Permit CITY OF TIGARD REROOF PERMIT
" COMMUNITY DEVELOPMENT Permit #: RER2011 -00008
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date issued: 07!26/2011
• Parcel: 2S112DD00300
Jurisdiction: Tigard
Site address: 15900 SW 72ND AVE
Project: Pacific Convenience & Fuels Subdivision: Lot: 0
Project Description: Reroof, tear -off and replace. GAF TPO 60 mil MF
Contractor: MCDONALD & WETLE INC Owner: PACIFIC CONVENIENCE & FUELS
2020 NE 194TH AVE 2603 CAMINO RAMON STE 350
PORTLAND, OR 97230 SAN RAMON, CA 94583
PHONE: 503 - 667 -0175 PHONE:
FAX: 503 - 665 -0141
FEES
Description Date Amount
Permit Fee 07/26/2011 $332.27
Specifics: Plan Review 07/26/2011 $215.98
12% State Surcharge - Building 07/26/2011 , $39.87
Type of Use: COM Investigation Fee 07/26/2011 $332.27
Class of Work: OTR Type of Const: Investigation Building 12% State 07/26/2011 $39.87
Occupancy Load: Surcharge
Stories: Height: 0 ft
Project Valuation: $16,148.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay: Yes
Existing Roof Layers:
Parapets:
Total $960.26
Required Items and Reports (Conditions)
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 the 180
days. ATTENTIO • nrm•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 rough OAR 95 .01-1 You may obtain a copy of the rules or direct questions to OUNC 2.1987 or 1.800.332.2344.
Issued / � ` Permittee Sign ure: "
Call 503.639.4175 by 7:00 a.m. for the next available inspection dat-
This permit card shall be kept in a conspicuous place on the job site until corn • etion of the project.
Approved plans are required on the job site at the time of each inspection.
•
' Building Permit Application
''yi,, ' Commercial FOR OFFICE USE ONLY
City of Tigard
Date/By: No.
III
• - ° 1 3125 SW Flail Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Permit:
TI GARD Inspection Line: 503.639.4175 Date Ready/By: Jurist El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND L CATION Total number of floors:
Job site address: /5760 60 j?") 2.1 .4 e New dwelling area: square feet
City /State /ZIP: ---1 Garage /carport area: square feet el : m i 0
Suite/bldg. /apt. no.: Project name: (ei/i!P`,��1 (l y 7, Covered porch area: square feet
Cross street/directions to job site: (rt�i IZ Jd/e . std' » Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I 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: $ �/ ,/$e
0 4-F � s cetK. Existing building area square feet
l � New building area: square feet • PROPERTY OWNER I ❑ TENANT Number of stories:
Name: G 5 Type of construction:
Address: / S pq //per - i _ / Z > F / Occupancy groups:
City /State /ZIP. 04 / < Existing:
g '
Phone: (.593 2_ q /' Fax: ( ) New:
❑ APPLICANT V � ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone: ( ) Pax:: ( ) Amount received: D
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
,CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: � Submit two (2) sets of roof plan with connection details
. % ' Z ". 44,. C r and fire department access, along with the 2010 Oregon
Address: 7e( %j�7//7 - Solar Installation Specialty Code checklist.
City /State /ZIP: 11,a ,- / r i 3 Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( _ 3 y'2 , i . 17 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: //.. 7/0
Total fee due upon application: $201.60
Authorized signature: 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
r
Print name: Date: _
„ * Fee methodology set by Tri- County Building Industry
i/l z ' Service Board.
d' .
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
I
:.
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 03 /03/2011