Permit III CITY OF TIGARD REROOF PERMIT
r COMMUNITY DEVELOPMENT Permit#: RER2015-00008
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2015
Parcel: 2S102AB02402
Jurisdiction: Tigard
Site address: 12501 SW MAIN ST
Project: Keppler's Upholstery Subdivision:E LECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Reroof-tear-off and replace.
Contractor: GRIFFITH ROOFING Owner: ANKELE, MARVIN R 8, KATHRYN J
6815 SW 111TH AVE 12511 SW MAIN ST
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503-643-1596 PHONE: 503-639-7012
FAX: 503-644-1529
FEES
Description Date Amount
Permit Fee 03/17/2015 $225.80
Specifics: 12%State Surcharge-Building 03/17/2015 $27.10
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $9,219.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $252.90
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. ATT • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 .110 through OA' •52-0r •090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: A / d2-4a-A1-41 Permittee Signature: f' ,ft��/,ro/%/0
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 RECEIVED FOR OFFICE USE ONLY
Received 2 N� 5--c t-c):-
City of Tigard o1 Permit No.:
Ty g 2015 Date/B
1,101
- " 13125 SW Hall Blvd.,Tigard,OR 97223—AR*R 17 Plan Review• Phone: 503.718.2439 Fax: 503.598.19d�1 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-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.re roof equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
El 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: 12501 SW Main New dwelling area: square feet
City/State/ZIP:tigard Or Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: pkf ki u pi (...,�ja y Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
tear off exsiting roof and install new rof Valuation: $$9,219.00
Existing building area: 2500 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Marvin Ankle Type of construction: roofing
Address: 12511 sw main Occupancy groups:
City/State/ZIP:Tigard Oregon 97223 Existing:
Phone:(503)639 7012 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:griffith roofing
Structural plan review fee(or deposit):
Contact name:rich mcleod
Address:6815 sw 111 th ave FLS plan review fee(if applicable):
City/State/ZIP:beaverton oregon 97008 Total fees due upon application:
Phone:(503)643 1596 Fax::(503)644 1529 Amount received: rasa, 9a
E-mail:richm@griffithroofingcompany.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roo- .. ••.unted Photo Voltaic Solar Panel System.
Business name:griffith roofing Submit two is of roof plan with connectio • .rls
and fire departmen . ess,along with t - I 0 Oregon
Address:6815 sw 111 th ave Solar Installation Specia - Code c.- list.
City/State/ZIP:97008 Permit fee(includes• view $180.00
and ad •.' trative -- .
Phone:(503)643 1596 Fax:(503)644 1529 State surcha _ 12%of permit fee): $21.60
CCB lic.:925 �� otal fee due upon application: '.201.60
Authorized signature:A, �� ,. /�f'� �� his permit application expires if a permit is not obtat •d
n L �i within 180 days after it has been accepted as complete.
Print name:rich mcleod Date:3 13 2015 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)