Permit s BUILDING PERMIT
. V CITY ®� ,' � � ®
Y PERMIT #: BUP2008 -00119
COMMUNITY DEVELOPMENT DATE ISSUED: 4/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 CD - 04600
SITE ADDRESS: 15970 SW BRENTWOOD CT ZONING: R -
SUBDIVISION: SUMMERFIELD NO.9 LOT: 505 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 15970, 15980 & 15990 SW Brentwood Ct.
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: $ 18,936.00
Owner: Contractor:
PETERSON, GLENN L + KATHERINE E INTERSTATE ROOFING
15970 SW BRENTWOOD CT 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 $184.05
[TAX] 12% State Surcha 4/16/2008 $22.09
Total $206.14
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 : i t Pe rmi t te e Signatu llellb, ,, ^ e../.....,— _km
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
Building Permit Application . V' a }•I l is i rusE . "` If
City of Tigard Date /B 1 �2 8 � r il l, P erm i t No.: � I " oD //
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
• Phone: 503.639.4171 Fax: 503.598.1960 r r /i:� m'' i r l 'NP+� �' DateBy Other Permit:
Inspection Line: 503.639.4175 - ■ 1 i gi Date Ready /By: 0 See Page 2
Internet: www.ci.tigard.or.us V, r ff 3 \ NotiSed/Nlethod: Supplemental Information
, = +`a `,41- : t,0: - --. t 'PE'a06 *45Ri - C5, _ ,2..,, =RE UI D DATA r1-= FAMILY:DWELLIN :
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❑ New construction s ]� �Q i w Permit fees* are based on the value of the work performed.
e - Indicate the value (rounded to the nearest dollar) of all
El Addition /alteration /replacement r equipment, materials, labor, overhead, and the profit for the
• CATEGORY OF CO NSTRUCTION;r,a, - ; - work indicated on this application. •
Valuation: $
❑ 1- and 2 -family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ® Other: Number of bathrooms:
.t JOB, SITE INFOR■ATIO■s;;AND- LOCATION 1 - :, ,i - Total number of floors:
Job site address: /5970 --/ ?0 Sl,4 B�� TW . 64 6 e New dwelling area: square feet
City /State /ZIP: --?-( 6 D , 0g Q z z (t • Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: .5 M r-( Q t- et_ 0 Covered porch area: square feet
• Cross / street/directions to job site:
�+ Deck area: square feet
l 1 (7Q + /59 p O 9 - / 5 96 Other structure area: square feet
IREQUIRED DATA COMIVIERCIALAISE CHECIKLIST- w.
Subdivision: 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, materials, labor, overhead, and the profit for the
°1, , ` ' a , 4DESCRIPTION OF W ORK < ` s , ",,A.:..7,7 f /; q, ' p , : s work indicated on this application.
R t 1 of ii Ri Fl//C 7o d) - cl< 1.l Valuation: $ e5 3 4 0 /13, Z-T F iteAI Ts'. 3 0 ye
Existing building area: square feet
I � /A) V L e S . � J M em c. (/i4L� S New building area: square feet
_ t ^.2`.. H .. b c..., ' = r ' K �` i J,` s � 9 � XR �W*L �, a,,p ,, , 9
PROPERTY_4.OWNER - <- : x ® TENANT Number of stories:
Name: Stit M m 62 - /- 7 / 4 Q igSSO C/.4 77a 3 Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) •
New:
-:.5 ,fir _'-s''sat:, - a:�,v:• - �:'�� - :s,< .?;," - .trx;x :dy : *ra4Mtis,
%:. ;�g LIC[ANT =.F���. b u , s ®.F T'' + R _. + ;'t`t r7 �;; Vfig
`;.,,:s a '° �". `-..�.: iA'A,fu +.. _ . ..y :c I:r^;:T' ,,,,,,. At-, S t`-'O N , AC TAPERSO.. ^. ,2,. 7.71E k. LROA �4 , ( Y f 3 �t -z.3 [- a 114 . R .
u s � .�.m� � °hT OTICE � � '� -.-t:
Business name: /A).-7—..C.. /2,5-��-f— L K243- A' All contractors and subcontractors are required to be
Contact name: 4.6 u 0RNEL. o qs 5'03-8? -' / y8. licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: /50 tPSS(J 7(7/ 41/6 jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
POR 7' Li uLa ,, oR , 97 2 If a ppl y:
Phone: (5 6'yam .5'6/7 Fax: : (5 b3 63 ?.,. 3 to 5"r / 4
E -mail: � v v ►t
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Business name: /N 5 l� r
2 T.� � ` �� ,4/ v,` � `) l BUILDIN'G } PERMIT FEES'" !
,�j � 4177,/i/ _., �
Address: r
S 5 W 7 / tie. - Please refer to fee schedule.
City /State /ZIP: / - 7— L.ANt9 � , /z . .Z it / � , Fees due upon application
Phone: ,(5 6, c y_ b / IFFax: (�j f. 3 3 os'C.,
CCB lie.: 5 s- G•/ �� Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /&. a � (, 5 e5 g /i EL. 4-5 Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\ROOF- PermitApp doc 12/03 440- 4613T(1 I /02/COM/WEB)
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CITY OF ��mu � n�'u xm����u��*
BUILDING DIVISION ' '' ` PERMIT #: BUP2008-00119
| 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4V16/2000
Phone: (503) 639-4171
ii
Inspection Requests �mj
��H: (503) 639-4175 irr ^ ���
INSPECTION WORKSHEET FOR DATE: 6/4/2000 TIME: 7:01AM PAGE: 59
SITE ADDRESS: 1b970SVV BRENTWOOD CT CLASS OF WORK:
SUBDIVISION: SWk3kHBRF|ELQWQ.9 LOT #: 605 TYPE OF USE:
PROJECT NAME: SUMMERFIELD
. DESCRIPTION: Reroof, remove and replace. This permit is for addresses 15970. 15980 & 15990 SW Brentwood C.A.
OWNER: PETERSON, GLENN L + KATHERINE E. PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503-6846611
Inspection Request Scheduled For: Date: 6/4/2008 ' Pour Time: .
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 070771'01 503-481-8266 N
Corrections/Comments/Instructions:
1 0
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PASS -- PARTIAL APPROVAL �� CANCEL I | NO ACCESS
__ �� / I
| I FAIL -- INSPECTION ri ADDITIONAL FEES ASSESSED
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Inspector: Date: ~ law Phone #: (503) 718-
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