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Permit
CITY OF TIGARD COMMUNITY DEVELOPMENT REROOF PERMIT i a Permit#: RER2022-00028 Date Issued: 5/19/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1136000600 Jurisdiction: Tigard Site address: 16540 SW 85TH AVE Project: Clean Water Services,Liquids Control Storage Subdivision: None Lot: None Project Description: Install PVC membrane over existing roof system. Contractor: PROGRESSIVE ROOFING Owner: CLEAN WATER SERVICES 13021 NE DAVID CIRCLE 2550 SW HILLSBORO HWY PORTLAND, OR 97230 HILLSBORO, OR 97123 PHONE: 503-436-6060 PHONE: FAX: 971-2255-6563 FEES Description Date Amount Permit Fee 05/19/2022 $542.11 Specifics: 12%State Surcharge-Building 05/19/2022 $65.05 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $32,785.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $607.16 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 001-00 . Y ay obt 'n a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4- Issued By: Permittee Signature: c- , )7/7a�� W 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. Building Permit Application Re-Roof �^► �-y FOR OFFICE USE ONLY City of Tigard RECEIVED Received c ,,&� '`J , )Q, 74 ° 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 9 Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date By: Other Permit: T IGARD Inspection Line: 503.639.4175 Date Ready By: Juris: ® See Page 2 for Internet: www.ti and-or. ov �-V OF E 1t�, ,�t; Notified/Method: g g ls�CITY fl� Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. / Indicate the value(rounded to the nearest dollar)of all E Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling ❑+ Commercial/industrial Valuation: $ IDAccessory building 0 Multi-family Number of bedrooms: ['Master builder ['Other: Number of bathrooms: 4 5 - JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9' 6 w R5-re bre New dwelling area: square feet City/State/ZIP: Third,/ oR / q t o,Li Garage/carport area: square feet Suite/bldg./apt.no.: r Project name: kiikmck 1,_je4,1 s 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 DESCRIPTION OF WORK work indicated on this application. r i+ ,l �. yp rbist .it FU . dtitev t)rotes i al/W.- P,arl fii n�A (oak y/�"f rl Valuation: $ Z/I D�13G f I ' Existing building area:3/tp(1 7 square feet New building area: square feet PROPERTY OWNER 0 TENANT f%xi � Number of stories: Name: Clltatk tAiatair St t'UIGPiS Type of construction: Address: lb�j 54/ fnttt rtv Occupancy groups: City/State/ZIP: 1 ' Dl f 41z2( ( Existing: Phone:(1)3 ) ( j - 305 Fax:( ) New: , ErAPPLICANT Er.-CONTACT PERSON NOTICE Business name: 6,744,140✓0*1-e - 5 Vi&e,•5 All contractors and subcontractors are required to be Contact name: ��A �e5f�t Js� licensed with the Oregon Construction Contractors Board rt under ORS 701 and may be required to be licensed in the Address: J (A/ j'(fl(sie f-o 1-1j41/ jurisdiction in which work is being performed.If the City/State/ZIP: }.ii'I 5 io(p / 0�,/ q l Z applicant is exempt from licensing,the following reasons y 9 apply: Phone:(S8 3) 3 S-Z6260. 7 Z y Fax::( ) Pra pe✓"1" l)Witf t- E-mail: IJI-e., h7 K 626 011. tilxt- ir5ev—ixc .5"t 09 CONTRACTOR / Business name: 1 �rf'ffiSl✓� ;1 Y BUILDING PERMIT FEES* Address:1 33 I ` (Please refer to fee schedule) I N� DS Grle � Structural plan review fee(or deposit): City/State/ZIP: Ro l / OP-, 9 Z3© (t�3 ) 3 6_ �o6J Fax:(]e� ) 7i- Q J 3 FLS plan review fee(if applicable): Phone: 1890 87_ /(i Total fees due upon application: Amount received: Authorized signature: This permit application expires if a permit is not obtained ! t within I80 days after it has been accepted as complete. Print name: l I�' GS.I 1 Date:lK / '��27j * Fee methodology set by Tri-County Building Industry l / ( 19 r Service Board. 11Building\Permits 1ROOF-PermitApp.doe 10/01/09 440-46I3T(11/02/COtd/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 eave 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 roofing of commercial projects.) TOTAL: $ I:\Building'Permits\ROOF_PermitApp.doc 2