Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00313
DEVELOPMENT SERVICES DATE ISSUED: 7/19/2006
�'jl 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110AD -03700
SITE ADDRESS: 14677 SW 106TH AVE ZONING: R -12
SUBDIVISION: LANG HILL LOT: 031 JURISDICTION: TIG
Project Description: Re -roof 14677 and 14685
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 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: $ 3,875.00
Owner: Contractor:
FORD, ROBERT D AND INTERSTATE ROOFING
GENEVIEVE V 15065 SW 74TH AVE
14677 SW 106TH AVE TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: pRI 503- 684 -5611
FAX 503 - 639 - 3056
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2006 $81.70
[TAX] 8% State Surcha 7/19/2006 $6.54
Total $88
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: ✓ / ---- p / —�_ Permittee Signature: --, 2 ,
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.
.
„
.. . . r ,, RECEIVED
c " . .. .
.
Building Permit Application , . FOR OFFICE USE ONLY : , „ • City of Tigard JUL J 3 1;, Received-41r 4 _
Date/Bv: i 017 ; ' Permit No.:8ap
.,
13125 SW Hall Blvd., Tigard, OR 97223 CITY OF , - - Plan Review '
Phone: 503.639.4171 Fax: 503.598.1960 i.,6t,/, kvriVilA" Date/B : Other Permit:
Inspection Line: 503.639.4175 BUiLDIN r,.41 " !I, Date Ready/By: luris: 10 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
'';i:N1.4,,„ - -Ors;g0r :t;4-Vk NtiiiIiiiiiiEVkai.X=4.;;; D LNG
‘ 'W --,1i "ti1.7:„...t...-...::,,,Q„--: ---i.,14=t,',".--...,,i.,- -_,-- ,....' :1:.;. -„ - • ' '.-.
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
- Indicate the value (rounded to the nearest dollar) of all .,
El Addition/alteration/replacement 1•Cither: equipment, materials, labor, overhead, and the profit for the
c -4; - ''''' f i 4 v 3 '..:14404:PreitereTreoagtolatialte5plaaligM work indicated on this application. .
- ,____.
rg7 :-,.,4,.:: r''.. 4 4..:' f .r ' . l',--",1**4- 1 ,•.! ..;`,‘;'' "
Valuation:
0 1- and 2-family dwelling 0 Commercial/industrial $
Number of bedrooms:
0 Accessory building Multi-family
0 Master builder [..] Other: Number of bathrooms:
-q : 3 t r: P e k .-: - PPIPtlarrapi6"14010131113MIT6liffintrOtVg:it Total number of floors:
-.."i'itilitt..-• '',4..at. '''' .4ttgre.E41,'4z...p.i4r - -' ik'14.sg15 :tallati.g 1 , .-. ',',. ;..;,.' : . titf41 ,
Job site address: ji/t,77---- / e 6 c ?5 , .5 tAi /0 ‘ TN New dwelling area: square feet
City/State/ZIP: 77
'ARn Ogs ? 12 '. ii Garage/carport area: square feet
/
Suite/bldg./apt. no.: Project name:CALA-Lk/ A y co A.) 0 0 5 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
4ogml.65- 41iiii,:6-iikia
Subdivision: I 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
work indicated on this application.
rd 1 .--L- 454 1) 1 240F/A/6 - TOpz&ii D ec,<. Valuation: ....---
$ 3,8 75 cr°
40.5r t- 4- 30PG. ASni F / <EAA)i) 5 1 0 6- 6 AT Existing building area: square feet/area:
PeAJe?Ril 77 DAJ 5 i side AT 44 ksi 11 1 F4451// a s- Y or 64-& building square feet
67,,i.-Y 41,"IIL1v.V ''''' ;',1'45,-.A. i,, 7.':'1■1'*:_riArAy,',,, 7,14,,r,"&"'W, ...
X:10 ,:t.,.'
1441* - 77.-' , „ .., 50ROPERTVD A 1 "N ERV ? 14 VTORtif 5 g. .' k..ii1SIS Number of stories:
..-...x- , -1,A-...,...t,..-7A4. ';',$,Ilit . ... , -2 ",1,1 =:;;;‹,.„,..",..„;
Name:/j IN j COil jt4 IXkr' 77 14 14 A 66:11C-N7- Type of construction:
Address: P 0, G o x v 3 9 ? Occupancy groups:
City/State/ZIP: -7-764gD / ,0 R 972 6'" Existing:
Phone: (5(33) 4,7D .- 8 'L ( Fax: (543) 670 -0775
New:
lef,t,77% ;#0,,,_
0-4*,..,,,,,,,WW,,E6VM-Ifi ,'
, xir.i . ...,,,v,,,.40:.14. 1 . - ;00:',-:,1: - .. , -, ;i'.: i :._:-•-,:-.. • ' ' -':•-- =-
Business name: /jJ7 izsrotyr 2.orr 6- All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: A grOkif 0 8 ERriLko ez — 503 - L EY , ? . 5 (
under ORS 701 and may be required to be licensed in the
Address: / 5 o h, 5 s (4 7 /St e . jurisdiction in which work is being performed. If the
applicant
City/State/ZIP: 0 -7-L. A Af 40 I 0 i, 97 z. , is exempt from licensing, the following reasons
p g . 7 y apply:
Phone: C.5'0, 99L 5( 9 // Fax: : 663 6 3?... 3 o _s- 6
E-mail: pA44., c, .10
tx...t, ',:,..:,^" , , f-,.c. , 4/t-osavq•!... - - . --:''.i":*"_•-z-- ' 4, - . 14 of .f r - ' . -13,,a4V S C- G . -
Business name: / A1-7-£ a Al' G.- rt7 7 - ? t .;..y
Address: / SO (5 s°(,) 7 zir A 1' ,
Please refer to fee schedule. •
CitylStateZIP: 1,1)--11._.A-/%1 ' D OR, 9 V.2.
/ Fees due upon application
Phone: (563) 4, 2 y _56 I Fax: S03— 6,99_3 6 .5.4
: Amount received
CCB lic.: 55ifss ,
Authorized signature: - (12,t
/6„.". Date received: 7/ i 0
This permit applIc ion pires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /..-, 0 L-(.15 0 12jti ... L. i' 5 Date:7--V4 6 4 * Fee methodology set by Tri-County Building Industry
Service Board.
i: \Building Terrnits \BUP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB)
�b
Ci TIGARD
BUILDING DIVISION 7 ( PERMIT #: BUP200C� 00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7i1°3/a0Q1�
Phone: (503) 639- 4171r�`
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06A 4 PAGE: 73
SITE ADDRESS: 14677 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: LANG HILL LOT #: 0,31 TYPE OF USE:
PROJECT NAME: CALAWAY CONDOS
DESCRIPTION: Re -roof 14677 and 14665
OWNER: FORD, ROBERT D AND, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503 -684 -5611
Inspection Request Scheduled For: Date: 9/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036594 -05 503-718 -2423 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FO INSPECTION I I ADDITI NAL FEES ASSESSED
Inspector: \ Date: l 46 Phone #: (503) 718 - 2-