Permit 7 „ . CITY OF TIGARD
BUILDING PERMIT
COMMUNII�`Y DEVELOPMENT PERMIT #: /16/2 08 - 00124
DATE ISSUED: 4/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CD - 05500
SITE ADDRESS: 09570 SW BRENTWOOD PL ZONING: R -
SUBDIVISION: SUMMERFIELD NO.9 LOT: 514 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9570, 9580, 9590, 9600, 9610 & 9620 SW
Brentwood PI.
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: : sf N: S: E: W:
OCCUPANCY GRP: R3 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: $ 38,661.00
Owner: Contractor:
GRAHAM, JOHN M + LUCILLE H TRS INTERSTATE ROOFING
9570 SW BRENTWOOD PL 15065 SW 74TH AVE
TIGARD, OR 97224 TIGARD, OR 97223
Contact #: PRI 503 -684 -5611
Phone: FAX 503 - 639 -3056
Reg #: LIC 55485
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 4/16/2008 $305.21
[TAX] 12% State Surcha 4/16/2008 $36.63
Total $341.84
This permit is issued subject to the regulations contained in the Tigard Munidpal 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 B /. i' 1 Perm Signatu ,...%_;_ : i/;JIVIIrjte.,1/42_r.
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.
Re -Roof C • I
k e �
BuildinE Permit Applicition0' irolt OFFICL 11SL ONLY
City of Tigard ` Received .„--- P
p 'J� Date /Bv: /l J ' D Permit No. i��g— /02 I
- 711 13125 SW Hall Blvd., Tigard, OR 97223 P e CL • �- Plan Review
�..a..
Phone: 503.639.4171 Fax: 503.598.1960 ! / "'�iji
hy , Daze /By. Other Permit:
Inspection Line: 503.639.4175 ® C - ` Y . ' � - Daze R eady /By: �f a See Page 2 for
Internet: www.ci.tigard.or.us �`� Q ` �J° Noti fied/Method: I- Supplemental Information
TYP OFs WORK REQUIRED =DATA 1, AND:2- FAMILY- DWELLING _
❑ 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 tgi Other: equipment, materials, labor, overhead, and the profit for the
....''' ". ,,;,:,..- ':',.._ ,- work indicated onthis application.
' CATEGORY OF:CONSTRUCTION k a p lea
CI 1- and 2- family dwelling ❑ Commercial /industrial Valuation: S
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ® Other: Number of bathrooms:
- JOB SITE INFORMATION ::AND:'LOCATION Total number of floors:
Job site address: 2 570 — 94, 26 5 V a p .. 0 r (7 (A} b t /, Q L A . C 6 New dwelling area: square feet
City /State /ZIP: - 77 � i ii i 2 D f OR. 9 7R z y • / Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: . LA. /-1 ,--(E Q Fi � o Covered porch area: square feet
• Cross street /directions to job site: Deck area: square feet
9570 95 9c � 95 o 9 .cro >'>'(/o 4- 9a
) Other structure area: square feet
REQUIRED DATAt, CO1V MERCIAL USE?CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work erfo
p rmed.
Tax map /parcel no.: Indicate the value.(rounded to the nearest dollar) of all
:..:..............: <: ,.,< .:. , _ :.: K:.:; :.,..__.;, Nr t and the profit for the
equipment, materials, labor, overhead, a e o
r
d_ .' DESCRIPTIO.OF WORK' �i ` work indicated on this application. a /
R 1-57''1 est1L= `Qz4. -4 !; Fl /L 7b E), - "c / h L Valuation: S 3 O ,
a to
i �y ) ., s .. / �'/ T 147-AS/e/1113-/. t _ Existing building area: square feet
//i i l/,$ . L s , 77 E�+ ,M eT.4L if.4LL, 4 New building area: ing a squa re feet
PROPERTY ,OWNER . , ❑ ; TsE - ' ANT. - - Number of stories:
. , , .,. t '5,. .. �, a .... _ . .. a f .. �11 .,..
Name: 5 LA 1 r-i 6R, C 447._ D A s- s - c';) CiA 716 "Li / - 3 Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
iCONTACT..PERSON s' ;,.,
,APPLICANT ® i -.
,,.- N . , .. "- :.- ,., ..._. ..,. TICS
Business name: / 141 ` .7 / - ! k2 e Aif c All contractors and subcontractors are required to be
Contact name: 4 1 6 c,c 6p J i ers 503.- c e,Zb.,_ /4/Q� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: f'50 415 3 44 -2i 4 it 6- „ jurisdiction in which work is being performed. if the
77 j a pplicant is exempt from licensing, the following reasons
City /State /ZIP:
PO' 2 T L 1 ° X V . GP ( apply:
Phone: (543) & Ey.. ✓ri.// , Fax: : (5 1)3 6 3 ?1_ 3 t 5-4) '7 O I (• g Y
E-mail:
: - CONTRACTOR '
Business name: f ,r
//U L S .g % /. 3 7 t z7 di. [7- BUILDING 'PERMIT FEES*
`J z/� /1 .
Address: /
` 'S w 7 7 r [•T 4 di . Please refer to fee schedule.
City /State /ZIP: pa h 7"'L-AAi v • /fi ? 7 Fees due upon application
�/ / r L
Phone:,( 6 c8.0 -_ (� i( Fax:( ) 4 3, 3 &5(c
CCB lic.: 5 s / es Amount received
e f�J' Date received:
Authorized signature:/ v il�.l (MA, , tagpk---. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4.. £ L- (s' &� /g L. Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permit5\ROOF- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB)
CITY OF ��mm n n�'m un�m��wa��
BUILDING DIVISION ' `'
��~~~~~~°."~~° ~~"°"~~"~~"" � ` PERMIT #: DUP2008'00124
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /V161200R
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 AA AL
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 6B
SITE ADDRESS: 09570 SW E3RENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 514 TYPE OF USE:
PROJECT NAME: OUh4k4ERF\ELD
DESCRIPTION: Reroof, remove and replace. This permit ia for addresses Q570.958O.959O.9GOU.9W1O& 9620 SW
Brentwood PI.
OWNER: GRAHAM, JOHN M +UUQLLEHTRS. PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 5O3-684-5611
•
• Inspection Request Scheduled For: Date: 664/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 070772-01 508-481'8266 M
Corrections/Comments/Instructions:
V PASS � ��|ALAPP��L NOACCEG8 ��CAN�EL � . . �� / /
El FAIL ri CALL FOR I PECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 6 d, Phone #: (503) 718-