Permit A CITY OF TIGARD (6c,- BUILDING PERMIT
PERMIT #: BUP2006 -00409
1i � DEVELOPMENT SERVICES DATE ISSUED: 8/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503439 -4171 PARCEL: 1 SI36CD -00100
SITE ADDRESS: 11705 SW PACIFIC HWY * ** ZONING: C - G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
Project Description: Crossroads Shopping Center. Re - Roof.
REISSUE: O`CQ— FLOOR AREAS EXTERIOR WALL CONSTRUCTION
.
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 118,000.00
Owner: Contractor:
PACIFIC CROSSROADS PROPERTIES, I GRIFFITH ROOFING
BY WYSE INVESTMENT SERVICES CO 6815 SW 111TH AVE
200 SW MARKET ST STE 345 BEAVERTON, OR 97005
PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 643 - 1596
FAX 503 - 644 -1529
Reg #: LIC 925
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/28/2006 $814.50
[TAX] 8% State Surcha 8/28/2006 $65.16
[METCET] Metro Const 8/28/2006 $141.60
Total $1,021.26
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� gy Permiftee Signature: / ' 4.
7
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that ' usiness 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.
it Re -Roof
Building Permit Application FOR OFFICE USE ONLY
City of Tigard 5� E. �` Date/B C ' , -- / (1 ej Lt, .. _ /1 6 — 6 ftD'
13125 SW Hall Blvd., Tigard, OR ' ll'E C Plan Review - Permit No.:
Phone: 503.639.4171 Fax: 503.59..1'60 6 �� n Date/B Other Permit: 1 6 Inspection Line: 503.639.4175 uG �� oo �!'Ir ` _. L Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us �' F
1IG019 Notified/Method: Supplemental Information
GI���p � G DIVISI
pY i'E 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 (rounded 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.
El 1- and 2- family dwelling la Commercial/industrial Valuation: $
❑ 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: 11705 SW PaC i f is Hwy New dwelling area: square feet
City /State/ZIP: Tigard, OR Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Pacific Crossroads Covered porch area: square feet
Cross street/directions to job site: Shopping Ctr 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.
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.
•
Reroof using Class A roof specification
Valuation: $118,800.00
Existing building area:4 4 , 5 0 0 square feet
New building area: square feet
. ❑' : PROPERTY OWNER ; ; ■ TENANT ' . Number of stories:
Name: Wyse Investments Type of construction:
Address:111 SW 5th Street, Suite 1100 Occupancy groups:
City /State/ZIP: Portland, OR 97204 Existing:
Phone: (503) 294 -0400 Fax: (503) 227 -2507 New:
® APPLICANT •• ❑ CONTACT. PERSON NOTICE •
Business name: Griffith Roofing Co. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Greg Stone . i t _ . under ORS 701 and may be required to be licensed in the
Address: 6 815 SW 111th jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /StateiziP: Beaverton, OR 97008 apply:
Phone:(503) 643 -1596 Fax: :(503) 644 -1529
E -mail: N/
CONTRj cFOR"
Business name: Griffith Roofing Co. BUILDING PERMIT: 'FEES*
Address: 6 815 SW 111th Avenue
Please refer to fee schedule.
City/State/ZIP: Beaverton, OR 97008
Fees due upon application
Phone:(503) 643 -1596 I Fax:503) 644 -1529 Amount received
CCB Iic.: 925
/ Date received:
Authorized signature: / 4.+ This permit application expires if a permit is not obtained
�- -` within 180 days after it has been accepted as complete.
Print name: e Q S D ate: 8 , • Fee methodology set by Tri-County Building Industry
J Service Board.
i:t BuildingtPermiutROOF •PerrniIApp.doe 12/03 440-4613T(I1/02/COM/WEB)