Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00358
, DEVELOPMENT SERVICES DATE ISSUED: 7/27/2006
�f--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 AD - 00100
SITE ADDRESS: 12725 SW 66TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 034 JURISDICTION: TIG
Project Description: Re - Roof.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R1 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: $ 47,000.00
Owner: Contractor:
PARROTT, VIAL LLC MCDONALD + WETLE
12725 SW 66TH AVE #202 2020 NE 194TH
PORTLAND, OR 97223 PORTLAND, OR 97230
Phone: Contact #: PRI 503 - 667 - 0175
FAX 503 - 665 -0141
Reg #: LIC 44680
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/27/2006 $448.30
[TAX] 8% State Surcha 7/27/2006 $35.86
Total $484.16
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 B � J Permiftee Signature: / , r G �a �' /� /�
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
IF Re -Roof ,.6 _ .
Building Permit Application �j �
FOR OFFICE USE ONLY
City of Tigard D ate B y : 7 1, 7 (/ 4 Permit No �szite a /f c
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review v
Phone: 503.639.4171 Fax: 503.598.1960 �� Date/By: Other Permit:
Inspection Line: 503.639.4175 ^• Date Ready /By: Juris 10 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: T1( 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 IR Other: R Roc) Fy equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling g Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 0 V as S (A.2 , 6 st A l)G , New dwelling area: square feet
City/State/ZIP: � q ,, a ,,p Oa, , Garage /carport area: square feet
Suite/bldg. /apt. no.: ( Project name: G x: C H> j tiE Dj 0 ' Covered porch area: square feet
Cross street/directions to job site: 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.
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.
Valuation: $ 1/70ba , as
T"Y12 04' - I a cA Q (2.cY) F _z1usTl/1 II /Vey
.-' SS R k e U �� 1-- IV L L� s�1 e.�� Existing building area: square feet19 po0
-
II\DC3T New building area: square feet
❑ PROPERTY OWNER ,K TENANT Number of stories: ,
Name: f Q2 A CLM)X-112-S'i.L -P Type of construction:
Address: 199 a S. lio . 6 r ALA: . Occupancy groups:
City/State /ZIP: I O1L La t O1. °j 9,3a 3 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT IK CONTACT PERSON NOTICE
Business name: A.ftst All contractors 'd subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
O X A� �� under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: apply:
PP Y:
Phone: (Sb3) COSY - 010C) Fax:: ( )
E -mail:
CONTRACTOR
cs,_ Business name: me Do t.Q' t o p. LL 141 t BUILDING PERMIT FEES*
•
Address: 02O N• + 9ti i A Please refer to fee schedule.
a City/State /ZIP: 4 t LAmj 02- / //11 Fees due upon application G)/ /6
Phone: (s03) 66`9 - 0) 95 Fax: ( Sb3 ) 66 S ' D i Li )
Amount received
N CCB lic.: lihM Date received: 'V 6
Authorized signature: This permit application expires if permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: 141 T•k,g M 0 0-1 - b-} R (L Date: 7499/64, * Fee methodology set by Tri -County Building Industry
Service Board.
is \ Building \ Permits \ROOF- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
. _ &�
1
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)
❑ 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: $
(see Building Permit Fees chart)
8% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.) o
TOTAL: $
0
i:\ Building \Forms\Re- RoofChecklist.doc 12/24/03