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16700 SW MONTEREY LANE '.1 r� 16700 SW MORrE REY WIE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 _UP,_ Received . Date Requested _ AM--_ - PM BLIP —.- — � 2- - Suite -- —_ -- U � Location -- -- MEC - C gtact Person __ __ _.. .. Ph( PLM � - _- --- _ Contracto> _ _ _- Ph(---) SWR UILDIN Tenant/Owne. -_ ELC F3-6 M9— F' C -- — Foundation Access: Ftg Drain ELR - Crawl Drain -- r Slab Inspection Notes: SIT' Post&Beam ------ - - Shea-Anchors Ext Sheath/Shear ---- Int Sheath/Shear Framing -- Insulation Drywall Nailing --- - --- Firewall Fire Sprinkler -. - - --- - Fire Alarm Sus 'd Ceiling - ----- _ - oof le : _-.. in PART FAIL PLUMBING -- ----�- - - - - Post&Beam Under Slab ---- Rough-In \ Water Service Sanitary Sewer Rain Drains / - --- -- - -- Catch Basin/Manhole Storm Drain - - Shower Pan Other- Final PASS PART FAIL MECHANICAL Post&Be am Rough-In Gas Line Smoke Clampers Final _PASS PART FAIL. ELECTRICAL Service Rough-In - UG/Slab Low Voltage --- - -- Fire Alarm Final L7 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS_ PART FAIL SITE r] Please call for reinspection [:] Unable to inspect-no access Fire Supply Line ADA /��,,�1 _.� Approach/Sidewalk pets �- - ---- - Inspector _ Other: Final DO NOT REMOVE this Inspail tion record from the fob site. PASS PART FAIL cirirOFTIOARD COMMUNITY DEVELOPMENT DEPARTMENT �orta0MON L;i h, i I k. . . . . 13125 SW Hail Blvd. P.O.Bat 23397,7i9wtd,Ortpa,07223 (603)63p 4175 7. t7.F:!1-1i . . . 1f'1QiG's Ld 11011;'Tr*,P.[-'Y' L F=ARCRI WALL. .. � 1. L:L.f,;. ..� L4 WUPI,,'„ f� I FIbI . . . . S 114: is r r E-" QF} i..J'*,'F... . ; ri., 7"1F:r,C3r^dD. - 1 Yt-r( C3;-, I.,LJN -wI :5N THIRD. f N. OCL:UNANC Y GRP. »P, TOT1--ii-. t? S f (?t)!'1r, ro , ,'r r r T r.F. Ll(-AAJPANCY LOf)D- BASE=ME..NT. r,f ARE(i 1-1EP. RAT;.1; : rCJI'�. ., 117 . rk rJr�f2Af`I(�. . . : > Or"CLJ SEP. RAILD., 13IS(Yl-i'? : ML.z I? a RE::o.r) - r-L DOR „r € . . , . : h,:, � L.I�_r="r : F t PG 4'r: f t r r.k !:,i PKl . DE�. . UWC'LLING UNI ff3; FRNT: ft REAP: ft Fiq Pi-Pm- HND TCP fa!";t_ BATHS: IMP 13UP PCIL. - PP i' ii'I(, Vf4l._UE_. a I ;::'00 Remi-Lwk s : tCI -r. ODDING 3 W r rvDCJW�; WINDOWS MUST MEET NEW CODE U-w, 40 WILLIAM D1LL:.3C:HFF1DE R type a+m0ur,t rev clate (:I(. l 6 7elb �,W 11061F.RE:.`v' P1_CK d 16 t JL.H 07/I5/9;, . kt.1hlfi t:y' 1 Y OF? J —, 1I.-lr 0I/ ;l �•'rl t7 YP Fs kf 1 1/1 c;w RFitDAl)WI)Y DR It 4j- lis perfit is izs�:ed s(1t-µact Sc, the reg+alattons �rortalned in the 6'r�,-lmi.niJ 1�fr,R igard Municipal Coy`*, hate of ,)re, Specialty Codes and all othe> f i 1 .a l f fl',1:1^c t r,r7 aoolicahle laws. gill r1^rp will he dine in aecnrdamce with ac^prove) plans, This perwifi will expire if work it nat started ithiv, 180 dayx pf 7-s lance, or if wore is 5tt4pended for e!(re - r;an 180 days. 4 . , t'ie M r 13125 SW Hall Blvd. PLNCK/RECT # CITY OF i IGARD PoBox 23397 PERMIT a CONINIT)NITY 11h1'i;LOI'\1E,'•I• D1i1'n1 TMEIN•I• Tiigard•Oregon 97W (503)639.4171 DATE: ISSUED 0- JOB ADDRESS: LA�. TAX MAV/I.-OT -- SUB: _ LOT: _ LAND USL: VALUATION: OWNER SPECIAL NOTES NAME: tt',LS(t 1 `�.J� 6�` I �NJ � � REISSUE OF:YRI _ ADDRESS: - _ 1__ LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: _--- - -- 1 CONTRACTOR APPROVALS RE UIRED NAME: �l1� PLANNING: ADDRESS: z Z11 el-64L -�L —' ENGINEERING: Ls.r-V-, e!'L� �— --- FIRE DEPT: -- — PHONE: �.