Permit (40) CITY OF TIGARD REROOF PERMIT
" s . COMMUNITY DEVELOPMENT Permit#: RER2023-00037
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/7/2023
Parcel: 1 S135CA00600
Jurisdiction: Tigard
Site address: 11200 SW GREENBURG RD, UNIT#9
Project: Autumn Oaks Apartments Subdivision: GREENBURG Lot: 11
Project Description: Reroof-remove and replace for units 9-16: Replacing(1)layer of shingles.
Contractor: CARLSON ROOFING CO INC Owner: AUTUMN OAKS PROPERTIES LLC
PO BOX 1695 BY BLUESTONE& HOCKLEY
HILLSBORO, OR 97123 4915 SW GRIFFITH DR#300
BEAVERTON, OR 97005
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 08/07/2023 $663.33
Specifics: 12%State Surcharge-Building 08/07/2023 $79.60
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $43,207.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $742.93
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. Thos 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 2.1987 or 1.800. .2344.
Issued By: ��C Permittee Signature: hi `
I Y 3.639.4175 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.
N.
Building Permit Application
kie-Roof RECEIVED ECEIVED Received FOR OFFICE USE ONLY
City of Tigard DateB : ; .ii
:11 - " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 AUG 7 2023 Date/B : Other Permit:
Inspection Line: 503.639.4175 A p Date Ready/By: liffl ® See Page 2 for
t l C;ARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
RUU DING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 Demolition Permit fees*are based on the value of the work performed.
❑New constructionIndicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $43,207.00
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
CIAccessory building
®Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:2
Job site address:11200 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Units 9-16 Project name:Autumn Oaks 9-16 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove existing 1 layer shingles and install new shingles. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Bluestone & Hockley Type of construction:
Address:4915 SW Griffith Dr. Ste#300 Occupancy groups:
City/State/ZIP:Beaverton, OR 97005 Existing:
Phone:(503 )222-3800 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON NOTICE
Business name:Carlson Roofing Company, Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Megan Wheelhouse under ORS 701 and may be required to be licensed in the
Address:550 SW Maple Street jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Hillsboro, OR 97123 apply:
Phone:(503 )846-1575 Fax: :( )
E-mail:megan@carlsonroof.com
CONTRACTOR
Business name:Carlson Roofing Company, Inc. BUILDINGPERMITFEES*
(Please refer to fee schedule,
Address:550 SW Maple Street Structural plan review fee(or deposit):
City/State/ZIP:Hillsboro, OR 97123
FLS plan review fee(if applicable):
Phone:(503 )846-1575 Fax:( )
Total fees due upon application:
CCB lie.:159686
Amount received:
Authorized signature: A,IL064,,w This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Megan elhouse Date: $13/2013 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\auildingWermitslilOOF•PermitAPp.doc 10/01/09 440-46 I 3T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
RESIDENTIAL (One- & Two-Family Dwelling)
U 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)
V 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: $ 43,207.00
sq. ft. 5400 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: $
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