Permit (181) CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2016-00001
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/25/2016
Parcel: 2S 112BA00300
Jurisdiction: Tigard
Site address: 7645 SW BONITA RD 1
Project: Creekside Commons Apartments Subdivision: PACIFIC CORPORATE CENTER Lot: A
Project Description: Reroof-remove and replace. Permit for 7645 and 7715 SW Bonita Rd.
Contractor: JBC ROOFING Owner: CREEKSIDE COMMONS-48 LLC
12155 SW GRANT AVE STE B BY THOMAS J ROGERS
TIGARD, OR 97223 PO BOX 231296
TIGARD, OR 97281
PHONE: 503-968-1235 PHONE:
FAX: 503-603-9967
FEES
Description Date Amount
Permit Fee 01/25/2016 $509.05
Specifics: 12%State Surcharge-Building 01/25/2016 $61.09
Investigation Fee 01/25/2016 $90.00
Type of Use: COM Investigation 12%State Surcharge 01/25/2016 $10.80
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $30,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $670.94
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 503.232.19 0.332.2344.
Issued By: Permit�n..t
ature:
03.639.4175�700 .m.for the1lable inspectiondate.
This permit card shall be kept in a conspicuous place on the job site until completion of the proje
Approved plans are required on the job site at the time of each inspection.
BuildinE Permit Application
Re-Roof
4
City of Tigard Rece;ved Pern;tNo.:
1) : ,
13125 SW Hall Blvd.,Tigard,OR 972 w Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: other Permit:
Inspection Line: 503.639.4175 pl Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF W0160 REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction Permit fees*are based on the value of the work performed.
❑ ❑l�emdiliition
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.
❑ 1-and 2-family dwelling []Commercial/industrial
Valuation: $
❑Accessory building [D Multi-family
Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7645,7715 SW Bonita Road New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Creekside Commons Covered porch area: square feet
Cross street/directions to job site:SW Hall 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Re-Roof 2 Buildings Valuation: $$30,000.00
Existing building area: 16000 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT< Number of stories: 2
Name:Tom Rogers Type of construction: Wood Frame
Address:P.O.Boa 2312% Occupancy groups:
City/State/ZIP:Tigard,OR 97281 Existing:
Phone:(503)704-0000 Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Creekside Commons All contractors and subcontractors are required to be
Contact name:Tom Rogers licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:Same as above jurisdiction in which work is being performed if the
City/StateCZIP:
applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR
Business name:JBC Roofing BUILDING PERMIT FEES*
Address:12155 SW Grant St, Ste D refer m e Schede
Structural plan review fee(or deposit):
City/State/ZIP:Tigard,OR 97223
Phone:(503)%8-1235 Fes:( ) FLS plan review fee(if applicable):
CCB lic.:98255 Total fees due upon application: t.`
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
//!�)� within 180 days after it has been accepted as complete.
Print name:Tom Roge Date:1/25/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.dce 10/01/09 440-4613T(11/021COMMEB)