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16727 SW MONTEREY LANE-1 sus-I AGJ04UOVY MS UM r S 1 t� :,I I I i d C J A C O 4. ai 1 � 3 N N _ N N h i ca W J 16727 SW MONTEREY LN CITY OF T'I G A R D BUILDING HERMIT PERMIT#: BUP2003-00251 DEVELOPMENT SERVICES DA;E ISSUED: 5/9/03 13125 SW Hall Blvd..Tigard, OR 97223 (503)639-4171 PARCEL: 2S I 16AD-07300 SITE ADDRESS: 16727 SW MONTEREY LN UBDIVISION: KING Cl FY NO. 12 ZONING: BLOCK: 18 LOT: 005 JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PRO.IECT OPENINGS? TYPE OF CONST: sf N: S. 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?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FiR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 46,072.00 Remarks: Rerouf entire building (install new plywood over spaced sheathing). (5)units: 16727, 16743, 16767, 16775& 16785. Owner: Contractor: JOHNSTON,WILLIAM & DANIELLE BOB CARLSON INC 16727 SW MONTEREY LN PO BOX 63 KING CITY, OR 97224 HILLSBORO, OR 97123 Phone: Phone: 505-640-3623 Reg#: LtC 55110/130o99 gg�� FEES MET REQUI WINSPECTIONS Description Date Amount Dryret after tear-off [BUILD1 Permit Fee 5/9/03 $448.30 Final Inspection ['TAX j R"-„State Tax 5/9/03 $35.86 Total $484.16 a ~ ac Ns 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 J not started within 180 days of issuance, or if wot:, is suspended for more than 180 days. ATTENTION: Or�.gon law m requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rifles are set forth in OAR �-y 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by W calling (503)246-G699 or 1-800-332-2344. Issued By: Pe rm it tee Signature: Call 639-4175 by 7 p.m. for an Inspection the next business day � . . �-� FOR USE uilding Permit Application Received OFFICE Building ' r 1� Date/By: e S�G Q-3 Permit No.�(Pd0 -DOoZS/ Planning Approval Other City of Tigard 2ate/9y: — Permit W. 13125 SW Nall Blvd. Plan Review Other 't n — Tigard,Oregon 97223 ,Y 0 6 2H3 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-sq:1 � Post-Review land Use ` r� f TL7�', Date/By: Case No. p_ Internet: www.ci.tigard.or.us X11 [, I �[�IVI Contact loris.: see Page z for 24-hour Inspection Request: 5(AL_8 �j•IS Name/Method: /'</ Supplemental Information _ TYPE or WORK, ZM Ncw construction _ Demolition , „ i. _ Additi_on/alteration/re lacement Other: _ CATEGORY OF CONSTRUCTION Note. Permit fees"are based on the total value of the work performed. Indicate 1 & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. _ Accessory 13uildin Multi-Fami1Y Master Builder _ Other: valuation......................................................... JOB!SI]EINFORMATION aod.LOC TI N No.of bedrooms:_ No.of baths Job site address: — � Toto number a aors(sq.....).............................. ""T----" New dwelling area(sq.R.).. Suite#: I Bld ./A t.#: Garage/carport area(sq.R.)............................ Project Name: Y _ q"_ - Covered porch area(sq.R.)............................. Deck area(sq.ft.)............................................Cross street/Directions to job site: D 7000 Other structure area(sq.ft.)........................... y /6 71/3 A 7,Fs 4[,9v7) r t, /G 7�r 7 Subdivision:_ —Lot#: — Tab ma / arc(1 #' Note: Permit fees"are based on the total value of the work performed. Indicate }" DI;S RIPT[ON F WORK ; the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application..!V/' 74L �d 4 Valuation......................................................... S �- c 101 -30 s` Existing building area(sq.ft.)......................... --— — — -- New building area(sq.ft.)............................... Number of stories............................................ ROP-ERTY.JOWNER S A; ..XENAN ` ':.:i Type of construction....................................... -- r Occupancy group(s): Existing: _ Narne: GR41Va Gln _-1sa _^ New: _ Address: City/State/Zip: K%r2S X44 4'TJX --- NOTICE: All contractors and subcontractors are required to be Phone: Fax: — licensed with the Oregon Construction Contractors Board under ;APPLICANT.; 'C7ONTACTTERSON provisions of ORS 701 and may be required to be licensed in the E usiness Name: —�_c _ jurisdiction where work is being performed. if the applicant is exempt Contact Name: Comfrom licensing,the following reason applies: a - ------ ----- Address: 5(P0 55.., H l* Peu.. a"_0 N Cit /State/Zip: I4;IIsok `F7U3- 006 Phone:_r,03 Fax:503 ,., t* — _ - J E mail: —ISO., 00111 row ' c.+..