-07 _ OTHER: CONTR. BOARD #: EXP DATE: _ —1 kl ITEMS REQUIRED ;SUBCONTRACTORS: PLUMB: — j LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH)'ENGINt�lptf CALCULATIONS: NAME• _ �C TRUSS DETAIL:;:� Q ---- ADDRESS: l c`�C-L/ �+ OTHER: P—Dk — i PHONE: �� PROPOSED BLDG. USE: - COMMENTS: UIV-- --- — --- .� APPLICANT SIGNATURE Received By: _ ____®__.— __� Date Received: PERMIT N ACCT k D) SCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-437 00 BuildinqPermit Fees _ 10-431 00 Plumbing Permit Fees _._ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing _ Mechanical 10-433 00 Plans Check Fee V � Building 2-- e _ P1 rimb i ng Mechanical 10--230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Insaection 25-448-0" Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 9q -448-05 Mass Transit TIF Fees 52-445 00 Parks System Dev Charge (PDC) _ 31-450 OCA Storm Drainage Syst Dev Chr-g (SSDC) ?4-445-01 Water Qual i i.y (Fee in lieu cif) 24-445-02 Watrr Quantity (Fee in lieu of) T TOTAL b nm/3587P.WPF N 70 CLIMAX CONSTRUCTION CO. 1440 S.W. BROADWAY DRIVE �' PORTLAND, OREGON 97201 y or T I GAPD WCE, IF' r OF V,AVMr.rNT RFCr'lPj* Nfl. CHF-Ck r4m()LINT WOME. CAAMOX (AINSTRUCNON CW31 I AMOUNI PAYlvjFNT DOTE 07 i 1 1440 ':.)W FAROADWAY DR I,J 8 of V f S,TON PcIr.- FI.FirlD, m I - PUR6'05F OF:- PA YME'N'r AMC UNT POID PoPPTIEW.' OP Vl0Y1e&'Nl* ()MC)UNT P411r, 1, 100 "..-41 MONT [67 t 1NF, PA NG CA I* P15 trior?D FIFTA, Ulli (lfF'i�rrirhi i I L,C. 1 P V �'AAECA­'. AMOUNT AMOLIN I If-, '700 5W WINIEM-7Y LN r_,*()Ymrt4,,r SIJK*!t v 1 r]).(ON Tkif", c Pf 1)r? CIF, r,(lyMVNl, [IF flnr.'14T AMOUNT Pr4l D —L,1) -N-o r* i�i ty"1 012) PLIll T) PEI.' i,(.,AN CIAFXA,'� Fr V_. o. 0 L?l iI TIOTAL AMOUNr 1-441D 16. 25 LN&PECTLON NOTICE City of Tigard Building Departc4nt. 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line ((( oocc-O-Phone):: 6339,-4411755 Businena Phone: 171 Inspection: --- Footing Plbq. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out One Line FOAL Post/Beam Struct. San. Sewer Framing J-Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plby. Underfloor Water /Line /, Gyp. Bd. -Mech. Date Requneted:_ ---/- �f0` /tom I AM PM Ad:ireee:�� ��!U-� 9Pehait If Uuilder:-_- All i IC �l i TUE FOLLOWING CORRECTIONS ARS REQUIRED: Inspector: __ — - -Datne �✓ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGAR© BUILDING PERMIT PERMIT#: BUP2003-00253 DEVELOPMENT SERVICES DATE ISSUED: 5/9/03 1A25 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S116AD-06200 SITE ADDRESS: 16700 SW MONTEREY LN SUBDIVISION: KING CITY NO. 12 ZONING: 81 17 LOT: 005 JURISDICTION: KIN REISSUE: FLOOR AREAS _ EXTERIOR_WALL CONST RUCTION 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 GRF: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: si AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP RATED: BSMT MEZ.Z?: ___ REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKI.: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC: BEDRILIS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 55,286.00 Remarks: Reroof entire building (install new plywood over spaced sheathing). (6)units: 16700, 16720, 16740, 16750, 16760,& 16780. Owner: