16620 SW MONTEREY LANE r
16620 SW Monterey Lane
CITYOF TIGA,RD BUILDING PERMIT
PERMIT #: BUP2003-00254
DEVELOPMENT SERVICES DATE ISSUED: 5/9/03
13125 SW Hall Blvd., Tiqard, OR 97223 (50) 639-4171 PARCEL: 2S116AD-05800
SITE ADDRESS: 16620 SW MONTEREY LN
SUBDIVISION: KING CITY NO. 12 ZONING:
BLOCK: 17 LOT: 001 JURISDICTION: KIN
REISSUE: FLOOR AREAS _ __EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: a W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S E: W__
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CGAST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOW HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: RE_Q_D SETBACKS_ REQUIRE_ D
FLOOR LOAD: PSI` LEFT: ft RGHT: _ ft FIR SPKL: V SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMF' SURFACE: PRO CORR: PARKING:
VALUE: $ 36,858.00
Remarks: Reroof entire building (install new plywood over spaced sheathing).
(4) units: 16620, 16640, 16660 & 16680.
Owner: Contractor:
JOYCE KORONKO BOB CARLSON INC
16620 SW MONTEREY LN PO BOX 63
KING CITY, OR 97224 HILLSBORO,OR 97123
Phone:
Pho;ie: 503-640-3623
Reg #: LIC 5�� Eb61N
111pp3 gg33
_—FEES i MET REQUIRSPECTIONS
Description Date Amount Dryrot after tear-off
I Int ILD1 IYrnut Fee 5/9/03 $37130 Final Inspection
II \.\IX Suite'I'.is 5/9/03 $29.86
- --- -- Total $403.16-- ---
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 Witt,approved plans. This permit will P;,pire 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (5 246-6699 or 1-800-332-2344.
Issued B
P:,,:•iittee
Signature:
Call 6:39-4175 by 7 p.m. for an inspection the next business day
(C
Building Permit Application Received / Building
DBte/B `~ f Permit No.hIf/14 _5 411 e�l
Planning Approval Other
City of TigardDate/B Permit No.:
13125 SW Niall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/13 : Petnat No.:
g g �•.._ Post-Re,iew Land Use
Phone: 503-6394171 Fax: 503-598-1960 Date/B : Case N3. _
Internet: www.ci.tigard.or.us Contact J ris.: yl 0 see Page 2 for
24-hour Inspection Request: 503-639-41'/5 Name--wt.shod — //! S�rlcmental Information
_TYPE OF WORK W _ — REQUIRED DATA:
New construction _ I LJ_Reniol.ition i &2 FAMILY DWELLING
_Addition/alteration/replacementOther: `-- -
_ CATEGORY OF CONSTRUC'T'ION Note: Permit fees*are based on the total value of the work performed. Indicate
I &2-Family dwelling C'otnmercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Accessory.BuildinNlulti-Family ,
Master Builder Other: Valuation................ .............................. ........
- No. of bedrooms: No.of baths:
JOl3'SITE.INFORMATION anti LOCATION�i��t Total number of floors.............................tob site address: l New dwelling area(sq.ft.).............................Suite : #: _ Gara a/ca ort areas ft.
Project Name: V,�_ tr¢h�OT7_' Covered porch arca(sq.ft.).................. .......
Cross streeMirections to job site: Deck area(sq. ft.)............................................
/lc 6.? D �;'S�i/%�� ^°"n,•.'? Other structure area(sq.ft.).................... .--
���(r G A C f REQUIRED DATA:
Pei
COMMERCIAL-USE CHECKLIST
Subdivision: Ltat#:
'Tax ma art Cl#: Note Permit fees*are based on the total value of the work performed. Indicate
UES RIPTION F WORK the value(rounded to the nearest dollar)of all equipment,materials,labor.
..— (� -- 3 y overhead and profit for the work indicated on this applicationi�VG Q5
Valuation......................................................... $
Existing building area(sq.f:.).........................
-- -- - - —_ - New building area(sq. ft.)............................... _
Number of stories............................................
ROPC:__
_—R•1'—Y.O!!',_--NER TENANT
�^ Type of construction.......................................
�(] .