- " F5 CONTRACT R ' WBusiness Name: �� `� —_ Fees due upon application.............................. S �� -J Address: SSaDQ fit- MCI=l� City/State/Zip: (d;I Ck 27W- Amount Amount received............................................. S Phone: 60 CoYO-3Q3 Fax: 50 6tfO-148"Yo Date received: CCB Lic. #: 511 J --- — - -- Authorized 40, Notice: This permit application expires If a permit Is not obtained within Signature: ' Date:(f 190 days after It has been accepted as complete. G1-'*-Z-S-—�_._ (1Ls1?sC. *Fee methodology set by Tri-County Building Industry Service Board. J (Please print name) /Lt✓/r9�1 l J_.'�n//EI�F �TD/fi�1/S7`t�i✓ `Dsts\Permit Forms\BldgPerTnitApp.doc 01/03 04/28/2003 08:21 5036393771 CITY OF KING CITY PAW 02/02 KING-, CITY ISM SSW.110th Avenue,King City,Oregon 97224.2698 r Phone!(503)639-400•FAX 08)439.3771 Nonce To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many bu Iding related permits for projects in Kang City arc issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAY REVIEW, si ply complete the appropriate application legibly and submit it to the Kang City staff. The ng City-staff will collect all fees and fax the application to the City- of Tigard. City of Tigar staff will then create the permit, issue the permit, and perform inspections. Please indicate on ti a permit application whether you would like the Tigard staff to call you when the permit is rear v for issuance or whether you prefer it to be mailed without any notification. Any incompl a or illegible application will be retumed to King City staff for correction and no proees ing will occur until a complete, legible application is received. Jf your permit application DOES REQUIRE PL ',LN REVIE\V,this formust be signed by a King City staff person. King City staff will simply sign this fotm2t indicatin land use approval. Take this signed form to the City of Tigard Development Services Counter ocatcd at 13125 SW Mall Blvd, Tigard, to submit applications and plans. Development Service Technicians are available at 639-4171 Ext. 304 should you have any questions concerning s bmittal requirements. All permit fees trill be assessed and collected at the City of Tigard. k. The City of King City hereby authorizes applicant to ptusue permits at the( ity of Tigrrd D o Building Department for the following project: 0 located at: V � J King City Representative I D1n9C1\5t000 Malarkey hoofing-272 Legacy SBS Modified Laminated Shingle Page t of 2 TECHNICAL PRODUCT DATA SHEET #272 LEGACY" SBS MODIFIED LAMINATED SHINGLES WITH POLYGLAWMAT e�>�s�T aescluen�N Product Use:#272 Legacy SBS modified laminated shingles ere used whervwer Increased flexibility,architectural design,tensile strength and leer-easistard shingles are desired.These SBS rubber modified asphalt shingles are designed for a 5 SW exposure. Preeautlons:#272 Legacy SBS modified laminated shingles require dry storage or plastic-covered storage and protection from the weather until applied.Do not use on roofs where the slope Is less than 2'.For slopes 2'to 4",additional dock protection Is recommended.0272 Legacy SBS modified laminated shingles have a factory applied self-sealing strip tha activates In warm weather. When ap,311ed In cold weather or windy location,hand-seefing is recommended but not required if sealant acthntei M high wind stems,slot nils are required.Contact Malarkey for further condaiona and Instructions Composition and Materials: 6272 Legacy SBS -nodlfied larrinsted s Angles are rrinret-surfaced and self-sealing, made with SBS rubber modified asphalt coating and fire-retardant fillers on a Malarkey polyglass fiber met,and feature the exclusive,design of'The Zone'"m. T1ECHNICAl..DATA #272 Legacy are available In 9 standard colors,with other colors available upon request with a 300 square minimum. Typical Average PropP+ties: Approximate Weight 275 lbs.