Contractor: HAYS, MARGARET S TRUSTEE 30B CARLSON INC 16700 SW MONTEREY PO BOX 63 KING CITY, OR 97224 HILLSBORO,OR 97123 Phone: Phone: 503-640-3623 Reg #: LIC 511o11o33 gg�� FEES —�-_ - ' MET REQ ORM - Description Date Amount Dryrot after tear-off 1Itl'ILD1 I cmilt FCC 5/9/03 $503.62 Final Inspection titatr Tax 5/9/03 $40.29 Total $543.91 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 plars. This permit will expire if work is nct started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon 'aw requires you to follow the rales adopted by the Oregon Utility Notification Center. Thane rules are set forth in OAR 952-001-0010 through OAR 952.-001-0100. You may obtain a )py of these rules or direcl questions to OUNC by calling (503)246-6699 or 1-800-332-2344. l Issued By: Ponriittee Signature: r — ------ -- Call 639-4175 by 7 p.m. for an inspection the next business day FOR OMCE USE NLY uildin Permit Application Received Building , DateB ;.5/ . Permit N a4° ery zfe'z— Planning Approval Other /% DeteB Permit No.: 13125 SW Hall Blvd. Plan Review Other 'Tigard,Oregon 97223 ate/13y: Permit No.: Phone: 503-639-4171 Fax: 503-598-19604 Post-Review Land Use Date/By: Case No. _ Internet: www.ci,tigard.or.us Contact J ' 1 0 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ /"5qupplcmcntal Information TYPE OF WORK REQUIRED DATA: New construction Demolition 1 &2 FAMIIA'DWEHANG Addition/alteration/re lacementH Other: -- CATEGORY OF CONSTRUCTION Note: Permit fees•are based on the rural value of the work perforntcd. Indicate __ 1 &'1-hamily dwt llinbC.ommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, _ — overhead and profit for the work indicated on this application. Accessory Buildinb__ _ Multi-Family Master Builder Other: valuation......................................................... $_ —-- - No.of bedrooms: No.of baths: JOB SITE INFORMATION TION Total number of doors.....................................Job site addres�1�13]d New dwelling arca(sq.fl.).............................. .#: Garage/carport area(sq. fl.)............................Suite#:Project Name: _; Covered porch area(sq.fl.)............................ Cross street/Directions to job site: Deck area(sq. ft.)............................................ _ 10-06-?or /6750 Other structure area(sq.ft.)..................... . .... rip 16, 71z0 1063C-P /6 7G0 D66ev — — voe /G 7Y6 067ot1 REQUIRED DATA: _ COn11�1ERCIAL-i15>;CIIFECKLIS'I' Subdivision: __ _ Lot#: Tab map/parcel# Note: I'crmit fees'are based on the total value of the work performed. Indicate ULISRIPTIONfF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, (I ----–T/�y overhead and profit for the work indicated on this application,1yt Valuation......................................................... $ �6� - Existing building area(sq.ft.)......................... New building area(sq.ft.)............................... Number of stories............................................ &R(1'ERTY OWNER -,�0 TENANT Type of construction....................................... —_ ��''-- //� Occupancy group(s): Existing: Name. 4114 n .V��� sor�c3_. New: _ - Addres8.T — — Cit /State/Zi it- `17TJ� — --- NOTICE: All contractors and sttbcontracto,s are required to be Phone: licensed with the Oregon Construction Contractors Board under _ ;APPLICANT : ;AF�ax: ONTACTPFRSON provisions of ORS 701 and may be required to he licensed in the 13usineSSName: Q _ kC _...