Permit CITY OF TIGARD REROOF PERMIT
: _ . COMMUNITY DEVELOPMENT Permit IS: RER2022-00041
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/7/2022
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None
Lot: None
Project Description: Re-roof D&M shop including replacing Duro-last membrane with Kee PVC membrane.
Contractor: VITAN CONSTRUCTION Owner: CLEAN WATER SERVICES
9327 NE GLISAN STREET 2550 SW HILLSBORO HWY
PORTLAND, OR 97123 HILLSBORO, OR 97123
PHONE: (503)810-0859 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 12/07/2022 $1,534.79
Specifics: 12%State Surcharge-Building 12/07/2022 $184.17
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $170,325.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,718.96
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 95 -001-0090. You mayay obtaino a copy of the rules or direct questions to OUNC by calling 503.232.1987/ or 1.800.332..8 344.
Issued By: // ( p rmittee Signature: // /,
/ 111 �Call
a 6 (((///!!!
C 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 �, n)'r= FOR OFFICE USE ONLY
Cl of Tigard F II
F{' e ., �. . Received ah/�� F�c as-c►eD4 t
Date/By: Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223Eril
t,
lc. t 1i !'f Jan Review
Phone: 503.718.2439 Fax: 503.598.1960 GI( 4/gy. Other Permit:
TIGARD Inspection Line: 503.639.4175 l )lt O'.jG rye. •"'[fate Ready/By: Jurist 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El Ne 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 CONSTCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ID Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: lb SQ0 5 j,,/ $i'fl- ,iv � New dwelling area: square feet
City/State/ZIP: T`9a rek o/2 / ¢ �� Cf /� ,, ,Garage/carport area: square feet
Suite/bldg./apt.no.: 7 Project name: 04A ilo p JR a (/ 441dra,�,1�► '"overed porch area: square feet
Cross street/directions to job site: �f fa��ee•, Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
n /I DESCRIPTION OF WORK /,,,� , y� work indicated on this application. 2�/
I� hi.ct ps�'tf�/f okra ` (Q�j1' yL 1�vo`""^v h/i 1 K Valuation: 167 U"ao
/tj I e c kLt✓ et vG /_-�_. Existing building area: $1((t k square feet
/ C�"'��G New building area: square feet
[ ' PROPERTY OWNER ❑ TENANT' ; � , : Number of stories:
Name: to( V"1W- Iiir..___AType of construction:
Address: ,..,..o ! nA4v" Occupancy groups:
City/State/ZIP: // ( ro/ Olz, 9?/z3 Existing:
Phone:(1453)5cf e_ec_a C9 Fax: ( ) New:
LTAPPLICANT 0 CONTACT PERSON NOTICE
Business name: �ea.,4 'v � c4 e,5 All contractors and subcontractors are required to be
Contact name: /,�y�a ` t J licensed with the Oregon Construction Contractors Board
,�b� ({e under ORS 701 and may be required to be licensed in the
Address: 05 / !T f(�j Ir0 `(j 14W�y jurisdiction in which work is being performed.If the
City/State/ZIP: ��"j(%, 612e, 9 /t / applicant is exempt from licensing,the following reasons
Phone:( 3 erg- c Q apply:
/;) Fax::( )
E-mail:g(ef((%►9 Glecot !.✓af e r✓Ce /4-c f• 0 9
CONTRACTOR
r //
Business name: VA Corr 51�'�tGjI V G.
BUILDING PERMIT FEES*
Address: 9.3? C�1� � 'e,e/ (Please refer to fee schedule)
�fN�[" Structural plan review fee(or deposit):
City/State/ZIP:por '✓'��n
Phone:( �) Z6� L A Fax ( ) FLS plan review fee(if applicable):
CCB lie.: 20 16 s Z { Total fees due upon application:
Amount received: ` i
Authorized signat�urrree:V��f/f,.� �( This permit application expires if a permit is not obtained
r/ I Ile / /Zfoc within 180 days after it has been accepted as complete.
Print name: 1 p` 1 Date: ( I(J`p * Fee methodology set by Tri-County Building hidustry
Service Board.
11Building\Permits\ROOF-PermitApp.doc 10/01/09 440-0613T(11/02/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
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