Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 - 00120
COMMUNITY DEVELOPMENT DATE ISSUED: 4/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CD -03500
SITE ADDRESS: 09605 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 524 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9605, 9615, 9625, 9635, & 9645 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: $ 36,820.00
Owner: Contractor:
HARDY, JEANNE L INTERSTATE ROOFING
9605 SW BRENTWOOD PL 15065 SW 74TH AVE
TUALATIN, OR 97062 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 $294.03
[TAX] 12% State Surcha 4/16/2008 $35.28
Total $329.31
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503.246.6699 or 1.800.332.2344.
Issued B : ! / PermitteeSignature -..: A , II/'
Call 503.639.4175 by 7 :00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•• Re -Roof
Building Permit Application );012 OFFICE USE ONLY *` •
City of Tigard Re Date/B ceived f! / og' Permit No.:Au4. CO 6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ui iFg =++f I ''' Date /By Other Permit:
Inspection Line: 503.639.4175 co rri ..,,, v .. A___ � .1 Date Ready /By: ja jai See Page :for
Internet: www.ci.tigard.or.us w ' �• Notified/Method: O Supplemental Inform ation
TYPE • :.OF VHO C;V 11:00II241 DATA 1, ANp2 EAIV III:YpWELLING . ,
❑ New construction ❑ D ot Gpw Permit fees* are based on the value of the work performed.
y� ` �r� ® Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration /replacement (^$ &th,r ®9V p �T equipment, materials, labor, overhead, and the profit for the
�"+ r"''"' work indicated on this application.
z CATEGORY; - OFC�NSTRUCTION
❑ I- and 2 -family dwelling Valuation: $
❑ Commercial /industrial
12 Accessory building El Multi-family Number oi' bedrooms:
❑ Master builder C Other: Number of bathrooms:
„ JOB- SITE -- INFORMATION LOCATION Total number of floors:
Job site address: 96 0,5 ._ 96 y5 5 (,-. 13 Rt iW ' o CO P /AL 4-(....52._ New dwelling area: square feet
City /State /ZIP: --T7 4/2 0 / 6( 9-7 q -, `f Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Jf LA. N ,/-(C l=' t°L 47 Covered porch area: square feet
• Cross street /directions to job site:: / Deck area: square feet •
9 05 9 /6 71008 90 35- ¥ 9 ij Other structure area: square feet
=IREQU COMMERCIAL-USE CHECKLIST;
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
i DESCRIPTION OF :WORK work indicated on this application.
R[ d`�6i!zE- ALL °.e R6 o Fz0+%6( 7Z) � - ci; ` 419 Valuation: 3 4, / gz o
3 /43, !` L LT rZ.- d-�.Sle,el s Lf &/J - 3 C:: e 4•to, Existing building area: square feet
i �4 I " • A l r - r L
( / �i s /= 1 � � G. L� �/ /�C , /i 6 L VA Lt, e }} New building area: square feet
0PROPERTY ,AWNER .i LI TE ANT Number of stories:
Name: SV( ,„q 6Rl; c D fq - c-= C /1} 71 <6 . 3 Type of construction:
Address: Occupancy groups: •
City /State /ZIP: Existing:
Phone: ( ) . Fax:( ) .
New:
.
- ;A '«0 - t; CONTACT %.r h;
�. , .. < _n ,. _ d.. . . ,-, ., _ . „ .. ., .. , -, � \ -4� NOTICE
Business name: / ` C /` s ` -- ! L ,,q�w --61 / Af � All contractors and subcontractors are required to be
Contact name: � a 6PN 6:za. ,qS 503 _ 8,,2 6_, / 4l69,Z licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /50 6'S'St.,-= 7 i7 7 - 4 , 4 v 6-, jurisdiction in which work is being performed. If the
City /State /ZIP: / 7 applicant is exempt from licensing, the following reasons
�oR 7-404,4)i) . UP, Y apply:
Phone: (55.3) 67 Eq., 56/f Fax: : (> b 3) (a 3 }°j_ 3 b 5 4 3 W
E -mail: ��
.}' •. ? .. CONTRACTOR°
Business name: //J-7-h % 775 fecTi5 , A i t l�
/ � 5 � "BUILDING.>CRMIT .FEES
Address: /570 c 5 , LA.) 7 y L/
Pl ease refer to fee schedule.
City /State /ZIP: ,2GgT`AA/19 R C a .
/� CS �g / r l d Fees due upon application
S.%
Phone: /S /- 6 ( Fax: %:3) ec? . 3 C CS
CCB lie.: 5 si ,° i/ h g3 Amount received
, , / Date received:
Authorized signature: r � � � • This permit application expires if a permit is not obtained
ff -( ! within 180 days after it has been accepted as complete.
Print name: `... CI L.( (`5 &P /0 EL Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permlts\ROOF- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
, . .
C ITY OF ��mn m ��w �w�m������
BUILDING DUNG D PERMIT #: BUP200
I 13125SVV Hall 8kd.. Tigard, ORO7228 DATE ISSUED: 4/16/2008
Phone: (503) 639-4171
Inspection Requests �4Hmj:(503)G3Q4�175 ~� :alit �
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7: 1A M PAGE: 57
SITE ADDRESS: 09605 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUh8hNERF|EL0N0.9 LOT #: 524 TYPE OF USE:
PROJECT NAME: SUk8k4EQF1ELQ
DESCRIPTION: Reroof, remove and rep This permit is for addresses 9605, 9615, 9625, 9635, & 9645 SW
B/entwoodFq.
OWNER: MARDY, JEANNE L, PHONE #:
CONTRACTOR: INTERSTATE ROOFING PHONE #: 503
Inspection Request Scheduled For: Date: 6/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 070775~01 503~481`8256 N
. Corrections/Comments/Instructions:
//1.16:}1‘
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X P�S | | ����APP��L ���EL � NOACCB� I I �� ��
| | FAIL n CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
|napeotoc ^ Date: 6/ Phone #: (503) 718'
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