Permit Support Document CITY OF TIGARD BUILDING PERMIT
IN a COMMUNITY DEVELOPMENT Permit#: RER2021-00012
Date Issued: 8/2/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AC01801
/ Jurisdiction: Tigard
Site address: 14965 SW 72ND AVE S) j 1
Project: Oregon Bolt Subdivision: FANNO CREEK ACRE TRACTS Lot: PTS 45
Project Description: Reroof-overlay only.
Contractor: MCDONALD&WETLE INC Owner: RBJ INVESTMENTS, LLC
2020 NE 194TH AVE PO BOX 23175
PORTLAND, OR 97230 TIGARD, OR 97281
PHONE: 503-667-0175 PHONE:
FAX: 503-665-0141
FEES
Specifics:
Description Date Amount
Type of Use: COM
Permit Fee 07/30/2021 $872.52
Class of Work: ALT Type of Const:
12%State Surcharge-Building 07/30/2021 $104.70
Occupancy Grp: Occupancy Load:
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $68,250
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $977.22
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: Permittee Signature:
all 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.