Permit CITY OF TIGARD REROOF PERMIT
II I v COMMUNITY DEVELOPMENT Permit #: RER2012 -00021
T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/19/2012
Parcel: 2S103DC01000
Jurisdiction: Tigard
Site address: 11265 SW GAARDE ST
Project: Faith Journey Church Subdivision: VIRGINIA ACRES NO.2 Lot: 15
Project Description: Reroof - remove and replace. Installing Carlisle TPO 60 mil over 1/4" Densdeck - Class A roof rating
Contractor: COLUMBIA CONSTRUCTION SERVICE INC Owner: TIGARD ASSEMBLY OF GOD
18525 SW 126TH PL 11265 SW GAARDE ST
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 828 -8790 PHONE:
FAX: 503 -684 -1458
FEES
Description Date Amount
Permit Fee 07/19/2012 $241.01
Specifics: 12% State Surcharge - Building 07/19/2012 $28.92
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $11,000.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $269.93
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 • • - - - - - . - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work suspended for more the 180
day- ATTENTION: Ore! • • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those les are set forth in OAR
9 - 001 -0010 through OAR 95 10 . 1 • * . You may obtain a copy of the rules or direct questions to OUNC by calling 503.2,'.1987 • 1.:00.3 2. • 344.
I ued By: // /i Permittee Signature: ', 1 , .. ■ •■
Call 503.639.4175 by 7:00 a.m. for the next available Ins • , ction 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.
JUL -18 - 2012 11:30 Columbia Const. Semi, Inc 68392 P.001
Building Pennit Application
C Cr al IQfi'� titutivtu F( >I t)I iCE USE ONLY
City i of Tigard Received I 1'�Ymtlil Nu.:
• 131 S Hall Blvd.. Tigard. ()R 97223 JUL 1 8 2012 rat Review
?m /P Raiz/00 - o / •
Phone: `+03.718 .439 Fax: 503, 598.1960
LYatcJFS Other e:r permit:
T 1 C • A n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/Ry furl.: ® See Page 2 for
Internet: www.ligaril ur.guv RUIiD!i' DIVISION -- .; ,;;�: i i ` l Suppkmentalieforntation
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Ncw construction Permit fees* arc based on the value of the work
❑ ❑ Demolition performed.
❑ Addition/alteration/replacement 1 Othcr �k -- `Y•' v , Indicate the mater (rounded l abor to the nearest . an d the profit of all
equipment. materials. labor, overhead. and the profit Cor the
rib ;. r . �; ' �� +a.:.. work indicated on this application.
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❑ i - and 2 - family dwelling 5j'.ommerciaUndustrial
Valuation: $ • G,?; •) 0 ;' '
❑ Accessory building ❑ Multi- family
Number of bedrooms;
❑ Master builder ❑ Other, Number of bathrooms:
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:; ":.: : :;. v ' ...",:: :.> Ols' � . � A.' 7.I . ,:.3:y' Total number of floors:
Job site address: 10,6 A 6 a( `�e . $4. _ New dwelling area: square feet
City /State/ZIl': -"r1.- ,, 6 c 9101 Garage /carport arm; square feet
Suite/bldg. /apt, no.: IP Projcct name:.j�.�`,. p ��,(�/ Ch�h� h Covered porch area: square feet
Cross street/directions to job site: ■ Deck area: square feet
( W-A01‘;) Zti.*.0:00.X.**4....*04:0#0.ktAcOna.
Other structure area: square feet
Subdivision: Lot no.: Permit fees' arc 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
.'
. , {. n.. . =.r ,...,,,:' .:b a'`�� i,• • a � A� Prr it• indicated o this app
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ry ..6,c l C:-1'..•��.R').'"','"I'.:;.,4';‘,'",:'1,,,.. i ?, ' �A ' .7,. ,.. C M `.P .,. . � ,? .r � n }'t w e . Y 'G" ' ^` ' work i r n this application.
1. ti ' t / ` - . Valuation: $
'i - _ f% =r, P e i I/ m g t ( o of c Existing building area: square feet
' 1 1 l .. C _ 150 : ,. New building area: square feet
i :.,h. :r 1 Tfi** tTY%10, . ' : ',yr : .: , �t'% r r ''� Y 'I^' � ' �i' Number of stories:
Name: / ‘14.. 'SA . .Je Type of construction: \ e rezik-,
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
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Business name: L11YW ‘6 : ( ` %eV.. -t;, : ' nere r'7� eiIA ist,. 1�. -.,1,,
.: lecit aum Structural plan review fee (or deposit):
Contact name: R S plan review fcc (if applicable):
Address: M WI
City/State2lP: l Or 0 01961
Total fees duc upon application: 'Y• 9 3
Phone: 663) Fax:: () b'!ys Amount received:
E-mail: / A i, / Li A •Z4A'` �• .,�u�dv:ra.;.r', - '.it a. ...,. ., ..:1.n ' :r. ..r -.p,�r
i ' ° � ',' d ~ e.� '`�''�- �} a m' V' "ttip: -,. r;'!'O ": ,t�v�} "�<b1; r Commercial and residential prescriptive installation .f
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Business name: ,4--4 h43 4.5o Submit two ' sets of roof plan with co • -: lion details
......---- and fire dep • ccess, along ' • the 2010 Oregon
Address: Solar ln.rtallation Spec . • ■ C checklist.
('ity/~talc( /(P: Permi fe e (inclu : eview $180.00
- — • - and . tnistrative -
Phone: ( ) Fax: ( ) - State su -, rgc (12% of pcmdt fee): ` $21.60
CClt lic.: kik'
Total fee due upon application: S201.60
Authurir.ed signature: is permit application expires if a permit is not obtained
i _Pt within 180 days after it has been accepted as complete.
Print name: M.TA Date: ' � . - ' 1:ee methodology set by T i- County Building Industry
Service Board.
1:\Fiuilding\Permits\8UP -COM PennitApp.doc 112242011 440461 3T( I I/O /C()M/WPR)