Permit n CITY OF TIGARD REROOF PERMIT
11 1- C.. COMMUNITY DEVELOPMENT Permit #: RER2013 -00014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013
Parcel: 2S102BD00701
Jurisdiction: Tigard
Site address: 12785 SW PACIFIC HWY
Project: Burgerville Subdivlslon:RTH TIGARDVILLE ADDITION, AMENC Lot: 8
Project Description: Install single -ply durolast membrane, Class A fire rating.
Contractor: WASHINGTON ROOFING COMPANY Owner: BENNETH, CATHERINE MCNICOL
1700 SW HWY 18 3830 ROBIN CREEK LN
MCMINNVILLE, OR 97128 WEST LINN, 012
PHONE: 503 -472 -7663 PHONE:
FAX: 503 -472 -3394
FEES
Description Date Amount
Permit Fee 06/18/2013 $408.32
Specifics: 12% State Surcharge - Building 06/18/2013 $49.00
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $21,550.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $457.32
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 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. 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 -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 By: A`-C I / (j Perrnittee Signature: OAl /976/e)UC 41-
Call 503.639.4175 by 7:00 a.m. for the next available Inspection 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.
JUN - 17 - 2013 -MON 03:52 PM P. 003
I Building Permit Application
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'City of Tigard . EIVE D t xo 43 �Oi/
! = SW H, TigardOR 9 a a' E Fl
Phone: 503 - 718 -2439 Fax 503.598.1960 Daa03 : Other Permit:
c; 1 h [, Inspection Line: 503.639.4175 { � I r I r� Date Ready/By. la Sae Page 2 for
Internet: www.tigard- or.gov ' d £ U 13 Notified/Method: BM Supplemental Informadon
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' ■ ■1 1� !`! ' ` P ermit fees"' are based on the value of the work erfori cd.
❑New construction � 11 -,• • ` P
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other- equipment, materials, labor, overhead, and tho profit for the
I d'.11 1 T✓ =4 1 ' 10 `' 7 r, 4 . "C F i •� f G ;.7ib fr' } �. 1 r 7 '• ,t;{ 1 �.N. / l ,-7- y work indicated on thls5pllcatlon.
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-. A],. a. Ji ,..ui:f.:i.a i S
0 l - and 2- family dwelling ® Coromercialfmdustrial
Valuation:
❑ Accessory building ❑ Multi- feawUy Number of bedrooms:
(l Master builder ❑ Other: Number of bathrooms:
; M 1 i r ' e ^• z r - i :.� i 175;t771 , a "F'n t'" ;' ' �r Total number of floors:
1 ` w rf .:4 1 ,4 rr try r `- r r r- I> G . 3LI fi
,t�,•, .,� '.k SYS..�, n.*,'.1S,�a:S_7 l.?i��'.Sn'�J =,.�, ;��r� ].ti.. -il .,i�..,. - _{_-_1
Job site address: SW Pacific Hwy / oZ 7 6 5 New dwelling area: square feet
City /State/ZIP: Tigard OR 97223 Garage /carport area:. . square feet
Suite/bldg. /apt no.: I Project name: Burgervllie Tigard Covered porch area: square feet
Cross street/directions to job site: SW Walnut Place Deck area: square feet
Other structure area square feet
Subdivision: I 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.:
ap �T ^ r7 u f equipment, materials, labor, overhead, and the profit for the
t
! � � . 1 , :. t %1 is � , tt1 ,Ki { - 12 �l S l , f r f r r � , C') }!, 4))7-,w....;,75.7.7.7,41;;;;,.211,.:7 » - . i" 4 ' r �,;I l; d work wdreated on this applacatron-
La.., .,. . a' ,..LL...w.. r,u ..c ..L.W ....:;�`......., .`x"fi.. , _._ . tir, „ ., '7 C a t '2lu'14',':N';',4G_J. ,.,.2L.a WM..l....�:
�r S / 1 ` 5.+1 -. ea P 1......, , ,, t.a_.a w- -.-,,J .r,—� Valuation SS2T,550.00
C � ' . rc--1-.l
Existing building area 3000 square feet
New building area: n/a square feet
ii. 7 , 1 ..-. � '.., - 7 tc i m <'t r''c o { i 1 ° .�. '77 . , _1 bill ._ v. ,M ," ::: .:,.„ N umber of stories: 1
Name; Bargerville Tigard Type of construction: Re Roof
Address: 12765 SW Pacific Hwy Occupancy groups:
City/ State/ZIP: Tigard OR 97223 _ Existing: yes
Phone: (360)693-8830 Fax: ( ) New no
3- -8830 v
Af$1 t^l " h•,[ 1 LFr�l �ftl,?1�� ;1 1A�t % r Lt f ,,_ J , , . r , . '":, t £ , r ^ r : l I
{S1S '.... � ,.. t- .::a�L yc:Krt]a . ?. � 3.:�...:Jl•'::.L';L..- !rJI,.S :;. L:1...:a.Sl � .. __'T* .�'i .:"...,. � - . w � 4 , � � t t ' 4a ,':.:,4'.
