Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00333
Aziall' DEVELOPMENT SERVICES DATE ISSUED: 7119/2006
A I � 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 Garages: 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: $ 1,477.00
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 $62.50
[TAX] 8% State Surcha 7/19/2006 $5.00
Total $67.50
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.
r
Issued By:./� ► "_�� 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 Ap ell o
IVES
FOR OFFICE USE ONLY
City of Tigard ,, 7OOC Dateiv �� - z %. , Pe N. / A, Olt t; I %
JUL
13125 SW Hall Blvd., Tigard, OR 97223 ' L' U Plan Review • •
Phone: 503.639.4171 Fax: 503.598.19 //ate h r. , ,\ Other Permit:
Q TY OF TIGAR v 9?t' II Date/BR : '..
Inspection Line: 503.639.4175 _�,� Da te R ea d y B y: See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING DIVISII . Nottified/Method: Supplemental Inf ormatio n
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• > $, a -
,r 17 � .._; se t U ii A: A � ''AND ii— ii MII,Y•DVV L'LING
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s .?�_ � $3.. +ts,rum rb:sti« :.. ;�� „���.. 1,111.. ..,, .,..
❑ 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 . r. jgf Other: _ • equipment, materials, labor, overhead, and the profit for the
^> a y as •. '- work indicated on this application. • • 8
�� "Tam, • G'O • ° =9 � J oi�- ) ;ES} , �az c j
Valuation: $
❑ 1- and 2- family dwelling • _ - . . • •- .. ❑ Commercial/industrial ... . _,
❑ Accessory building -0 Multi- family Number of bedrooms:
❑ Master builder X Other: GAyeA., E3 Number of bathrooms:
4 � k UB lis O d O t r L .O7 Total number of floors:
Job site address: //3 c -. /,‘,/,g !{Q 5 / 0 ( rite New dwelling area: square feet
City /State/ZIP: T 6 AR, O R, '? 2 y Garage/carport area: square feet
Suite/bldg. /apt. no.: � f roject name: C4LA (AJ A cog() O $ Covered porch area: square feet
Cross street/directions to ob site:
j Deck area: square feet
Other structure ar square feet
e � a ::
rx'f4"f '' 3j. 1'�'rz^` `hut: # " P�2' a�rP? t.+ ',A. 1?`Jfr :w` �''` -..' ti ',. ... � �._
: gg Q;tI D:D ,,��-� O RC VS ,
e....— • .. -...4-$:-.... 5 s, , :_. , 1:. :: - -
Subdivision: • I Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of all
� V x f b x equipment, materials, labor, overhead, and the profit for the
,, ,t 'Wei. 'ET T� W RI 4F q " *Y,,� . p, work indicated on this application.
L A 3C� Valuation: T1 C7-O
TE42a ke cr1AiGrO QecK. y I GFELTIce- i
Existing building area: square feet -
WATc2 StfiztD@r 014 cs, AJ&A I1 eal TS FLASii // Ct
II GS , � 64r- T //vat Ll� New building area: square feet
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`� s�P RO��R' � ° g„�� Y :; ��';�'` "� ®�,'�'E1A'1V� �# "' `� � := Number of stories:
Name:Ai LR T-fi i sy Co HPt k /4 illy H ,f}AJ A G eY tm ?/J r Type of construction:
Address: ( - t 0 t (3 0 )(\ 2 3 0 9? Occupancy groups:
City/State/ZIP: —T-/ 6 A R D / 0R, 7 2 2/ Existing:
Phone: (5 (070 8 /!t Fax: 15G13) (070 — 0775 New:
rr*' '"vii � : ,�� . a�- < � , • V -,:fir 't50-aa�",� : :ra yam" � '�
i t� 4M..11"`;' 4 '� + e , 1h •: c:,n, wu ,t, :� rs _ - ; �• z:,, :,.: ••.,,_ :
l , ••.1 � ... := _ . .„....0701. 7 .. O :t . - ° _ = � n
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R AF M. � Lt A
Business name: / is - rE R$ TA TG I'� az / Ai 6 All contractors and subcontractors are required to be
71 Contact name: l 5 C) 6 5" g k, 7 C. j 7-t-( A f E licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: �' ' RAJ m/,1/ o /3ERMuI - 563 — b/ — 8.Z s4 jurisdiction in which work is being performed. If the
City/State./ZIP: -71 applicant is exempt from licensing, the following reasons
! ( A2 O f 6,-..e,. 9 2 / apply:
Phone: (503) (o Sq— S ( (1 Fax:: (5'63) 6 3 ?- 3 (7 S 4
E -mail: . .
PA: ° .. :� t• _ „_. r te 'f s_ri ilt-
Business name: / jS f TE2 Sp 7Z /2Qv F/N G E ;' : ? a; --, a�u; :.;a:,:� , z 1.111.-_
. a, � >' : - ?�BL RERMIT`'FEES* -
Address: / 5 o 6 S $ W 7q71f A 1 6
Please refer to fee schedule.
City/State/ZIP: PO RTC- AN D 0 Rik q 7 - 2 . z y ` j
`J . r°
Phone: (503) (c g3 q_ 5611 Fax: (.5 ) 6 3 �— 3 o.s 6
U Amount received •••
CCB lic.: 5 S % 8 '
Date received:
Authorized signature: This permit application expires if a permit is not obtained
r� within 180 days after it has been accepted as complete.
Print name: h. 0 LA /,S D RA/6:Z- A 5 Date: 7- /c - d 6 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building 1Permits'BUP- PermitApp.doe 11/03 440- 4613T(11 /02/COM/WEB) ' • - • • - ''
CITY TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2006
Phone: (503) 639 -4171 Vp11
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 9/15/2006 TIME: 7:06AM PAGE: 50
SITE ADDRESS: 14830 SW 106TH AVE CLASS OF WORK:
SUBDIVISION: LANG HILL NO.2 LOT #: 044 TYPE OF USE:
PROJECT NAME: CALAWAY CONDOS
DESCRIPTION: Re -Roof for Garages: 14830, 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 -28 503-718-2423 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL ES ASSESSED
Inspector: TAjj Date: ( lfr� Phone #: (503) 718 -24Z3