16650 SW MONACO LANE 16650 SW Monaco Lane
CITY OF TIGARD - BUILDING PERMIT
PERMIT#: BUP2002-00294
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S1 16AD-01700
SITE ADDRESS: 16650 SW MONACO LN
SUBDIVISION: KING CITY NO. 10 ZONING:
BLOCK: 13 LOT: 091 JURISDICTION: KIN
REISSUE: FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION__
CLASS OF WORK: OTR Yp FIRST: 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: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED.
STOR: HT: ft GARAGE: sf OCCU SEP RATED:
BSMT?: MEZZ?: _ REQ_D SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: _ ft RGHT: s ft FIR SPKL: _ — SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 32.000.00
Remarks: Reroof entire building, tear-off and replace.
Owner: Contractor:
GOLDSTEIN, HELEN J BOB CARLSON INC
16650 SW MONACO LANE PO BOX 63
TIGARP, OR 97224 HILLSBORO OR 97123
Phone: Phone: 640-3623
Reg #: uc 511:
FEES REQUIRED INSPECTIONS _
Type By Date Amount Receipt Dryrol After'rear-Off In sp
PRMT CTR 7/17/02 $125.00 27200200000 Final Inspection
5PCT CTR 7/17/02 $10 00 27200200000
Total $135.00
This Ix-rmit 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 worts is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon LKility Notification Center Those rules are set forte in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
c,illing (503) 246-6699 or 1-800-332.-2344
Permittee --
Signature:
Issued By:\, -
Call 539-4175 by 7 p.m. for an inspection the next business day
Re-Root'
Building i'ermii.Application
� Datercccival: '7/F �
/s e' - I Permit 941
City of Tigard
S Pruject/app'.no.: Er date:
City ofTiga.d Address: 13125 SW Hall Blvd,Tiyard,0P. 97221
Phone: (503) 639-4171 Date issue;: Receipt no.:
Fax: (503) 598-1960 Case file no.. Payment type:
Land use approval: - - L I&2 family:simple Complex:
1
U I &2 family dwelling or accessory U Conunercial/industrial U Multi tinnily U New construction C1 Demolition
❑Addition/alterationrieplacement U Tcnant improvement U Dire sprinkler/alarm O Other:
1 ' SITE INFORMATION
1,th address: R,(, _ Bldg.no.: Suite no.:
Lot: Block: Subdivision:��--77�� _ Tax map/tau lot account no.: V—
Project name: 000 a 4Mn� 0-4t
D3es0cr.iEpti0n and Ir atmion of work o�n.�prentises/specia_l conditions:
f Q
,� IC---
OWNER
�} r-OR SPECIA.1, INIF611KI&ION,
—V''_� -Q._t�4� Sept IC capacit t
Mailing add .s: 1 &2 family dwelling:
_City: State: O ZIP:�� � Valuation of work........................................ ----
Phone: Fax: ti-mail: No.of bedrooms/baths.................................
Owner's reprc.entativc: Total number of floors......
Phone: Fax: E-mail: New dwelling area(sq.ft.) ......... � .*. .� ,� __
Garage/carport area(sq.ft.)......................... _
Name: Covered porch arca(sq.ft.) .........................
Mailing address: (� Deck area(sq.ft.) ........................................
City: State:0 ZIP: 1Z Other structure area(sq. ft.).........................
1'ht,rte.Geo- SC t3 Fax:f„qb-4f4D E-mail: Commerclal/industrial/multi-family:
1 Valuation of work................. ... .... . .. .. R—
4,b � e"t ...Q.re,@, Existing bldg.area(sq. ft.) ..........................
Business name: -New bldg.area(sq. ft.)................................ — —
Addmss.�S� e Number of stories
Cit _ State: ZIP: ---- —
y Type of construction....................................
Phone:(,4C>- V 23 Fax: p-yfy E-mail: — —
CCB no.: Occupancy group(s): Existing:
-- New:
City/metro lie.no.: 1(e 01'5
Notice:All contractors and subcontractors are required to be
AR(11111[tECTIDESIGNER licensed with the Oregon Construction Contractors Board undet
Name: L _��,a,�.. provisions of ORS 701 and may be required to be licenscrl in tlic
Address: �J SS � S' 2 0 _ jurisdiction where work is being performed.If the applicant is
CII S atC:� ZIP.. L exempt from licensing,the foPowing reason applies:
Contact person•S4e tet t ' —
Phone:2$0-1$1$1 1 Fax:Zillo-yTfeir I E-mail:-- - — —_—
t
Name: Contact rson: Fees due upon application ........................... $p
-
- -- --
Address. _ Date received:
City: State: ZIP: Amount received ......................................... $
Phone: v Fax: _ E-mail: _ Please refer to fee schedule.
1 hereby certify I have read and examined this application and the NM all jurisdictions ecce4a credit cads,please call jurisdiction rtir rtgre infortMtlon.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑Mauer('ard
work will be complied iUt w cified herein or not dealt o,rd nnmtK, —L—
rrpires
Authorized signature:It _T Date: ��Z O�r Name of cardholdr as shown on credit card -
Print name: e oCardbolder s
siptatwe Atttoaat
Notice:This permit application expires if a permit is not obtained uidiin 190 days after it has been acccpic�a-,wmpi•:te. a*y;t?(4V3r:.',
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration ---_ _
G RCPAIR(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 c,ach 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
_
appliedX.—_
COMMERCIAL ONLY f Class of Work: Repair
STEP 1:
Gi RE-ROOF (circle A, B or C):
Existing built-,jp 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
r architect or engineer licensed in Oregon.
C. s halt or_wood shingle/shake. PROCEED TO STEP 2)
CO CIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
_Material Documentation (UBC Appendix 15) ,__„— _
Please fill o_ut apRlicable section and attach copyof roofing specifications. 1
Listed Assembly Circle and com tete A, B or C).
A, 1. Specification#:.Ao—tht�ktT����
2. Manufacturer: 1 — --
3a. UL Classification: -
Listed UL Building Materials Directory Page#: See a1-la�.� � 4!�+ea
OR
3b. Warnock Hersey: —
Listed Warnock Hersey Directory Page#: —
_ "COPY OF ASSEMBLY REQUIRE_D
B. ICBG Research#:Xjq:-sso� — —
_ Dated: ---- —
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required by plans exam iner.Z_^_
-� VALUATION OF PROJECT:
_ sg. ft _ of roof area
_ Permit Fee based on valuation:
Building Permit Fees chert
6% State Surcharge: $ _
65% Plan Review Fee:
(Required for major repairs of Residential or
Assemblv item"C”above.
i:dsts\forms\roofclieck list.doc 10/05/00