16705 SW MATADOR LANE Nl uoadlvW MS 5019L
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16705 SW MATADOR LN
Re-Roof 1111�� q 0
Building Permit Application
Date rr
City of 'Tigard txived: � r� l %/� Perrin no.dt,! d+C�i ITV,7�
Address: 13125 SW Hall Blvd,Tigard.OR 972'23 ProlecUappl.no. upi date:
City u(rgard Phone: (503) 6394171 _Da_te ixsu,: : __ Y Reei t
no.:
Fax: (503) 598-1960 Case file no.: Payment type:
6and,use Approval: 1&2 family:Simple Complex:
❑ 1 &2 family dwelling or accessory ❑Commercial industrial ❑Multi-family ❑New construction ❑Demolition
U Addition/alteration/rcplacement U Tenant improvement U Fire sprinkler/alann U Otter:
.1011 SITUINFORNIATION
Job address: _ Bldg.no.: Suite no.:
Lot: I Block: Sutxfivision: U V Tax map/tax lot/account no.:
Project name: p m
Description and location of work on premises/special conditions:� L Vv JL-id� / e-QKA
Q
1
Mailing add .s: 1 &2 family dwelling:
City: Srat�ZIP: 91.ZZ-41 Valuation of work........................................ $
Phone: Fax: I E-mail: No.of bedrooms/baths.................................
Owner's reprrsentative: Total number of floors................................. —
Phone: Fax: E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq.ft.).........................
Name: ,,,Q Covered porch area(sq. ft.) .........................
Mailing address: (� Deck arca(sq. ft.).......... .............................
City: hVA Ica..Q I State:()A Otter structure area(sq.ft.).........................
Phone:(.qo-S(.L} Fax:(.g0.gfqbp I E-mail: Commercial/indtntrinUmulti-family:
Valuation of work........................................ $
Existing bldg.arca(sq. ft.) ........:.................
Business narnc:
-- New bldg.area(sq.ft.) ................................
Address:/ D
} Number of stories........................................
City. State: ZIP:
Type of construction.................................... _
_ .
Phone (,-40-3f.7.3 Fax: qp.4fq E-mail: -
CCB no.: Occupancy group(s): Existing: _
S I l S New: _
City/mctrolic.no.: I&C15 Notice:All contractors and subcontractors are required to be
1011111111 KNOUJOU101111 licensed with the Oregon Construction Contractors Board under
Name: a pdiwap1 provisions of ORS 701 and may be required to be licensed in the
IL Address: p f c S L0 jutisdiction where work is being performed.If the applicant is
HCity: S tc:Q ZIP: Z exempt from licensing,the following reason applies:
U) Contact persomS}ar� t Plan no.:
Phone:2go-8},5 Fax:2to-fT&b E-mail: —
_J
m Name: A ontact person: Fees due apon application ........................... $
W
Address: Date received: _
-j City: _ State: Amount received ......................................... $_
Phone: _ Fax: _ E-mail: Please refer to fee schedule. J J
0 I hereby certify 1 have,read and examined this application and the Not all juriaektim,arcco credit cards,crease call jurisdiction for mare information.
attached checklist.All provisions of laws and ordinances governing this 0 visa o MasreaGrd
work will be complied ith itied herein or not. / Credit care numher.— / /
Expires
Authorized signature:t Date: Natne of cardholder as shown on credit etre
Print name: Jot,,% YY1 e P. o h — $— —
Cardholder HpWwe Amoaat
Notice:This permit application expires if a permit is not obtained witrin 190 days after it has been accepted as complete. 4G-4613(6MCOht)
RE-ROOFING PERMIT CHECK LIST
RESIDENTIAL ONLY - Ctess of Vllork:; ►lteratlon
U 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 r�--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 wcf).' shingles were initially
applied),_______
--
COMMERCIAL ONLY - Class of Work: Repair
STEP!: _ f ,
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 submit an engineer's
review of the roof structural elements. Review shall bear the seal (or stamp)of the
r architect or engineer licensed in Oregon.
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 applicable section and attach copy of roofing specifications.
