Permit �- REROOF PERMIT
„� CITY OF TIGARD
�, a COMMUNITY DEVELOPMENT Permit #: RER2010 -00009
T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/13/2010
F , , r ., , Parcel: 2S112CC01600
Jurisdiction: Tigard
Site address: 8355 SW DURHAM RD 2
Subdivision: Lot: 0
Project:
Project Description: Reroof and replace: 8355 units 2-4; 8363 units 5 -10 including garage; 8371 units 11 -16 including
garage.
Owner: FEES
KNEBEL, WERNER & INGE B Description Date Amount
10666 SW LADY MARION DR Permit Fee 07/13/2010 $195.38
TIGARD, OR 97224 12% State Surcharge - Building 07/13/2010 $23.45
PHONE:
Contractor:
JIM FISHER ROOFING & CONST INC
13580 SW GALBREATH DR
SHERWOOD, OR 97140
PHONE: 503 - 625 -2586
FAX:
Specifics:,
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay: Yes
Existing Roof Layers:
Parapets:
Total $218.83
Required Items and Reports (Conditions)
n,
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other ap 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 • rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules ad• • • "e ere. • • Utility Notification Center. Thos l les are set forth in OAR
952 - 001 -0010 through OAA 2- 001 -0100. You may ob�'the rules or dir t questions to OUNC by calling, 63.246.6699 or 1.800.33.
Issued By: ` //� ..- .ijl - -rmittee Signature: - �� ry�� -1 / - _
9.4175 by 7:00 a.m. for an inspection that busines .. d ay.
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 3 1. ��
Commercial �� FOR OFFICE USE ONLY
City of Tigard �)� r,0 Received Permit No.: �L i� — C�UCI •�
DDate/13 -
° 13125 SW Hall Blvd., Tigard, OR 97223 � \ ��� Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 a \� - G
TIGARD Inspection Line: 503.639 CO ®� DateReadyBy: ® SeePage2for
Internet: www.tigard - or.gov Notified/Method: PM Supplemental Information
TYPE OF WOR...- 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: $ . S '7
❑ I- 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: g306-- s'e..,) ,46. p�, New dwelling area: square feet
City /State /ZIP: // �'p.e ., / 0 GJ7 V �" Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 7 71 � �a 4 /� 'V • Deck area: square feet
U' 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: $
roo — �1ir i
��/ / /. -V 7 C� „ / 4 35 Existing building area: square feet
C/ Kl X-45;01---• / New building area: square feet
1, PROPERTY OWNER ❑ TENANT Number of stories:
Name: Z )LC - /a. it,-,xl Type of construction:
Address: /e3/,4 ‘ ) /„e7-4 j o'� /92?/Pf-/Ve r Occupancy groups:
City /State /ZIP G,p,e 7 172 7 7 Existing:
Phone: () 6 3 9- (5 6 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 45 e _z i _ , All contractors and subcontractors are required to be
Contact name: �� P -/ J licensed with the Oregon Construction Contractors Board
./y - under ORS 701 and may be required to be licensed in the
Address: / ''"; S v S4 , 2 2 /7a/ jurisdiction in which work is being performed. If the
City/State/ZIP: � applicant is exempt from licensing, the following reasons
Cit
y �/a�b f Q' % 7/.YO apply:
Phone: (6'63) x /q Fax: :("6: )695 2S P
E -mail:
CONTRACTOR
Business name: I AZ , ��7 i_i9 4 /L5 j BUILDING PERMIT FEES*
Address: / 3S� a ScJ �/�,P �—� -0," , view (or lo d schedule)
G� Structural plan review fee (or deposit):
City /State /ZIP: ; : /�i�� / O� '97M /d
Phone: t 7 . __ „, . �� 1 �� ry FLS plan review fee (if applicable): G
(�o�) Fax: (�u ) O P application: �a , �)
� , O Total fees due upon a lication:
CCB lic.: `7 /
f , 27 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:� /,,,-/ _,�.�, ,e� Date: 7_/S -te * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)