Permit INCITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2016-00020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/11/2016
Parcel: 2S111 CD00300
Jurisdiction: Tigard
Site address: 15670 SW 98TH AVE
Project: Tigard Church of God Subdivision: ALDERBROOK FARM Lot: 20
Project Description: Reroof-remove and replace.
Contractor: JIM FISHER ROOFING&CONST INC Owner: TIGARD CHURCH OF GOD
13580 SW GALBREATH DR 15670 SW 98TH AVE
SHERWOOD, OR 97140 TIGARD, OR 97223
PHONE: 503-625-2586 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 07/11/2016 $932.76
Specifics: 12%State Surcharge-Building 07/11/2016 $111.93
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $76,070.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,044.69
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 'ect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: f,.
% ermi ee "ignature: ,---„.--
Call 503.6 . 7:00 a.m.for the next available in .-ction 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.
Building Permit Application
Commercial
FOR OFFICE. USE ONLY
City of Tigard Received
a Date/By: . Permit No: + l n
13125 SW Hall Blvd.,Tigard,OR 97223 ` .+',
I �+:�� Plan Review
Phone: 503.718.2439 Fax. 503.598.1960
L
Date/B : Other Permt:
Date Ready/By
See Page 2 for Inspection Line: 503.639.4175
Internet: www.tigard-or.gov Notified/Method: line
Supplemental
Information
TYPE OF t�� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 9 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:Reroof equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
9 1-and 2-family dwelling ®Commercial/industrial Valuation: $76,070.00
❑Accessory building ❑Multi-family Number of bedrooms:
9 Master builder 9 Other: Number of bathrooms:
JOB SUL INFORMATION AND LOCATION Total number of floors:
Job site address: 15670 SW 98th ave. New dwelling area: square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard Church of God Covered porch area: square feet
Cross street/directions to job site: 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
DESCRIPTLON OF WORK work indicated on this application.
Remove existing roof down to last removable layer. Valuation: $
install 1/4"dens deck or 3.5"secure shield insulation depending on the roof area Existing building area: 8500 square feet
gives class A fire rating. Install 60 mil TPO New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Tigard Church of God Type of construction: wood
Address:15670 sw 98th ave Occupancy groups:
City/State/ZIP:Tigard.Or 97224 Existing:
Phone:(971)226-7841 Fax:( )
New:
ig APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name: Fisher Roofing (Pleaserejertofee schea(ute)
Structural plan review fee(or deposit):
Contact name:Bob Bruce
Address:13580 SW Galbreath dr.
FLS plan review fee(if applicable):
City/State/ZIP:Sherwood,Or 97140 Total fees due upon application: ci1 ''
Phone:(503)227-7663Amount received:
Fax: :(503)625-0528
E-mail:bob@fisherroof.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Fisher Roofing Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:13580 sw Galbreath dr Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood,Or 97140 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)227-7663 Fax:(503)625-0528 State surcharge(12%of permit fee): $21.60
CCB lic.:45970
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Bob Bruce ._ ------`4-- ---TDate:7/8/16 * Fee methodologyset by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
Location:
15670 SW 98TH AVE,
Record Type:
Commericial - Reroof
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
City of Tigard
TIGARD, OR, 97224
Tel: 503.718.2439
Inspection Date:
Record ID:
RER2016-00020
Inspector:
Jeff Grove
Contractor