Permit 9 CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit #: RER2012 -00022
T [ G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07(25/2012
Parcel: 1 S135BB00800
Jurisdiction: Tigard
Site address: 10655 SW GREENBURG RD
Project: Ewing Irrigation Subdivision: HILLSBORO Lot: PTS 1 -2
Project Description: Tear off existing, install new built -up roofing system.
Contractor: SNYDER ROOFING OF OREGON LLC Owner: EWING IRRIGATION PRODUCTS INC
PO BOX 23819 3441 E HARBOUR DR
TIGARD, OR 97281 PHEONIX, AZ 85034
PHONE: 503 -620 -5252 PHONE: 602 - 497 -9530
FAX: 503 - 684 -3310
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee 07/25/2012 $1,136.15
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 07/25/2012 $136.34
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value: $104,283
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,272.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty odes -nd 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 iss =nee, o 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. Youu K -may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 r 1.800.332.2344.
Issued By: `/ Permittee Signature:
l � 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
ate
Commercial E C1 ,IPIVE) FOR OFFICE USE ONLY
Ili g 4 . e �� Received ' A4' / n �. Q n_ ?
-
City of Tigard Da[e1B ! /� ,1 Permit No.. rYQ
• 13125 SW Hall Blvd., Tigard, OR 972 2 012 Plan Review
Phone: 503.718.2439 Fax: 503.598.19e � UL o f 7 � /t D
Date/By: Other Permit:
Inspection Line: 503.639.4175 2 r� Date Ready/By: Juris: ® See Page 2 for
TIGARD ®UJ� Notified/Method: Supplemental Information
I Internet: www.tigard- or.gov
REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ ew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Iv Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
s`". I` ® '• ' r tF CON o Rll IO „„ l A ' ;u ' . " F„- 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:
Total number of floors:
Job site address: 4 1 ) . g R New dwelling area: square feet
City /State/ZIP: ,, `" 7 3 Garage/carport a: square feet
Suite/bldg. /apt. no.: Project name: I AM3 3 .I. , Covered po area: square feet
Cross street/directions to job site: Deck are . square feet
Oth tructure area: square feet
Subdivision: Lot no.: Permit fees* are 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
'' rr DESCRIPTION OF IN work indicated on this applicafn �
0 �l1�NE{ I� `'M- Valuation: $ \ /PV
� r�1p> /rOVsik
� t 11 RY 9 (4 Existing building area: I / square feet
Q�¢� r 1 1 / 1 , l.' ^ E ) t i NA c New building area: °O `' l square feet
L� PROPERTY OWNER R ( I'i TENANT F Number of stories: '
Name: e I M1 0 - n i ]f l w �%JC Type of construction:
Address: 10655 , !! � lt � 4 Q Occupancy groups:
City/State/ZIP: 11 P �t ` 42 , 4 'L),. Existing:
Phone: ( tJ Fax: ( LEI New:
<,P Q/ 0 CC O\ F.a PERSON BUILDING PERMIT FEES*
J `I t) - R∎ e b t tk V € Wes' 1/W i..:".,..,, r u c tural plan la re vi e wfe e (or deposit):
Contact schedule)
Business name: )
Structural viw fee (or
Contact name: '+44t.5 \'L A
Address: �' ! 0 �` D FLS plan review fee (if applicable):
Total fees due upon application:
City /State /ZIP: q-7226 v
Phone: ( ■ ) (40 .- 5 I Fax: : (..59 &A 73 0 Amount received:
E - mail: • ` � PI IOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
IV $ * r �' l i ✓• • a • ■
3 , i Corn ercial and residential prescriptive installation of
' " „/,',._. . ' � l . • �,, € € ',16 , roof -top • • unted PhotoVoltaic Solar Panel System.
Business name: Submit two . - of roof plan with conne • in details
and fire department . ;.s, along wi . - 2010 Oregon
Address: n Solar Installation Specialty • ' . ecklist.
City / State/ZIP: Permit fee (includes p . re
and admin alive fees): $1 80.00
Phone: ( ) ` I= ax: ( )
State surcharge A of permit fee): $21.60
CCB lic.: 12 ''4
Total upon application: $201.60
Authorized signature: q This perm” application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ` , 4. L 7 r � Date: 7 Iz * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613 (11 /02 /COM/WEB)
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