Permit q CITY OF TIGARD REROOF PERMIT
< • COMMUNITY DEVELOPMENT Permit #: RER2011 -00017
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/22/2011
Parcel: 1S136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST F100
Project: Hawthorne Villa Apartments Subdivision: Lot:
Project Description: Building F - Reroof, tear -off and replacement
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 : egon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -0010 rough OAR 52 -001 090 You may obtain a copy of the rules or direct questions to OUNC by calling 51 232 1987 or 1 800 332 2344
Issued By Permittee Signature: g m , / /
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 Applicati s4
Re -Roof CEIVED FOR OFFlCF USE ONLY
City of Tigard SEP 21 ?r it Date/By / �� �� , .' Permi No - / 4 ai/ DDCJ /.
13125 SW FIall Blvd , Tigard,OR 97223 Pl R eview
' Phone. 503 718 2439 Fax 503e1 GARp Date/By Other Permit
Inspection Line 503 639 4175 Date Ready/By ions Ed See Page 2 for
Internet www tigard-or gov DIVISION T I GA li D " UILD DIV 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 (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
Valuation. $
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building C] Multi-family Number of bedrooms
❑ Master builder ❑ Other. Number of bathrooms -
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address -7() c1 C;- �
'- � New dwelling area. square feet
City /State /ZIP• ' e ,_, ,, �, ( o j -. - ---,%. . ; 7 ') Garage /carport area. square feet
Suite/bldg. /apt no.: 1� Project name: „ . i , . • , Covered porch area square feet
,-1 ►I, ,ar j
Cross street/directions tol site• Deck area• square feet
, � t L
(1 °- ) �t"� I e - Ci`� 9 "� P � Other structure area. square feet
1 1a• r} I f r - 1 ---- Z--(,:?, Y PA / c c p 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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
, r) * 1 Valuation. $ 1 ' i
i p A h (� i s 1 / J Existing building area square feet
p - U /N t New building area. square feet
g PROPERTY OWNER ❑ TENANT Number of stories:
Name. 1- ?(A 1 ,,,; � v l , ''.'' i. (1 /` ( ' •,, I f� 10.!.‘ �, ..1 / 7 ��. i Type of construction
Address: t z-•( I _„ I i % Z- t t.ie. ,; a, i I ,. i T Occupancy groups:
City /State /ZIP: ^r(l U �),. 3 ` ` -, 7 2 - l '! Existing:
_ _.,
Phone' ('a r`4, '7 )f ` - - -- C, 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- 1,
Business )::// <%4 ,;' ,: b.-t,- c_ BUILDING PERMIT FEES*
r (Please refer to lee schedule
Address. ' C . ' — 1 �, I. s R �' s ! -.
L - Structural plan review fee (or deposit)'
City /State /ZIP: c s, ”
Phone: ( Z ' "; /_ -. a Fax: ( ) FLS plan review fee (if applicable)
I, / s.
,-.
Total fees due upon application.
CCB lie 7 /,
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name j
` tr;v�' t ,.� I L�� al + tom, 1 ,- ,•` Date: 1 .- ,, / -- / j * Fee methodology set by Trt -County Building Industry
1 r I Service Board
I \Budding\Permils\ROOF- Pei miApp doe 10/01/09 440- 46I3T(1 I /02 /COM/WE13)