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Permit
CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00331 4 14 0 01 ,, i DEVELOPMENT SERVICES DATE ISSUED: 7/19/2006 ��, II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 110AD -05100 SITE ADDRESS: 14830 SW 106TH AVE ZONING: R -12 SUBDIVISION: LANG HILL NO.2 LOT: 044 JURISDICTION: TIG Project Description: Re - Roof for: 14830, 14840. 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: POTTER, BARBARA L INTERSTATE ROOFING 14830 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 $81.70 [TAX] 8% State Surcha 7/19/2006 $6.54 Total $88.24 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: - _ Permittee Signature: s' j -R., C''‘\n,K 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. EIV ® Building Permit App 1 FOR OFFICE USE ONLY . ceive. City of Tigard JUL Re l • e Re eiv : ` Pe rot N ��� 13125 SW Hall Blvd., Tigard, OR 97223 1 2006 , n ` g Plan Review Phone: 503.639.4171 Fax: 503.598.1ttrtz �F ksmshl ' I ts` , 0 Date/By: Other Permit: Inspection Line: 503.639.4175 g rIGAR `' Date Ready/By: � ,.J El See Attached Checklist for Internet: www.ci.tigard.or.us UILpIN DIVIES16- Notified/Method: J U Supplemental Information , r: t . : w .. -- s � -: ,t i.�+'• - , �. <,x+ y" �: �- SC.A'.�, 1�7,5'c •:-:.XC�!t�.� , :3i.. . r. , .>� .� .� ,. r ,. ..�tk:rt, �i n� aC�dcma�;P�F:.. � , .- s,,_.• :C.'.5.":p<`.;:ec•_,�`:. c l , � . • . '= • v ,ms .. E i Q)Ci. "QWOItTfI :, k4 . 4 .2. - . RE'QU A 1 2 F DWELLING .:. ��> fir` .. � -'�"' ». (� .. t.*'_,t/,-r.,,�t ... ...,m.... >_vr.x":... +n,.�: i .a�. �,•. a.;+- ,. `. P:�'� -,. -tr ;�ay N�.- aidde�3ts n %��y ❑ 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 -- .�,:x- .c :w.,. �i , 'HsaT' -ra�"rhz,' �'�. ;:�;. ^s..� = a•c:c..�:, di d this <, e a fix^ a 6 • _ , aw work indicated on ts application. I , TEGOR ' OFo • , ©� ` c , ia-r, :;w a six r �w;?*k'. +i ry >..w �..;��ea.� rx�:"?z �� �'� 4.. :x,; =^rr dwelling Valuation: $ ❑ 1- and 2-family g ❑ Commercial/industrial ❑ Accessory building Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: b sS r a n3a+ ^S,y- . a +. }4 te4: gz�F.aa.,:�s..:.:-e::az��k^Yr• t � ' , :lal . IT 7 t QRMA O OCA TIO ..`;4,, PIS Total number of floors: �t. '} r -_.fir , ,f, '?.: k-L , w� ,•.. i:J Job site address: / 7 3 3C / y ey a S %AI / O 4o rite New dwelling area: square feet City/State/ZIP: 77 A� i 0 R ?-7 2.2. y Garage/carport area: square feet Suite/bldg. /apt. no.: Project name:CR,L, q (.*) A / C[.7 /11 Q 0 $ - Covered porch area: square feet Cross street/directions to job site: ! Deck area: square feet Other structure area: square feet .,x.4r • . f¢,,s,..±'.>,: s t v;�..;. 4- . ,,,,,,,4;.. . b rRE QU w IRE D > DATA,: PYI Ig =IJS CHECKL'IST': • Subdivision: l Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all r• Ls -c ._< e� ,:� s ,,, :�v ;;,. .. >,.. , :1s::.:ai._ R and the profit for the equipment, materials, labor, overhead, a e r 1i s "' , i DE OE a , �;t a t ,,, -$?� `'` ` " work indicated on this application. ! a Va k. ...ss' � - ,'�X£i � 1 ` :.- `z?uar:R.. . :. fw.tr WP,rr;:.ke. ik.ter - .. , ta i. S i.r%,tg:�,- . 