Permit 11111 CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2015-00005
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2015
Parcel: 1 S135DC00200
Jurisdiction: TIGARD
Site address: 11845 SW GREENBURG RD
Project: Greenburg Plaza Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: Reroof-remove and replace.
Contractor: HOME COMFORT RECONSTRUCTION LLC Owner: TWO G'S REAL ESTATE LLC
BEAVERTON, OR 97007 18395 WOOD THRUSH ST
LAKE OSWEGO,OR 97035
PHONE: 503-644-9468 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 01/29/2015 $164.96
Specifics: 12%State Surcharge-Building 01/29/2015 $19.80
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $5,500.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $184.76
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a • -I o er applicable la, All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan or if w• k is suspen•-• for ore the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati• Center. hose rule- are s- forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• of the rules or direct questions to OUNC by callin• 03.232.198 • .332 44.
Issued By: i Permittee • • - .
t39.4175 by 7:00 a.m.for the next avai :ble inspe,tion dat-
This permit card shall be kept in a conspicuous place on the j•b site until c••••etion of the project.
Approved plans are required on the job site at the ti . • :ach inspection.
uildiny Permit Application
Commercial NiIV FOR OFFICE USE ONLI
'WO Received
/
City of Tigard Date/By:y: ` , /5_ e--- Permit No.: ' Q Xx,✓.
- " 13125 SW Hall Blvd.,Tigard,OR 97223 e Q15 Plan Review 1� �s u
Phone: 503-718-2439 Fax: 503-598-19 ,\ +� �' Related Permit:
,F�'� Date./}3y:
TIGARD Inspection Line: 503-639-4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard or.gov �`V`�,� 01} Notified/Method: —'P Supplemental Information
TYPE OFi +'Q ■ 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
'El 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: S
El Accessory building ❑Multi-family Number of bedrooms:
ID Master builder ID Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: CO< New dwelling area: square feet
City/State/ZIP:l\G,1,Y 4 l v9, t")-,-z-?..:- Garage/carport area: square feet
Suite/bldgiapt.#: too Project name: Cgr2L!/ Pi p- Covered porch area square feet
Cross street/directions to job site: �acexe2i vac-cm,. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMLMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel 4: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S �,�*�
Existing building area square feet
New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name:'-11),rt ( �,2 x..\--_c \" - 0 LL �� Type of construction:
Address: • ‹war.,�-..--5.,„ 4.,•a 4-K Occupancy groups:
City/State/ZIP t �„l„c ce t, ) b 6L Existing:
Phone: 12%-,11--D v Fax:(Ji3 ) ZO Cc 4'h New:
Vi APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name-' \__\-._c__ (Please refer to fee schedule)
'� v p`�� ���� Structural plan review fee(or deposit):
Contact name: �,5 S zt, ,\ttz y�
FLS plan review fee(if applicable):
Address: ')16"Z4;;;;,.3 C.., fl 1 `c., 5\ -
Total fees due upon application:
City/State/ZIP: Ly�'1?\� G7S1M t h a C aN, —7(4a Phone:63p�7 —"143 1 Fax::( ) Amount received: /
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: .,�,q�0�{�GY �� VV. ■t`�C�1ow� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Z._\a)S 62-4..nkt_A_ `e., Solar Installation Specialty Code checklist.
City/State/ZIP: { Permit fee(includes plan review e� (°� O and administrative fees): 5180.00
Phone: 3)�� r.G� ,4 4`b f Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: )°i t 7 2_ 4/6 /14, Total fee due upon appication: $201.60
Authorized signature: -19°' / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: w�1 �� vi.. Date: .Z e) * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Buildinge rts1BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11845 SW GREENBURG RD, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00005
Chip Barnett
Violation Summary:
Inspector Contractor