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12605 SW MORROCO STREET ._
CITY OF T l G,A R D --- BUILDING PERMIT !_
PERMIT#: BIJP2002-0027.5
DEVELOPMENT SERVICES DATE ISSUED: 7/17102
13125 SW Hall Blvd.. Tigard, OR 972.23 (503) 639-4171 PARCEL: 2S116AD-05400
SITE ADDRESS: 12605 SW MO''OCCO SI
SUBDIVISION: KING CII-Y NO 11 ZONING:
KIN
BLOCK: 13 LOT: 117 JURISDICTION:
REISSUE: —_ FLOOR AREAS— EXTERIOR WALL CONSTRUCTION I
CLASF OF WORK: OTR FIRST: sf N: S: E:� W:
T'(PE OF USE: MF SECOND: 3f _ PRO.JEECT 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:
S'TOR: HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT?. MEZZ?: R_EQD 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:
VA'I1E: $ 32,000.00
Remarks: Reroof entire ui ng, tear-off and replace.
Owner: Contractor:
KI__ENZ., NEIL W + CARN41EN L BOB CAR! SON INC
12605 SW MOROCCO DR PO BOX 63
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Rep #: LIC 5113
FEES v REQUIRED INSPECTIONS__
Type By Date _ Amount Receipt— r Dryror After Tear-Off Insp
PRMT CTR 7/_17/02 $62.50 272-00200000 Final Inspection
e
5PCT CTR 7117102 $5 00 27200200000
Total Y $67.50 �~
This permit is issued subject to the r-gulations 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: t-regon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
ralhng (503)246-6699 or 1-800-332-2344.
Permittee
Signature:
Issued By: � .d--- - -- -
Cell 639-4175 by 7 p.m. for an inspertinn the next business day
Re-Roof
Building Permit Application
--�--- Date received: n�� Permit no.: UY
Ci of Tigard gar d
Pro;eeUappl.no.: � �date:
d Address: 13125 SW Hail Rlvd,Tigard,OR 97223
City aj77gar
Phone: (503) 639-4171 Date issued: (04,)JJ
Receipt no..
Fax: (503) 593-1960 Case file no.: Payment type:
7/49
Land use approval: _ 1&2 family:Simple Complex:
OF PERMIT
❑ 1 &2 family dwelling or accessory ❑Commercialf• --trial ❑Multi-family 0 New con,-,ruction O Demolition
U Addition/alteration/replacement ❑Tenant it to ..ment ❑Fire sprinkler/alarm ❑Other:
1 ' 1
Job address: Z O
Lot: no.: Suite no.:
ot: Illock: Subdivision: _ V I Tax map/tau 1oUaccount no.:
Project name:
------- ---
Description and h -ation of work on premise special conditions: ..L•.e f — X,
4.
Ile-
1y, 1 1 1
//// / I/ 'I- C, t t ,
, ailing add s: 7 1 &2 family dwelling.
r--�
City: state: 00t I7.IP: Valuation of work........................................ $ —_
Phone: Fax: E-mail: No.of bedrooms/baths..................
Owner's representative- Total number of floors.................. i �
PJ(P
Fax: E-mail: New dwelling area(M.. ft.) ..........................
Phone- �� ---
'
Garage/carport area(sq.ft.) ........................
Name: Covered porch area(sq.ft.) .........................
tr r-�1.., _ _
Mailing address. (�� Deck area(sq.ft.) ........................................
Y
Cit : - State:(� ,II': �Z Other structure area(sq.ft.)......................... —
Commerclal/indtutriaUnu ld family:
Fax:(.gt)-444b E-mail:
Valuation of work.......... .._..._ _. ............. S—
Existing bldg.area(sq.ft.) ..........................
Business name: ��(q �_ ��irwQ..-, New bldg.area(sq.ft.) .......... ....
Address: O/ ��Y � _ Number of stories........................................ _
Cit : State: ZIP:
Y � TYIx of construction....................................
Phone:��p- t,23 Fax: t) t41 q E-mail.• Occupancy group(s): Existing:
CCB aro.: _-- Nem. _
City/metrolic.no.: �(�A S Notice:All contractors and subcont- ^ are required to be
\, --_ A11101MCMIJILSIGNER licensed with the Oregon Con.,tru tractors Dowd wider
i1 d provisions of ORS 7U1 and may U to be licensed in the
Name: l.awa -�-+ jurisdiction where work is being pen,, aea.If d,e applicant is
Address: 03 - $s.,�e,�IF
,2.0
exempt from licensing,the following reason applies:
City: S atc:p ZIP:
persL —
Contact on'$4t�t t�' 0.Q flan no.: -- _ — ----
Phone:2$D- $ Fax:2so-FTblr rEmail: —
,IM NY I Ito
Name: Contact person: F ees due upon application ...........................
