Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2021-00019
Date Issued: 12/20/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115AB00200
Jurisdiction: Tigard
Site address: 16100 SW 113TH AVE
Project: Woodspring Apartments-Clubhouse Subdivision: WILLOW-BROOK-FARM Lot: 25
Project Description: Tear off 1 large of wood shake,install drip and rake edge, install roof runner underlayment and install shingles at
clubhouse&mail station.
Contractor: EXECUTIVE ROOF SERVICES Owner: HZ WOODSPRING LLC ET AL
300 W 15TH ST STE 305 BY HAMILTON,ZANZE
VANCOUVER, WA 98660 ATTN GENERAL COUNSEL
37 GRAHAM ST STE 200
SAN FRANCISCO, CA 94129
PHONE: 360-828-8467 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 12/15/2021 $377.90
Specifics: Plan Review 12/15/2021 $245.64
12%State Surcharge-Building 12/15/2021 $45.35
Type of Use: MF Info Process/Archiving-Sm$0.50(up to 12/15/2021 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Load:
Stories: 1 Height: 220 ft
Project Valuation: $19,370,00
General Information
Building Area: 10000
Re-Roof Area: 10000
Roof Class: B
Tear Off: Yes
Overlay: No
Existing Roof Layers: 1
Parapets: Yes
Total $672.89
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: Ho-IJ Va- Dt.Wegle, Permittee Signature: Ow A
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 // , -,
Commercial FOR OFFICE USE ONLY
City of Ti andECEIVE Received 'r
g Date/By: II L4 2/� i Permit No.:RE ZO�'�c)d 19
a 13125 SW Hall Blvd.,Tigard,OR 972N0V 2 2 2021 Plan Review IIa
' a` Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Vol,- j it a.) Related Permit:
Inspection Line: 503-639-4175 CITY OF IGA U Date RcadyBy: itii See Page 2 forIIGARD Internet: www.tigard-or.gov otificd Meth d: � � // Supplemental
L Information
BUILDING DIVISION.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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: QC ec equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ®Multi-family Number of bedrooms:
0 Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 LA 0 (-3'1 ' \" \t ja New dwelling area: square feet
City/State/ZIP: c �6I-� OR on- ,D 4 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:WOO c (1 j C 0 U jif Covered porch area: square feet
1
Cross street/directions to job site: 5\4 ui h�M \ AG,...)
l W‘ At)-IZ 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#: 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.
-- Valuation: $ t_` t.'31 O
—Thy o 1 1 o� LJO4d S1Y�k.r , lnSI�.I 1 (^In aryl
e J . , '(\5__I I `btC 1nC\�( Lkn,Q„r(� v l- Q n Existing building area: square feet
cat c �t (c-,\11 New building area: square feet
1(-) IC; it 5�,Q1(.11. > CL� C\�.�b��.�5e Ono �Ci�15v�.���;;v� g q
ikPROPERY OWNER 0 TENANT Number of stories: /
Name: a 1V\,(r, -3 �, � i0 d,D Type of construction: r('�(
Address: t(r\ v t I ,` \) Occupancy groups: rrr"'""
City/State/ZIP: V.\ .- Cc d ' \D C � "H Existing:
Phone: ( 1 Fax:( ) New:
g APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: F�etu_V v IL � ��l(, t �� (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: �\c- \� 0,U
Address: V 1 �h t os FLS plan review fee(if applicable):
`' Total fees due upon application:
City/State/ZIP: \lGneGLlv \ ,er , , 'l n Ko(j2,()
Amount received:
Phone:(30O) <�2 _ g.671 Fax::( )
E-mail: c PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 1�yj- `'Luut' `cjn�I Submit two(2)sets of roof plan with connection details
�f (�tCe 5 t_( and fire department access,along with the 2010 Oregon
Address: VI, \��� 1.\ , 1.\.e -7-) 3 Solar Installation Specialty Code checklist.
WIN Permit fee(includes plan review
City/State/ZIP: � � � \9�t! q J -��p and administrative fees): $180.00
Phone:( 6 ) 'S � �� C�`'C� I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: �" Q Total fee due upon application: $201.60
Authorized signature: i" /`-mil This permit application expires if a permit is not obtained
l / within 180 days after it has been accepted as complete.
Print name: /1/( P%h !� )k Date: ii/��J o / * Fee methodology set by Tri-County Building Industry
(. Service Board.
I:\Building\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-461 3 T(1 1/02/COM/WEB)
City of Tigard
111 r COMMUNITY DEVELOPMENT DEPARTMENT
i
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: Rlwzi '000(9
Site Address: b 6(00 Sw I I A-VL Suite/Bldg#:
Project Name: I ctse 6� 5 e f l��60-5-e
(Name of corn ercial b mess occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: _ - i v/wove, �- (a l 1A/ova 3 tt[0 , lVl.5 -tl ii Itt f p p cot _o -e o�yp
i(AS (-Alt r o n1 fri v r---- U►v v(mot 4-4,wy-& Ln 1 '�S' r `/
y �
Existing Business Activity: NO
I C! (4 I f/ 6
Proposed Business Activity: V [ ✓ (�
Verify site address/suite#exists and active in permit system.
❑ River Terrace eighborhood: ❑ Yes n No
Zoning: f—175 Cj
p Permitted Use: ) Yes ❑ No ❑ Spec Space
Confirm no land use required.
0Business License:
Exists: ,i2' Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: L Z 292 I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ///Z2 2-eW
Site Plans: # 2
Building Plans: # ?i
Building Permit#: Enter building permit# above.
Workflow Routing: 11'Planning ❑ Permit Coordinator [ uilding
Workflow Sign-off: [ 'Sign-off for Planning(include notes from planning review)
Route Application Documents: L - uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: f
By Permit Technician: k6/ Date: //11//lOZ-/
I:\Building\Fonns\B1dgPennitRvw_COM NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_111819.docx