Permit BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2006 -00321
_� DEVE ICES 503-639-4171 DATE ISSUED: 7/19/2006
PARCEL: 2S 110AD -05300
SITE ADDRESS: 14856 SW 106TH AVE ZONING: R -12
SUBDIVISION: LANG HILL NO.2 LOT: 046 JURISDICTION: TIG
Project Description: Re - roof 14856, 14862, 14868,14874 .
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: $ 9,257.00
Owner: Contractor:
SMITH, SANDRA DEE INTERSTATE ROOFING
14856 SW 106TH 15065 SW 74TH 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 $139.30
[TAX] 8% State Surcha 7/19/2006 $11.14
Total $150.44
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: �� CO!, Permittee Signature: --c, Q.
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 APPIrjictrEIVE D FOR OFFICE USE ONLY
City of Tigard nti.--A-• A • . . ,
Received
Date/B : • ot9 i56 /
Permit N il owob - 00 124
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 Jul_ 1 P., 200 ■•4it Date/B : Other Permit: 4'
Inspection Line: 503.639.4175 • Date Ready/By: mpg 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CT'( OF TIGP+1 t\I Notified/Method: — • Supplemental Information
„ Ea NG DIV
'',VA.=--tt:""Vrctr4tVVyRz-:'Oc15ESV1WsP.tNF,V/Frigf.:Wg4.'f:f-ZA'g- i,Tiabli1Ai,sk",1,.i.,,;A14y.;.,6,iicy DWELLING
194 xy
kig.,...;,...,,, -
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
0 Addition/alteration/replacement 7k1ther: equipment, materials, labor, overhead, and the profit for the
: I' .*Merig — flare6MM141- *, .i71.A.L.k.442-34:4-4:i work indicated on this application.
4ii •'-' - `.4 -..` '- 2 . .-...4 '2 :.-zo vin T: , ...K1:4;‘,:- 4 ::. . 7"i.... Vi
Valuation: $
0 1- and 2-family dwelling 0 Commercial/industrial
El Accessory building Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
. -.- '' . 1,V3TVIT&Nriti&-VirAlgritglifaNgW -* - 4 ,k' t " - t . TOW Total number of floors:
le ' ''' , 1/4 ' Ig-4,..W., .... utort.4,710.10.--: . - 1.vidtivw.eiglii - :--trizaki V
Job site address: l'5 — / ( _s Li / ie) 6, 7 New dwelling area: square feet
City/State/ZIP: 77 ,.. I 0 g ? '7 2 - ,-- it Garage/carport area: square feet
Suite/bldg./apt. no.: Project name:<4,4AuJ /4 y 643 A1 Q 0 .5 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
W., CHEC :: •
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
p,,,,,,r
„
work indicated on this application.
7 C4 4 L-L a 4- D R,-f& To p gt0 4 ecK. Valuation: $ q2. 57 '
(
L. L. 3 o:t . 3 Arai . <6 u)'.sit/e1:--0 AT Existing building area: square feetZ/30 0
Pe/kJ e-Z1ZA 77 Y Ait-s i 1 o r EA.& 4. iF New building area: square feet
girk.A., :VW .. b*IA1Wie" 41 )' " Number of stories:
•.:-%!.424-.....!Ak . ' .oi:.:Fg-T:i. - 41,1, -. ti,,,10 4 ,...c41 , ‘Ack t ,.,-,
Name:/j tki c oil ) 14 t,,0,3-1 T y pi 4AL4 66 71 6 7 , 4 r Type of construction:
Address: Pt 0, / 3 o x v 3 4. ? Occupancy groups:
City/State/Z1P: --1764gD i R , 9.7 2 6 , I Existing:
Phone: (503) 670- 8(1 i Fax: (5, 470-0775
New:
4 -pmt-Ao r ,mrivfx kf .NpFrF ; cT . x, :7f .„, : ,„:,lq. A *i;,.,,,, , ,,......,.: ..,..... ,-
Business name: /07 2 o - c - r/AI 6- All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 01 id To/4f 0 B ez — 503.. ii.tyy, S A 5
under ORS 701 and may be required to be licensed in the
Address: / 566,, 5 sul 7L/74 aq■,,te • jurisdiction in which work is being performed. If the
City/State/ZIP: (2 _ 4 /JD 0 9 -7 ,
applicant is exempt from licensing, the following reasons
c g-7-1 7 2 hi
/ apply:
Fax: : (5 0 63?.... 3 0 _5- 6
-- PAIAi -
E-mail: 1)-''
'_! 4 '.'':...it 'ts'iqt•Mtitti71.41
Business name: /A/ "re 7 * a c rer , / Al C-
T;: -,!::: i:KIBMDThiGTIRmIr :.FEES*
Address: / S 0 475 sl„.) 7 iiThc AN/ - ,
Please refer to fee schedule.
City/State/ZIP: p OR, 9 4 (
/ Fees due upon application
Phone: (63) ( g y_5‘,./ Fax: (5O3-6 g9-.3 O 5
Amount received
CCB lic.: 5 5 if g i.,524:71.4.44.... Date received7 /G iff
Authorized signature: 6124,-yvve--ZZ--1/ This permit ap lica on expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /,-, 0 LC 15 C e Z.. m 5 Date:7--14 --- 6 4 * Fee methodology set by Tri-County Building Industry
Service Board.
i: \ Building \ PeTmits \ BUP-PermitApp.doc 12/03 440-4613T(11/02/COMPNEB)
CITY 0- TIGARD
_ N
BUILDING DIVISION PERMIT #: BuP2oa&-00321
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2006
Phone: (503) 639 -4171 A z , ° �� "�
Inspection Requests (24 Hrs.): (503) 639 -4175 � �' W °''f L .
• INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06AM PAGE: 7Q
SITE ADDRESS: 14856 SW 106TH AVE CLASS OF WORK:
SUBDIVISION: LANG HILL NO.2 LOT #: 046 TYPE OF USE:
PROJECT NAME: CALAWAY CONDOS
DESCRIPTION: Re-roof 14856, 14862, 14868,14874 .
OWNER: SMITH, SANDRA DEE, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503.684 -5611 1
Inspection Request Scheduled For: Date: 9/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036594 -08 50 -2423 N
Corrections /Comments /Instructions:
r ' --( n P .---
•
✓PASS PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL I CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
X 11 ' z
Inspector: Date: Cr 5 Phone #: (503) 718 -