Permit N CITY OF TIGARD REROOF PERMIT
'''! I COMMUNITY DEVELOPMENT Permit#: RER2022-00038
Date Issued: 10/19/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD01300
Jurisdiction: Tigard
Site address: 15650 SW UPPER BOONES FERRY RD
Project: Burgerville Subdivision: None Lot: None
Project Description: Installing commercial grade Duro-Last single ply PVC membrane roof system over the existing roof system.
Contractor: WASHINGTON ROOFING COMPANY Owner: RYAN,JOANNE C&
1700 SW HWY 18 CHARTER PROPERTIES III LLC
MCMINNVILLE,OR 97128 BY BOB L SMITH
280 LIBERTY ST SE#300
SALEM, OR 97301
PHONE: 503-472-7663 PHONE:
FAX: 503-472-3394
FEES
Description Date Amount
Permit Fee 10/19/2022 $498.03
Specifics: 12%State Surcharge-Building 10/19/2022 $59.76
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $28,576.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $557.79
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 require 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 obtain a opy of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: tee Signature: i/i,dJ�
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.
A
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'Building Permit Application RECEIVE
Re-Roof FOR OFFICE USE ONLY
City of Tigard OCT 1 9 2021 Received/!, /f /.2 / �_ ss
;i i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r/JF\`91�rC
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DateBy: .0 Other Permit:
.,.vI l Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: Jr :is I ® See Page 2for
Internet: www.tigard-or.gov Notified/Method: Suppkmental 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 work indicated on this application.
El 1-and 2-Family dwelling Commercial/industrial Valuation: $
IDAccessory building 0 Multi-family Number of bedrooms:
—
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15650 SW Upper Boones Ferry Rd. New dwelling area: square feet
City/State/ZIP: Lake Oswego,OR 97305 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Burgerville#40 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.
Install Commercial Grade Duro-Last Single Ply PVC Membrane Roof System Valuation: $28,576.00
over the existing roof system Existing building area: 3,800 square feet
New building area: 3,800 square feet
PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Burgerville Type of construction:
Address: 109 West 17th St. Occupancy groups:
City/State/ZIP: Vancouver,WA 98660 Existing:
Phone:( ) Fax:( ) New:
IIIAPPLICANT 0 CONTACT PERSON NOTICE
Business name: Washington Roofing Company _ All contractors and subcontractors are required to be
Contact name: Vickie Wyse licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1700 SW Hwy 18 jurisdiction in which work is being performed.If the
Ci lState/ZIP: applicant is exempt from licensing,the following reasons
ty McMinnville, OR 97128 apply:
Phone:( 503 ) 472-7663 Fax::(503 ) 472-3394
E-mail: vickie@washingtonroofingcompany.com __
CONTRACTOR
Business name: Washington Roofing Company BUILDING PERMIT FEES*
Address: (Please refer to fee schedule
1700 SW Hwy 18 Structural plan review fee(or deposit):
City/State/ZIP: McMinnville,OR 97128
FLS plan review fee(if applicable):
Phone:( 503 ) 472-7663 Fax:( 503)472-3394
0L2/2 ,J Total fees due upon application:
CCB lie.: 55201 Z
Amount received:
Authorized signature: v, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Vickie Wy Date: 8/30/22 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permils1ROOF-PertnaApp.duc 0/01/09 440-4613T(11/02/COM/WEB)
F '
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-roofmg.
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_PennitApp.doc 2