Permit y r � CITY OF TIGARD REROOF PERMIT
s • • COMMUNITY DEVELOPMENT Permit #: RER2013 -00001
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013
Parcel: 2S 101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD B
Project: Tigard Industrial - Building B Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: Reroof - Install EPS flute filler, 1/4" Densdeck with a Carlisle 60 mil TPO mechanically attached.
Contractor: COLUMBIA CONSTRUCTION SERVICE INC Owner: TCTPI LLC
18525 SW 126TH PL 4260 GALEWOOD ST, STE A
TUALATIN, OR 97062 LAKE OSWEGO, OR 97035
PHONE: 503 - 684 -9123 PHONE:
FAX: 503 - 684 -1458
FEES
Description Date Amount
Permit Fee 02/11/2013 $804.75
Specifics: 12% State Surcharge - Building 02/11/2013 $96.57
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $59,120.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $901.32
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 a once 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 TENTION: on law re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Thos rules are set forth in OAR
9 - 001 -0010 through OAR 952 -I • -009 Yo may obtain a copy of the rules or direct questions to OUNC by calling 503. -'.1987 or 1.800.3 2.2344.
Issued By: - `fir Permittee Signature: '1L, . 1 .J .k
w Call 503.639.4175 by 7:00 a.m. for the next available ins,. action 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.
FEB-06-2013 15:02 Columbia Const . Semi, Inc 68392 P . 001
Building_rermit Application
-comm cial i2oi RECEIVED FOR OFFI('E, USE ONLY
City of Tieard Received y. 1
Date13/ . - Li f 7 ,..,.. .. ...71111_ PerrnitNo.: Pliao is.. caw
11 'II 13125 SW Ihtll blvd., Tigard, OR 97221 FFB 6 2013 _ ..,.,.. .-. -
Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Mx/13y: ()Iiter I 'amnia:
TIGARD Impaction Line: 501639.4175 CITY OF TIGARD Milo: 12cady/By: / A , iis: m lig See Page 2 for
Internet: www.tigurd-or.gov 1 A . etillId• &A •7 boiNty Supplemental Information
BUILDING DIVISION &WTI, illrIVAR■IPMFO.
,„... ._ . , . .• ... , ... „ , ,..„.., ,.. .... . „...... . , :.
• TYPE' OF WORK ' • • • • ' . .. .. i • . . 4 i l.AgitT l A 7 4 411• 7:4 1 9 ) :;! 4 VIWIP .
0 New construction 0 Demolition Permit fees* arc based on thc value of thc work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement %oil= VA equipment. materials, labor. overhead. and thc profit for thc
o 9F: cppl • . .... 4 1 :.: . : .. :••••••• ..7 :. , work indicated on this application.
Valuation: • $
0 1- and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building OMulti-Ennily
, .. ..,
0 Master builder 0 Other Number of bailuooms:
, '.. . • . . :; . ..; . . . 'JOB silt. TiON Al?
1 :LOe.ATION v: ' - .• ' .. ' . .:: .".:,.. ' Total mrmber of floors: ____
Job sitc address: al co A ‘‘ A-
New dwelling aro: square feet
City/State/Z1P: \ C q/g4 , _ i Garage/cruport arca: square fax
Suitc/bldgJapt. no.: I Projev namc.1540 T net . -151 -E, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other slructurc area; square feet
— ,_ 1 ° . I :' t
. ........_....._ _
Subdivision: I Lot no.: Permit fees* arc based on the value of the work performed.
Indicate the value (rounded to thc nearest dollar) of all
Tax map/pared no.: equipment, materials, labor, overhead, and the profit for the
::!; . .. : • ::• . • . ' • • : DESCRiPTIONieii'DBK; ., : : ...::' ' : ::: [': :• ... ' ' V .,,,,..':',:' work indicated on this application.
. I Asa i I h De r. A valuation: $ .,t 136 0 --P—
Existing building area: 0..00 square feet
' 4•IDAN 1P0 L1 • Tff,,Trif..!fflr. ---
New building area square feet
,::: . • •': a PROPI5RTY:OWNER. .. • • • •: : :. • • . • 0: ...... : : . ' ::.:.: Number of stories: / if
Name: Oct .4.., _61 Type of construction: /
Address
__ _ Qk Mal3 Occupancy 00 4 gizr2,0 .........._-
v ,,,,. groups:
.., , ..
City/State/ZIP: ,,..1,5 Existing-. _
Phone: ( 4.1 ) 061.44.141 Fax: ( ) New:
_ • . .. .
aAPPLICANT . . • . • • ' 0 Corrniker...i)ERsoic . • : : ; , • ...:"..-' ' "of ''''''' IF '.
... • • . • .
Business name: ' • •'• ', • • • '... ' .. .' .....
Structural plan review fcc (or deposit):
Conflict name:
FLS plan review fee (if applicable):
Addrcss:
----- Total foes due upon application:
City/State/ZIP:
- Amount received; 4
Phone: ( ) I F117 ) _
.: . *i
E-mail:
. .. ...... Corn. and Maidantia1 prescriptive installation. of
• • .. roof-top mo ■.;.1.. PhotoVoltaic Solar Panel Syst -
Business name; Cdik tnibt AO . Submit two (2) • . of roof plan with . , II - - on details
and fire department .. -: , along • ;.:. i. • 2010 Oregon
Address: 4 4.QL 6101 and Solar Installcgion Speci • • ., checklist.
1 _
■,.
City/State/ZIP: • ..u- ‘ 6C Onea_ Permit fee (Mc • -, p . review $180.00
WI. . , tinistrativc • - ..: :
Phone: (665 ) - , ....41, i I Fax: ( '(6 )644- gt.0 State - •• vgc (12% of permit fial $21.60
CCB lic.: II 1' 01 ' PI / 4 Total fcc chic upon application: $201.60
This permit application expires if a permit is not od
AulhorizAX1 signature: jA r. A • . A Lk- within 180 days after it has been accepted as complete.
—.....-_
Print name: idEVAIr-AMME Date.
• • Fee methcclology set by '1°Y
Building Indwary
._., ................-.._ Sorvico Board.
1:1Bui1ding1Permits113UP-COM PermitApp.doe 02/24/2011 440-44131/11/02/COM/Wtill)