—__ jurisdiction where work is being performed. If the applicant is exempt Contact Name: C-r� 3 from licensing,the following reason applies: Address: 5PD �W '}--lao4 P'V. e" (s — Cit /State/Zip: I�;Ihv O's ??I - Phone:503--yv �3aax-: 03 --�7 --BUILDING 1ER11T FEES* E-mail: ctA, Please refer to fee schedule. CONTRACTOR Business Name: �b�i —_ ��._ � _. F:es due upon application. ............. ... .. .. .. $ Address: %6 L M l.F -L P-6, 93).4-3- Amount received............................................. 5------ _ Cid/State/Zip: �;Il _CR— 9710-0-00-- Phone: 6o3 71a3-(70CsZ—Phone: 6o3 (,,'/D-&IJ 9 1 Pax: 0 '� Y " Date received:___.- _CCB Lic. --- Authorized Notice This permit application expires if a permit Is not obtained within Signah /tte: _ _ __ O't �r` 163 180 days after It has been accepted as complete. U �. •Fee methodology set by Tri-C'ounh Building Industry Service Board. 5 (Please print name) `DsU\Pcrmit FormsBldgPcrmitApp.doc 01/03 a4/28/2003 08:21 50363'l-It 71 CITY OF KING C11Y PAGE 02102 i ]KING CITY 153OU SAV, 116th avenue,Feng City,Oregon 97224.2693 Phone:(503)639-4082•FAX(503)&39,1771 Notice To Contract(irs Working In 'Kin city Due to an intergovernmental agreement with the City of Tigard, many budding related permits for projects in King City are issued and inspected by the City of Tigard. ff your permit application DOES NOT REQUIRE PLAN REVIEW, slgIl ply complete the appropriate application legibly ani submit it to the King City staff. The King Citi staff will collect all fees and fax the appl:(ation to the Cin- of Tigard. City of Tigard staff will then create the permit, issue the permit. a,1d perform inspections. Please indicate on the permit application ,whether you would like the T igara staff to call you when the permit is ready for issuance or tlhether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction ah.d no proces�Ring «ilJ occur until a complete, leuible application is received. i. If your permit application DOES REQUIRE PL.-ILII FaVIEW, this form must be signed by a King City staff person. King Cim- staff will sinlpl, sign this form indicating land use approval. T%,ke this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians art- available at 639 -4171 Ext. 304 should you have ;,n� questions concerning s abmirta] requirements. All permit fees will be �.ssessed and collected at the City of 1'igard } The City of King City hereby authorizes applicant to pursue permits at tite ('ity of Tigard r Building Department for the foliov.-ing project: located at:–"-A_– T``�`-W-4-Al— King City Representative I D4Tf KCI�Sf qOC Malarkey Roofing -272 Legacy SBS Modified Laminated Shingle Page 1 of 2 TECHNICAL PRODUCT DATA SHEET #272 LEGACY"' SBS MODIFIED LAMINATED SHINGLES WITH POI.YGLASS"'MAT PRQMQT-MCRPMN Product Use:#272 Legacy SBS modified laminated shingles are used whenever increased flexibility, archiloctural design,tensile strength and tear-resistant shingles are desired.These SBS rubber modified asphalt shingles are dssigned for a 5518"nxposuro Precautions:/272 Legacy SBS rnodfied laminated shingles require dry storage or plastic-covered storage and