Permit CITY OF TIGARD REROOF PERMIT
g . COMMUNITY DEVELOPMENT Permit#: RER2014-00011
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 03/10/2014
Parcel: 2S102AA00200
Jurisdiction: Tigard
Site address: 11920 SW PACIFIC HWY
Project: Mixers Bar&Grill Subdivision: TIGARD HIGHWAY TRACTS Lot: 13
Project Description: Reroof-remove and replace
Contractor: JBC ROOFING Owner: TUMAY CORP
12155 SW GRANT AVE STE B 11920 SW PACIFIC HWY
TIGARD. OR 97223 TIGARD, OR 97223
PHONE: 503-968-1235 PHONE.
FAX• 503-603-9967
FEES
Description Date Amount
Permit Fee 03/10/2014 $453.95
Specifics: 12%State Surcharge-Building 03/1012014 $54.47
Type of Use COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 tt
Project Valuation: $24,669.00
General Information
Building Area: 0
Re-Roof Area 0
Roof Class.
Tear Off'
Overlay.
Existing Root Layers
Parapets.
Total 5508 42
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 w. is suspended for more the 180
days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce -r hyise rules are set forth in OAR
952-001-0010 through OAR 952-001-0090 You may obtain a twos or direct questions to OUNC Cjy - • �23/'87.r 1 800 332 2344
Issued By: � Permittee Signature: \\.
`,
I .839.4175 by 7:00 a.m.for the next available inspe date.
This permit cards all 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.
Building Permit Application
Re-
Roof
cjiC\ FOR OFFICE USE ONI.I
City of Tigard ris Received ,
g DateB 3� y��
13125 SW Hall Blvd.,Tigard, 722.3.. \% Q
[`� Plan Review
Phone: 503.718.2439 Fax: 503.598.'1960 t\G,1`,(1N Date/8
TIGARI) Inspection Line: 503.639.4175 01(`\�4% \ Date Ready/By.
® Page 2 for
Internet: www.tigard-Or.gov ( _`cS)\ Notified/Method.
�� SupplementalInformatian
TY
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑New construction 4grDemolition'T604CL OFF equipment,materials,labor,overhead,and the profit for the
❑ Addition-alteration -c n;IC,:lnent
tither: g r.00F work indicated on this application.
1 Wog
CATEGORY OF CONSTRUCTION Valuation: S 2 LI e
—
[I I-and 2-lantil) dwelling 'ommercial/industrial Number of bedrooms:
❑Accessory building ❑Multi-family Number of bathrooms:
❑ Master builder ❑Other: Total number of floors: I
JOB SITE INFORMATION AND LOCATION New dwelling area: square feet
Job site address: 1 i 9 Z D S W PPtU PIC 1-1W f Garage/carport area: square feet
City/State/ZIP: ri b P rtD b R (142 2 3 Covered porch area: square feet
Suite/bldg./apt.no.: I Project name: M oce R S 9t4 R Deck area: square feet
Cross street/directions to job site: Other structure area: ■ square feet
hilt IA- Ar-N b P PrC I Ft C I-i W y REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Permit fees*are based on the value of the work performed.
Subdivision: [ Lot no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Tax map/parcel no.: work indicated on this application.
DESCRIPTION OF WORK i Valuation: S
r A2 or T +OFIN(, Existing building area: square feet
ILE-t200 N New building area: square feet
Number of stories:
e PROPERTY OWNER I ❑ TENANT Type of construction:
Name: -T6K.R-r -1--U t'1'6
Occupancy groups:
Address: tIq 2p 440 Pete-WIC- Hwy
Existing:
City/State/ZIP: 11 b tAtLb , b e. 1722 7 New:
Phone:(Sb3 ) q-17- "soli li Fax:( 1 t,,
APPLICANT ❑ CONTACT PERSON __ - All contractors and subcontractors are required to be
Business name: QS G Roo F•I 0 b, LL C licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Contact name: Z(tAn (,Fi1Sho1.M jurisdiction in which work is being performed. lithe
Address: 121 S S w (,RANIT AV 6. 'u t tE b applicant is exempt from licensing,the following reasons
City/State/ZIP: T'J(6 Ate / p R 9 4 2 2 ? apply
Phone:( Lr3 ) 4.(Z 3, Fax::(4o 1 603• q 7 4 3
I -mail: 6r• oea � 36,raoc,w Cer---
CONTCTOR
Bt ILDING PERMIT FEES*
Business name: (Please refer w fee schedule)
Address: Structural plan review lee(or deposit):
City/State/ZIP: FLS plan review fee(if applicable):
Phone: ( ) Fax:( I Total fees due upon application:
C'CB lie.: 1Q2$'S Amount received: SW_ ill
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: It r-t t►,15 c.-t4 t t h4L/'. Date: 3-W - I H Service Board.
REQUIRED DATA:1-AND 2-FAMILY DWELLING 1
I .IS:.I!�ineJ'mm,i..Ht) 1 PennnnP!,d,,, I,...)1, 440-4613T(11/02/COM/WEn)
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
11920 SW PACIFIC HWY, TIGARD, OR, 97223
Commericial - Reroof
299 Final Inspection
2014-04-21 (null)
RER2014-00011
PASS - No C of O
Violation Summary:
Inspector Contractor