Permit CITY OF TIGARD REROOF PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: RER2020-00016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2020
TIC A R T7 9 Parcel: 1S136DB00501
Jurisdiction: Tigard
Site address: 11615 SW PACIFIC HWY
Project: House of Teriyaki Subdivision: None Lot: None
Project Description: Reroof-remove and replace.
Contractor: JIM FISHER ROOFING & CONST INC Owner: WILDCAT INVESTMENTS LLC
13580 SW GALBREATH DR 333 STATE ST STE V-323
SHERWOOD, OR 97140 LAKE OSWEGO, OR 97034
PHONE: 503-625-2586 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 12/22/2020 $332.27
Specifics: 12%State Surcharge-Building 12/22/2020 $39.87
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $16,995.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $372.14
Required Items and Reports(Conditions)
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \`w Gvl I l n Permittee Signature: c^NeN a?c2)' ;C_C I\O*-N.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 Permit Application E- 1 IS 20
Commercial Folz OI'Fl(F USE Oyt y
`u City of Tigard EEC
Review
�le „
• City
o Hall Ti Blvd..Tigard. R Dual.r: j , Permit No.: +,ya1q r Y
Phone: 503-718-2439 Fax;507-598-1960 /f,� Retains Permit: (!Nt/L 7 netNe Pian , 4
T I G A RD Inspection line:58d or.g v 6 702n Date Reedy/By: lwn: S See Papa fur
Internet:www.Ngardbr.gov DECGla .L r.Q LVL11 NmtinM/Mahad: h ) y t I Supplemental laformauoa
TYPE ana F (IUARD REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction all Igipswipl\/i[+If-1N Permit fees*arc based on the value of the work performed.
tUXW_t J I(y, Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ,. (V Other: P G equipment,materials,labor,overhead,and the profit for the
CATEGORY OP CONSTRUCTION work indicated on this application.
❑I-and 2-family dwelling Eli Commercial/inahtstrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address: iik 15/ 4 . /pefaSe ./i�[�w/ New dwelling area: square feet
City/State/ZIP: '6o,o,/ /l 71-09 Garage/carport area: square feet
Suite/bldgJapt.#: P f Project name:1404gs 04 y}:I q({,' Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
-- REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#. Permit fees'are based on the value of the work performed.
Tax map/parcel Si: indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. a6
Reowvr Pr,ei,v5 Rue Reel- .4-ge/I/a✓ lr/J//l�sA.Kbeele Valuation: $ �/Qj i —
-r _. Existing building area: 45 DU square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: i
Name: Type of construction: 1��o/
Address: __..
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax ( ) New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT PEES'
(Name ra/rs,feese/age40
Business name: P/ p nj
Contact name: b�), )/.�r r Structural plan review fee(or deposit):
Address: /,(o/L ee lg Dr-, FLS plan review fee(if applicable):
•77r917V"%�w /J'� PJ►
City/Stale/ZIP: 444-a 1),-/ dp- q 710'0 Total fees due upon application:
ed:
Phone:(6O3)2---7- '7(6 fj 3 Fax::(503) Gel.s—0 as Amount received:
/a �On PHOTOVOLTAIC SOLAR PA.YEL SYSTEM FEES'
E-mail: (y 1k�,r���,h f�r
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: .fr or e 6 ��OreP Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/Statue: Permit fee(includes plan review SI80.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: c(e�
-(�-( 72 Total fee due upon application: S201.60
Authorized signature: Tills permit application expires if a permit is ant obtained
Q within 188 days after it has been accepted as complete.
Print name: !3O h ier7/"e Dare: )a--/5 ' Fee methodology set by TN-County Building Industry
Service Hoard.
:1Building\PcrmitaiBUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)iii -
6e47`' SHee.7`S Ga v t rC6--�-�% / i�5z,.r�ve-c /a ii. 'rt.?o 8-
Branden Taggart
From: Branden Taggart
Sent: Monday, December 21, 2020 6:34 PM
To: Bob Bruce
Subject: House of Teriyaki Re-Roof Permit: RER2020-00016 - 11615 SW Pacific Hwy
Attachments: Invoice.pdf
Hi Bob,
The Re-Roof permit for House of Teriyaki is ready to issue now. The balance due is$372.14, and I have attached an
invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(RER2020-00016) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermitsPtigard-or.gov, and we will email the permit paperwork to you.
For future reference, we no longer review cut sheets or any other documents prior to the issuance of Re-Roof
permits. These permits will be issued over the counter, and cut sheets will be reviewed during inspections. Please note
that the paperwork that was submitted with the permit application was not reviewed or approved. Please keep this
paperwork on site for the Inspector to review.
Thanks,
Branden Taggart
114 a City of Tigard
® Senior Permit Technician
Community Development
TIC ARO
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigarci-or.gov
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