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16514 SW MATADOR LN
CBUILDING PERMIT
CITY O F T!GA R D
PERMIT#: BUP2002.00266
DEVELOPMENT SERVICES DATE ISSUED: 7/8/02
13125 SW Hall Blvd..Tivai•d. OR 97223 (503)639-4171 PARCEL: 2S116AD-14100
SITE ADDRESS: 16514 SW MATADOR LN
SUBDIVISION: KING CITY NO.15 Z7NING:
BLOCK: 21 LOT: 140 JURISDICTION: KIN
REISSUE: _FLOOR AREAS _ 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: 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?: RE_QD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDERAS;- BATHS: IMP SURFACE: PRO CORR: PARKING:
'VALUFa, � 0-67U 6-e,
arks: Reroof- tear-off and replace.
Owner: Contractor:
ROSS, ROBERT UCLAIRE L BOB CARLSON INC
16514 SW MATADOR LANE PO BOX 63
KING Cl FY, OR 9722.4 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Reg#: LIC 5113
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear-off
PRMT CTR 7/8/02 $125.00 k'200200000 Final Inspection
5PCT CTR 7/8/02 $10.00 27200200000
Total $135.00
IL
Cn 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 worts is suspended for more than 180 days. ATTENTION: Oregon law
m requires you to follow the rules adopted by the Oregon (Aility 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
J calling (503)246-6699 or 1-800 -?_
Permitt a .
Siature: X
Issued By:
Call 619-4175 by 7 p.m.for an Inspection the next business day
Re-RoofF79P
_.
" Building Permit Application
SCity of Tigard rDaterecelved� Permitno.• _
Address: 13125 SW Ball Blvd,Tigard,OR 97223 ProlecUappl.no.: tp' date:
City aj7;gard Uatc issued: f3
Phone: (503) 639-4171 y Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approiral: , _ Lr&2 family:Simple Complcx:
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
U Addition/alteratioti/replacement U Tenant improvement U Ftre sprinkler/alarm U Other: _
3011 SITE INUOVIIATION
Jot,address: V k'J Bldg, no.: Suite no.:
Lot: I Block: Subdivision: Tax map/tax lot/account no.:
Project name: Zoo 42 ��--
Dcscription and I ation of work on premisc§1special conditions:_TVV
/ euw.
OWNER'
(11100di'lain,seplic capacili,solar.etc.)
Mailing address:s: 1 &2 family dwelling:
City: Statc: p ZIP: Valuation of work.................. .................... $
Phone: Fax: E-mail: Na of bedrooms/baths........... .....................
Owner -,eprescntative: Total number of floors.................
Phone. Fax: E-mail: New dwelling area(sq. ft.) .......................... _
Garage/carport arca(sq.ft.)......................... --
Name:
Covered porch area(sq.ft.) .........................
Mailing address (� Deck area(sq.ft.)........................................
City: State:0 ZIP: Other structure area(sq. ft.)......................... _
Phone:(, p-JC LS Fax:(.g0.4fgb I E-mail: Commer•clallindustrial/multi-family:
Valuation of work......... .... ................. ....... S_
Business name: C1110 Existing bldg.area(sq.ft.) .......................... —
�� r.,� .,�.t
_-, —
Address•-/S[� New bldg.area(sq. ft.)................................ _
_
Number of stories................. ......................
City: ,0"o State: IR ZIP:
Type of construction............... ................... —,—
Phone: .{p-3f. 3 Fax: p Occupancy group(s): Existing:
CCB no.: --
City/metro lie.no.: �(�rj',y — New:
Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: a Oet w-Q� provisions of ORS 701 and may be required to be licensed in the
Address: p _ S 20jurisdiction where work is being performed.If the applicant is
City: 5 ate:Q R I ZIP: 9 72-1 Z exempt from licensing,the following reason applies:
Contact person:S4eVC ! Plan no.: ----
Phone:2to-8f Fax:ZEo-fT/efr I E-mail: - - --
N&rne: NIA lContact person: Fees due upon applicatioc ...........................
Address: Date received:
City: State: 1ZIP: Amount received ...... .................................. S_�
Phone: Fax: I E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Noe all Jurisdicrioru accent credit carets,please call hnidictim for nxrre information.
zt(ached checklist All provisions of laws and ordinances governing this O Visa 0 mastercard
work will he complied ith wt :i6ed htsrin or not. Credit card rwmttrer.
