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16520 SW Monterey Lane
-- BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2002-00274
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02..
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 25116AD-14800
SITE ADDRESS: 1G520 SW MCNTEREY LN
SUBDIVISION: KING CITY NO 15 ZONING:
BLOCK: 13 LOT: 132 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: st 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: $ 32,000.00
Remarks: Reroof entire building, tear-off and replace.
Owner: Contractor:
WHITTIER, GEORGE TR BOB CARLSON INC
1652.0 SW MONTEREY i_N PO BOX 63 !
XPiiR
KING CITY, OR 97224 HILLSBORO,OR 97123 �".,,.�
Phone: Phone: 640-3623
LIC 5113
FEES r _ REQUIRED INSPECTIONS
Type By_ Date Amount Receipt---**
I Dr/rot After Tear-Off Insp
PRMT CTR 7/17/02 $62.50 27200200000 Fin 6I Inspection
5PCT CTR 7/17/02 $5.00 27200200000
Total $57.50
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
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregor. law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth !n OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Permittee
Signature:
Issued By: ._ --
Call 639-4175 by 7 p.m. for an inspection the next business day
Re-Roof 12--
Building Permit Application
Datcrcceived:
City of Tigard — -- --
Address: 13125 SW Hall Blvd,Tigard,OR 97223 1'ro)ccUappl.no.: — c date:
City of7ignrd B
Phone: (503) 639-4171 Date issued: .'By:}.4v4 Receipt no.;
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: —— I&2 family:sample Complex:
OF PERMIT
U 1 & 2 family dwelling or accessory ❑Commercial/industrial I]Multi-family ❑New construction O Demolition
U Addition/al to ration/replacenictit O Tenant improvement U I`irc ;prinklorhflarni U Other:
JOB SITE INFORMAT][ON
Job address: I(, p ,e,�,,, I[� Bldg.no.: Suite no.:
Lot: Block: subdivision: T Tax map/tax lot/account no.:
Project name: - .. ��tt►�+�IMeht -f
°-�
00
Description and location of work on premise special conditions:�,�
O a -
1 ' 1 W'' .
Namc: � 64
wc„� V,I�1�� 4i ,Q t t
Mailing uttd s: ��— 1 &2 family dwelling:
City: State: 10,
Valuation of work........................................ $__
Phone: Fax: E-mail: No.of bedrooms/baths......
_Owner'srepresentativr: Total number of floors......
txmc --- Fax: Email: New dwelling area(sq.ft.) .......................... __--
Garage/carport area(sq. ft.)......................... —
Name: Covered porch atea(sq. ft.) ..... ...................
Mailing address: �_ Q (� Deck arca(sq.ft.). ........................................ _
_City: State:O ZIP: �y Other structure arca(sq. ft.)........................._
Phone: �.40-Sl s3 Fax:(ego-ft4ib I E-mail: Commercial/indtrctrial/multi-f:tmil}•:
1M N JAN 1 I Valuatinn of work.................................... $ _
Business name: (p— �s,� `,Q�c,�.,,t Existing bldg.area(sq.ft.) ..........................
ED Address. /Sp — New bldg.arca(sq.ft.)................................
('ity: crX - State: ZII': Number of stories......................................
Phone(,•Ip- t:2 3 hax: p.y ty E-mail: Tyle of construction....................................
Ph. � — ��e` — -- Occupancy group(s): Existing:
CCB no.: S l l -----_--._- -- New:
('ity/metro lic no.: l(ie 3 Notice:All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board under
Name: �Oe�� / �yM,'r�j provisions of ORS 701 and may be required to be licensed in Ute
Addmss: ��e jurisdiction where work is being performed.If the applic^n:is
Q3 5 - S —�'-_-` exempt from licensing,the following reason applies:
City: S te:p ZIP: 92 i
Contact person:S4e,rt Aw-6riA. Platt no.: - — -— -------- --- --
Pltrnu•:
Name: Contact person:_ Fees due upon application ........................... S,-
Address: _ Date received:
City: State: Zi P: _ Amount received ....................................
Phone: — Fax: mail: Please refer to fee schedule.
hereby certify 1 have read and examined this application and the Na W juridictiotu Kart ctedit cards,pteam call jurischajon for nmm information
attached checklist. All pr.wisions of laws and ordinances governing this U vt e U Muteff_atd
work will be complied ith w . cified herein or not. credo cmd timber
Authorized signature:l __ v__ Date: Nw r of cardholder a chows on credit cord
Print name:— 1o1,to tr'Y1 o i� S o --- _
Crd6dder NRrtuure Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted to wmplete. .a�: ,.>-." .'•:
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration
❑ 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. 'or each 150 sq. ft. of ettic 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 v,•)od shingles were initially
app���-'---------_- -- ---
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
W_ 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 vubmit an engineer's
review of the roof structural elements. Review shall bear the seal (,)r stamp)of the
architect or engineer licensed in Oregon.
_6 C _s hp alt or wood shin leg /shake. (PROCEED TO STEP 2)
CO CIAL 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 complete A, B or C): __
A. 1, Specification w W 11o01PpA400n_A_
2. Manufacturer:..Ma�
3a. UL Classification: _
Listed UL Building Materials Directory Page#: tia�}�c�_Gl, _4ae.�►e
OR
3b. Warnock
Listed Warnock Hersey Directory Page#:__ _
_ 'COPY OF ASSEMBLY REQUIRED
B. ICBO Research#: SSrju _
_ _Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
review required by plans examiner.
— VALUATION OF PROJECT: $ ----
st 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 dstsVormslroofchecklist.doc 10105.!00