Permit . OF TIGARD BUILDING PERMIT
Y COMMUNITY DEVELOPMENT DATE PERMIT #: ISSUED: 4/
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 DC - 05500
SITE ADDRESS: 09405 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 539 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9405, 9415, 9425, 9435 & 9445 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: $ 32,086.00
Owner: Contractor:
GREENE, DOROTHEA INTERSTATE ROOFING
MORSE, LINDA TRUSTEES 15065 SW 74TH AVE
10061 RIVERSIDE DR #718 TIGARD, OR 97223
TOLUCA LAKE, CA 91602
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 $271.67
[TAX] 12% State Surcha 4/16/2008 $32.60
Total $304.27
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 B y 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.
. ,
Re-Roof
. . . . _ _
BuildiirE4ei-mit Application FOR OFFICE USL ONLY . . • - .',.
City of Tigard , i A Received q Date/B : 7 / (5 fie g' s Permit No.: Zieja ...CX)/2
13125 SW Hall Blvd., Tigard, OR 97223 ,* 00., ‘ I Plan Review
Phone: 503.639.4171 Fax: 503.598. 4 .; , ' 4141 litt"'!':1 - 1 . ' Date/BY Other Permit:
-e
„ i ,1 1 .
Inspection Line: 503.639.4175 c ik • e n %% 1 3 ,..„.,- 7 1 ...,.. :, Date Ready/By:
c rop
i t ,.... ." -0 1 Supplemental Se e Page 2 Information
Internet: www.ci.tigard.or.us k. ' .,_ `. 'Z I- Notified/Method:
.. .4 1■lO
',:-::...,:='::.;, ':ii '.::,,, TkOiAf:66 :,,•,:••••=....:-. .,:-,.:.;:t.: toioiiiii
0 New construction C , . N % ; I l i k: em o I ition Permit fees* are based on the value of the work performed.
...t .., Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replacement v)\--)" tg Other: equipment, materials, labor, overhead, and the profit for the
' . '' - • - - ' ' -' " - ','"- - - • ' ' - • '
CATEGORY OF CONSTRUCTION - - -: - - • - : ,, ; , ,::....,-:-- , - - -- work indicated on this application.
'..- .- r'' : ' -':.-::-.''',':-,-!'• •,- :.''',---,'--,••:-:;:`' .' '.',.- .':- . ;- ,.':",:,,',--"- ,4 "- '-- ,, :- 1
Valuation: $
El 1- and 2-family dwelling 0 Commercial/industrial
0 Number of bedrooms:
Accessory building 0 Multi-family
Number of bathrooms.
0 Master builder IN Other:
, • ' " ' "",::-=": -:,-, ',- - " ,- IOWSITE INFORMATION AND LOCATION --., ., - - - -,.,,,: Total number of floors:
Job site address: 9` yo 5 ____.i)vv5 6 f3R4J71.6o Lb , L A Le_ New dwelling area: square feet
City/State/Z1P: 7 7 6•AIR D OR. 77 Z2. ( . Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: ..5 Lk /4 /4 E.2, F/ et. 0 Covered porch area: square feet
• Cross street/directions to job site: Deck area: square feet
•94 5 / 0/ 9 5 / /b 9 5 V 35 9- 9% structure area: square feet
/ •
tRP,03V,IlkiT...49, g:TrIT9N
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
,,,,,,.::, . : ;::: ,,, ,ri„. : : „ 1,...: , , - ,VIP : .:: - •:: : :::iiiseiiiiiitii,i. , 4,,16isic-::;:;-:=!kir24. , y,;::..,x,K7,.. , :,:,: - : . ., work indicated on this application.
Valuation: 5 3
a L .- Azz °Li) is om-Fi Ai 61 7z) e.:)- 4y" •
4 . Existing building area: square feet
/ 3o ia, i-rF FLASIM./6-3, ileiut 7:5 i 3 0 y ei. CAF
( / K4 16... e y S , pi &if W erALL VALI- el4s.) New building area: square feet
_
PROPERTY =;i: - '':' - .,V,NK - .'4:-*T.:qkgg"Mtgg.r. Number of stories:
Name: _ctit )4 / 6RA 4 .0 A5-5 c7.4 7764 OL- 3 Type of construction:
Address: Occupancy groups:
City/State/ZIP: • Existing:
Phone: ( ) Fax ( ) .
New:
AM:t EQUI,A* , i:;KRA . 44 - :t.eF. ,- .-k , ::.:4'.5;i6fi6ti* ,. '0::0 , :s,..:- , ..: ,. .: „ .. ,-,, ,,: , , , :q.,
Business name: / A2 6 .--6 / _? A f ‘,":, All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: / N .." 15 c OR E L l iqs 5 c s;„2 6 .... / y,g2
under ORS 701 and may be requiredfo be licensed in the
Address: /5i 7f 4 vg, jurisdiction in which work is being performed. If the
,• applicant is exempt from licensing, the following reasons
City/State/ZIP: POR TZ-044.19 . OR , 77 2 if
apply: #
Phone: (5-63) & :S' - . 564 ' Fax: : 53 6 3 ?„. 3 t, 5 - 4, (34- 2.7
E-mail: •
2 ''' ' . ,-,-, "-':• ,, ... , Y , r'f'" , ' ,, ' ',- ' "' ''''''' ,.. r i','-.- :::';',:',.,'''.
f r ...4.:i) .,, '..,.,:, .fi.: ,, , , ,.q , . ,, '; . .:, ', 4,.- 7. ' ,. q''' , •.T , % - r■T. 1,, , , •' ',. CONTRACTOR ,.:•= ;,,-,:,',.,:,
i
Business name: ik-z-- 7-- 7 - ‘ ,... , - t ,----2 A ) 6._
Address: /6 (..., s s w 7 z i r iii ,4 tie . Please refer to fee schedule.
City/State/ZIP: pe 19 . ()R, ? 7 a a y Fees due upon application
Phone: 53i 6, ,s. '_ 5' 6 / ( , Fax: ( 4 3 y..._. 3 413
Amount received
CCB lic.: 5 4. 6 :::),_ 5 -
, Date received:
Authorized signature:.-A (1/24,,46.1r..._ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1..... 6 LT-i. (5 -P-- /t--i 4:-FL: 45 Date:
* Fee methodology set by Tri-County Building Industry
Service Board.
i:\BuildingWermits\ROOF-PemiitApp.doc 12/03 440-4613 T(11/02/COM/WEB)
•
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP200B-00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2008
Phone: (503) 639-4171 I/ A
• vi
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 52
SITE ADDRESS: 09406 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 539 TYPE OF USE:
PROJECT NAME: SUMMERFIELD
DESCRIPTION: Reroof, remove and replace. This permit is for addresses 9405, 9415, 9425, 9435 & 9445 SW
Brentwood Pl.
OWNER: GREENE, DOROTHEA, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503.684-5611
Inspection Request Scheduled For: Date: 6/4/2008 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 070780-01 503-481-8256
Corrections/Comments/Instructions:
PASS 61)
PARTIAL APPROVAL 1 CANCEL NO ACCESS
fl FAIL CALL FOR I SPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 6 /V41 Phone #: (503) 718-