Permit iii e � CITY OF TIGARD BUILDING PERMIT
CO DEVELOPMENT PERMIT #: 08-00121
DATE ISSUED: 4/16/2/16/2 008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 CD -04000
SITE ADDRESS: 09545 SW BRENTWOOD PL ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.9 LOT: 529 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9545, 9555, 9565, 9575 & 9585 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: $ 34,453.00
Owner: Contractor:
KNIGHT, BETTY M INTERSTATE ROOFING
9545 SW BRENTWOOD PL 15065 SW 74TH AVE
TIGARD, OR 97224 TIGARD, OR 97223
Phone: Contact #: PRI 503 684 - 5611
FAX 503 - 639 -3056
Reg #: LIC 55485
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/16/2008 $282.85
[TAX] 12% State Surcha 4/16/2008 $33.94
Total $316.79
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 / � s� �`�� J PermitteeSignatu
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
Bi ildina Permit Application Fit, FOR OFFICE. USE ONLY
City of Tigard - i*' i. Date /B 7 / 41' PermitNo .�
13125 SW Hall Blvd., Tigard, OR 97223 ` _< u 1 Plan Review
t: .-
Phone: 503.639.4171 Fax: 503.598.1960 �,, , ,, , :' i i e y /B Other Permi
Inspection Line: 503.639.4175 ' ^,a , 1 1 1 A Dax�a, y.y,,,�y /By: IIM H See Page 2for
Internet: www.ci.tigard.or.us 1 •tfh J Method: Supplemental Information
_, t nF .11‘ X104.) „
' .. TYPE ' WORK - VIA,,• _.. REQUIRED DATA 1 AND 2- FAIVIILYDW
❑ New construction ❑ Demolitiolt '.)' Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration /replacement lig Other: equipment, materials, labor, overhead, and the profit for the
- work indicated on this application.
CAT•EGORY,:OF CONSTRUCTION -
❑ I- and 2 -family dwelling ❑ Commercial /industrial Valuation:
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder 0:? Other: Number of bathrooms:
- •
JOB ''SLTE 'INFORMATION -AND„LOCATION
Total number fota num er o floors:
Job site address: 2L5-7s—?..5- es 5 .J IRE471.J U £/1 ' -2- New dwelling area: square feet
l
City /State /ZIP: 7 ./1-.42 D 0 g 7 ; / Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: . Lk. / , 2 f'! E3L 0 Covered porch area: square feet
• Cross street/directions to job site - p Deck area: square feet '
�ST 5 955 5 �J t 9 St / 0 S g 5 7 S q 7 585- Other structure area: square feet
REQUIREDDATA 0 IST„
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
' DESCRIP,T•ION OF WORK work indicated on this application.
Rz-4 16I. /L= Azt. oLD r' FIAT - 7a> ‘,9" c/ 4/4y" Valuation: 3 y �J 53
i . Existing building area: square feet
A a
/ 05` V t.- e 5 . 77 c
Y , ti Al 67 PALL' ✓ s New building area: q
/ 6 ! ing a square feet
PROPERTY. O WNER . i , ®"TTENANT Number of stories:
Name: s1A H /--r 6R j , 4=4_6 t 4 s_ c C1.4 —76 3 Type of construction:
Address: Occupancy groups:
City /State /ZIP: • Existing:
Phone: ( ) , Fax: ( ) New:
APPLICANT•= � f® FI'�,P }•+ � 1 ,
.,. :COIVTAC ERSON � ;,.
"NOTIC
Business name: // 2 L ., e , i - 4! L , 4 ,f 6 All contractors and subcontractors are required to be
Contact name: i 6 L i q S 5 .... 8w6_ / 467,;2. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /5 ,5 ,,i ?1/ 4 / ' E ', jurisdiction in which work is being performed. If the
t / 7 applicant is exempt from licensing, the following reasons
City /State /ZIP:
pC?2 T A4J J . �P / apply:
Phone: (63) (p E4/.., 5-6// , Fax: : S O3 63 7',. 3&.51
E -mail: 1 ,3( 'if
_ '.'.'4; .,CONTRACTOR
Business name: / A ) / j = as 7;17 i .,?G -- , ; ('
BtilLDING PERMIT'FEES -
Address: 45 C S s w 7 yThe At tie
Please refer to fee schedule.
City /State /ZIP: / 2 p. -` ,q ,) 's G a
� / � � E L � ' Fees due upon application
Phone: 1,j (y.� �, a , Y-, 6' 4 / ( I Fax: (5' 6 3 }.= 3 4:13 (
CCB Iic.: 5 5 / es5 Amount received
�/ Date received:
Authorized signature:(�lf/./'"°
(E/24 � This permit application expires if a permit is not obtained
[I within 180 days after it has been accepted as complete.
Print name: Lw, o '-L (5 /i L L .4.5 Date: * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \PermitstROOF- PermitApp doe 12/03 440- 4613T(11 /02 /COM/WEB)
. . . .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2008-00121
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/4/2008 - TIME: 7:01AM PAGE: 56
SITE ADDRESS: 09545 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD110.9 LOT #: 529 TYPE OF USE:
PROJECT NAME: SLIMIvIERFIELD
DESCRIPTION: Reroof, remove and replace. This permit is for addresses 9545, 9555, 9565, 9575 & 95136 SW
Brentwood PI.
OWNER: KNIGHT, BEM M, 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 070776-01 503-481-8256
Corrections/Comments/Instructions:
(1
•
z PASS El PARTIAL APPROVAL LI CANCEL Lii NO ACCESS
• FAIL CALL FOR I SPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Date: 6 / 1 4 Phone #: (503) 718-