Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit #: RER2011 -00014
Date Issued: 09/22/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 1S136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST C33
Project: Hawthorne Villa Apartments Subdivision: Lot:
Project Description: Building C - Reroof, tear -off and replace.
Contractor: HOMEMASTERS INC Owner: HAWTHORNE VILLA LTD PARTNERSHIP
8859 SW COMMERCIAL ST BY TVHP
TIGARD, OR 97223 6160 SW MAIN ST
BEAVERTON, OR 97005
PHONE 503 - 849 -6325 PHONE: 503 - 970 -0326
FAX 503 - 639 -5060
FEES
Description Date Amount
Permit Fee 09/22/2011 $286.64
Specifics: Plan Review 09/22/2011 $186 32
12% State Surcharge - Building 09/22/2011 $34 40
Type of Use: MF Info Process /Archiving - Sm Sheet (up to 09/22/2011 $1 00
Class of Work: OTR Type of Const: 11x17)
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $13,167 00
General Information
Building Area 0
Re -Roof Area 0
Roof Class
Tear Off:
Overlay:
Existing Roof Layers
Parapets.
Total $508 36
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 ATTEN e •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -01 I through OAR 952 -0' 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503,232 1987 or 1 800 332 2344
Issued : , /42 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection d .
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
+
Re -Roof RECEIVED - FOR,OFFICE USE ONLY
IN , City of Tigard Date B 9 � Ar� , Permit No 2.4e4201/...- COO iy
13125 SW Hall Blvd , Tigard, OR 97223 SEP 21 all 1 Plan Review
I Phone 503 718 2439 Fax 503 598 1960 Date/By Other Permit
TIGARD' Ins Line 503 639 4175 CITY OF TIGARD Date Ready /By Juns El See Page 2 for
Internet www tigard -or gov BUILDING DIVISION Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed
Indicate the value (romded 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.
I=1 1- and 2- family dwelling ❑ Commercial /industrial Valuation: 5
❑ 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. '770 7 C 5-1/4-c' '-(--11'--.1,2P( New dwelling area• square feet
City /State /ZIP. t * ... rr - 7 l) ( l - - 7i !; ' 7 ') Garage /carport area: square feet
Y ,
Suite/bldg /apt. nor W C Project name ,` ; , . - 1:i t J ) i 1- , : Covered porch area square feet
Cross street/directions too site Deck area: square feet
iii �
I fit / 1 (' ' P Other structure area square feet
1 1,. lr _— 6 G fia `' ?ice ort' t rJ 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
.'
(7'; :1 Valuation $ I - r
�� f /� _ j J Existing building area 6 square feet
( U t /) ✓� New building area: square feet
g PROPERTY OWNER ❑ TENANT Number of stories:
Name: I i' r - f�'` Ci „ 0.• �� t„ to,` F ” l� L, l__ Type of construction:
" t 1 " . T, �I Occupancy groups.
Address. 1 ' - f I l' L. /C..; l ,, i
City /State /ZIP: 'ft l d c r 1 ,,,,, ,. C `N~ _ `i '7 ( 2- t. ) Existing:
Phone: (i" C,); ', - )l_,', - 77:7 3 -F, Fax. ( ) New.
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address. jurisdiction in which work is being performed If the
City/State/ZIP applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax. ( )
E -mail:
CONTRACTOR
Business name:
f �= 4=' %. Fi, .. BUILDING PERMIT FEES*
Address: '. / °` (Please refer to fee schedule)
�" / _1 �� ,, i1 : ` ,�f P;1,.,!-% z ^ ! , ( Structural plan review fee (or deposit)
City /State /ZIP: L T • e _ j � ; l, C 7
Phone ([h) &,..,i.:-/t,, _ t Fax: ( ) FLS plan review fee (if applicable):
CCB Iic.: a 7, � ,-„, ��
Total fees due upon application'
\ s\ Amount received:
rte,
Authorized signature �' — This permit application expires if a permit is not obtained
? �' —f— within 180 days after it has been accepted as complete.
Print name: ; ' l , .v t �� ,� i_ ( .1....= i _ - ..` Date: / - ii * Fee methodology set by Tri -County Building Industry
Service Board
1 \Buildmg\Permits\ROOF- PetmitApp doc 10/01/09 44 0- 4613T(1 I /02 /COD9/WEB)