—"— Occupancy group(s): Existing:
Name: rf..,( C .�1'�II -�°=►�.._..r� -+q New:
_Address:
City/State/Zip: K%t. __ OR gTJ,i-�----
FSX: NOTICE: All contractors and subcontractors are required to be
P11ot1e: - licensed with the Oregon Construction Contractors Board under
;APPLICANT _ CONTACT PERSON provisions of URS 701 and may be required to be licensed in the
Business Name: &m _� .�^C jurisdiction where work is being performed. If the applicant is exempt
--
Contact Name: from licensing,the following reason app les:
Addr_ess: Sid st„ 4move,
. . _-
Cit /Statr./Zi 'I!S � 0C
Phone:R3 6lro-_K03 Fax 5o3 (f tiw--4414b
BUILDING PERMIT FEES*
E-mail: ,, 9�+1 d� C�"� Please refer to fee schedule.
— CONTRACTOR� � —
Business Name_ ppb I��►+C, �__. Fees due upon application..... ....... ...... ........ S yo (0
Address: gb Sw Mtn P CC _ __Sv3__
Amount received.................................... ........ S
City/State/Zip: Ids 1 GIP �71a _3___—
Phone: ("yo-J& FaX: ,6 /!1 �f C1_-_ Date received:_ _ _
CCB Lic. #: Sl! - --_ -- - - -
Authorized / A Notice: ":his permit application expires if a permit Is not obtained within
Signature: �- G Date: 1'��1 V? 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building lndustr.N Service Board.
J (Please print name)
`Dst•1V'ermit Fotms\BidgPermitApp.doe 01/03 G y t
04/28/2003 08:21 5035393771 CITY OF K1NIi ;11'r PAGE 02/02
I
KI-NG CITY
15300&W. I Mth Avenue,King City.Oregon 97e—)94.2692
Hhoner(503)639-40F2•FAX(503)W9-3771
Notice To Contractors VVorking In ;Kine City
Due to an intergovenunental agrecment with the City of Tigard, many budding related permits
for projects in King City are issued and inspected bythe City of Tigard.
I
I
ff yaUr permit application DOES NOT REQUIRE PLAN' REVIEW, simIply complete the
appropriate application legibly and submit it to the King City staff. The IQing Cit< ;teff will
collect all fees and fax the application to the Cit- of Tigard. Ciryof Tigard staff will then create
the permit, issue the permit,. and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is rea(v for issuance or
i,�hether you prefer it to be mailed wltliout any notification. Any in omplete or illegible
application will be returned to King City staff for correction and no proces sing «ill occur until a
complete, legible application is reeeivea.
I
Ifyuur permit application DOES REQUIRJE PLAN REVIEW. this form 'nust be signed by a
f"ijng City staff person, King City staff will silnl Iv sign this form indicatin3 land use approval.
"fake this signed form to the City of Tigard Development Services Counter located at 13125 SW
Pall Blvd, Tigard, to submit applications and plans. Development Services Techniciars are
available at 69-41 71 Ext. 304 should you have a.nv questions concerning s'ihmirtal
requirements. All permit fees will be assessed and collected at the City of Tigard
The City of King City hereby authorizes applicant to pursue permits at the Gity of Tigard
Building Department for the following project:
located
li
King C:tv Representative
� nsrs�:ci�sr one
I
Malarkey Rooting-272 Legacy SBS Modified Laminated Shingle Page 1 of-2
TECHNICAL PRODUCT DATA SHEET
#272 LEGACY"
SBS MODIFIED LAMINATED SHINGLES
WITH POLYGLASS"MAT
esQpu�T�oa���F31en9r+
Product Use:0272 legacy SBS modified laminated shingles are used whenever increased flexibility, architectural design,tensile s!rrngth and
tau-realstant shingles are desired.These SBS rubber modified asphall shingles are designed for a 5 5I8'exposure.
Precautions:#272 Legacy SBS modified le-minstad 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'. Fo. clo(><s ?'to 4',additional dock protection Is recommended 0272 Legacy SBS
modified laminated shingles have a factory applied self-sealing strip that a0vates in warm weather. When applied in cold weather or windy
location,hand-scaling Is recommended but n K required if sealant activates In high wind areas,six n_iin are required.Contact Malarkey for further
conditions end Instructions
Composition and Materials: #2.72 Legacy SBS modified laminated shingles are mineral surfaced and solf-sealing, made with SBS rubber
modtfiod asphalt coating and Are-retardant fillars on a Malarkey potyglass fiber mat,and feature the exclusive design of'The Zone'"
TECHKOAL_PATiA
#272 Legacy ate available in 9 standard colors,with other colors available upon request with a 300 square minimum
Typical Average Properties
Approximate Weight 275 lbs.(124.74 kg)per square
Dimensions 13'14'x 40'(t 1/8'.)
