Permit ,t - a CITY Of TIGARD BUILDING PERMIT
PERMIT #: %p
COMMUNITY DEVELOPMENT DATE ISSUED
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112AA -00900
SITE ADDRESS: 14140 SW 72ND AVE ZONING: I -H
SUBDIVISION: NELSON BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: GVA KIDDER MATTHEWS
Project Description: Reroof - tear - off and replace with Class A.
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: 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: $ 70,792.00
Owner: Contractor:
GVA KIDDER MATTHEWS GRIFFITH ROOFING
ONE SW COLUMBIA ST SUITE 950 6815 SW 111TH AVE
PORTLAND, OR 97258 BEAVERTON, OR 97005
Phone: 503 - 221 -2292 Contact #: PRI 503 - 643 -1596
FAX 503 - 644 -1529
Reg #: LIC 925
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/24/2008 $467.50
[TAX] 12% State Surch 6/24/2008 $56.10
Total $523.60
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. /
i
Issued
( ----- 0
Cl GC Permittee Signature: . L. .. Wiz:,
Call 503.639.4175 by 7:00 a.m. for an inspection that bu • - ss 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.
\ /
Building Permit Application RECEI
Commercial FOR OFFICE IJSEONLY
City of Tigard Received perm No.: ` � a
�J g JUN 2 4 2 0 08 Date /By: i/
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' C P hone: 503.639.4171 Fax: 503.598.19 OF TIGARD Date /By: Other Permit
TIGARD Inspection Line: 503.639.4175 Date Ready /By Juris: Fa See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: '116 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: Roofing equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
12 I -and 2- family dwelling ® 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: 14140 SW 72 Avenue New dwelling area: square feet
City/State/ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: F Project name: ( #p /4,,,,,,e_ / /4i7 l 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.
Tear off and reroof using a Class A roof specification Valuation: $70,792.00
Existing building area: 52400 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: GVA Kidder Matthews Type of construction:
Address: One SW Columbia Street, Suite 950 Occupancy groups:
City /State /ZIP: Portland, OR 97258 Existing:
Phone: (503)221 -2292 Fax: (503)221 - 2277 New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Griffith Roofing Co. All contractors and subcontractors are required to be
Contact name: Greg Stone licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6815 SW 111 Avenue jurisdiction in which work is being performed. If the
City/ State/ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 643 -1596 Fax: : (503) 644-1529 .
E -mail: N/A
CONTRACTOR
Business name: Griffith Roofing Co. BUILDING PERMIT FEES*
Address: 6815 SW 111 Avenue
(Please referrojeesehedule�
Structural plan review fee (or deposit):
City /State/ZIP: Beaverton, OR 97008
FLS plan review fee (if applicable):
Phone: (503) 643 -1596 Fax: (503) 644 -1529
CCB Bic.: 0092( Total fees due upon application:
Amount received:
Authorized signature: x 4 ‘ , 0 Thi permit application expires if a permit is not obtained
'n within 180 days after it has been accepted as complete.
Print name: Greg Stone Date: O * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: r3UP2006 00211
. A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2008
Phone: (503) 639 -4171 goodip ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/12/2008 TIME: 7:00AM PAGE: 5
1
SITE ADDRESS: 14140 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: NELSON BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GVA KIDDER MATTE -II-_ /VS
DESCRIPTION: Rerouf - tear -off and replace with Class A.
OWNER: GVA KIDDER MATTHEW,, PHONE #: 503 - 221 -2292
CONTRACTOR: GRIFFITH ROOFING PHONE #: 503- 643.1596
Inspection Request Scheduled For: Date: 8/1212008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
799 Final inspection 074080.01 971 - 235.7267 N
Corrections /Comments /Instructions:
. 45% 5% / PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
/
. FAIL MrCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 10A3 Phone #: (503) 718-