Permit CITY OF TIGARD REROOF PERMIT
r'1 a COMMUNITY DEVELOPMENT Permit#: RER2013 00038
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2013
Parcel: 2S112ACO2100
Jurisdiction: Tigard
Site address: 14875 SW 72ND AVE
Project: Ortho-Med Subdivision: FANNO CREEK ACRE TRACTS Lot: 48
Project Description: Reroof,new roof base,two plys and capsheet.
Contractor: GRIFFITH ROOFING Owner: RSD PROPERTY LLC
6815 SW 111TH AVE 3208 SE 13TH AVE
BEAVERTON,OR 97005 PORTLAND, OR 97202
PHONE: 503-643-1596 PHONE:
FAX: 503-644-1529
FEES
Description Date Amount
Permit Fee 11/27/2013 . $317.06
Specifics: 12%State Surcharge-Building 11/27/2013 $38.05
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $15,004.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $355.11
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 d••- - ••nce 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
d- . ATTENTION: • ion law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
• 2-001-0010 through OAR 9 2-0' 10:0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ssued By: ( H Permittee Signature: /�` `��► �ID
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
Commercial r �[ /�/�o It OI FIC l: l'SI. t)\l.1
City of Tigard Niti7bit---i,T \l iii. f'AW E� Ti Permit No.: / 1, , gevos g
:111111 13125 SW Hall Blvd.,Tigard,OR 97223 — ph Review
Phone: 503.718.2439 Fax: 503.598.1960 NOV 2 7 2 01 Date/By: Other Permit:
i /c ,`R Inspection Line: 503.639.4175 7 Date Ready/By: kris: EI See Page 2 for
Internet: www.tigard-or.gov Notified/method:J� Notified/Method: Supplemental information
TYPE OF W VIN ' '31/NI01;v I REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded 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: 14+8 i 5 5 W la. wit New dwelling area: square feet
City/State/ZIP: -1-1 !AAA 0e-e....-4 Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Covered porch area:' square feet
Cross street/directions to job site: ititi S SW "7'2.-" -t- S 0 l w Deck area: square feet
OF _ad N��h Rel. • --7a A.t4•t. %LS MI.. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
( ooFL' ) Nau) bP��uuo �l1 3 ke�s - �S,
/ oa�.oa
Existing building area: b 000 square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Si)iR17N �- s The of construction: �� N C
Address: 3 cD.c 8 S E .1'33 4/..to Occupancy groups: J
City/State/ZIP: •o vTt..i a( op., , 77222. Existing:
Phone:(50) a:--1 ci- L 1 S D Fax:( 5a3) a`Lh 17 7r7 New:
B1 PLICANT Er-CONTACT PERSON BUILDING PERMIT FEES*
p � (Please refer to fee schedule
Business name: 604E13, F.D DAN 5Ct9 Structural plan review fee(or deposit):
Contact name: •-t L t u..kk_f _ -
`Y FLS plan review fee(if applicable):
Address: tc-13,is S CAZ I,l _a—A m
City/State/ZIP: c Jmv` _ 0 0�� Total fees due upon application: 0,35-5--Phone:S' 3 ) (t3-'S% Fax::(g6j)�f _ l Amount received: 1 J
I r L S�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: �ee,`y tr7'I It. p_cdF z rnr5 Coi„,ti e. t:.
,1 I Ovti
CONTRACTOR P Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:G r,rr. ��(N5 Submit two(2)s is of roof plan with coon t etails
and fire department a .- ,alon: •'• I e 2010 Oregon
Address: ed$ (S Su-1. f t( 1 14✓-e. Solar Installation Special a . •e checklist.
City/State/ZIP: -env e✓-rot�0 �� '160 Permit fee udes plan iew $180.00
and administrative f.
Phone:(s-6) &a_ (S 44 Fax:(Sb3) 4,[f%_ /sal S : e surcharge(12%of permit fee): $21.60
CCB lic.: �a�5'-+ Total fee due upon application: $201.60
Authorized signat� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Bt LL. L`-,(_( g. Date: LL171 I,,ri • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/201 I 440-46I3T(I I/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14875 SW 72ND AVE, TIGARD, OR, 97224
Commericial - Reroof
299 Final Inspection
2014-01-13 00:00:00
RER2013-00038
PASS - No C of O
Violation Summary:
Inspector Contractor