Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00307
II
DEVELOPMENT SERVICES DATE ISSUED: 7/19/2006
° �I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 110AD -06600
SITE ADDRESS: 10620 SW DEL MONTE DR ZONING: R -12
SUBDIVISION: LANG HILL NO.2 LOT: 058 JURISDICTION: TIG
Project Description: Reroof for 10620, 10630, 10640, 10650, 10660 & 10670.
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: $ 11,410.00
Owner: Contractor:
NORTHWEST COMMUNITY MANAGEMENT INTERSTATE ROOFING
PO BOX 23099 15065 SW 74TH AVE
TIGARD, OR 97281 TIGARD, OR 97223
•
Phone: 503 - 670 -8111 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 $158.50
[TAX] 8% State Surcha 7/19/2006 $12.68
Total $171.18
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: �L: (' A..., r Permittee Signature: ::,...,C-e,_, C-(:)\
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 Perm Application �� FOR OFFICE USE ON . .
V
City of Tigard R eceived DateB 741766 Permit No. bit h coal'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639 4171 Fax: 503.598.1960 j / N/! /gyp ' ' ' " � ' i B \ Date : Other Permit: .
Inspection Line: 503.639.4175 , .J4 '' I Date Ready/By ® See Attached Checklist for
Internet: www ci.tigard.or.us Noufied/Method: `� Supplemental Information
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' :. � =-�' � - =`"� E' Ft OIt r P.: a, � ; aa�te,:�n .
''t".;4.:3m . .;; , cc . . *„4, , ,t,�-"�''' .,k r / , °:R;:z,; . •, - r --tt Q•' q'tt = i7 Wi t. ; .44ig : REQUIIZE D;DATA:' 1� ;AN: - , AIII Y DWELLING I II ”
- -
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❑ 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/replacementiher: equipment, matenals, labor, overhead, and the profit for the
`� qe w" - ry ea•.ra ,:''r".�.: 'hd °' x'125E .r,�ta :?,' c8. 'Y'w,ai :i. -. » :.•.,i . .. .. - . ,..
'*�^ CANE O 5: QV-t IS T RB a' 5 P 7 5 :Z" M" ' " ' ,' work indicated on this application.
8 y ' �:.�i:,�vr-- '.t= : =t.'., :;t �F^wBi:' '. "� iK, ��"% :SSt °'x :a:s�,a... i'"mu
❑ I- and 2- family dwelling ❑ Commercial/industrial Valuation: $
❑ Accessory building Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms.
S y..xl - "u -::Y r 7s+ t- _ °.a��'- 'aa.?rr.7;`.a -r�s�'a° - -a >� s_.,� ,try.• +. ,,,>,
v� °„ k ' � :; eir SFORMA I AND OCA' ,;A.A ; '` '" 7, Total number of floors:
Job site address: /66 26,._ /647,0 SIAS C) .":" 14Q New dwelling area: square feet
City/ State/ZIP: -77‘ /3/VJ 0g ` Cli'7 la- y Garage/carport area. square feet
Suite/bldg. /apt. no.: / Project name:CA44W A./ / 6 IQ q c 5 Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area. square feet
'R DAT C US E4CIHE CK LIST
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
equipment, matenals, labor, overhead, and the profit for the
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°. =,tti , . >.. k . l> r. =irk:: ;a ` h ..� =3 £. work m
5 : '!r, # ";:-„ M DESCRTPTION`;,OF „R'ORK -` •, �'°' =• indicated on this application.
ar =..,.3aJ e. M ,. �µ c:s u:ctr •' «xa «:i .'.x+s::.;�::..,.�.. 4a � +`sr: a,. s "� x s`"
,7" cCF 4 L_L e a R� T Oft L• Wa??D b ecl<,
Valuation: $ /7/ (:// Q
. Is a Li_ 30 rt • I.1 /ll !- C6 w ' smei -0 AT Existing building area square feet 5300
1e� e i 7 OAJ5 S/04 -fit E& ,, V Ai 1FI SI/ /A 4S, Cl/C t. New building area: square feet
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«�?�i�. ..3i„+st$n..�.r. - ^ a.,.,.:a3 -' =: . fi �s `.as #.�� a��s�., "3�','`ti:: w�a. -<s ',,r.;u xti- �:�,,, ci�..� r,^�,: Number of stones:
Name: J (kJ COil /4 IA A I 7 /j A.(J4 LG614 e ) r Type of construction:
Address: r , a (3 Ck 2 3 C 4 ? Occupancy groups:
City / State/ZIP: TiG 4RD 1 C R. 9 Existing:
Phone: (5(33) (o7 — 8(// Fax: (503 (070 ^0775
New:
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*.,.� ,,,. �% , '�'a x >.,'� ^�€ -�Q� ACT sPERSO : � > _ ;;�;a f.ti _ ,
t om;, .:� • : g u�.a �a ,. _, ,i a �a .v # .• « _. a : as xr •; : r, ,7, 1 , , s' F > u: n.,^ r4, NOTIC; u." : t ' ": �- ' r_.. _
AI ' �; �' s- : ^ =k ..,.a ,,, , ,, , , , , ,, ,, ,O'-'r _
Business name: �iJ7CfST�7- 2.13 A C- All contractors and subcontractors are required to be
Contact name: A i d- re C ' , E � ez _ 503 _ CE p/... g �C licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 1 5 5 5 ;./.1 7(.f 1 i c.) V E , jurisdiction in which work is being performed. If the
City/State/ZIP: e, 27-4„_ 4 A/Q p/ 9 7. q applicant is exempt from licensing, the following reasons
(� 6s�5( / / Fax:: Q - ,3 0 -s 6 apply:
Phone: ( r j � 4j,j
E -mail:
Business name: / /A► Tr--4.577,47---E / 1`I A 6._ * ,., , ..
! SD wBLDING PERMIT FEES
VI'
Address: S c J 7 t/ A J c ,
Please refer to fee schedule.
City/ State/ZIP: Pio - rL•A -N0 OR, 9 7 .2 4 1
( �63) iO S LI _ 5 / / / ( ,Q3 6 39.3 6 S� Fees due upon application
Phone: Fax: +—
Amount received
CCBIic.: 55ygs
/� Date received:
Authorized signature: / (/ , This permit application expires if a permit is not obtained
l.J�� within 180 days after it has been accepted as complete.
Print name: /...., () l. 1 5 QizA1 e L.^ 5 Date: ---. /ice D a 4 * Fee methodology set by Tn- County Building Industry
Service Board.
1 \BuildmglPeri mts \SUP- PemutApp doc 12/03 440- 46I3T(11 /02/COM/WES)
CITY OF TIGARD
BUILDING DIVISION
1410,,,e,„ PERMIT #: BUP2006-00307
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/7006
Phone: (503) 639-4171 .4:11114:i'l I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7:01AM PAGE: 38
SITE ADDRESS: 10620 SW DEL MONTE DR CLASS OF WORK:
SUBDIVISION: LANG HILL NO.2 LOT #: 058 TYPE OF USE:
PROJECT NAME: CALAWAY CONDOS
DESCRIPTION: Reroof for 10620, 10630, 10640, 10650, 10660 & 10670. .
OWNER: NORTHWEST COMMUNITY MANAGEMENT, PHONE #: 503-670-8111
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503-684-5611
Inspection Request Scheduled For: Date: 9/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 036689-02 503-718-.2423 N
Corrections/Comments/Instructions:
-----)
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PASS PARTIAL APPROVAL CANCEL 0 NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITI NAL FEES ASSESSED
ei
Inspector:
Date: q (65 oc„ Phone #: (503) 718:042 -