Permit -
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CITY OF TIGARD REROOF PERMIT
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COMMUNITY DEVELOPMENT Permit#: RER2022-00026
Date Issued: 4/20/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136CD01800
Jurisdiction: Tigard
Site address: 11710 SW PACIFIC HWY
Project: Car Toys Re-Roof Subdivision: None Lot: None
Project Description: Remove existing roofing and install PVC membrane
Contractor: JBC ROOFING Owner: BRETTLER REAL ESTATE INC
12155 SW GRANT AVE STE B BY CAR TOYS
TIGARD, OR 97223 400 FAIRVIEW AVE N STE 900
SEATTLE, WA 98109
PHONE: 503-968-1235 PHONE:
FAX: 503-603-9967
FEES
Description Date Amount
Permit Fee 04/19/2022 $895.11
Specifics: 12%State Surcharge-Building 04/19/2022 $107.41
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $71,778.20
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,002.52
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 OAROA 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: ,1% z7 ajkli Permittee Signature: `Q�7' 1 �r�Call 503.639.4175 by 7:00 a.m.for the next available inspection date."C
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
Re-Roof FOR OFFICE ( SE ONI.I
City of Tigard Received 6(t , kf1 Permit No.: R�0 a(j Date/By: /v
49
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
0 ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I 1 G A R I) Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ElCommercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11710 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Car Toys Covered porch area: square feet
Cross street/directions to job site: Corner of Pacific Hwy and SW Dartmouth St Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Remove existing roofing and install new PVC membrane roofing Valuation: $71,778.20
Existing building area: 6,000 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories:2
Name:Car Toys attn Diego Gomez Type of construction:Wood framed
Address:400 Fairview Ave N Ste 100 Occupancy groups:Retail
1 city/state/ZIP:Seattle, WA 98109 Existin Retail
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Phone:(206)498-2566 Fax:( ) New:Retail
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:JBC Roofing, LLC All contractors and subcontractors are required to be
Contact name:Brad Chisholm licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:12155 SW Grant Ave Ste D jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard, OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:(503 )968-1235 Fax::(503 )603-9967
E-mail:bradc@jbcroofing.com
CONTRACTOR
Business name:same as applicant BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
Phone:( ) Fax:( ) FLS plan review fee(if applicable):
Total fees due upon application: (. i 5�
CCB tic.:98255
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:Jon B C ' holm Date:04/18/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
III CITY OF TIGARD FEE AND PAYMENT HISTORY
I.
' 13125 SW Hall Blvd„Tigard OR 97223
503.639.4171
TIGARD
RER2022-00026 - 11710 SW PACIFIC HWY, TIGARD, OR 97223
Car Toys Re-Roof
Fee Description Revenue Fee Amount Invoiced Paid Date Paid Payment Receipt# Due
Account Number Method
12%State Surcharge-Building 100-0000-24001 $107.41 $107.41 $0.00 $107.41
Permit Fee 230-0000-43104 $895.11 $895.11 $0.00 $895.11
Totals for Fees $1,002.52 $1,002.52 $0.00 $1,002.52
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
Total Payments:
Balance Due: $1,002.52