Address: —� Date received: _
City: _ State: _ ZIP: Amount received ......................................... S
Phone: Fax: I E-mail- —_� Please refer to fee schedile.
I hereby certify I have read and examined this application and die Not all jurisdictions encept credit cards,please call jurisdiction for mac information.
attached checklist. All provisions of laws and ordinances governing this O visa ❑MasterCard
work will be cornplied vith Jw cificd herein or not. Credit--aid number._ _ __._—
E sp rcy
Authorized signature:l _—,_— Date: (p��} --- Nrme of cudholdet tar i"hown one it card s
Print name: e o ilk_ Cardholder sipusture Mroam
Notice:This permit application expires if a permit is not obtained within ISO days after it has been aoaepted as complete. 410.4613(6WCOM,�
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Werk: Alteration
LJ REPAIR (MAJOR) (plan review required by plans examiner)
Building permit is reouired 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
COMMERCIAL ONLY - Class of Work: Repair
STEP 1: -- - — -- ----
1i RE-ROOF (circle A, B or C)
Existing built-up roof covering to Ue 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.
_ -C.. Whalt or wood shipp a/shake. (PROCEED TO STEP 2)
CO CIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY
Material Documentation (UBC Appendix
Please al
fill out icable section and attach copy of roofing specifications. _
Listed Assembly Circle and complete A, B or
A. 1. Specification #:,G�
2. Manufacturer:�1 r_
3a. UL Classification:
Listed UL Building Materials Directory Page 1±e
OR
3b. Warnock Hersey:. — —
Listed Warnock Hersey Directory Page —
*COPY OF ASSEMBLY REQUIRED _—
B. ICBO Research#:E R-S�;aO —
Dated:
SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner.) _
VALUATION OF PROJECT: $
_ sq. ft. of roof area —
Permit Fee based on valuation: $
—^ see Building Permit Fees chart _��
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of Residential or
--—--- — Assembly item"C"above.
TOTAL:
I:dsts\forTns`,roofci.eckllsl.doc 10/05/00
CITY or,,, TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 639-4175 Business Phone: 6394',71
Date Requested: �'bb�� / L __— A.M. I'.M. MST:
Location: i._�(y C .SC-.) ✓`�&4 U �Kl -C �l/lJ(.Kr 17-Y1 BUP: -- —
Tenant: ' Suite: Bldg: r MEC:
Contractor: D�o ti
/ A4(,q Phone: PLM: c�.5
Owner: �( 11wY ,Phone: 4. z, 2 ELC:
t _ DLR: _-
�__._ SIT: ----
BUILDING BLDG(con't) ..)PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam I'ostlfieant Post/Beatn Cover/Service Sewer/Storm
Footing Roof (Jndl-USlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In U0 Sprinkler
Foundation Insulation Sewer Lick d/Duct Reconnect Vault
Bstnt Damp 1)ryaall Storni Furnrce Temp Service MISC.
Masonry Ceiling Rain Thain A/C UC Slab
Shcar/Shcudi lire Spkir/Alm Crawl/Found Dt Bent Pump Low Volt
Approved L pprov ' Approved Approved Approved
Appr/Sdwlk Not Approvers Nonved Not Approved Not Approved Not Approved
FINAL FINAL FINAL, FINAL
O Call for reins tion 13 Reinspcc:tion fee of Srequired bef next iT
tion C7 Unable to in..Tmt
�? . Ilnspectot:�' Date: Pagq_—_._of.—
CITY OF TIGARD PLUMBING I-"'ERIYIIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PL_M97-0125
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/ 1.5/97
PARCEL-: L61 16AD-0154001
SITE ADDRESS. . . : 12605 SW MOROCCO ST
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . I.-OT. . . . . . . . . . . . . JURISDICTION: KIN
-------------------- --------
CL-ASS OF WORV_ : REP GARBAGE DISPOSAL..S. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS_ : 0
OCCUPANCY GRP. . -RI FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. .. . . . . . : 0
FIXTURES--------- ---- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . : 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER L.,INE (ft) . . . - 0
WATER C'"OSETS. - 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : INSTL I WATER HEATER
Owner: --------------------------------------------------- FEES
KING CITY GARDEN VILL-AS SV ASC type amos-int by date recpt
16880 SW 126TH AVE PRMT 4 25. 00 TAT 04/15/97 KING CTTY
KING CITY OR 97224 5PCT $ 1- 25 TAT 04/1.5/97 KING CITY
Phone #:
Cant ract
BEORGE MORLAN PLUMS TNG & APl_.IANCES
12589 SW PACIFIC HWY
TIGARD OR 9722.7
Phone #: $ 26. 29 TOTAL.
