Permit V,
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00372
11 .�I� DEVELOPMENT SERVICES DATE ISSUED: 8/4/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S10100 - 00500
SITE ADDRESS: 12670 SW HALL BLVD BLD 2 ZONING: I -L
SUBDIVISION: TIGARD CENTRAL INDUST. PARK LOT: JURISDICTION: TIG
Project Description: Re - roof
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 46,210.00
Owner: Contractor:
GAZELEY, H WILLIAM GRIFFITH ROOFING
PO BOX 230414 6815 SW 111TH AVE
TIGARD, OR 97281 BEAVERTON, OR 97005
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Phone: Contact #: PRI 643 - 1596
FAX 503 - 644 -1529
Reg #: LIC 00000925
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/4/2006 $448.30
[TAX] 8% State Surcha 8/4/2006 $35.86
Total $484.16
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. /
Issued By: P ermittee Signature: �,
r -
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
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Cregt'imint-Frttpro .t , ., ; . ,...: • i
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(i, Buildin2 Permit Applicatiou - . - FOR OFFICE USE ONLY
City of Tigard AU 6 0 4 2006 R t c e B ved g It oef .1, 4
Permit NoZO r c 37,9....-
II q 13125 SW Hall Blvd., Tigard,_OR 97223
Plan Revie
Phone: 503.639.4171 Fax: 503.5984150 y (A- 1 tuAtio Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: 1 uris: 0 See Page 2 for
TI GA R E) BUILDING DIVIelON
Internet: www.tigard-or.gov Noti fied/Method: - Supplemental Information
':-. : ,,,,, : , , ,i , ,,;., ,-,,,?` : : .: ' " ' ,. ', TOX,13F WORIK ' • ' „, - : ,' , I '1 liEQVIIiiIDATA:,1,41ND2:„FAMIILY:10YETIANO'''
El New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ID Addition/alteration/replacement F2 Other: i< e. cf Iti1/4 equipment, materials, labor, overhead, and the profit for the
CA"I'idOifY" OF CiiNgilitICTiON ' ' - ' - ': : work indicated on this application.
Valuation: $.—
ID 1- and 2-family dwelling Commercial/industrial
1:1 Accessory building El Multi-family Number of bedrooms:
Number of bathrooms:
El Master builder El Other:
40B AND LOCATION - ' ' ' • . ' Total number of floors:
Job site address: / z 6 7 e) i-lci 1 1 13 Ivo( New dwelling area: square feet
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City/State/ZIP: l'i.-01 Garage/carport area: square feet
Suite/bldg./apt. no.: 2_ Project name:1 34 t en ), 1 I ws 1 r 1 Covered porch area: square feet
Cross street/directions to job site: / r l' Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL 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: $
1 rA C (2 ) •2.A 4:r iris/4 1‘ Ai e,t.../ i
C X 1) k „ ( 3 . e r- $- Sio cc p ro vectd Existing building area:26110o square feet
New building area: square feet
„, • : . , . „ ,..., ,,.. ,
RoP ' OWNER ° ' . U TENANT . Number of stories:
Name: JO orriS + E-tevif.4%,5 Type of construction:
Address: 6 , 2 i SW m a r r , N r c , e l Sv■ )'t S 0 0 Occupancy groups: tva itov5e
City/State/ZIP: p im. ( 4v ,,l e) r Existing:
Phone: o3) L 2 ... gip,/ ,s Fax: ( ) New:
PLANT - `: :7; • ' ' - 0 CONTACT PERSON , : ." - ' ' NOTICE
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Business name: 6, 1.1, c All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 6 ut- under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt froplicensing, the s I wirwrIt
City/State/ZIP:
"I =,':100Ars
apply:
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Phone: ( ) Fax: : ( ) -r 35. IS 1.0
E-mail:
tONIRACT,611 ,, „ „ . ., ,
Business name: 6 r . I '''' cc,- ft ,. F.,...:,6 `BUILDINGTERIVIITTEE5* ” •
Address 6 sw j pt.4.- 1,e , (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP: Se; , ( /c 4
Phone: 5b3) sb3) 69-5 J s? Fax: L563) 6 yy -is 21 FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application: t
Amount received:
.,
Authorized signature: ..... „22 : L7
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: D at e : 1 --9-200 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BW-TI-PermitApp.doc 03/23/06 440-4613T(11/02/COM B)
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Building Division
Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal.. # of Plans
(Includes new, additions and alterations) Required at
Submittal.
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
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Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
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Building 1*
Fire Protection System - 2 **
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I: \Building \Permits \BUP 'TI- PermitApp.doc 03/23/06
'CITY OFTIGARD
BUILDING DIVISION PERMIT 4 —°19,37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A 4�� �',i I _ _ —__ -�
Inspection (24 Hrs.): (503) 639 -4175 ......._ -
INSPECTION WORKSHEET FOR DATE: TIME PAGE:
SITE ADDRESS: % a ( 7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1 — 1 -1-0 6o Pour Time:
Code # Inspection Description Confirm # Contact # Message
PAZ— — 6. 93 -'s9'
Co
erections /Comments /Instructions:
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❑ PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: // � , •, Date: 4/ Phone #: (503) 718- 2-4-Z3
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Cr1TY -OF TIGARD
BUILDING DIVISION PERMIT #: RUP 00&.00372
13125 SW Hall. Blvd., Tigard, OR 97223 D ATE ISSUED: €3/412005
Phone: (503) 639 -4171 l l ip �� l�
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7.O6AM PAGE: 75
SITE ADDRESS: 12670 SW HALL BLVD BLD 2 CLASS OF WORK:
SUBDIVISION: TIGARD CENTRAL INDUST. PARK LOT #: TYPE OF USE:
PROJECT NAME: TIGARD CENTRAL INDUSTRIAL
DESCRIPTION: Re-roof
OWNER: GAZELEY, H WILLIAM, PHONE #:
CONTRACTOR: GRIFFITH ROOFING PHONE #: 643 -1536
Inspection Request Scheduled For: Date: 8/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 034516 -01 503-643-1596 N
Corrections /Comments/ Instructions:
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n PASS vPARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ADDIT N FEES ASSESSED
Inspector: 410 7 Date:e ' a Phone #: (503) 718 - "7/4-0;