Permit C IT( OF TIGARD BUILDING PERMIT
> PERMIT #: BUP2008 -00127
°- COMMUNITY DEVELOPMENT DATE ISSUED: 4/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DC - 07300
SITE ADDRESS: 09400 SW BRENTWOOD PL ZONING: R -
SUBDIVISION: SUMMERFIELD NO.9 LOT: 491 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9400, 9410, 9420, 9430 & 9440 SW
Brentwood Pl.
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: $ 33,138.00
Owner: Contractor:
BAUER, ARLENE M TRUSTEE INTERSTATE ROOFING
9400 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
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/16/2008 $277.26
[TAX] 12% State Surcha 4/16/2008 $33.27
Total $310.53
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 BC . __ice ,J�.� � PermitteeSignatum( 2Q n //
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
BuildipE•Permit Aiiplication 6 . ,
.: , • FOR•OFFICE USE ONLY _ ..
• . . .
. :
City of Tigard ,,,,,„,y eceived ,,,
R Date/By 74grg. Permit No.: 16e
13125 SW Hall Blvd., Tigard, OR 97223 e•
C Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ,, j 10!
c zit. ; ., Date/By Other Permit:
Inspection Line: 503.639.4175
N. 4 %,. AL '.■ Dale Ready/By. .
jur 41 ' (2 5 S 21 11 p Inform for
Internet: www.ci.tigard.or.us c/.. - 44,\ ,Ii \ $‘,Ndo Notified/Method:
, ... . ._
. . ;".:: - '':', = 1' . :j : :'',.::..':*a:'ii-..:' - ':.,.;' ' -1' G .-
" h %
0 New construction lon
Permit fees* are based on the value of the work performed.
ErlArpo
Indicate the value (rounded to the nearest dollar) of all
E Addition/alteration/replacement %Other: equipment, materials, labor, overhead, and the profit for the
::::-,:'-;:::.::-•..-..-':',y.:7-,;'''.4-:',:'''„r:',t,&T-EGORI(',11-1F:CoNt:R121CTiON':,.':.::'=.=:.::;•:-':::i•i•-''::::::::::,-'',:":'.::' work indicated on this application.
0 I- and 2-family dwelling 0 Commercial/industrial Valuation: S
0 Number of bedrooms:
Accessory building 0 Multi-family
0 Master builder M Other: Number of bathrooms:
JOEC INFORMATION 'ANTS LOCATION . ' - ',--' - ', ' - . . 1 ' - :: - - ,'. - -?''''''", Total number of floors:
Job site address: ? ye) 0, — 5: ,5 LAS 13,, 1 \J -7 1 - ) 4 D p L. A C-2..... New dwelling area: square feet
City/State/ZIP: 77 'o , 62, 9 2 2 cf ' Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: LA. / - 1 ). E i2, Fi ei L. 0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
20 94/7D W,.e) / 5'k g ?l74/ . Other structure area: square feet
/
Al-
V 1iggCic:4IBT.:;:u.,
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
i•''' k-:::,.-.:::.: :, , , 5:',; , :,:
a- work indicated on this application.
.',,„. t
Valuation: $ 3 3 / 3 e
REP iL. AL4 ot_le e 6 76 z7-6.'ck, 44 y' /
, . Existing building area: square feet
/ e3C) /6, FC- / Celd TS . 3 C- Ye6 CAF .
7'
( / iA).5 //0 144 IA, e ys , 774cAl 'm er.4.4_ //ALI- ey:.s ) New building area: square feet
00-1**,..1;)*C14h:CW';'''1-,:::N-::':4:-:=TRKii(i'.0*Vatnii:ir,- Number of stories:
Name: SVC frf c-r 4 .0 A -. cidoi -- 27 4 -,, id AL- 3 Type of construction:
Address: Occupancy groups:
City/State/ZIP: .
Existing:
Phone: ( ) • Fax: ( ) .
New:
, :?:1;Z:;E:4; ,,,,,,,,,,,,,,,,,,,,a,,,,,,,,,,, ,.,„..„.„,,,,:,,-0. ,,,.,_„
''''''''''''''' ''';''''':-'''"'" ''''''''°'''-''' ''''''' ';'•Wqi37,47,TRAINIWL ..,
Business name: /A)-2 fi) - 4:26-6/-24' 6.. All contractors and subcontractors are required to be
licensed with the Oregon e Construction Contractors Board
Contact name: /...." e) i , ( ORA) c L qs 5 sw 6 .... / y
under ORS 701 and may be required to be licensed in the
Address: /5 6•5,5i,,,i 79'rni 4 v g, jurisdiction in which work is being performed. If the
.- applicant is exempt from licensing, the following reasons
City/State/ZIP: .
is OR TZ-AbtLa. CA% 77 2 if appif:
Phone: (563) 6, E4,/_, $.6../f Fax: 1 Sb3 6.3?- 36. .5 -- 4 $ c-/ O . 53
E-mail:
P?T ,„. ,.,--;,,-,' ,,,„: Dn
S
i
Business name: / 7 :1 -,-,--- f e 5 - b i __---7 it i
4:.C P',.11D"Tiis - 0rlit A1' s' '-'::
Address: /5 65' s Lisi • eirt 4 tie _ Please refer to fee schedule.
City/State/ZIP: p -- L A ,) .a / . 1 6) R ? 7 2. it Fees due upon application
Phone:15 4. 8 yf .... ,..5 6 / ( Fax: (5 6 3 > 3 cs`c
- Amount received
CCB lic.: 5 3 -- t es
Date received:
a2,4
Authorized signature: --z, / Aa, 6
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4_6)- 64. 1_5 ... Ai E ALS. Date: * Fee methodology set by Tri-County Building Industry
Service Board.
i:\BuildingTerrnits\ROOF-PermitApp doc 12/03 440-4613T(11/02/COM/WEH)
• --
CITY OF .
��mn n n�pn TIGARD
BUILDING DIVISION PERMIT #: BWP2008-00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1E/2000
Phone: (683)S3S-4171
Inspection Roque�a(24Hnaj:(5O3)G3Q-4175 .��� «�J�
INSPECTION WORKSHEET FOR DATE: 6/4/2000 TIME: 7:01AW1 PAGE: ii1
SITE ADDRESS: 09400 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SJh4MERF|ELQW{).9 LOT #: 491 TYPE OF USE:
PROJECT NAME: SUMMERFIELD
DESCRIPTION: Reroof, remove and replace. This permit is for addresses 9400, 9410, 9420, 9430 & 9440 SW
Ehenbmo*dP{.
OWNER: BAUER. ARLENE M TRUSTEE, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503'684'5611
Inspection Request Scheduled For: Date: 6t4G008 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
299 Final inspection 070781-01 603-481-8266 N
Corrections/Comments/Instructions:
11(1
.
(
.
��
U � PASS ri PARTIAL APPROVAL ri CANCEL ri NO ACCESS
| I FAIL 0 CALL FOR SPECT|C)N 1 ADDITIONAL FEES ASSESSED
�
Inspector: Date: / . /7 • Phone #: (503) 718-
' '
k '
`�
.� ` .
.