F.apires
Authorized signature:k Date: �0 Name of cardholder u shown m credit cad
Print name: s
d�narmc Amoaol
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613(MWCOM)
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alt_eratioh
❑ 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 cave 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 riot being applied over
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
Lap
lied).
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
Q RE-ROOF (circle A, B or C):
Existing built-up roof covering to be REMOVED and deck repaired.
B. Existing built-up roof covering to REMAIN. Note: Applicant must submit an engineers
review of the roof structural elements. Review shall bear the seal(or stamp)of the
r architect or engineer licensed in Oregon.
CO� C. s halt or_wood shin�le/shake. (PROCEED TO STEP 2)
MERCIAL ONLY - Class of Work: Repair
STEP 2: NEW ROOFING ASSEMBLY •
Material Documentation UBC Appendix 15)
Please fill out applicable section and attach copy of roofing specifications.
_
Listed_Assembly Circle and complece A, B or C): ,11
A. 1. Specification #: aIR.f�� .P r
�. Manufacturer:
3a. UL Classification:
Listed UL Building Materials Directory Page#:�� o�}�aGI.Q u�/�e�Q �!�►�
OR
3b. Warnock Hersey: __ __
Listed Warnock Hersey Directory Page#:_
"COPY OF ASSEMBLY REQUIRED
B.
—1—CBO Research#: R-S3o0 —
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner.)
�. VALUATION 7F PROJECT:
_sq. ft. of roof area
Permit Fee based on valuation:
see Building Permit Fees charts
8% State Surcharge:
6561e Plan Review Fee:
(Required for major repairs of Residential or
Assembly item"C"above
TOTAL:
i:dstsVormsVoofcheddist.doc 10/05/00
Malarkey Roofing-272 Legacy SBS Modified Laminated Shingle Page 1 of 2
•
TECHNICAL PRODUCT DATA SHEET
#272 LEGACY®
SBS MODIFIED LAMINATED SHINGLES
WITH POLYGLASS"MA7
PROOV-07—PESCRIFRON
Product Use:#272 Legacy SBS modified laminated shingles are used whenever increased flexibility,architectural design,tensile strength and
tear-resIftnt shingles are desired.These SBS rubber modified asphalt shingles are designed for a 5 5/8'exposure.
Precaulluns:#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 a',additional deck protection Is recommended.9272 Legacy SBS
modified laminated shingles have a factory applied self-sealing strip that ectivettes In warm weather. When applied In cold wo.that or windy
location,hand-sealing Is recommended but not required if sealant activates.In high wind areas.six nails are required Contact Malarkey for further
conditions and Instructions.
Composition and Materials: 0272 Legacy SBS modified laminated shingles are mineral-surfaced and self-sealing, made with SBS rubber
modified asphalt coating and fire-retardant fillers on a Malarkey polyglass fihar mat,and feature the exclusive design of'The Zone""'.
JF_QH i►ICAL DATA
#272 Legacy are avAllable in 9 standard colors,with other colors available upon request with a 300 squ.ere minimum.
Typical Average Properties
Approximate Weight 275 lbs.(114.74 kg)per square
Dimensions 1a'W x 40'(31/8'.)
(.33 m x 1,02 m)
IL Exposure 5 5/8'(142.9 mm)
Shingles per square 64 shingles(4 bundles/square)
NGranule Adhesion 0.5 gram loss
Fire Rating Class A
Warranty 50,year I-imlted Warranty
110 m p.h.Limited Wind Warranty
W 1 he Legacy meets or exceeds UL 2218 Class 4 Impact Resistance,ASTM D 3462,ASTM D 3018-90 Type 1,ASTM D 3161-97 Type 1,ASTM E
108-11 Class A . d CAN/CSA A 123.51998,lCBO ER-5300 The Legacy Limited Wind Warranty my have conditions attached to C Please
contact Malarkey Roofing for further details.
APPLfCAT1QN PBOCJE-R_E All shingles should be applied over underlayment,Malarkey Right Start UDL or an approved substitute.Saingles
should be attached to decking by approved fasteners,comply with bundle printed instructions and meet industry standards contained In NRCA or
ARMA manuals.Malarkey recommends the use of nails for fastening.For speclfk Installation instructions,consult Malarkey Roofing Company.
y�AgRA�[TY #272 Legacy SBS modified laminated shingles carry a 5u-yeai ilmfted warranty and a 110 m.p.h.fimfted wind vvarranty. Documents
http://www.malarkey-rfg.r,oni/Technical/272.htni 6/27/2002
TFWZ R4299 -Prepared Roof Covering Materials Page 1 of I
J
TFWZ.R4299
Prepared Roof Covering Mm- rials
Page_Bottom Questions? Previous P
Prepared Roof Covering Materials
Guide Information
HERBERT MALARKEY ROOFING CO R4299
3131 N COLUMBIA BLVD
KENTON STATION
PO BOY 17217
PORTLAND, OR 97217 LISA �I
Asphalt glass fiber mat shingles, f'or installation as Class A prepared roof coverings.