(124.74 kg)per squat" Dimensions 1374"x 40'(t (.33 m x 1.02 m) Exposure S SW(142.9 mm) IL Shingles per square 84 shingles(4 bundles/square) Granule Adhesion 0 5 pram loss N Fire Rating Class A Warranty S0-year Limited Warranty J V,0 m.p.h.Limited Wind Warranty m WThe Legacy meats or exceeds UL 2210 Class 4 Impact Resistants.ASTM D 3482,ASTM D 3018410 Type 1,ASTM D 3101-97 Type 1,ASTM E J 108-91 Class A and CAN/CSA A 123.51998,ICBO ER-5300.Tb a Legacy Limited Wktd Warranty may have conditions attached M it,F%sss contact Malarkey Roofing for further detaik AppUVAjW"pRQCjWVM AD shingles should be a nfier!over underleyment,Malarkey Fright Start IJDL.or an approved substltut".Shingles should be attached to decking by approved fasteners,comply with bundle printed In tnrdions and mast Industry standards contakted M NRCA or ARMA manuals.Malarkey recommends the use of naffs for fastening.For spoctlle Installation lentructk+n,consult Malarkey Roofing Company, WARFNTY#272 Legacy FBS modified taminsted shingles carry a 50-year limned warranty and a 110 m p.h.li nited wind warranty.Documents http://www.nialarkay-rfR.com/Technical/272.htm 6/27/2002 TFWZ.R4299-Prepared Roof Covering Materials Page I o LOJE� online Certific • .. Di -rectory TFWZ.R4299 repared Roof Covering Materials iPaq Bottom Previous Page Pr pared Roof Covering Materials �� for atm HERBERT MALARKEY ROO G CO R4299 3131 N COLUMBIA BLVD KENTON STATION PO BOX 17217 PORTLAND, OR 97217 USA Asphalt glass fiber mat shingles, for installatio as Class A prepared roof coverings. Asphalt glass fiber mat shingles, for installation as 'nd resistant roof coverings. Asphalt glass fiber mat sheet roofing, for installation as lass C prepared roof coverings. Modified asphalt glass fiber mat shingles, for installation a lass A prepared roof coverings for installation on min 15/32 in. thick plywood decks. Put Top Notice of OisclAisner ueliti"n 7 Previous Pagb ' USI Li�tcsl�r�l��lasaifl UL Recoanind Products_ lrtifed L _PrQd� Components fo_r._ _ads r This page and all contents are Copyright 0 2002 by Underwriters Laboratories Inc.QV 3 0 I he appearance of t i a company's name or product in this database does not itself assure thn:products identified have been manufactured under UL's Follow-Up Service. Only those products hearing the?.JI,Mark should he consi to be Listed U and covered carder UL's Follow-tip Service. Always look fo,•the Mark on the product. a http://database.til.com/cgi-bin/XY V/template/LISEXT/1 FRAN4E/showpage.htrnl?name=T... 6/27/2002 CITY OF TIGeARD 24-Hour , BUILDING Inspection Line: (505 o INSPECTION ?IVISION Business Line: (50;W1 MST BUP Received _ —Date Requested 6 _'�-–7 AM. PM BUP Location __— _Suits_ —T MEC — Contact Person (!?jj )S(93- 23 t o PLM _ Contractor _ _ Ph( ) SWR BUILDING Tenant/Owner � _ ELC Footing Foundation ELC Ftg Drain Access' ELR Crawl Draiv, Slab Inspection Notes: 1 _ ,L SIT -- Post&6eam Shear Anci,ars 1 l 1 Ext Sheath/Shear Int Sheath/Shear — Framing — _ — Insulation Drywall Nailing — -- -- — Firewall Fire Sprinkler -- - -- Fire Alarm Suap'd Ceiling -- — — St%:_ -- — -- - Final PASS A FAIL — PLUMBI Past&Beam Under Slab Rough-In Water Water Service ---- Sanitary Sewer Rain Drains — Catch Basi•/Manhole Storm Drain —ShowerPan Other: Final PASS PART FAIL — MECHANICAL Post&Beam — — Rnugh-In -- _ a Gas Line Smoke Dampers - Final PASS PART FAIT_ -- - — -- ELECTRICAL Service - ---- m Rough-In W UG/Slab - — W -t Low Voltage Fire Alarm Final r 1 Reins ection-oo of$_®_ required before next ins PASS PART FAIL L_J p g Inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE L7 Please call for reinspection RF: _ Unable to inspect-no access Fire Supply Line ADA DabApproach/Sidewalk Inspecor �t Other: Final DO NOT REMOVE this Inspection record from SIN job eftle, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6394176 ® — MST INSPECTION DIVISION Business Line: (503)639-4171 _ Received .—Date Requested 10-i0_—AM_ PM-- BUP — Location le7a-7 Mme''' ! 1 Suite MEC __-- �_�' -- Ph( q11_) _ q r _ PLM Contact Person _. • Contractor -- _ Ph( ) SWR --_ BUILDING �� Tenant/Owner .—_ -- __ ELC Footing _ ELC Foundation Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post& Beam __-- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - --- Insulation Drywall Nailing -- -- Firewall Fire Sprinkler — -- '— Fire Alarm Suep'd Ceiling ----- Roof ASS PART FAIL — — P BING Post&Beam Under Slab - - Rough-In Water Service — -- Sanitary Sewer Rain Drains - -- — Catch Basin/Manhole ---- Storm Drain -` Shower Pan Other: Final _ PASS PART FAIL MECHANICAL Post&Beam Rough-In --- --- — Gas Line Smoke Dampers - Final PASS PART FAIL -ELECTRICAL AIL -- ELECTRICAL Service — -- - -- ----- - Rough-In UG/Slab jLow Voltage __---- -- ----_._--- __-- --- Fire Alarm Final u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — U Please call for reinspection RE:_ Unable to Inspect-no access Fire Supply Line ADA pPProach/Sidewalk Dab-- /— Inspector 52" -Ext _ Other: Final DO NOT REMOVE this inspoatlon record from the fob site. PASS PART itiAIL