Permit `,� CITY OF TIGARD REROOF PERMIT
2 COMMUNITY DEVELOPMENT Permit #: RER2011 -00016
Date Issued: 09/22/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1S136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST E70
Project: Hawthorne Villa Apartments Subdivision: Lot:
Project Description: Building E - 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 -0326
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 ATTENTIO 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 OA 952 -001- 90, You may obtain a copy of the rules or direct questions to OUNC by callinp9'i 232 1987 or 1 800 332 2344
1
Issued B : / Permittee Signature:
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 F O FFICE USE ONLY
RECEIVED of Tigard Received n 02
9 / ms �/ Permit No O�l l
"
III
13125 SW Hall Blvd , Tigard, OR 97223 SEP 21 ;' ''t Plan Review
Phone 503 718 2439 Fax 503 598 1960 Date/13y Other Permit
T IG'A IZ D Inspection Line 503 639 4175 Date Ready/By inns ® 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 (rotnded 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
❑ 1- 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 --I(-) Ci e:::- ,. •� ' -F —1 New dwelling area square feet
City /State /ZIP. '1 ,_; „ ,a t %); ? 7 , Garage /carport area: square feet
Suite/bldg. /apt. no :'6) ,0' c Project name: .j�� y Tr, i ,-.. t/ Covered porch area square feet
Cross street/directions to j ib site• Deck area square feet
,, ) r
l Z: - ,P ! , c -" "t Other structure area square feet
a
i. 1c. ;, , I b fa y C_ t ›v,, Ix c ,, 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 ( rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application
� _' r) * Valuation $ I -3 / 7
�� A .) (16 4 4 ..4..p ®+ Existing building area square feet
1.1141-49 New building area: square feet
A PROPERTY OWNER ❑ TENANT Number of stories:
Name � J fr - v) v t,� , i- (L ,A, (' ` (i !r_ ^.• . � (' l% 1i:% tli't- • t /� ,., L Type of construction:
V =
f, "- - ( 1 � - i I,�C. ‘ _ i 1 ,.- i • : � �
Address: Occupancy groups
City /State /ZIP- `t l (j o 1 ,.,, • _ CM N:_ `t '1 ( l f Existing
Phone. ( ,� '' ' f )(,✓ - • 2 ; 7 2 .0 , 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
1 ' c
' L'
�' e- f, -.' I- %-<....;:: ch.k' `-_- BUILDING PERMIT FEES*
Address: ` r / - ,,--4,. .1- - ;. l = "'7`.
(Please refer to fee schedule)
Structural plan review fee (or deposit)
City/State/ZIP: C "
Phone: (���w 4 / -- Fax: PLS plan review fee (if applicable):
Total fees due upon application:
CCB lie. i 7 ( I`' /,...
Amount received:
-
Authorized signature: l ` '
— � This permit application expires if a permit is not obtained
• y- within 180 days after it has been accepted as complete.
Print name
v %., tY. cK: " L !! i i ,�- 1 ",` Date , ,- ,` * Fee methodolo set b Trt -Count Buildin Indust
��L �� » Y Y g n
Service Board
I \Budding\Permits\ROOF- Pei mitApp doe 10/01/09 440- 4613T(11/02/COM/WEn)