC
Footing ---- �! ELC --
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes. SIT
Post R Beam
Shear Anchors -
Ext Sheath/Shear _
Int Sheath/Shear
mammy --- -----___- .._ - --- ------
Insulation
DrVwall Nailing - --- -
Firewall
Fire Sprinkler - --
Fire Alarm
Susn'd Ceiling - ---- --- -----
Roof
ina.
PART FAIL
_ _BING -
-Ho_st&Beam -- -'
Under Slab —
Rough-In
Water Service - - - -- ---- -
Sanitary Sewer
Rain Drains --- ---
Catch Basin/Manhole
Storm Drain ----------- ----- -- -------- -
Shower Pan
tither: -
Finai
PASS PART FAIL
_MEC_HANICAL
post& Beam- _ -
Pough-In -
Gas Line
Smoke Dampers
Final
PASS PART FAIL -- - - - -------- --- -
ELECTRICAL -�
Service
Rough-in -- -- - --- -- -_-_---
UG/Slab
Low Voltage ___-_....
Fire Alarm
Final Reinspectior 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 1_ine
ADA • 0�G 3
Approach/Sir,ewalk p�#e----_..-, Inspector _ _�" ''1______ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
�► ___ BUILDING PERMIT
CITY OF T I GA R
PERMIT' #: BUP2003-00252
DEVELOPMENT SERVICES DATE ISSUED: 5/9/03
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639 4171 PARCEL: 2S116AD-07800
SITE ADDRESS: 16625 SW MONTEREY LN
SUBDIVISION: KING CITY NO. 12 ZONING:
BLOCK: 18 LOT: 010 JURISDICTION: KIN
REISSUE: FLO-" AREAS EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: OTR FIRS i . 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'?: ----,READ SE.TBACKE _ ___ REQUIRED _ _ _
FLOOR LOAD: Nsf LEFT:: a ft RGHT: �ft _ FIR SPKL: _ SMOK DET
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP AGC:
BEDRMS. BATHS: IMP SURFACE: PRO CORR- PARKING:
VALUE: $ 46,072.00
Remarks: Reroof entire building (install new plywood over spaced sheathing).
(5)units: 16625, 16635, 16663, 16687& 16695.
Owner: Contractor:
BYARS, MARGARET M BOB CARLSON INC
16625 SW MONTEREY LN PO BOX 63
KING CITY, UR 97224 HILLSBORO,OR 97123
Phone:
Phone: 503-640-3623
Reg #: LIC 50o1 pp13
FEES MET REQUIRE�6INSPECTIONS
Description Date Amount Dryrot after tear-off
IBUILD] Permit Fcc 5/9/03 $448.30 Final Inspection
TAX] H State fux 5/9/03 $35.86
Total $484.16
I
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. 'his perm,t will expire if work is
not started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTEN11ON: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Thosa 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)2411.-_6699 or 1-800-332-2344.
Issued By,
Pemiittee
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
Cu�
FOR ITSE ONLY
Building Permit plication Received OFHCE
Building
b I�1' Date/E3 :-�/lm �-� Permit NJ U/,400i
Planning Approval Other
City of Tigard Date/By:: — Permit No.:
13125 SW Hall Blvd. Plan Review Other
Permit
Tigard,Oregon 97223 DateB Land
andd Use
Host-Review
Phone: 503-639-4171 Fix: 503-598-1960 Date/By: _ Case No.
Internet: www.ci.tigard.or.us contact Jy;�i / W sec Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: _ �"S /V Supplemental Information
TYPE OF WORK-- REQUIRED DATA:
New construction _ �Demo'
ition 1&2 FAMILY DWELLING
Addition/alterationMc lacementther: — —^ -
_ CATEGORY OF CONSTRUCTION Note: i,cmitt fees' arc based on the total value of the work performed. Indicate
& 2-family dwelling COrnmercial/Industrial — the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit fo•the work indicated on this application.
_Accessory Building Multi-Family �--_
other: Valuation.........................................................
'_ - No.of bedrooms: No.of baths:___-_
MastJO 'S mE INFORMATIONandLOCA'T'ION -
Total number of floors.....................................
