Permit II „ .
CITY O.F. TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATE P U ED: #: 4/16/200 6UP2008 - 00122
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111 DC - 06000
SITE ADDRESS: 09475 SW BRENTWOOD PL ZONING: R -
SUBDIVISION: SUMMERFIELD NO.9 LOT: 534 JURISDICTION: TIG
PROJECT: SUMMERFIELD
Project Description: Reroof, remove and replace. This permit is for addresses 9475, 9485, 9495, 9505 & 9515 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: $ 37,083.00
Owner: Contractor:
OTT, REGINALD A + HELEN M TRS INTERSTATE ROOFING
9475 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 $299.62
[TAX] 12% State Surcha 4/16/2008 $35.95
Total $335.57
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 / ' 1 1 Permittee Signat . - : i '
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 .-..
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Building Permit Application A,. ,,,,,,, ,
FOR OFF1C,E USE ONLY . ...
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City of Tigard
VA Received
Date/Bv: /5 ( St 111,1• Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 ' - -O Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 '.?k demrd ti:.
' 1
-.. , . . Date/By Other Permit:
Inspection Line: 503.639.4175 ( .., i ,l' . .„-,- -1;1' Date Ready/By. 2 See Page 2 for
Internet: www.ci.tigard.or.us <1. V irstl I Notified/Method: MI Supplemental Information
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New construction Demolition
Permit fees* are based on the value of the work performed
P 0
Indicate the value (rounded to the nearest dollar) of all
ID Addition/alteration/replacement 1$1 Other: equipment, materials, labor, overhead, and the profit for the
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CATEGORY . OF CONSTRI:ICTION - :'„. .:-.'.:, ,': ,„,,-.,-.*: . - _1.1: work indicated on this application.
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Valuation: s
0 1- and 2-family dwelling EI Commercial/industrial
1:=1 Number of bedrooms:
Accessory • building El Multi-family
Number of bathrooms:
D Master builder 0 .21 Other:
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JOB SITE INFORMATION AND • '', 'I •',''''•'• ''', - - ' '"•,'-' Total number of floors:
Job site address: 9r 75_ 37-1,1,(6C)Q p Z A c_o New dwelling area: square feet
City/State/ZiP: 77 ,41,2 0 CR. 97 z 2. i . Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: S i.A. i-1 ,i-( ER.. Fi e..-Lo Covered porch area: square feet
• Cross street/directions to job site: Deck area: square feet
9 4 / 76 , 9 g5 / W95 / 95 9575 Other structure area: square feet
,
4Ip4IIIIIEDTIATAficpm „A
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
DESCRIPTION OF work indicated on this application.
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Valuation: $ 37 0 e3
R�'-1&L ,tgL o z_v R6m-b 7b 49. 4,4y • 1
Existing building area: square feet
/ 430 /6, FELT FLAS1141.16,5; LI e"} . '3 0 i /e - 44-ii-z. GifiF -
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( / 05. rio 164. 1(4. e v s . 774e-vii 'm er...4L 11,44.Z.. New building area: square feet
ek
iiiikiiii%ii;ikiii: Number of stories:
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Name: 5 lit frf /-I 6/0/ 4 3 /q-s--5 C7.4 7 "LI z4. 3 Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) . Fax: ( ) .
New:
APPLICANT :',:=;.'',. 4,
.. -,4,grg,:mm.0•:,N?,-,.t''-k:xs..-2,',.::;-,-x::','',..,2,,,,::.-,'-,
Business name: /A)--2 ,Q7 Af 6 All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board
Contact name: 4 6 c . c Op NEL oc4s 5b3- s•.,2 _
under ORS 701 and may be required to be licensed in the
Address: /50 4 7f 4 L/�,. jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: .7 0 R rzdq,0,0 e.,/?.., ?7 2 if apply:
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Phone: (520) &Eq., 5' 6 if Fax: : ( o3 6 3 ?„ 3 b 5
E-mail:
CONTR
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Business name: /A.)-77.7"TeS 7 - rZir, ,R6 /1; (,-- "".,Z;!::?Ai/...?';!::-_-:•BPO*0:1*.iw#..M.:!',.,:.:-:.;.,,.-c-a:‘,'---,;::-1-:::,:,:i
Address: /3• 45) ‘,. 5 s (. .,3 7 z -/ n y 4 t/8. . Please refer to fee schedule.
City/State/ZIP: pogi- .0 , f>,, R, i ? --- ... '1.7 Fees due upon application
Phone: ,(5 4, a y' - 5' I ( .
Fax: (52o 4 3 y-- 3 415 4,
Amount received
CCB lic.: 5 4/ g',.. •
Date received:
Authorized signature: LA a2 .
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1,_ e.) i--. i_s" o .P-. Ai EL. .4_5- Date: * Fee methodology set by Tri-County Building Industry
Service Board.
1: \ Building\ Permits \ROOF-PermitApp.doc 12/03 440-46 13 T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION - '' PERMIT #: 13UP2008-00122
13125 SW Hall Blvd., Tigard, OR 97223 , .
DATE ISSUED: 4/16/2008
Phone: (503) 639-4171 :eli
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/4/2008 TIME: 7:01AM PAGE: 64
SITE ADDRESS: 09475 SW BRENTWOOD PL CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.9 LOT #: 534 TYPE OF USE:
PROJECT NAME: SUMMERFIELD
DESCRIPTION: Reroof, remove and replace. This permit is for addresses 9475, 9485, 9495, 9505 & 9515 SW
Brentwood P1.
OWNER: OTT, REGINALD A + HELEN M TRS, 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 070778-01 503-481-8256 N
Corrections/Comments/Instruciions:
X PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FO INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: WO Phone #: (503) 718-