Permit BUILDING PERMIT
� • ■ CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: B 9/2008 -00153
DATE ISSUED: 5/9/2008
ri e'A 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DC - 08500
SITE ADDRESS: 15735 SW OAKHILL LN ZONING: R -
SUBDIVISION: SUMMERFIELD NO.10 LOT: 572 JURISDICTION: TIG
PROJECT: SUMMERFIELD TOWNHOMES
Project Description: Tear -off and reroof, comp to comp. For addresses: 15735, 15745, 15755, 15765 & 15775.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
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 GRP: R3 TOTAL AREA: 0 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: $ 40,000.00
•
Owner: Contractor:
SUMMERFIELD TOWNHOUSE ASSOC #4 PACIFIC WEST ROOFING LLC
16200 SW PACIFIC HWY H -116 9360 SW TUALATIN-SHERWOOD RD
TIGARD, OR 97224 TUALATIN, OR 97062
Phone: 503 - 620 -4472 Contact #: PRI 503 - 635 -8706
FAX 503 - 691 -2249
Reg #: LIC 169414
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 5/8/2008 $435.25
[TAX] 12% State Surcha 5/8/2008 $52.23
Total $487.48
•
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 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: 6)4 a Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Building Permit Application
Re -Roof FOR OFFICE USE ONLY
City of Tigard Received P No.: ..-
II
Tigard, OR 97223 Date /By: `J O� ,R t�t�ls-3
° 13125 SW Hall Blvd., Ti
g Plan Review
Q Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TIGARD lnsfection Line: 503.639.4175 Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 7 ( a Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2-family dwelling 0 Commercial/industrial Valuation: $ Y) 000
❑ Accessory building [Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:
036 5 '1 l I L r New dwelling area: square feet
City /State /ZiP: I 1 (�� il 1 Garage /carport area: square feet
:. :
Suit apt. no.: (f), Project name: f E • II Covered porch area: square feet
-
Cross street directions to job ste: 0 I ` . Deck area: square feet
I '
Al _ f_&& , j I VV • e • 0 1 a 2 I Other structure area: square feet
A a t L & 1 an REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
�
' ��4
DESCRIPTION OF WORK n{, v /� 1 /e, work indicated on this application.
IL J,(b 5 /5 /7 - /tJ r75 - 15 le,0 99 Valuation: $
G
-T e Off , /7 p ;7 oO F Existing building area: square feet
(., on 1 1 l > �K I CJ New building area: square feet
❑ PR po51-n-on
PERTY OWNER ❑ TENANT Number of stories:
Name: y ,„ • ; intri + / c :W M Type of construction:
Address: Oa A ` r ��� Occupancy groups: ilimmin City/State/ZIP: , : , • • , ` 4 r G Existing:
Phone: ("57 �Ci 1 1....7,9 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: d _ 4 , . i ■ .4) , 1 I LL- ' All contractors and subcontractors are required to be
Contact name: .el _ . • licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: �I�f r, L I r % - do , m ' j ur i sd i ct i on i n wh work i s be performed. If the
City /State /ZIP: I s�l tl Q ( - OR 81)010.9 applicant is exempt from licensing, the following reasons
� J l ((.24`35-- I jl/� , I PP y:
Phone: l '] l JCS Fax: : . T
E -mail: .i ,I. t." it. . i _ 1* ` ( / � /—• ] °I/Ai I / ` —Oh
ONTRACTOR .
Business name: I lJx A C blest R c Y ') , `ng La' , BUILDING PERMIT FEES*
�I✓x Address:
PA (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lie.:
Total fees due upon application:
P ' A, Amount received:
Authorized signature: 1 I \ ,�•� ' This permit application expires if a permit is not obtained
V/VV// / ll )) within 180 days after it has been accepted as complete.
Print name: I t /1\,I I) v i •
- ;,/ , s Date: 6 -6 * Fee methodology set by Tri- County Building Industry
/� UI Ni I y i tv Service Board.
I: \ Building \Permits \ROOF- PermitApp.doc 06/26/06 �UJ , 0 e.I f\ b 3T(II /02 /COM /WEB)
L.7
CITY OF TIGARD . • -
BUILDING DIVISION PERMIT #: BUP2008 -00163
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008
Phone: (503) 639 -4171 Eon^ ( A
Inspection Requests (24 Hrs.): (503) 639 -4175 "' �
INSPECTION WORKSHEET FOR DATE: 6130/2008 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 15735 SW OAKHILL LN CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.10 LOT #: 572 TYPE OF USE:
PROJECT NAME: SUMMERFIELD TOWNHOMES
DESCRIPTION: Tear -off and reroof, comp to comp. For addresses: 15735, 15745, 15755, 15766 & 15775.
OWNER: SUMMERFIELD TOWNHOUSE ASSOC #4, PHONE #: 503-620-4472
CONTRACTOR: PACIFIC WEST ROOFING LLC PHONE #: 503635 -8706
Inspection Request Scheduled For: Date: 6/30 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 072013-02 503 -544 -2151 N
Corrections/ omments /In - r ns: e �
V r
r
(OK
ASS ❑ PARTIAL APPROVAL (g] CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES AS SSED
Vt: Inspector: Date:1 0 D 6 Phone #: (503) 718 - v e211