Permit CITY OF TIGARD M. 0 A REROOF PERMIT
Permit#: RER2012-00016
• COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2012
Parcel: 2S110AC01700
Jurisdiction: Tigard
Site address: 11305 SW BULL MOUNTAIN RD
Project: Christ the King Lutheran Church Subdivision: COLE'S ACRES Lot: 10
Project Description: Remove and replace pitched roof on sanctuary. 6/30/15,a permit extension for 180 days(6 months)has been
granted.
Contractor: JBC ROOFING Owner: CHRIST THE KING
12155 SW GRANT AVE STE B LUTHERAN CHURCH
TIGARD, OR 97223 11305 SW BULL MTN RD
TIGARD, OR 97224
PHONE: 503-968-1235 PHONE:
FAX: 503-603-9967
FEES
Description Date Amount
Permit Fee 07/05/2012 $301.85
Specifics: 12%State Surcharge-Building 07/05/2012 $36.22
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $14,522.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $338.07
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 160 days of issuance, or if work is suspended for more the 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 AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by 'ng 503.232.1987 or 1.800 332.2344.
Issue By: Permittee Signatu e: 151-17 �
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date. V
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.
Linda Wesolowski
From: Clinda Wesolowski <ctkoffice @tigardlutherans.com>—)
Sent: Tuesday,June 23, 2015 10:35 AM
To: 'markv @tigard-or.gov' U)I
Cc: Steve Larsen
Subject: reroof permit#RER2012-00016 rkSt- 9)1/4°V-
n
To: Mark VanDomelen /�
Regarding: Re-roof Permit #RER2012-00016 dated 7/5/2012
We would like to request that you extend the reroof permit referenced above to the end of the year. JBC, the
same contractor that was originally going to do the roofing project, will again be contracted by Christ the King
Lutheran Church to do the work.
Just as a note, in case needed information, the project evaluation has changed from $14,522 to $17,500 since
the original permit was granted.
We would greatly appreciate your consideration and help with this matter. Please respond by email to Linda
at ctkoffice @tigardlutherans.com
Or by phone to Steve Larsen 971-506-6477.
God bless!
Linda
(71 VI-
Linda Wesolowski, Business Administrator/Building Manager - /
Christ the King Lutheran Church
Tigard, Oregon Ill-- V) I`)
lJL
1
CITY OF TIGARD REROOF PERMIT
s - COMMUNITY DEVELOPMENT Permit #: RER2012 -00016
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/05/2012
Parcel: 2S 110AC01700
Jurisdiction: Tigard
Site address: 11305 SW BULL MOUNTAIN RD
Project: Christ the King Lutheran Church Subdivision: COLE'S ACRES Lot: 10
Project Description: Remove and replace pitched roof on sanctuary.
Contractor: JBC ROOFING Owner: CHRIST THE KING
12155 SW GRANT AVE STE B LUTHERAN CHURCH
TIGARD, OR 97223 11305 SW BULL MTN RD
TIGARD, OR 97224
PHONE: 503 - 968 -1235 PHONE:
FAX: 503 - 603 -9967
FEES
Description Date Amount
Permit Fee 07/05/2012 $301.85
Specifics: 12% State Surcharge - Building 07/05/2012 $36.22
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $14,522.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay: -
Existing Roof Layers:
Parapets:
Total $338.07
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 with approved plans. This permit will expire if work is not started within 180 days of issuance, or ' ork is suspended for more the 180
days. ENTION: Oreg law re uires you to follow the rules adopted by the Oregon Utility Notification ' enter hose rules are set forth in OAR
952 -00 -0010 through OAR 95 0 - 090. Y may obtain a copy of the rules or direct questions to OUNC by calling 503. .' 1987 • .-00.332.2344.
C g Issue y: %r/�6■-44,r Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available insp =coon date. W
This permit card shall be kept in a conspicuous place on the job site until complet on of the project
Approved plans are required on the job site at the time of each Inspection.
Building Permit Applicatio
Commercial
...... FOR OFFICE USE ONLY
of Tigard JUL ;.7" Reced ff = 2 /<
L O 5 ' DateB ive : 0 Permit No.: 1 "
° 13125 SW Hall Blvd., Tigard, OR 9 223 Plan Review
' M Phone: 503.718.2439 Fax: 503.5 P i ti..4OF 'IGaRy Other Permit:
Rr V[7i�! Date/B
T I G A K D Inspection Line: 503.639 g TMi Date Ready/By: Juris ® See Page 2 for
Intemet: www.tigard or.gov � Notified/Method: Supplemental Information
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
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2-family dwelling D Valuation: $
Y g Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Othe Number of bathrooms:
JOB Sill'L INFORMATION AND LOCATION Total number of floors:
Job site address: 1130C 5.:3W R u LL M O u r-■T KIN CZ b. New dwelling area: square feet
City/ State/ZIP: it Atz lj / ()V_ 917 2 H Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name:CH (sr TI-i K Nit, L Covered porch area: square feet
Cross street/directions to job site: C1 RCN
Deck area: square feet
IS i Lt_,.v. —r NJ PP.b - C ?AC(t C Zywy
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Rf R -LOS { - t66) i2-oo1= 6 w S( Valuation: $ i LI 62Z, 0 0
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( )
New:
Ei APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 13C CZOt l N 1 - , I LL C (Please refer to fee aehetude)
Contact name: R7 CNIS Mot_'✓` Structural plan review fee (or deposit):
21r, W FLS plan review fee (if applicable):
Address: )
�: RA %T �d C . (u t-TF
City /State /ZIP: D (,-Asti -b 6 R , 722 Total fees due upon application: zi
Phone: (So} ) 9 b u- ( 23 S I Fax: : (Sv 3) 6 s) ,- 996 7 . Amount received: 33g.0 l
E -mail: 1,-.,r cs. d e) 6 c F a a -P t o , C.0 I` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J CONTRA OR Commercial and residential prescriptive installation of
roof -to I mounted Photo Voltaic Solar Panel System.
Business name: Submit i 2) sets of roof plan with connecti ails
Address: S 4\3f\- F and fire dep. ■ nt access, along wi 10 Oregon
Solar Installation '.— cial c ecklist.
City/ State/ZIP: Permit fee • . r: - plan review $180.00
Phone: ( ) I F ax: ( ) and adrninistr. • e fees):
q ° 2 State surcharge (12% of permit - : $21.60
CCB lic.: I
\ '1 Total fee due upon application: $201.60 4._5z Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 7j(ipD CS -1154 oL n— I Date: 7-s- 1 2 * 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)
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
11305 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2012-00016
Chip Barnett
Violation Summary:
Inspector Contractor