Permit CITY OF TIGARD REROOF PERMIT
a COMMUNITY DEVELOPMENT Permit #: RER2013 -00015
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B2
Project: Scholls Business Center - Building B Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Reroof, tear -off and reroof with Class A BUR
Contractor: GRIFFITH ROOFING Owner: HANSON, RONALD D
6815 SW 111TH AVE ROBINSON, CONSTANCE A
BEAVERTON, OR 97005 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 643 -1596 PHONE:
FAX: 503 - 644 -1529
FEES
Description Date Amount
Permit Fee 06/18/2013 $947.82
Specifics:, 12% State Surcharge - Building 06/18/2013 $113.74
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $78,471.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,061.56
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 ', - -... • - 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
day- •TTENTION: Oreg•• la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9: - 001 -0010 through OAR 95. 101 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8'• • .32.2344.
sued By: k; `j' Permittee Signature: X / _ /� %�
Call 503.639.4175 by 7:00 a.m. for the next available inspec ion d.
This permit card shall be kept in a conspicuous place on the job site until corn : , on of the project
Approved plans are required on the job site at the time of each in • ection.
Building Permit Application
Commercial
REC - EN Received
City of Tigard �eBy: 6 1K l5 Permit No.: 6/3-oc /5---
: 111 1 13125 SW Hall Blvd., Tigard, OR 972* IN 18 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.101R1 D ate / By: Ocher Permit:
I i r t �, i t Inspection Line: 503.639.4175 cf�r of TIGARD Date Ready/By: brie: El See Page 2 for
Internet: www.tigard or.gov �I���i�✓F` Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction 0 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 [4 Other: R., roc, T equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
❑ I- and 2- family dwelling .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: /0 /10 .5 t,,,/ j f ,.., bta /1-ve 8 ld 13 New dwelling area: square feet
City /State /ZIP: Bt ,...fi rk
r_ Garage/carport area: square feet
Suite/bldg. /apt. no.: ii Project name:S 6 01s I3,45j N ( y Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S lled/J ir r P y p' AA 6/ at, N j p* ✓.S 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.
-�* ( C r a Valuation: $ 7 6- ``) 7 /
V Existing building area:g „ sbao, square feet
f
New building area: square feet
A PROPERTY OWNER ❑ TENANT Number of stories:
Name: 1:6 T ",✓ } we" - l e % � L L e- Type of construction:
Address: J W 2.411 0 5 6 It orb A i ) L Occupancy groups:
City /State /ZIP: R e # )F „,i 0 , 4712'3 G Existing:
Phone:p iJ ) s'90 U .' v
9 00 Fax: 3) S90 - 9 / G g' New:
la APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: G r , , crr kn RA `', j view (or deposit):
Structural plan review fee (or deposit):
Contact name: 6 „,., v...Si -®A,�
FLS plan review fee (if applicable):
Address: 6 e!.s )� I °. ' Le•
1 Total fees due upon application:
City /State /ZIP: b, , g
t • .® 0. e •
Phone: 3 �y3 — 45 -1 517 Fax: : �( ) L yy -)s-2-, Amount received: f /0 � /, p
"� (1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J
E -mail: GS re a r s fici 9 (L rood; h eokil sA • CO (1.1, Commercial and residential prescriptive installation of
CONTRACTOR) roof -top , nted PhotoVoltaic Solar Panel S stem.
Business name: r , ' ; t O'
4- 1� � Submit two ( sets of roof plan with Conn n details
�C " ^ `^
and fire departm• t access, along wi • e 2010 Oregon
Address: 6 & i s S w ) ) ) fi. A Solar Installation . - cialty Code , ecklist.
Permit fee (inc •es .:1 review
City /State/ZIP: )3 ect. w elf y, 1:::7* r — and at ' • 's r 've fees): $180.00
Phone: (�.1 ) 4 3 5 ' Fax: �3 )' 99' Jam' ca State surch. - 2% of permit - • $21.60
CCB lie.: 9 L Iota • - , . pon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
}2..-211-if within 180 days after it has been accepted as complete.
Print name: p Date: 7 ® * Fee methodology set by Tri- County Building Industry
°� a �'/ al F�°' ��' �, Service Board.
I: \Building \Permits \BUP - -COM PenmitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB)