Permit CITY OF TIGARD REROOF PERMIT
14. '2 .. COMMUNITY DEVELOPMENT Permit#: RER2022-00030
Date Issued: 6/6/2022
T f ;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1356A03300
Jurisdiction: Tigard
Site address: 10585 SW GREENBURG RD
Project: Safeguard Mini Storage,Building G Subdivision: None Lot: None
Project Description: Re-roof. Remove and replace:Tear off 2 layers of composite and replace with Owens Corning felt and Duration
Shingles
Contractor: LNHS CONSTRUCTION INC Owner: UNIVERSUS
1 MASARYK ST BY STEVE ECOFF
LAKE OSWEGO, OR 97035 1357 MADRONE LN
SAN LUIS OBISPO, CA 93401
PHONE: 503-422-7413 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 06/06/2022 $542.11
Specifics: 12%State Surcharge-Building 06/06/2022 $65.05
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $32,640.00
•
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 952-001-0090. You may ain a copy e rules or direct questions to OUNC by calling 503. 32.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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
Fire Protection System �, # FOR OFFICE liSF ONl.I
City of Tigard RE'x/ E Received Q ^,
g 5/ /3� t Permit No.:Tx��` .Cjobl -• cc03 1.
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 Date/B
2O2 t Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 `' Date/B : Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OF�I GAR U Date Ready/By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
'. iii n:..,.i,^ rti ,r^in +
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
n Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Other: Re , equipment,materials,labor,overhead,and the pro or the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling tgl Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floo-.:
Job site address:MS..B 5 J 6s2 t.,6V 4,4 i2D, New dwelling a a: square feet
City/State/ZIP:— (4p.Qp r 9.7 .y', Garage/ca ..rt area: square feet
Suit ld /apt.no.: G I Project nam&C(60*(2.,i)M 1 N( 672,4.(746 Covere. •orch area: square feet
Cross street/directions to job site: Dec .rea: square feet
0 er structure area: square feet
' QUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
,/ DESSCRIPTION OF WORK work indicated on this application.
r IL of .-f(IL't3 Loya5d$rduI pG'Sit.T/i 4Ji31) P� iiler Valuation: $32 6 VD.
et II 15446u5 C,pvOijg go' -p w el'iI 1 Existing building area: square feet
Spill Ce..a, New building area: square feet
[zt PROPERTY OWNER 0 TENANT Number of stories:
Name: j6 LL 6 r 64. Type of construction: 0G`ie,, I
Address: `p Seso •14) 6.g.c.scik)e,WA 0,0 r Occupancy groups:
City/State/ZIP: ' '(f,.tj2,0 1) R. C"7 Z.>", Existi Peps'Ns g�noS u = r'
Phone:( ) Fax:( ) ew:
.jaiAPPLICANT CONTACT PERSON NOTICE
Business name:L „.43 I )' (tJ 4, All contractors and subcontractors are required to be
Contact name: �y �y�� licensed with the Oregon Construction Contractors Board
o�� under ORS 701 and may be required to be licensed in the
Address: /. MAMA�[) ..1.-- jurisdiction in which work is being performed.If the
City/State/ZIP: L. .e)7 d 3 applicant is exempt from licensing,the following reasons
apply:
A 1 '
E-mail: J g//s eg lotideps,e4A4 ., �■
CONTRACTOR BUILDING PERMIT FEES*
Business name: S. RAL"" t'"' (Please refer to fee schedule)
Permit fee: 1-{A ‘,
Address:
State surcharge(12%of permit fee): G5 ct°S
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.: /e A Total permit fees: �A� i<
L� Amount received:
Authorized signatur a�
(,� This permit application expires if a permit is not obtained
Print name Date: } within 180 days after it has been accepted as complete.
�� e 'ie �� I a * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-46 13T(1 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal(see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
L\Building\Pemuts\FPS_PermitApp_031016.doc 2