Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00322
� � i DEVELOPMENT SERVICES DATE ISSUED: 7/19/2006
,, � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110AD -08100
SITE ADDRESS: 14825 SW 106TH AVE ZONING: R -
SUBDIVISION: LANG HILL NO.2 LOT: 073 JURISDICTION: TIG
Project Description: Re - Roof for: 14825, 14835.
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:
CHESNEY, DIANE MCCALLUM INTERSTATE ROOFING
14865 SW 106TH AVE 15065 SW 74TH AVE
TIGARD, OR 97224 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_,e -e, 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 Application FOR OFFICE USE ONLY .
City of Tigard Received "..._
Date/B : / – / rmi
4 Pet No.l (k .... 4 4,. 0)
13125 SW Hall Blvd., Ti ")
gard, OR 97223 Plan Review
4;
Phone: 503.639.4171 Fax: 503.598.1960 /*
Axzei,....oi ,c, Date/By: Other Permit:
Inspection Line: 503.639.4175 • _LIVA Date Ready/By: RI-1(r Supplemental p S p e l e e m Attached e ntal nf
lC0 Information
for
Internet: www.ci.tigard.or.us Notified/Method;
P, Mt . ".- - '-''` r-mger* tA: gg ; i= ,; ;& — iiii"ANtifi,.Y DWEbLING
: '. n'.:,!...,,-.:14-,1-u. sin,,,,,...,.4...:,,,, --,,, - -.- , ,,,,.-...',4- ,. - • - - •
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 g•-•0.ther: .
equipment, materials, labor, overhead, and the profit for the
`10 ,WitrE ZOMAT_41412: i:,..i',.:-..10M-K•iii-aih work indicated on this application.
4-3 ,.. ., ... ... , .r.:,1 -. ,,,,,,a..„,,,,, w . 7 ,.., - .-mit tim , it, . i,.•1*; :',.*.., ,,' V4'.A.N. '34¢6t AA 4,44
Valuation: $
0 1 - and 2-family dwelling 0 Commercial/industrial
0 Accessory building Multi-family Number of bedrooms:
—
ID Master builder 0 Other: Number of bathrooms:
r. ..'• V.,,TOrgitir4 ....,.6'''''RAA,741+81Pi5r '''. - , - i'-.: Itris.3 Total number of floors:
,..-.:....,.,. ,- ,.....,,-. .: ; , , 1,,,,,,,..4.44i:,v.;,,,,,,44,-,A,„,,, -...t....,-z,11,-,-,-..,...„uc,..,,,,, --,,,_'• " :, - -0 ,.....,--.-1,, .
Job site address: iiis 5 ......_,/ s Li / D C r/( New dwelling area: square feet
City/State/ZIP: 77 . s; / v0 og ? '7 2- 2- it Garage/carport area: square feet
Suite/bldg./apt. no.: i Projectname:CALAIA1 i gv 60 Ai 005 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
•4.4 -•,,,,,•• - 6v ,.., L••::. _-:•, • -.: .: ,,
&.REQUIR,ED 1 '
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
Q.41,14,,,It%P.,,,,,,,...., work indicated on this application.
74 et A-I-Lai-4 2.6 T 0 p 4V 0 0 Dec.K. Valuation: $ '3 E7 5 —
ht)srq L 4_ 3 o Asnl F-: 6 LT; / <EA.09 S Ill 6.6 /9 ,_ Existing building area: square feel/cP6 03
PeAle.77z117i DAJ5 4 Side 61 4 rel•iT VOr eillit.679i7 New building area: square feet
ir...,.„;4t4,, .- x.r .:',",,2,, ..j ;';'4f..' V,".0•16,4',Atti,t -.' - V ,,,,,4 :ei•....:::: =
?q.:* i at L laVal! Clat'ff044giii Number of stories:
Name:/0 f co il it L t A y i Ty i Nt 4144 6.6heNr Type of construction:
Address: p, a fa ex v 3 tii ? Occupancy groups:
City/State/ZIP: -77 641z D 1 0 R. 97 2 et Existing:
Phone: (50_3) 670 .- 8(ll Fax: (5 67 _
New:
Business name: /4)7--g5rArc 2 =FM 6- All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: A g- 0 ii ERii u 0 ez — 503.. c.65 R ;45
under ORS 701 and may be required to be licensed in the
Address: / 5 5 Si 74174 i ciVE . jurisdiction in which work is being performed. If the
City/State/ZIP: p _ 4/J0 97 q
applicant is exempt from licensing, the following reasons
0 g-7-1. 01, 3..
/ apply:
Phone: (.3 6 st./._.5 6 ii I Fax: : (5 03 63?.... 3 0 _5 , 6
E-mail:
...... ',4 ' -.' ' 2 .- ' -t'' ii f .1'.- -. -- -42W'' 2 L''..- '-tr)--`• 11'
Business name: /Ai T57;4 T-8" a A i 6._ Vi:571 ' • •
Address: i .5 675 S1,3 C ,
7 1 1 . 771 A ■I ' Please refer to fee schedule.
City/State/ZIP: P D 02, 9 ,.2. 4 (
/ Fees due upon application 71, 0
Phone: (63) G 2 ii_ ax
// Fax: (503 g9-3 6 SC
Amount received
CCB lic.: 5 59 a 5
Date received:
Authorized signature: "- 621g,..
f/ c14.4.4....
th
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4..,, 0 Li_ /5 0 f z.A.)e G. ^ 5 Date:7 -- 6 4 4 Fee methodology set by Tri-County Building Industry
Service Board.
1: \ Building \ Permits \ BUP-PermitApp.dot 12/03 440-461 3T( 1 1 /02/COM/WEB)
CITY TIGARD.
BUILDING DIVISION PERMIT #: C3UP2006 -00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7//912005
Phone: (503) 639- 4171 a i l ii 't
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7:06AM PAGE: 54 •
SITE ADDRESS: 14825 SW 106TH AVE CLASS OF WORK:
SUBDIVISION: LANG HILL NO.2 LOT #: 073 TYPE OF USE: .
PROJECT NAME: CALAWAY CONDOS
DESCRIPTION: Re -Roof for: 14826, 14835.
OWNER: CHESNEY, DIANE MCCALLUM, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503.514.5511
Inspection Request Scheduled For: Date: 9/1512006 Pour Time:
•
. Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036694-24 503.718.2423 N
Corrections /Comments/ Instructions:
0
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL F ES ASSESSED
,..„,
f ig' p50 718-
Inspector: Date: Phone #: (503) 718
•