Listed Assembly (Circle and complete A, B or C1: {
A. 1. Speciica ion #:
2. Manufacturer:_ rka..4
3a. UL Classification Ar ---�- —
Listed UL Building Materials Directory Page#: NS
_5ep & A_ -a.1/SW 0.f&�t
OR
3b. Warnock Hersey:
Listed Warnock Hersey Directory Page
'COPY OF ASSEMBLY REQUIRED J—
B.� ICBOResearch#:_ R-S300
_ Dated:C. SPECIAL PURPOSE ROOFING: WOOD SHAKES
Review required by plans examiner.
L
C — VA L U AT 16 W6V PROJECT:
►1 _ sq.ft. of roof area
Permit Fee based on valuation: g
3 � (see Building Permit Fees chart
9 8%State Surcharge: —
J
65% Plan Review Fee:
—(Required for major repairs of Residential or M •
Assembly item"C"above. ^_
TOTAL:
i:dstsVormslroofcheddlst.doc 10/05/00
CITY SOF TIGARD BUILDING PERMIT _
PERMIT#: BUP20)2-00292
DEVELOPMENT SERVICES DATE ISSUED: 7/17/02
13125 SW Hall Blvd.,TlQard. OR 97223 (503) 639-4171 PARCEL: 2S116AD-02400
SITE ADDRESS: t6725 SW MONACO LN (� r
SUBDIVISION: KING CITY NO. 10 '' O-7 S ZONING:
BLOCK: 13 LOT: 098 JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: of 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: sf 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:
MORGAN, ROBERT R + ALLENE M BOB CARLSON INC
16725 SW MONACO LN PO BOX 63
KING CITY, OR 97224 HILLSBORO, OR 97123
Phone: Phone: 640-3623
Reg#: LIC 5113
_ FEES REQUIRED INSPECTIONS
YType By Date Amount Receipt Ya Dryrot After Tear-Off Insp
PRMT CTR 7/17/02 $125.00 27200200000 Final Inspection
5PCT CTR 7/17/02 $10.00 27200200000
Total $135.00
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oc
N T:iis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordanoc with approved plans. This permit will expire if work is
J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
m requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
a 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
_J calling (503) 2.46-6699 or 1-800-332-2344.
Pe rm ktee A l
Signature:
Issued By:\� ( '
Call 639-4175 by 7 p.m.for an Inspection the next business day
CITY OF TIGARD 24-Hour
.BIALDING Inspection Line: (503)634-4175 MST _ .V
INSPECTION DIVISION Business Line: (503)634-4171 ��
Received _ Date Reques ed 5 _ AM PM BUP _
Location /6 _Suite MEC —
Contact Person — _ _ �. Ph PLM
Contractor— __ _ __ Ph SWR
R ° BUILDI Tenant/Owner — ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _-
Post&Beam T -
Shear Anchors -- -
Ext Sheath/Shear _
Int Sheath/Shear / �� n r ',7 / ' -z
Framing
Insulation J / '7 (., / / C_" 1 J 7 7
Drywall Nailing
Firewall
Fire Sprinkler - - --
Fire Alarm
Sus 'd Ceiling - - --- -
Ith _
SSPART FAIL
_PL ING
Post& Beam - l--- _- -
I Inder Slab
Rough-In
Water Service -- - ---
Af
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain z-
Shower Pan
Other: -�-
Final
_PASS PART FAIL -
MECHANICAL
Post&Beam -- _ ---_Y. -- -
Rough-In -- -- ---_ - -
Gas Line
d. Smoke Dampers ----_--- -- - -_�
Final
N PASS PART FAIL --- -- -
U) ELECTRICAL -__-__---
Service
Pough-In
m UG/Slab
LLJ -
W ow age LVolt -- - ------- ------ ------ --- -
Fire Alarm
Final [j Reinspection fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F] Please call for reinspection RE:-------- Fl Unable to inspect-no access
Fire Supply Line
ADAy (/�J1\
Vz' oZ-
Approach/SidewalkDatep_ Inspector _JLExt
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL