Permit CITY OF TIGARD REROOF PERMIT
_ Permit#: RER2022-00029
COMMUNITY DEVELOPMENT
Ti GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2022
Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16870 SW 85TH AVE
Project: Clean Water Services, Structure Recovery Facility Subdivision: None Lot: None
Project Description: Install PUC 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 $553.13
Specifics: 12%State Surcharge-Building 05/19/2022 S66.38
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $33,376.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $619.51
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , a----
Permittee Signature: k*a
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re-Roof RECEIVE[\ FOR OFFICE USE ONLY
City of Tigard Received //,' lr Jy /
• 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 1 9 Dated3 :
Bar 2D22 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
1_ �,.��,1 Inspection Line: 503.639.4175 v f' I(aAHL DateReadyBy: Inru: 1 See Page 2for
Internet: www.tigard-or.gov /.I II! jlwr:s,, fi1,/IC)r-t Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION Valuation: pp$
❑ 1-and 2-family dwelling Commercial/industrial work indicatedio : on this application.
❑Accessory building ❑Multi-family Number of bedrooms:
D Master builder El Other:
Number of bathrooms:
‘ .X 70 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I & 57.,"/ g -'t's 4e,, New dwelling area: square feet
City/State/ZIP: Ti c*yo1 /
OK, ! u Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: d )rrt4Mvh Of: 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 1
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 53 '37(
r 4 wit Puc V11 tA.6 amt. av .ext 5�l tiq iagE 4)S4-PNVI Existing building area:e /,� square feet
ll J New building area: square feet
U PROPERTY OWNER ❑ TENANT Number of stories:
Name: C�Y�td't L,f - ,„ ,, Type of construction:
Address: 1 6 S
�j D n (/QiI_ Occupancy groups:
City/State/ZIP: ttW i1'/
o�.- Q.1 Z21- Existing:
Phone:(c 3) 60311- 3t. Fax:( ) New:
lr APPLICANT ["CONTACT PERSON NOTICE
Business name: C40a✓A ✓i afi 5e.f'�I GC- , All contractors and subcontractors are required to be
Contact name: �f,� /' licensed with the Oregon Construction Contractors Board
r�gilt, u"s� 1 e) �w under ORS and may be beinge be licensed in the
Address: !!4 I y jurisdiction in which work is performed.If the
City/State/ZIP: I applicant is exempt from licensing,the following reasons
N'li 5b6✓2 j dL 1'77- 'Z-3 apply:
Phone:(5?3)3 l- ZS✓Z% -Fax: :( ) f e& oww-
E-mail:Ole <ny N,67 z-iV)AA hAj ev- SlurEAl/El Of)
CONTRACTOR
Business name: R.-foil'� Q'k;11� BUILDING PERMIT FEES*
Address: 130 Z, 0�/E ,VS ('r/cit (Please refer to fee schedule(
City/State/ZIP: ��c-}-� r (OIL( 77 3/J Structural plan review fee(or deposit):
Phone:(5 03) Li 3b - 60 Fax:(l 2/ ) C,543'r 0�.�f- FLS plan review fee(if applicable):
CCB lic.: 18908 7- Total fees due upon application:
��, y a _ Amount received:
Authorized signature: 7r(�/�_/�", r/�ll/`�-� This permit application expires if a permit is not obtained
/ / within 180 days after it has been accepted as complete.
Print name: /,IUk, C3Le5S eh, Date: /119(/`�ZZ * Fee methodology set by Tri-County Building Industry
l Service Board.
1 I:1Building\Permits 1ROOF-PermitApp.doc 10/01/09 440-4613T01/02lCOMNJEB)
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:1Building\Permits'ROOF_PermitApp.doc 2