16570 SW MONACO LANE w
cn
N
0
3
0
0
0
r
m
M
16570 SW Monaco Lane
-- BUILDING PERMIT
CITY OF TlGARD
PERMIT#: BUP2002-00285
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Hall Blvd..Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S116AD-0420C
SITE ADDRESS: 16570 SW MONACO LN
SUBDIVISION: KING CITY NO. 11 ZONING:
BLOCK: 13 LOT: 105 .''1RISDICTION: KIN
REISSUE: p FLOOR AREAS _ __EXTERIOR WALL CONSTRUCTION
GLASS OF WOR ;: OTR _ FIRST: sf N S: E: W:
TYPE OF USE: M{= SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 rig) sf ROOF CONST: FIRE RET7
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCIJ SEP. RATED:
BSMT?: MEZZ?: REND 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:
ARNOLD, JAMES E + JEAN D TRS BOB CARLSON INC � ry
16570 SW MONACO LANE PO BOX 63 'l�XPIREE "
KING CITY, OR 97224 HILLSBORO,OR 97123
Phone: Phone: 640-3623
Reg#: LIC 5113
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot After Tear-Off Insp
PRMT CTR 7/17/02 $125.00 27200200000 Final Inspection
5PCT CTR 7117/02 $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 other applicable law. All work will be done in accordance with approved plans. This permit will exri+e 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 m direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Permittee
Signature:dam. LCC5'�' _—
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Re-Roof
Building Permit Application
Datcrmeived: Oi PermlIno�A-&
,�j--t,�n--<
City of Tigard
Address: 13125 SW Ball Blvd,Tikard,OR x1722 i ProiccUsppl no.: ptri!date:
Cavo,TignrA ---
Phone: (503) 639-4171 Dare issued: By:f Receipt no.:
Fax: (503) 598-1960 Case file no.: _ Payment type:
Land use approval: I&2family:Simpt.; Complex:
TYPE OF PERMIY
LJ I &2 family dwelling or accessory O Commercia_... 'istrial U Multi-fancily U New construction U Demolition
❑Addidon/alteration/replacemcnt U Tenant improvement U Circ.sprinkler/alarm U Other:
JOB SITE INFORMATION
Job address: O � Bldg.no.: Suite no.:
Lot: Block: _ Subdivision: 'fax map/tax lot/account no.:
Project name: - _o —-
Description and I ationn of work on premise special conditions: .hetQfi M_ �. a.QP ,y
_ km
4101-.2 1�11
1
Name: ,Q �. ,
Mailing addn s I &2 family dwelling:
—�
City: & State: OZIP: 9�-Zt Valuation of work........................................ $
E-m
Phone: Fax: _ ail: No.of bedrooms/badts................. 0 j
Owner's representative: Total number of floors................................. A
Phone Fax: I:-mail: New dwelling area(sq.ft.) _
Garage/carport area(sq. ft.) ........................
Namc. Covered porch area(sq.ft.) .........................
Mailing address: - - (� — -- Deck arca(sq.ft.) ........................................ATF _
State:Q4 Z1P — Other stnicture arca(sq.ft.).........................
Phone:(, p_ F mail: ('ommerelal/industrial/multi-famlly:
Valuation of work...... ......... .. . .. S.
Business name: �rr 1 -- ( ,cam Existing bldg.area(sq.ft.) ..........................
New bldg.area(sq.ft.) ................................
Address-S _/�� G S ---
Cit-''7- ,� _ — - ZIP: - Number of stories _
y- '�+.-� Slalc.� ........................................
Pilone: '40- V 23 Fax: p.ytyE-mail: 7YPc of construction....................................
-- -- Occupancy group(s): Existing:
CCB no.: 1.11_5 - - New:
City/metro lie.no.: 193 Notice:All contractors and subcontractors arc required to be
t licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may he required to be licensed in the
urisdiction where work is heir performed.If the applicant is
Ad -s 3S N� S ^ -�i,� _1_ 2,p 1 g Pe PP
�-�— exempt from licensing,the following reason appli:s:
.
City: T1ai-_4 5 atc:Of, ZI1: Z
Contact person:S4evt t 'A flan no.: ---- ---------
Phone:2.$O- Wf$1 1 Fax:210•TS(ob -mail:
PH
Nance: NIA Fees due ufx)n application .. .. .................... $
Address: -- --_—_��-- bate received: _
City: State: Z1P: _ Amount received ......................................... $
Phone: Tax: E-mail: _ Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all puisdicaaru accept credit cards,please call jurisdiction for nvn Inforrtution
attached checklist. All provisions of laws and ordinances governing this U Visa t1 MasterCard
work will be compliedith A.1;PSIcified herein or not. credit cad n.ntim
Expires signature:k _ Dale: -(pLG.� (7 Namr o►cardholder as shown on credit cad
Print name:—__--- Sc1, Me P t. 1 e rL�-- - S
— tier ta6natruc ,otnt
Notice:This permit application expires if a permit is nut ubtained Midrin 180 days atter it has been accepted as complete "&4613(Cr%ront;
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Class of Work: Alteration
U REPAIR (MAJOR) (pl�-,, 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 ovor
spaced sheathing (spaced sheathing usually exists when wood shingles were initially
_
applied)._
COMMERCIAL ONLY - Class of Work: Repair
STEP 1:
® RE-ROOF circle A, B or C1:
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 Uements. Review shall bear the seal (or stamp)of the
architect or engineer licensed in Oregon.
C.�)Asphalt 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 applicable section and attach copy of roofing specifications.
Listed Assembl Circle and complete A, B or C):
_
A. 1. Specification _ PbrAf jQn A --
2. Manufacturer: _
3a. UL Classification:
Listed UL Building Materials Directory Page#:�� g} �I,gISM a-*dL e
OR
3b. Warnock Hersey:_
Listed Warnock Hers,�v Directory Page
'COPY OF ASSEMBLY REQUIRED
B.
IC—BO Research# 000�_
Dated:
C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner.)
EVALUATION OF PROJECT: $
of roof area
Permit Fee based on valuation: $
(see Building.Permit Fees charts
--- 8%State Surcharge' $
65% :"an Revirtw Fee: $
(Required for major repairs of Residential or
Assemblyitem em„C"obove.
_TOTAL: $
i:dsts\forms\roofchecklist.doc 10105/00