protection from the weather until applied. Do not u.e on roofs where the slope Is less than 2" For slopes 2"to 4", additional deck protection Is recommended 9272 Legacy SR. rmdified laminal-id shingles have a factory applied self-sealing strip that activates in warm weather When applied in cold weather or windy location,hand-sealing is recommended but not required lf sealant activates. In high wind areas,six nails are required Contact Malarkey for further conditions and instructions Composition and Materials: #272 Legacy SBS modified laminated shingles are mineral-surfared and self-sealing, made with SBS rubber modified asphalt coating and Rre-retardant fillers on a Malarkey polyglass fiber mat,and feature the exclusive design of"The Zone"o' TECHNICAL DATA 0272 Logacy are available in 9 standard colors,wilh othnt colors available upon request with a 300 square minimum Typical Average Properties Approximate Weight 275 lbs.(124 74 kg)per square Dimensions 13'/4"x 40'(t 1/8') (33 m x 1 02 m) Exposure 5 518"(142.9 mm) Shingles par square 64 shingles(4 bundlos/square) Granule Adhesion 0.5 gram loss Fire Rating Class A Warranty 50-year Limned Warranty 110 m p h Limilod Wind Warranty The Legacy meets or exceeds UL 2210 Class 4 Impact Resistance,ASTM D 3x62,ASTM D 301890 Type I,ASTM D 3161-97 Type I,ASTM E 108 91 Class A and CANICSA A 123 51998,ICBO ER-5300 The Legacy Limited Wind Warranty may have conditions attached to it Please contact Malarkey Roofing for hn*hcr details WUpAA1JON Pg0QKV.URE All shingles should be applied over underlayment,Malarkey Right Start UDL ur an approved substitute Shingles should be attached to decking by approved fasteners,comply with bundle printed instructions end meet industry standar('s contaired in NRCA or ARMA manuals Malarkey recommends the use of nails for fastening For specific installation Instructions,consul Malarkey Roofing Company JW MRANT7 0272 Legacy SBS modified laminated shrnglns carry a 5o-year limited warranty and a 110 in p h limited wind warrant) Docunkms http://www.nalarkey-rfg-cotn/'I'echnicali272 htni 6/27/2002 TFW7..R4299-Prepared Roof Covering Materials Page 1 of 1 1Directory TFWZ.R4299 Prepared Roof Covering Materials Page Bottom Question_s? Previous Page Prepared Roof Covering Materials Guide Information HERBERT MALARKEY ROOFING CO R4299 3131 N COLUMBIA BLVD KENTON STATION PO BOX 17217 PORTLAND, OR 97217 USA Asphalt glass fiber mat shingles, for installation as Class A prepared roof coverings. Asphalt glass fiber mat shingles, for installation as wind resistant roof coke ..,t Asphalt glass fiber mat sheet roofing, for installation as Class C preparfo . _"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. rage-Top Notice of Disclaimer QtWationO Previous Page VI,Listed and Classified til. Recognized Prodliets-UrAJf±fd Prottticts Components for Cn-t!ada This page and all contents are Copyright Cr 20()2 by Underwriters Laboratories Inc.1t, The appearance of a oompr_ay's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow-Up Service. only those products bearing the 11L Mark should be considered to be Listed and covered under I JUs Follow-Up Service. Always look for the Mark on the product. http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.html?name-T... 6/27/2002