Asphalt glass fiber mat shingles, for installation as wind resistant roof coverings.
I�
f installation as Class C prepared roof coverings.
Asphalt glass fiber mat sheet roofing, or P P
Modified g
asphalt lass fiber mat shingles,for installation as Class A prepared roof coverings for
p
installation on min 15/32 in, thick plywood decks.
Paste ToR N2c��Dis1 ii er 5�'ne�t on ? Pkv o P 1
a 1j"e Ind Classified UL—Rm n_izA Pra�l �e ified
w
Produce amp n for_ "n -11
t T1tis page and all contents are Copyright C)2002 by Underwriters Laboratories inc.QD
m 'llie appearance cif a company's name or product in this database does not in itself assure that products so identified have been
W nly manufactured under IJL's Follow-Up Service.Othose products bearing the ITL Mark should be considered to be Listed
W
-j and covered under I TL's Follow-Up Service. Always look for the Mask on the product.
http://database.ul.com/cgi-bin[XYV/templatei'LISEXT,'l F'R&hrE/shoe°pp-ge.html?name=T... 6/27/2002
CITY OF TIGARD 24-Hour -
BUILDING Inspection Line: (503)636-4175 •
INSPECTION DIVISION Business Line: (503)636-4171 MST — 1
Received __ _ _—Date Requested— 5/6 AM— PM BUP _
Location _ w S o[ -----Suite n �_/_Suite_ MEC —
Contact Person Ph ' q3/ PLM
Contracts _ PhSWR
UILDING Tenant/Owner _ —__— ELC — —_
ELC
Foundation Access: — _
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors ----
Ext Sheath/Shear
Int /Shear
Framing ming Ae S1 / J-s�-�—I(-P
7
- `
Insulation _!r!G � -_ 1 -7
Drywall Nailing •
Firewall
Fire Sprinkler -- -- -----
Fire Alarm
Sus 'd Ceiling �- -- -
00
Ot er. --- - — ---- --- -
SS � ART FAIL ------_- - -
IN_G -- - — --
Post&Beam
Under Slab
Ro,gh-In
i
Water Service -- --- ---- - - -
Sanitary Sewer r'
Rain Drains - -
Catch Basin/Manhole
Storm Drain —---- -
Shower Pan
Other: -
Final
PASS PART FAIL -
MECHANICAL -
Post&Beam
Rough-In ----- -- --
Gas Line
a Smoke Dampers -- -
a Final
U) PASS PART FAIL
ELECTRICAL
J Service
m Rough-In -- --- -- - - -
(} UG/Slab
W Low Voltage
Fire Alarm
Final Reins ction fee of$
PASS PART FAIL � � --------re 4uired before next ins pection. Pay at City Hall, 13125 SW Hell Blvd.
SITE L] Please call for reinspection RE: E1 UnaNe to inr.pect-- no access
Fire Supply Line
t
ADA V/2- N 0 Z
ApproPah/Sidewalk Inspector_� _ _Ext
Other:
Final _ DO NOT REMOVE this Inspection record from the job alto.
PASS PART FAIL
CITY OF TIGARD MECHAt'I
PER►SIT ✓
COMMUNITY DEVELOPMENT DgPARTWtIT PERMIT #. . . . . . . : MEC94-00118DATE ISSUED: 01/12/94
13126 SW Hall Blvd.Tigard,Oregon 07223.6104 (603)630.4171
PARCEL: 2S116AD-14100
SITE ADDRE513. . . 16514 SW MATADOR LN
SUBDIVISION. . . . : l�/Ing �,I �/ ZONING:
BLOCK. . . . . . . . . . . > LOT.r. . . . . . . . . . . . .
