Permit ' �j J CITY I BUILDING PERMIT
i " � PERMIT #: BUP2008 -00232
COMMUNITY DEVELOPMENT DATE ISSUED: 7/7/2008
119ARDs 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114AB -00700
SITE ADDRESS: 09450 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TUALATIN OREGON CONGREGATION
Project Description: Re -roof building. Tear off and replace.
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: sf N: S: E: W:
OCCUPANCY GRP: B 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: # j a Y s -o , 0 0
Owner: / 7' Contractor:
TUALATIN, OREGON CONGREGATION OWNER
OF JEHOVAH'S WITNESSES INC
15390 SW 82ND PLACE
TIGARD, OR 97224
Contact #:
Phone:
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/7/2008 $141.15
[TAX] 12% State Surch 7/7/2008 $16.94
Total $158.09
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC b calli g 503.246.6699 or 1.800.332.2344.
f" 11 01111r ift
Issued By: / J / ttee Signature: liZyi/�
Y' f<i �/ ice' Permi
i I1
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1 � ,
Building Permit Application
Re -Roof LA01. «- FOR O CE USE ONL % ' i • ' "
! 8 . .1i X4 1. e"A ?� .�: i^ i�,:a:+: '4 i�:54,r�`.ffiSfri$ i "..h ,ad._._ .. a� Y�``� 7 ,
Cit of Tigard R eceived
s. i Permit No.:
1 114 ° 1 3125 SW Hall Blvd., Tigard, OR 9722 � Plan Review
' ' • C ` Phone: 503.639.4171 Fax: 503.598..;' O�� Date/By: Other Permit:
' I C A It I1 1 '1•' Inspection Line: 503.639.4175 ® 1 Date Ready /By: See P age 2 for
r r, a rrr r,�,+. Internet: www.tigard- or.gov m..- ''S r._ � W' fied/Method: Supplemental Information
T YPE OF WORK o \ - ...), REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolttt 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 ❑ Commercial /industrial
❑ 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: 7 f•5 5l.) J) tti ; 1 A a M R G[" New dwelling area: square feet
City /State /ZIP: "/ , r\ i , , 7,22 If Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: k , id 9,v1 11L / ( 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.
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.
Valuation: $ /07 Y56. OO
4-- N S f4 (1 Ail ,.d C e A-.�. f A I nr- / p Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER - ❑ TENANT Number of stories:
Name: ( 9,, e47 02 0 TKri. J� C d Ay r� � y, d f c TefltO f 4.1%f ^ _S Type of construction:
Address: 94/ 5-(9 s---,,,) 7 u I ita a✓I /z d Occupancy groups:
City /State /ZIP: t v 4 it ./ ( 9 /7 9.7 LID_ 4 Existing:
Phone: (5 45 ) 730-,2 55 Fax: (59 3 ) g-g s_ 7 55 New:
❑ APPLICANT • 0 CONTACT - PERSON ' NOTICE -
Business name: 5'o, nn , k S a . co LA 7P All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: ( ) Fax :: ( )
E -mail:
CONTRACTOR
Business name: BUILDING PERMIT FEES*
5-t. evl ( 0 S Q c� tJ
Address: (Please iefer to fee scbeAsile)
Structural plan review fee (or deposit): /7e /(—
City /State /ZIP: FLS plan review fee (if applicable):
Phone: ( ) Fax:( ) L
CCB lic.: Total fees due upon application: /(O .4 f
Am ount received: I t 07
Authorized signature: .�f �` - z This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 3Th e / Li d A ., 4 y0 Date: 7. 7._ p i * Fee methodology set by Tri -County Building Industry
Service Board.
I :\ Building \Permits\ROOF- PennitApp.doc 06 /26/06 410.46I3T(II/02 /COM/WEB)
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
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 Building Division at (503) 718 -2433.
❑ 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)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
I:\Building\Permits \ROOF - PermitApp.doc 2