Permit • CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2021-00013
T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/17/2021
Parcel: 2S102BA00302
Jurisdiction: Tigard
Site address: 9900 SW TIGARD ST
Project: Tigard Industrial Park Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 22
Project Description: Reroof-remove and replace with new class A BUR.9900-9914 Tigard St.
Contractor: GRIFFITH ROOFING Owner: TIGARD INDUSTRIAL LLC
6815 SW 111TH AVE 5845 JEAN RD
BEAVERTON, OR 97005 LAKE OSWEGO, OR 97035
PHONE: 503-643-1596 PHONE:
FAX: 503-644-1529
FEES
Description Date Amount
Permit Fee 08/17/2021 $947.82
Specifics: 12%State Surcharge-Building 08/17/2021 $113.74
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $78,637.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,061.56
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: l,j Permittee Signature:
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 ApplicationR_ECEIVED $- <4)612-1
Re-Roof FOR OFFICE USE ONLY
City of Tigard AUG 101011 D D�®ZOZ/ ' Permit (�ERZOZ!Oo013
;, .1 13125 SW Hall Blvd.,Tigard,OR 97223 /� Plan Review
Phone: 503.718.2439 Fax: 503.598.191�'I�OF TIGARD Date/B : Other Permit:
In�net�n�tigara�gov75 BUILDING DIVISION N 8ed//MMetthood: EVII ®PPkmesta 2 fore anion
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Other: (4 1 LTV f equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling Cm omerciallindustrial
Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10,4) �9/� sw ��U, st
New dwelling area: square feet
-
City/State/ZIP: / _r ®r Garage/carport area: square feet
Suite/bldg./apt.no.: 1117 Project name:J` r 4 .2 ks `4 Covered porch area: square feet
Cross street/directions to job site: Ti'9a r� 5�S trx,/L be, wt CN Deck area: square feet
KC/ 7117 -1, N C J` JG ha - �i t Ail- ALC6 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work perforated.
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 work indicated on this application.
)
/�t rv,7 ,4..rr C�.`5,/tny .-z,e/ W✓ A ne� Valuation: S 7 e
e)6-3_5 A, L IJ /� J Existing building area:l'see square feet
/\ New building area: square feet
1. PROPERTY OWNER ❑ TENANTAA, Number of stories:
Name:/i, yJ f 5`>ia Ar/CL LLC 8/p Mersey �Gr7 %, Type of construction:
Address:J PG iscvs !4 q 6 / Occupancy groups:
City/State/ZIP: 8eaver-Joil Or. Existing:
Phone:(-e,3) SZ9.7 7 30 Fax:( ) New:
APPLICANT 0 CONTACT PERSON NOTICE
Business name:G�,!!-+/ Ao 6 ,, 1 a. All contractors and Construction
are required to be
Contact name: G'rt ��G yl f licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:
��) ....S.-kJ 1 i) Tj- Ave jurisdiction in which work is being performed.If the
City/State/ZIP: ,,,, ✓`y kr., (X- applicant is exempt from licensing,the following reasons
/ )�^� apply:
Phone:(03)6 y.3 "I�� (� Fax :(563) dl�L/_/✓e-
E-mail: ,NI r r/� /n re�6 II.ar 4.«/L14yr}�. co,vN
Vl NI
J LLL CONTRACTOR. /
Business name:�/ f���� /1 . 4 BUM:SING PERMIT FEES*
Address: eks- Sw 1 i,tl '/y (Please refer tofes schedule
)
City/State/ZIP: �j � / Structural plan review fee(or deposit):
gezu Joi- /)rl- FLS plan review fee(if applicable):
Phone:S'63V.y3-7 S/6 I Fax:6-63)i4/y-J5-2S'
CCB lie.: /2 Total fees due upon application:
/4 ---
Amount received:
Authorized signature: This permit application expires If a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: ::,1 S. y� Date:44/�2/ * Fee methodology set by Tri-County Building Industry
J !!! Service Board.
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