Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2022-00024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/7/2022
Parcel: 1 S134BC00800
Jurisdiction: Tigard
Site address: 12398 SW SCROLLS FERRY RD
Project: Valvoline Instant Oil Change Subdivision: 1993-058 PARTITION PLAT Lot: 2
Project Description: Re-roof-remove and replace:Tearing off existing roof and installing new shingles.
Contractor: GRIFFITH ROOFING Owner: DAVIDSONS OILERY ON SCROLLS LLC
6815 SW 111TH AVE 8915 SW COMMERCIAL ST
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503-643-1596 PHONE:
FAX: 503-644-1529
FEES
Description Date Amount
Permit Fee 04/07/2022 $210.59
Specifics: 12%State Surcharge-Building 04/07/2022 $25.27
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $8,110.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $235.86
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 .800.332.2344.
Issued By: Permittee Signature:
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.
Building Permit Application
Re-Roof FOR OFFJCE USE ONLY
City of Tigard Received
Date/B : 7 » .�� ..itiMIM
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 ! p� I pald g : Other Permit:
l-1(-A R I) Inspection Line: 503.639A175 E 9 h_ " Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: i Supplemental Information
TYPE OF WORDlTy0t. isARD 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 Other: izeO F equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION ii Q o e
-El 1-and 2-family dwelling ®'Commercial/industrial
Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t Z 3 `y g J i l) z h Cl wS re I�IZ7, (Z d New dwelling area: square feet
City/State/ZIP: ""\-- l`, co yam( C) K. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ! , a,./tti.�)J yyL Covered porch area: square feet
Cross street/directions to job site: � -LSI l i if,�) C#4 " - Deck area: square feet
`f7� 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 a nearest dollar)of all
equipment,materials,labor,ov&head,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ g110
`Ceav oFc c2 scI /Ir51 Doc= ctti to24-ci k
.J et,o r S fl 1_ ,N 9/es Existing building area: square feet /ti 00
New building area: square feet
0 PROPERTY OWNER xi TENANT Number of stories:
Name: L J S M a�) J &L F,e,_A So I VJ -t c N Li- C. Type of construction:
Address: J 'Zg is..i i yr J I PO c 13 c,v S s9 Occupancy groups:
City/State/ZIP: C O 1' i y` k S a 03 C) Existing:
Phone:( ) Fax:( ) New:
J APPLICANT 0 CONTACT PERSON NOTICE
Business name: Y i t^'p 1A hla OD 17`t 1'''S. CCJ-W` cra y All contractors and subcontractors are required to be
Contact name: G PY�D 11 R f licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: , t t S S W \\1 Z h a V e_ jurisdiction in which work is being performed.If the
City/State/ZIP: 11 applicant is exempt from licensing,the following reasons
ty G,c o:_io a"4 O 1J RZ-- 7�o apply:
Phone:(971) .35 4 2:43 Fax: :( )
E-mail:G l i e' ei)&1 FR -)—h at oo Tiii9(b YIA(',2 O}/, C owl
CONTRACTOR
Business name: S !r IA BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
Phone:( ) Fax:( ) FLS plan review fee(if applicable):
[j� / Total fees due upon application:
CCB lic.: �''-
pi
Amount received:
Authorized/signatur . This permit application expires if a permit is not obtained
/ rr within 180 days after it has been accepted as complete.
(9
Print name: i l Cy 4-o mc-ct sf o Date: It-- - 2 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building1Permits\ROOF-PnmitApp.doc 10/01/09 440-4613T(1I/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2- Supplemental Information
RESIDENTIAL (One- & Two-Family Dwelling)
❑ REPAIR(major)plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
cave and attic venting is provided.
Note: No permit is required for residential re-roof if not more than two (2) layers of
roofing will exist upon completion of the re-roofing.
COMMERCIAL (includes multi-family and condominiums)
❑ RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Call
503.639.4175, for code 295 Miscellaneous inspection after permit is issued.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection, plans may be required
to address any non-conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart) _
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofmg of commercial projects.)
TOTAL: $
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