Req #. . : P-734 REOUIRED TKISPECTIONS
This Pervit is issued subjprt to the regulatims contained in the Water L. ine Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Service In
applicable laws. All wore wAl bt done in accordance with Rough—in Insp
approved plans. This qer►ki will ewpire if cork is not started PL.M/Und@rf I oor
within 180 days of isslianec or if work is suspended for sore Misc. Inspection
than 180 days, Final Inspection
F,ermittee qigna,, urk
rssi-ted By:
Call for inspection 639-4175
HPP-15-'97 TUE 13:06 ID: FAX NO 4016 P01
Post-It-brand rax transmittal m6mo 7671 M of pones'
To !r►into Rec d B>
�Sr Application q
c�
— Co ~� Oat%Rec a
"T�� nd Residential Oat*to P E.
Devi PnnnW A 39- Date Oate to OST -1
fill 7
FOR 0
s� r___L— ..i or Type Petated SWR t1.
lncompletila or illegible applications will not be accepted canal
L
_ — FIXTURES (Individual) QTY PRICE AMT
Narno of coveloprner1w rele� 9 00
t Sink _
JOA Lavatory 9.00
Address S !77-)
AAaress:- 5ui1e 9.00
1�G(�5 (w To or TuNSno.+er Cort�u.
$Id • /t-rylSlate zip Snmrer Ordy 9.00
i g 9 00
wafer Uuaat
NartM �1 .n ^hauler 9 00 i
Qo b/4 LA •/� t7spoisl r 9.00
M•rlkq rtdCress SU1e
OWRO/ Lei�J Si.,, Ov'nflo ��. waeMny Alarflinw
Pno m Flvor Or•,n �r2- v,uv
t;mlwte P 9.00 1
9.00 I
-- ----- ��i1ML Weler r+eawr ----- - -.' �— o.� -----•J
Occupant Laundry Atlaaas Suds -- --- 9 t10
laundry Raw,Troy _
Gty/Statetj p Phone Vnnel 9.00
A - 00
Other FWunta(Specrfy) p
Nao- / /f �fGlllow 900
9.00
C,onttaCtor t titan"hdMats wte _ _
9.00 —
Phots 9.00
G ry�at / L
4 -- --
✓�'a17 �ZZf �2�- �'l_ 9.00
n Conal.Cont Floaro Ue 2 Epp Oat• _. --- ---- - 9.00
3000
GWTWt P1lsraing U&a. n�[ rxp_Qite Seale►- 1n tW'--�~- -
llcwrr ��L_W�("(-� i l�j-!t �' SewN••a�ad,itional 1G0' _. 25 00 -
COT DultwiOss Tax CW Metro s Do.Onto Water 3r lwv-1st 100' 30'�
- Weter Ssrvtaa •au+atleHlonal 200' 25.00 _�
---- - _J
Stour 6 Pan w.00 Drain•tat 1W
Architect 5t0m a pa,n ors,-e•d+aedib".zi jooa' 2300
or Haling Aoereaa 5i"`a tuotzitw ttane 5 , _ M on
Phare �~ C1+tnReroo BaCk flrnr Prewnticxt Jenaa or Anti X _ - i
En4lna+er �CayrSuttt zip - Poltutnm C�arw - ---
- Reydenunl Baclttly��,.eniinn t7evtrw- 15. _ ---•�
Vs, O AdddiAn O Alteratxxt O nepair 0
Otaea�ts.rpt -- 6 00 -�
Acute: Any
ieatoenaat o 4an-rrsldentiat rap or Wa+te Nol CanneaaA to a Frn,:•
Ca�u�8a��n 9.00
JVeaser►�oeratpcan�f wort
, o!=i.a�s_ Pt
tnspumemg �0 QO
petit►
%Verity Requested In!' acpenf +0,00
parr �
Fit
Qs*or J..9 ._. .
kam Crarn.lvlgte!em,lp dweNln4
Gt•a rs Tran• _� 9
r� ,tee elt -
i s,,,b r)p•rty _ QUANTITY 70—TA 1.
_ tzar erne a*snr a�,
_ ram a eoutr•O R Duane►TQ
q"-- �pptrt!t, moNng a n
rouladno 8411 tSures7 Yes 0 No C] -
*SUBTOTAL
(fie t•e Datlt of tort) »--
rwrtAD+adcnorde0go that I have rear this application,tnat trio information 5% SURCHARGE f c
2rven.s noneC_'nat 1 em Ute Owner or•uthonred agent of the owner, and - ( 7
"t ohuo
ms. eunet:an.n comottanae with Oregon State haws. PIAN REvIE W 25X OF SUBTOTAL i
Signatureof tT.nerlAgent ~�s/uJ/ gr:��eo dots a ftul M.!C'r-s•
f IS.Gj ] T&AL 2GZS
Phone T t Peswfanllal aac!faw
Conalct►eeeon Name 'Minirnun+—permit .s Sz3•8X stwcharg•.eawp
prevention Gv9cr.which,!S15•S'K surd•targs