: :11.e s,G:. W.",a;L i .L P t; r ^ ' �' ,' i ,' ``r , frif :11;LZrai.. L a },a__:..::
Business name: Washington Roofing Company
- - -- - — — Structural- plan.review- fee -(or- deposit): — — - -- —
Contact name: Eric Wolff .
FLS plan review fee (if applicable):
Address: 1700 SW Hwy 18
City/ State/ZIP: McMinnville, OR 97128 Total fees due upon application:
Phone: (503) 472 -7663 I Fax:: (503) 472.3394 Amount received
Jt ..-1,.. y� G,L- c 1 .,, } .;Iut ..41. 1 y
E-mail wrcgonlraemac-com J .... L ,,.Wra,a'
•c `, f e*�,r 0 G ; , Ity 1 1 I BC " 1(x-.5 7'1'"'t f .r '�"l 7 — S t t , Commercial and residential prescriptive installation of
+,.� r� ', w 2 ; t ,z : Z t r e�t,ct ` , ;; s �, ',i..,a;; a t_t '.11 IA roof-top Mounted PbotoVoltaic Solar Panel System
_. )I,.,a ,rl.. a . Jt,w{v� .,1 ..1:...�. ..,J r..,.: z t
Business name: Washington Roofing Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1700 SW Hwy 18th Solar Installation Specialty Code checklist. ay e, 30-
City/StaterLEP: McMinnville, OR 97128 Permit fee (includes plan review a l
and administrative fees) ,7
Phone: ) 472 -7663 Fax (503) 472 -3394 State surcharge (12% of permit fee): — ii 9 r t v
1 � 55201 .I /�/�
�r� - � �%ft/ Total fee due upon application: 3 /
4( . ,.} /.• si-.t : .. 7,3 This permit application expires if a perml not obtained
within 180 days after it has been accepted as complete.
Print name: Eric Wolff Date: June 17 13 * Fee methodology set by T ri -County Building Industry
Service Board.
I:\Building\Pennitsl,BUJP -COM PermitApp.doc 02/24/ 2011 440.4613T(1 I /02 /COM/WEB) if s ? .
At
JUN -17- 2013 -M0N 03:52 PM P, 001
Washington Roofing Company
1700 SW Hwy 18
McMinnville OR 97128 Metro Lic: 8150
Phone: 503-472-7663 Fax: 503 - 472 -3394
WASHINGTON_ Licensed & Bonded CCB #55201
ROOFING COMPAN wrcOonlinemac.com CCCD WASHIRC954DB
. City of Tigard
TO: From: Washington Roofing Company
Pages 3
Phone: 503-718-2439 Date . June 17, 2013
Fax 503 -598 -1960
To whom it may concern,
Please see attached a permit application and the credit card authorization form for address:
12765 SW Pacific Hwy Tigard, OR 97223 Burgerville.
Please advise if more documents are needed.
Many Thanks,
Marika Feibel
Washington Roofing Company
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12785 SW PACIFIC HWY, TIGARD, OR, 97223
Commericial - Reroof
299 Final Inspection
2013-12-31 00:00:00
RER2013-00014
PASS - No C of O
Violation Summary:
Inspector Contractor