Job site address �I i New dwelling area(sq.ft.).. ...........................
Suite f�: _ Bidr./Apt.#:-�- Garage/carport area(sq. ft.)..................... ......
PtG eet Name: V l ' �� Covered porch area(sq.ft.),.................... .. .... --
Cross street/Directions to job site: Deck arca(sq.fl.).......................................
e:
Other structure area(sq.ft.)........... .... ......... .
/(a 6 i1 //(,6, 75eTI) — ---_—_---
/4/3 4 9 tQn /G 9S D 7yot� REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: "-- ----�— -�
Tax ma ion: l#: — Note: Permit fees•are based on the total value of the work performed. Indicate
DES RIPTION F WORK the value(rounded to the neatest dollar)of all equipment,materials,labor,
—�•' ���— ,' -----r7- overhead end profit for the work indicated on this application
_6 —L1`ti Valuation.........................................................
30
- Existing building area(sq.ft.).........................
-----___.-- New building area(sq. ft.)...............................
Numb•r of stories............................................
__- — ---
ype u
— ................................... ----
n,°;1'TiOPT:R'I'Y O��NER 1�- •i'ENAN7' _ _ T . construction....
;, ----� Occupancy group(s): Existing:
N_ie: if' Cr Com_v;i� �O''t^-fig t `• New: -- ---
Address: -
Ci /State/Zip: KmsOR R �' __..
- NOTICE: All contractors and subcontractors are required to be
Phone: _ Fa
_ x: _ licensed with the Oregon Construction Contractors Board under
APPLICANT . _ CONTACT PERSON provisions of ORS 701 and may be requited to be licensed in the
Business Name: i ,b jurisdiction where work is being performed. If the applicant is exempt
�— from licensing,the following reason applies
Contact Name`
Address: 560 SW
Cit /State%Z L: & lib; # Ole —
Phone:503 pkv-_kO3 Iax:,yam G1fu-k$40 -- BUILDING PERMIT TES*
E-mairix+ CS• Cdr+1 Please refer to fee schedule.
CONTRACTOR- -- —.
Business Name: p pp•
rtes due upon a hcation..... ...... .
Address: SCpb Sw -Mr.Q�i_.�._P_��? -��_ Amount received........................... .. .. ... 5
City/State/4
Phone: 60 ryo- Fax: 50_ (o4tJ Date received:_ —
CCB Lic. #: _6113—
`, Notice: This permit application expires if a permit is not obtained,tlthhm
Authorized
Signature: Date.'lbk/ Igo days after It has been accepted as complete.
Cj r��_ --_ ('..� _ •Fee methodology set by Tri-County Building Industry Service Board.
-7- (Please print name)
`Dsu\Petmit rotms\BldgPcrmitApp.doc 01/03
04/28/2003 08:21 5036393771 CITY OF KING CITY PAGE 02/02
KING CITY
15300 SAV. I18th Avenue,King City,Oregon 9729-4.2693
NMMMM� Phone:(503)1339.4082•FAX(50a)8.39.3771
Notice To Contractors Working In lKing City
Due to an interoovenimental agreement with the City of I'leard, many budding 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, sir�tply complete the
appropriate application legibly and submit it to the King City staff. Theink Cit< ;tuff will
collect all fees and fax the application to the City of Tigard. City of Ti gar 9 staff will then create
the permit, issue the permit, and perform inspections. Please indicare on the permit application
whether you would like the Tigard staff to call you when the permit is rea& for issuance or
vdiether you prefer it to be mailed without any notification. Any incomplete ,ot illegible
application will be returned to King City staff for correction and no proces ting, will occur wltil a
complete. legible application is r.-ceived.
If your permit application DOES RE,QUIRE PLAN RrVIEW, this form oust be signed by a
King City staff person. King City staff will simply sien this form indicating 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 find plans. Development Service Technicians are
available at 639- 1171 Ext. 104 should you have an% questions concerning s ubmittal
requ.!ements. All permit fees wili be assessed and collected at the City of 1hgard
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the folio%%ing project:
11,cated at: ,y�
King City Representative b_
PYTf 1.�1>it DOC
Malarkc;y Roofing-7,72 Legacy SBS Modified laminated Shingle Page 1 of 2
TECHNICAL PRODUCT DATA SHEET
#272 LEGACY"
SBS MODIFIED LAMINATED SHINGLES
WITH POLYGL.ASS"°MAT
PRODUCT DE$OS(PMON
Product Use:#272 Legacy SBS modified laminated shingles are used whenever increased flexibility,architectural design,tonsils 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 ruofs where the slope is less than 2' For slopes 2"to 4",additional dock protection is recommended #272 l rigacy SB^
modified laminated shingles have a factory applied self-sealing strip that activates in warm woather When applied in cold weather or windy
location,hand-scaling is recommended but not inquired If sealant activates In high wind areas,six nails nre required Contact Malarkey for further
oondkions and Instructions.
Composition and Materials: 0272 Legacy SBS modif,ed 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 13ATA
#272 Legacy are available in 9 standard colors,with other colors available upon request with a 300 square minimum
Typical Averape Properties
Approximate Weight 275 lbs.(124.74 kg)per square
Dirrmnsions 1374'x 40'(i 118'.)
(.33 m x 1.02 m)
Exposure 5 518'(142.9 mm)
Shingles per square 04 shingles(4 bundles/square)
Granule Adhesion 0.5 gram loss
Fire Rating Class A
Warranty 50-year Limited Wananty
110 m p h Limited Wind Warrarty
The Legacy meets or exceeds UL 2218 Class 4 Impact Resistance,ASTM D 3462,ASTM D 3018-90 Type I,AS TV D 3161-9'Type 1,ASTM E
108-91 Class A and CANICSA A 123`1998,ICBG ER-5300 The Lepacy Limited Wind Warranty may have conditions allayed to it Please
o tact Malarkey Roofing for further details.
APPIQATION PROCE NRE Ail shingles should be applied over undedayment,Malarkey Right Start UDI,or an approved substitute.Shingles
should be inted
uctions and meet industry standards contained
ARMA manuais5 by approved
thefuse of rails frply with bundlorr fastening Foe srped'iciinstrallattiion instnidMns,consult Malarkey Roofing Company
n NRCA or
WARRANTY 0272 Legacy SBS modified laminated shingles carry a 50-year limbed wa Tanty and a 110 m.p h limited vend NaiTantt Docurrierts
http.//www.malarkey-tig.conv"Technical/272 htm 6/27/2002
TFWL.R4299- Prepared Roof Covering Material,,;
Nage 1 of l
online CertificationsTire tory
T FW Z.R4299
Prepared Roof Covering Materials
Questions? Previous Page
��g�$Qt12nt Q —
Prepared Roof Covering Materials
Guide Inf"l>nMi
Qnn
HERBERT MALARKEY 1100FING t'O
.3131 N COLUMBIA 10,VD
KENTON STATION
PO BOX 17217
PORTLAND,OR 97217 USA
Asphalt glass fiber mat shingles. Fol installation as Class A prepared roof coverings.
Asphalt glass Fiber mat shingles, For installation as wind resistant roof coverings.
Asphalt glass Fiber mall sheet roofing. for installation as Class C prepared roof coverings.
Moclifiecl 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 Disdaimer QuestionsPrevious Page
T7 Lrstcd and ('lassificd UL_R�ognized Products Certified
PrQSltrcts Cgmpct_nents 1 ►r Canada
lltis page and all contents am Copyright V,2002 by Underwriters Laboratories Ine.lt�
'lite appearance of it company's name or product in this database does not in itself assure that products so identified have been
mantrfac'.rred under UL's hollow-LIP service. Only those products beating the IT Mark should be considered to be Listed
and covt adcr Ill.'s Follow-1 Ip Service. Always look for the Mark on the product.
littp:Hdatabase.ul.corn/egi-bin/XYV/template/I,ISEXT/1FRAM1 /showpage.fitml?name-T._ 6/27/2002