(.33 m x 1.02 m)
Exposure 5 518'(142.9 amt)
Shingles per square 84 shingles(4 bundles/square)
Granule Adhe3ion 0.5 gram loss
File Rating Class A
Warranty 50-year Limited Warranty
110 m p.h Limited Wind Warranty
The Legacy meets or exceeds UL 2':18 Class 4 Impact Resistance,ASTM D 3462,ASTM D 3018-90 Type I ASTM D 3161-97 Type 1,ASTM E
108-91 Class A and CANICSA A 125 51998,ICBG ER-5300 The Legacy Limited Wind Warranty may have conditions attached to it Please
cxirdact Malart:ey Roofing for furthrr detalis
APPUQAT.IQN PgQs'd'.WRE NI shingles should be applied over undorlayment,Malarkey Right Start VOL or an approved substitute Shingles
should be attached to deckir:p 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 spectfic installation instructions,cansult Malarkey Rooting Company
WAgRR"TY 0272 Legacy SBS modrhed laminated shingles carry a 50-year Iimfted vgrranty and a 110 m.p.t limited wind warranty Documents
h(tp://www.malarkev-tfg com/Technical/272.1-itni 6/27/2002
TFWZ.R4299-Prepared Roof Covering Materials Page I of I
Online Certifications Directo�
TFWZ.R4299
Prepared Roof Covering Materials
Page Bottom Questions? Previous r',oe
Prepared Roof Covering Materials
Guide Information
HERBERT MALARKEY ROOFING CO R4299
3131 N COLUMBIA BLVD
KENTON S'T'ATION
PO BOX 17217
PORTLAND, OR 97217 USA
�.sphalt glass fiber mat shingles, for installation as Class A prepared roof coverings.
Asphalt glass fiber mat shingles, for installation as wind resistant roof coverings.
Asphalt glass fiber mat sheet roofing, for installation as Class C prepared roof coverings.
Modified asphalt glass fiber mat shingles, for installation as Class A prepared roof coverings for
installation on min 15/32 in. thick plywood decks.
Page Top Notice of Disclaimer Questions? Previous Page
VL Listed and Classified UL Recognized Products.Certified -
Products Components for Canada
This page and all contents are Copyright V 2002 by Underwriters Laboratories
The appearance of a company's name or product in this database does not in itself,assure that products so identified have been
manufactured under UL's Hollow-1 Jp Service. only those products bearing the i JL Mark should be considered to be Listed
and covered under IJL's Follow-Up Scryw. Always look for the Mark on the product.
i
http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRA.ME/showpage.html?name=T... 6/27/2002
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
Received Date Requested_ / AM PM __- —- BUP _
Location Z -Suite.----___ __ MEC
Contact Person .__ . Ph( �� 3 y� PLM _
Contractor __ Ph SWR —
UILD — Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR -_
Crawl Drain
Slab Inspection Note;: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewel I
Fire Sprinkler
Fire Alarm
S�_'ld
eiling
O - ---
= PART FAIL_ -
ING _ ---- - -------- -.__ --
Post&Beam`
Under Slab --- --
Rough-In
Water Service -- — ---
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other: --
Final
PASS PART FAIL _—
MECHANIC_AL_ ------
Post
_-__Post& Beam —
Rough-In -
Gas Line
Smoke Dampers — ---------.____---_-�- ---- --
Final
PASS PART FAIL _-. - - - - - -- - -- —
ELECTRICAL
Service
Rough-In
U'_VgIab Y
L 'tage
Fig •m
Firs, [� Reinspection fee of$_ _��.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
hASS PART FAIL
SITE _ Please call for reinspection RE:__—_ _ Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewalk
_L—/" —_ Inspector �/ -_ Ext
Other
Final DO NOT REMOVE this Inspec*Ion record from the job site.
PASS PART FAIL