Permit ,� CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit #: RER2011 -00015
Date Issued: 09/22/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 1 S136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST D49
Project: Hawthorne Villa Apartments Subdivision: Lot:
Project Description: Building D - Reroof, tear -off and replace
Contractor: HOMEMASTERS INC Owner: HAWTHORNE VILLA LTD PARTNERSHIP
8859 SW COMMERCIAL ST BY TVHP
TIGARD, OR 97223 6160 SW MAIN ST
BEAVERTON, OR 97005
PHONE 503 - 849 -6325 PHONE' 503 - 970 -0376
FAX: 503 - 639 -5060
FEES
Description Date Amount
Permit Fee 09/22/2011 $286.64
Specifics: Plan Review 09/22/2011 $186.32
12% State Surcharge - Building 09/22/2011 $34.40
Type of Use: MF Info Process /Archiving - Sm Sheet (up to 09/22/2011 $1 00
Class of Work: OTR Type of Const: 11x17)
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $13,167.00
General Information
Building Area. 0
Re -Roof Area: 0
Roof Class.
Tear Off:
Overlay.
Existing Roof Layers:
Parapets:
Total $508.36
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. 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 -001 rough 952 -00 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued B : 112_44L,Cilki Permittee Signature:
dlt#4 ( ZZCX--( ,
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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
.
Re -Roof
RECEIVED FOR OFFICE' USE ONLY /
ra+- / @ A� Received p F- t�Ol`�l5
City of Tigard Date/By ( i/ / Permit No
11 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
i. Phone: 503 718 2439 Fax 503 598 1960 S E P 2 1 2011 Date/By Other Permit
TIGARD Inspection Line 503 639 4175 Date Ready /By runs RI See Page 2 for
Internet www tigard -or gov CITY OF TIGARD Notified/Method Supplemental Information
BUILDING DIVISION
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 (roinded to the nearest dollar) of all
❑ Addition/alteration /replacement El Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
12 1- and 2- family dwelling El Commercial/industrial Valuation: $
❑ Accessory building 12 Multi-family Number of bedrooms
❑ Master builder 12 Other: Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors
_ f e
1 " "j �' � -�.. f N New dwelling area. square feet
Job site address
City /State /ZIP. ' T ')9,-_-_-e, ,,� . ; t (9 l ` ---.. 7 ; ^, Garage /carport area. square feet
Suite/bldg. /apt no�(12'� 1J Project name: .'.....(/ ; ; `` f \.1.,'1 t s. ; ` Covered porch area square feet
Cross street/directions to �b site Deck area square feet
i
Z
�a -' �I'` � �� ` �' ` � ,t `' Other structure area: square feet
i 14 1 4 (c; l Z„-(5 Y Pe/ brc `•`- i 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 (roinded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation $ I - 3 /b7
°<.P A
16 4 /� _ 6 r j� Existing building area square feet
' ✓CJ / U M New building area: square feet
pi PROPERTY OWNER ❑ TENANT Number of stones:
Name lC; lr,,/ \I 1 , 1 r i w- I , L Type of construction:
Address: t , s "( 7„ r : 1— t vi. •:...i, (o 1 T + r - Occupancy groups.
City /State /ZIP. i-(l (j,-.., l " ,, -- (:::-) N.=_ `( .? (? l ,. Existing:
Phone (C C ), .P 1(, ` -,`. Fax Fax ( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: 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:
Phone. ( ) Fax: ( )
E -mail:
CONTRACTOR
Business name t r . - � ,./..;: - ,' �F -6; BUILDING PERMIT FEES*
(Please refer to fee schedule
Address: c.:' c..„ � e.', t ✓;';%- l�i I =_;-„--,- .
_ Structural plan review fee (or deposit):
Cit "
/State /ZIP: ,7 ^
y l I %''% ( l 1 7 2's r4'
Phone • ( h' A" Fax FLS plan review fee (if applicable):
CCB he : 7 /�' �7 e ��_ Total fees due upon application
`, ` „ Amount received.
Authorized signature 1 �i — This permit application expires if a permit is not obtained
^ -a— within 180 days after it has been accepted as complete.
Print name' :'--s. i . _• L_G, i iv t i 1 rte" -- ,,,` Date: 99 2 / — , / * Fee methodology set by Tn - County Building Industry
Service Board
1 \Budding\Permits\ROOF- PermItApp doc 10/01/09 440- 4613T(1 I /02 /COM/WEB)