---------------------------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . r EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . .. 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-- -- - ------ 0-3 HP. . . . : 1 DOMES. INCIN:
:/ELF/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDL I NG UNITS OTHER UNITS. :
FURN ( 100K BTU: <= 10000 cfm: OAS OUTLETS. :
TURN ) =100K BTU: > 10000 cfm :
Remarks : INSTALL HEAT PUMP --- IIOISE READING REWIRED
Owner ------------------- FEES
R. L. &i]SE ii5.7 type amount by date recpt
16514 SW MA1'QDOR LN PRMT f 25. 00 JH 01/12/94
5PCT $ 1. 25 JH 01/12194
KING CITY OR 97224 MIsc f 20. 00 JH 01/12/94 —
Phone #:
Contractor,: --------•-----------------------
ARROW MECHANICAL_ CONTRACTORS
10330 SW TUALAT I N RD.
TUALAT IN OR 97062 ------._-----------------------------
Phono #: 692-1565 t 46. 25 TOTAL_
Reg #. . : 05193
------ REQUIRED INSPECTIONS ---------
This permit is issued subject to the regulations contained in tho Mechanical Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspection _
applicable laws. Pll work will be done in accordance with Final Inspection
approved plans. This permit will empire if work is not started
within 188 days of issuance, or if work is suspended for more _ —
IL than ISA ::ays. —
_
Permittee Signature:
(7 Issued By .
Iii! —
Call for inspection — 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. -94-24 , :-77
CHF V( AMOUN V a 4, . 25
AME a RnSS, R t CASH AMOUNT -1 00
DbRE-96 16514 S�-kht§Xilq PAYMENT DATE 01/1 "' . 94
SUBDIVISION
KING CITY, OR 97P24—
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID
FUHANICAL PE loel MI8CFLl-f1NF*0U8 po. AN
T. BUILD PER i. PS
/EAT PUMP PERMIT NOISE READ IN
OTAL AMOUNT FAIT) 46. 25
KING CITY
15300 S.W. 116th A%erue,King City,Oregon 97224 Phone:639-4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE_ �i�•�`� -�-
1. NAME OF APPLICANT:_ � < Phone No. 2-0 - q6
ADDRESS: 0- t i Q ARL q`i 'L Z
ADDRESS OF PROPOSED IMPROVEMENT !�K y&e
2. TYPE OF CHANGE, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED.
DESCRIBE BRIEFLY - ATTACH TWO COPI OF PLANS OR DRAWINGS OF
PROPOSED PROJECT• �'L� � �
3. NAME'ANP ADDRESS OF CONTRA'?I'O>1 yow klNc�k a 1c.I4.t�v . I rJ �t>S •;0 \A� �J t�
Z` &V ck 1 o -v PHONE NO.Lcf2-I EL., LICENSE NO.
4. NEI91BORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
S. APPLICANT OR HER, HIS REPRESENTATIVIE MUST BE PRESENT AT THE PLANNING CC MISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAMES PHONE NO.
(The King City Planning Commission will consider only those applications received at least five (S) days
prior to a meeting
SIGNATURE
APPLICATION RE('EIVED BY DATEL '2
APPLICABLE FEE RECEIVED $ c c TOTAIt �
PLANNING COMMISSION DECISION: ApprovDenied
CONDITIONSl�-
•'
A rave appH ations are valid
for sic months only
Signature �t('� Gf��' / Date
SSPE: VTqon Bouebuilders Law tequlres that all persons who contract for work an their residence be
registered with the Builders Board which means the contractor is bonded and insured on the job site,
For your protection, be certain your contractor is registered by catling City Ball Ph: 639-1082.
'A
NOTE: A permit must also be obtained fthe City of Tigard Department of
Comrnnity Development Yes Ym No__
Ui
CITY OF TIGARD INSPECTION REPORT —!
The above listed project has been inspected and Approved Denied
Date Comments
Signature
(Ii aAtinq .in,&pecto t plea a na:,imm one- (y) copy to Kung City)
CD 2-87
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TONMUN
City of Tigard Meildlsg Department
13125 wM Mall Blvd- Tigard, Oregon 97233
Inspection Line {Ree-O-Phone)+ 639-4175 business Phone& 639-4171
Inapoctiont
Iootinq Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out gas Line PIRALs
Poet/Seas /tract. San. sewer Framing -Bldg.
Poet/Sear Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloo:��_
�7a et r Line DMP• ad. -�h.
rTimes ��1M PM
Date R&quested�
Addreaas
i ` . Permit
builders -�--
TM /OLLO"IMO CORA MONS ARM RSQUIRSDO
Inspector: �' Datei_J
APPRdViD DISAPPROWD APPROV=D SUSJ=CT TO AODM
�j �� Call For Rsinsp.