Permit • BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2004 -00566
� � DEVELOPMENT Tigard, ) 639 -4171 DATE ISSUED: 12/3/2004
SITE ADDRESS: 10105 SW NIMBUS AVE PARCEL: 1S134AA 01900
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 0 112-- FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,000.00
Remarks: Re -roof.
Owner: Contractor:
ROBINSON, WILLIAM R /CONSTANCE A PWSC INC
ROBINSON, LYNN + BELL, KAY ET 9045 SW WASHINGTON DR
BY ELLIOTT ASSOC PORTLAND, OR 97223
PORTLAND, OR 97204
one:
Phone: 503 - 255 -4220
Reg #: LIC 162049
FEES REQUIRED INSPECTIONS
Description Date Amount Roof nailng Insp
[BUILD] Permit Fee 12/3/2004 $100.90 Final Inspection
[TAX] 8% State Surcharp 12/3/2004 $8.07
Total $108.97
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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: r�
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
J
Re -Roof
1.
Building Permit Application , ./ OFFICE USE ONLY
City of Tigard Date/By: � — - 1 . 1 `? ( ./ ` Permit No. 3 e(/ 7.i5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 A* I I Date/By: Other Pernut:
Inspection Line: 503.639.4175 "'f Date Ready /By: Jurt (r ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: V 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.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
1=1 Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /D/ es - S_ w.. #40441)1A New dwelling area: square feet
City /State/ZIP: 7`, 0j , d 0 — 97 2,2 Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: D„ifr, k ,, 5 Covered porch area: square feet
Cross street/directions to job site: 4 1 ,4 i, iS 1 5 4, E // t, 7 Ad Deck area: square feet
J !" Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
/p DESCRIPTION OF WORK work indicated on this application.
7iel2C,. ail eedtxz goa w c . LG / e l9 Valuation: $ 7 alad --
` Existing building area: 2 p�+� square feet
0 I t , ' Clad 5 fd,�d 3 � c f80- ,l
r New building area: � square feet
❑ PROPERTY OWNER a-TENANT Number of stories: /
Name: k 4 / Zu t /"71'[31- $ Type of construction: /
Address: /6 3 - 0 p
64_4 4 (r Occupancy groups:
City / State/ZIP: ea i o f 7.0 al Ex isting :
p /Z5
Phone: ( ) Fax: ( ) New: N v
[APPLICANT El CONTACT PERSON NOTICE
Business name: pi / �ri t...- All contractors and subcontractors are required to be
"V licensed with the Oregon Construction Contractors Board
Contact name: .'- S under ORS 701 and may be required to be licensed in the
Address: /0 y �- S p ✓ jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: ,, � zti 1 4 O CO v �f f f,' 7 a Z 3 apply:
Phone: (SU3) 2 if2,zo Fax: : (503) 4137 we)
E -mail: .0.z -36 S 7
CONTRACTOR
Business name: Stt.4 S a 6 BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP: �J
Fees due upon application /6). /
Phone: ( ) Fax:( )
Amount received
CCB hc.: 16 2 0 y 7 i 1 ` 06
Date 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: 117,"7 - / Date: l 2. z_ �y *Fee methodology set by Tri- County Building Industry
/ Service Board.
is\ Building \ Permits \ROOF- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
RE- ROOFING PERMIT CHECK LIST
RESIDENTIAL (One & Two - Family Dwelling)
❑ REPAIR (major) plan review required by plans examiner:
Building permit is required when structural changes are made or the space sheathing
is removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re -roof if not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi - family and condominiums)
Q ' RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please
make an appointment by calling the inspection line at (503) 639 -4175.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre- inspection, plans may be
required to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $ e 0
(see Building Permit Fees chart) ,/e/._
8% State Surcharge: $ . d
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $ DO, 9
•
i:\ Building \Forms\Re- RoofChecklist.doc 12/24/03