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16535 SW Monaco Lane
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002-
2002-00281
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Hall Blvd.. 'k'igard, OR 972.23 (503) 6a9-4171 PARCEL: 2S116AD-0490(,
SITE ADDRESS: 16535 SW MONACO LN
SUBDIVISION: KING CITY NO. 11 ZONING:
BLOCK: 13 LOT: 112 JURISDICTION: KIN
_ REISSUE: _ FLOOR AREAS _ EXTERI.O_R WALL CONSTRUCTION___�
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: s.f f4: S: E: W
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: si APEA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQ_D SETBACKS _ REQUIRED
_ _
FLOOR LOAD: psf LEFT: ft RGHT: It FI!' SPKL: SMOK DET:
DWELLING UNITS FRNT: ft REAR: ,t FIR ,, LR.M : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO 'ORR: PARKING.
VALUE: $ 32,000.00
Remarks: Reroof entire building, tear-off and replace.
Owner: Contractor:
AUSTAD, DOROTHY C BOB CARLSO►J INC
16535 SW MONACO LN PO BOX 63
KING CITY, OR 97224 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Reg ,'f: HC 5113
FEES _ ��_ _�41 _ REQUIRED INSPECTIONS _
Type By Date Amount Receipt Dryiot After Tear-Off Insp
PRMT CTR 7/17/02 $125.00 27200200000 Final Inspectior1C
5PCT CTR 7/17/02 $10.00 27200200000 ��'""
Total $135.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all othe 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: Oregon 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
calling (503)246-6699 or 1-800-332-2344.
Permittee
Signature („
Issued B �-- &'y
Call 639.4175 by 7 p.m, for an inspection the next business day
Re-Roof
Building Permit Application
Date received: Permit no.: ,y/ �.AV.
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dat ec sued: no.: date:
Ci of riga d phone: (503) 639-4171 Data issued: F
Receipt no.:
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval: _ - 1&2fbmjly:Simple Complex:
1
=Add
ly dwelling of accessory U Com mercial/ine -z trial U Multi-family O New construction O Demolition
lterat ion/replacement U Tenant improvt,..,_-.' U Fire sprinkler/alarm U Other:
3011 SITE INFORMATION
Job address: _ Bldg.no.: Suite no.:
Lot: I Block: Subdivision: V _ Tax map/lax lot/account no.:
Project name: _ 110P &01
44t��1����1
Description and 11 ation of work on premise, special conditions: TjUeL___tt�gG, Zls
0.r Ile—
N I� ������ 1 1 1 '
ain
Mailing add,. s: 11111111
00
1 &2 family dwelling:
City: St<�te: p ZIP: �. Valuat.ion o'work........................................ $
Phone: Fax: Email: No.of bedrooms/baths.................................
_Owner's,representative: Total number of floors.................................
Phone: Fax: E-mail: New dwelling arca(sq. ft.) ...... —
Garage/carport area(sq.ft.)
Name: Lob-� �2QQ Covered a(sq. arca s ... .........................
porch ( q -
Mailin addrrss: (� � Deck arca(sq.ft.) ........................................
City. State:Q ZIP: ��— Other structure area(sq.ft.).........................
Phone:(.` f>-5L L3 Fax:( jp-4f4b E-mail: Conrnrerciat/industrial/nutlti-(artily:
Valuation of work........................ .._.- $--
�, Existing bldg.area(sq. ft.) .......................... _
Busyness name: ��(p �ps,t r Pira New bldg.area(sq.ft.)
Address: / p /I ax 16. — _ _ Number of stories........................................
City: -Vex-0,3 b.'o State:Q( 2ZEP: Type of construction . —
Phone:`qp- t:23E',ax: e O•yIy ii-maw -�—
— Occupancy group(s): Existing:
CCB no.: S 11.5 _ New:
oNa
/metro lic.no.: I t:q S Notice:All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board under
e: Aw
��� �j / .� provisions of ORS 701 and may be requited to he licensed in the
Address: cep � -S Zp jurisdiction where work is being performed. If the applicant is
Cit _ S ate:p 7_ e 2 exempt from licensing,the following reason applies:
Y
Contact persowSlevc err 1A Plan no.: --- - --� --- —
1'Iwnc:2y'O-$'}� 1°ax:Zto•�t'tas E-snail: -- - --
I�Name:__ ._ IContacl person: — Fees due upon application ........................... $_—
Address: Date received:
City: istate: ZIP: _ Amount received ......................................... $
Phone: _ Fax - Email -i` Picase refer to fee schedule.
I hereby certify I have read and examined this application and the Nei all juriadicrions accro cnedir cants,please call jurisdiction for mere infornuuon
attached checklist.All provisions of laws and ordinances governing this O visa 0 Masteriltd
work will be complied ith w t rificd herein res
or not. Credit card number:_—___ _.____ �.y l
p
Arithorized signature: � Date: �Q1_Z 7 _� — Name r carMrolder as shown an credit card
Print name:_ �a� O --- Crdhorder aitnatum Arrrouat
Notice:This permit application expires if a permit is not obtained%idiin 190 days after it hs,been accepted as cumpiete apse(:(==ht)
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. 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
ap lied .
COMMERCIAL ONLY - Class of Work: Repair
STEP '.:
_®_ RE-ROOF (circle A, B or C):
B;--Existing built-up 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
architect or engineer licensed in Orogon.
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 out a I�p icable section and attach copy of roofing specifications.
Listed Assembly Circle and complete A, B or C
A.� 1. Sp:Ci`ication#_/►'Itkr + �► _A
2. Manufacturer. a4 .. .�-
3a. UL Classification:
Listed UL Building Materials Directory Page#: &A dL}�a-"i _SMg�1ae�►e
OR
3b, Warnock Hersey:
Listed Warnock Warnock Hersey Directory Page#:
_ `COPY OF ASSEMBLY REQUIRED
B. ICBG Research#:" ,SoO
Dated: —
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
(Review required b laps examiner.) _
VALUATION OF PROJECT: $ –�-��—
�_�
sqft. 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\ftmns\roofcheckllst.doc 10/05/00