Permit � CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit #: RER2012 -00001
Date Issued: 01/25/2012
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S103DD01200
Jurisdiction: Tigard
Site address: 13970 SW PACIFIC HWY
Project: Chevron Station Subdivision: MELROSE Lot: 7 -
Project Description: Go over existing roof system with 40 mil single ply membrane. Remove loose debris and unattached satellite
stand. COPY OF ROOF SPECS TO BE REVIEWED ON SITE. APPLICANT TO REQUEST PRE -ROOF
INSPECTION.
Contractor: WASHINGTON ROOFING COMPANY Owner: CAIN PETROLEUM INC
1700 SW HWY 18 4512 SW KELLY AVE
MCMINNVILLE, OR 97128 PORTLAND, OR 97239
PHONE: 503 - 472 -7663 PHONE:
FAX: 503 - 472 -3394
FEES
. Description , • Date Amount
Permit Fee 01/25/2012 $134.54
Specifics: Plan Review 01/25/2012 $87.45
12% State Surcharge - Building , 01/25/2012 $16.14
Type of Use: COM Info Process /Archiving - Sm $0.50 (up to 01/25/2012 $1.50
Class of Work: ALT Type of Const: 11x17)
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $3,090.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $239.63
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 -0010 through OAR 952 - 001 -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 By: Permittee Signature: QN 47-7/L./C177-7C J
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.
JAN - 24 - 2012 - TUE 10:44 AM P. 002
Butil.ding Permit Ap_ i ipo i
uomIliatia1 REA-00 -/f FOR OFFICE USE ONLY
Received �..� permit No I€020/o2 —0000/
Ill City of Tigard Date/E3 : �_ +, r
13125 SW Ball Blvd, Tigard, OR 97223 Eau Revie • • • Other Permit
• Phone: 503.718.2439 'Fax: 503.598 ;•,1 tiate/By: •
Inspection Line: 503.639.417] • 1 � Date Ready//y: 9J Sec Page 2 for
i' i [ A RD , ' q k Notified�AQethod: Supplemental Information
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❑ New construction Ea Aem�l�� e C ? .Permit fees* are based on the value of the work performed. of all
— Indicate the value (rounded to the (0 Addition/alteration/replacement [ j Othe j ��`' equipment, materials, 1 bor, overhead, and the p rofit for the
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Valuation:
$
❑ 1 - and 2- family dwelling • ' ® Commercial/industrial •—
• Number of bedrooms:
❑ Accessory building ❑ Multi -family _w
El Master builder ❑ Other Number of bathrooms: •
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} Job site address: 13970 SW Pacific Hwy • New dwelling area: square feet
City /State /ZIP: Tigard . • Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Chevron Station • Covered porch area: square feet .
Cross street/directions to job site: Hwy 99W and SW Gaarde Street Deck area: • square feet
Other structure arca: square feet
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• Subdivision Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
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Go over existing roof system with 40mi1 single ply membrane • Valuation: $$3,090.00
Remove any loose debris and unattached satellite stand Existingin building area: 2 square feet
y New building area: • square feet
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Name: Chevron Station Type of construction: Overlay
Address: 13970 SW Pacific Hwy .Occupancy groups:
•
City /State/ZIP: Oregon 97223 Existing:
Phone: ( ) Fax: ( ) New:
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Business name: Washington Roofing Company
Structural plan review fee (or deposit): /F7 , .
Contact name: K Hancock Office Manager
FlS plan review fee (if applicable):
•
Address: 1700 SW Hwy 18 • '
Total fees ypo application: 23 , l 3
City/State /ZIP: McMinnville Oregon 97128 ., ! u p
Phone: Q 27663
( 503) 7 I Fax: : (503) 472 PW ply "ountreceived: 6 ' 3 / /3
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Business name: Washington Roofing Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
. Address: 1700 SW Hwy 18 Solar installation Specialty Code checklist, •
•
City /State/ZIP: McMinnville Oregon 97128 • Permit fee (includes plan review $180.00
an d a fees):
Phone: (503)472 Fax: (503) 472-3394 •
72 3394 �'" / State surcharge (12% of permit fee): $21.60
CCB lic.: 55201 ` //2-- p J Ci! Total fee due upon application: • $201.60
I. Authorized signature: / 1 /� `� This permit application expires if a permit is not obtained
� L- - J within 180 days after it has been accepted as complete.
Print name: K Hamco l Date: 01/241/2012 a Fee'methodology set by Tri County Building Industry
Service Beard- /SO 1 72-
I:\ Buildineezmits \BUP -COMPemnitApp-doc 02/24/2011 440- 4613T(11 /02 /COWWEB) P,_3? i-
JAN - 24- 2012 -TUE 04:38 PM P.001
.McMlnnvitle I
Washington Roofing Compan
ail
1:, ��a • 1700 SW Hwy 18 ., ;
McMinnville OR 97128
Phone: 503 -472 -7663 Fax: 503 -472 -3394 JAN 2 4 2012
Licensed & Bonded CCB #55201 •
• 11111 � wrc a('�.onlinemac.com • CCCD WASHIRC9 N
City of Tigard
TO: 1 From: K Hancock
- Pere ¢ca r-krn-e- - �.... Pages /><
Phone: 503 -718 -2439 Date January 24, 2012 •
Fax: 503 -598 -1960
Good Morning City of Tigard, . . - M ir r"t
g
Please see our application for re -roof permits. l VA / z.
iz,
If I missed any information, please call and let me know . . t a p v t
• I would like.to pay with credit card; do you have an approval form?
~ 11,1 \61 6143
Thank you for your prompt attention to our request... •
4-o m -crud
• If you have any questions, concerns or 'need further information, call 503 -472 -7663
Thank you, .
K Hancock • •
Office Manager .
Washington Roofing Company S.lW
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