7 &c1 A- LLC3 / - OA∎A To jL 1.,10x © ec.4 Valuation: $ 3 )75 Existing building area: square feet/8 6 la�'�LL 3 OP. AS711 ,1 /<EM4 s1 AT P , A 77 0105 $�DEJ� (/ 45 / /Ai(+S. 'fcf izJ .4 New building area: square feet .sxr. r•w ^ ^° ",re: ; . :, 's,v - ., `p'--.. u ,cup c .. . .», .. , -.. ., ,� ,x.: =.';,PRORERTY ;: ? �N ER#� ;ii i, � , r .,. , , r a; ® ;< EiV'ANT .Q., ,, ",, .- 1 t• ` Number of stories: �� ' t » b'X47�'N ^�r:� w :,.,:.::'v»:. t:4'.:'e "w.•;•� e#<t :.��:i�. �•..,• AI;.a" �,. z. � . + f- i.' '"i € Name: L•OJ1 / i41rt T t-t 4AJA 66 14 N r Type of construction: Address: Pt O /3 ox 2 3 C C/ ? Occupancy groups: City/ State/ZIP: 776 4RD, D R. 9 . 6 f Existing: Phone: (503) 670.- 8 ( / / Fax: (563) (070 -0775 New: A, .41'''1. , w. .,�•s q • y j ..K, «. m ar: .'a y *' b •,e. , W4-4' , M'�g9 y ' K•«y ± 1- - xcF:,cn ; <:.. . ,,:.: . . # � r .1'I - .,,� *� �,�a�'" m' � (CO ' T��';P. "`;' -.. "`, �.:x�;= .•��;,�. :� .a.:, < = z;;c- - ,.. ry' :p '� " t - r.:aar•�7.:"3:. +.«..r ,. �, .� - ° ,., ; 4 -• gc. �� �.. � . �,` c,...• ' �. .�° {:?�atal�v.,��,._ �z•- :.!.�.. _�r:mt':r4a�w ".+4s �erJ:,a,:.r -` �";� a r �� ,=g` < Business name: /oZC 7 -,l ^ 2 or/ ,/N All contractors and subcontractors are required to be Contact name: A FJTON( 0 R If7�o ez — 503' 4. 8y� 8 ;Z S (F licensed with the Oregon Construction Contractors Board under ORS 701 and maybe required to be licensed in the Address: / 0,6 5 5 t„,.1 7 1/7-4 i V E , jurisdiction in which work is being performed. If the City/State/ZIP: I7 ©t27- 4 Ai AO 02. 97 2 7. applicant is exempt from licensing, the following reasons apply: Phone: ,...5.,_... ] 48 5 ,0 .. 5 6 /1 l Fax: : 6 03 4 / , 3?— 3 6 E -mail: 7',, r, _ Business name: = ba d /N T�r2sTd4 TE /2 c� 1 — e �f G '' r ,, : <,a'% 'a : wY":::r.s. :r- cn MIT : _-: *: '� BUII:D �PER °'FEES • Address: / SO '5 S t J 7 I/ 77i 4 J C, - Please refer to fee schedule. City/ State/ZIP: pB2 ? 1_.A' /JD 0 9 7 2 Z Y — (� . (563) ( 8 y -5 (� // ( 503 6 89 -3 o SC. Fees due upon application Phone: Fax: . -^ - Amount received CCB lic.: 5 5 y L 5 /� - Date received: Authorized signature: / // , This permit application expires if a permit is not obtained (•�� within 180 days after it has been accepted as complete. Print name: 0 1{,15 ap_ive L , 5 Date: 7--V8 6 4 * Fee methodology set by Tri-County Building Industry Service Board. i :\ Building \PermitsU3UP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.00331 Al liki 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19//2006 Phone: (503) 639 -4171 .. °'' upil?I Inspection Requests (24 Hrs.): (503) 639 -4175 y__.. INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06AM PAGE: 49 SITE ADDRESS: 14930 SW 106TH AVE CLASS OF WORK: SUBDIVISION: LANG HILL NO.2 LOT #: 044 TYPE OF USE: PROJECT NAME: CALAWAY CONDOS DESCRIPTION: Re -Roof for: 14930, 14840. OWNER: POTTER, BARBARA L, 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 -29 503- 718 -2423 N • Corrections/Comments/Instructions: • E ------------ 1 PASS I PARTIAL APPROVAL n CANCEL NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED l� / 1 /� Inspector: - Date: I V� Phone #: (503) 718 - 242-3-