Permit CITY OF TIGARD REROOF PERMIT
: - COMMUNITY DEVELOPMENT Permit#: RER2023-00013
T r i;A R I-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/1/2023
Parcel: 2S 101 AC01300
Jurisdiction: Tigard
Site address: 7105 SW HAMPTON ST
Project: Tigard Dental Subdivision: BEVELAND NO.2 Lot: 18-19, P
Project Description: Re-roof:remove existing tile roof, install CT Ashphalt shingles
Contractor: CARLSON ROOFING CO INC Owner: KAISER FOUNDATION HEALTH
PO BOX 1695 PLAN OF THE NORTHWEST#838
HILLSBORO, OR 97123 ATTN PROPERTY ACCOUNTING
500 NE MULTNOMAH ST
PORTLAND, OR 97232
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 05/01/2023 $1,776.39
Specifics: 12%State Surcharge-Building 05/01/2023 $213.17
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $210,292.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay: No
Existing Roof Layers:
Parapets:
Total $1,989.56
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. T'•.: rules are set forth in OAR
952-001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 - ;.0. '1'.2344.
Issued By: ''��i/ -`/�t,1A Permittee Signature: I► 4 4 ill'i.,/6.._,,..-———-—--—
I'i.see
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 FOR OFFICE USE ONLY
City of Tigard ReceivedDate/By: Si/ . .� PermitNo.: 0 r.. c ..... VOA
14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R p Inspection Line: 503.639.4175 Date Ready/By: Juris: La See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
APE OF WORK 1 ll7IRED D T'A.';i: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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7105 SW Hampton Street New dwelling area: square feet
City/State/ZIP:Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kaiser Tigard Dental Roof Restoration Covered porch area: square feet
Cross street/directions to job site: SW 72nd Ave and SW Hampton Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA:C f '1 I RCIAL-USE CHECKLIST
Subdivision:N/A Lot no.:N/A Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S 101 AC01300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
' DESCRIPTION OF WOE work indicated on this application.
Tear off existing tile roof and install new CT asphalt shingles system. Valuation: $210,292.00
Clean flat roof and coat with Tremco roof system. Existing building area: 7,584 square feet
New building area: square feet
121 PROPERTY OWNER;. ❑ TENANT Number of stories:1 (One)
Name:Viking Engineering & Construction. Attn: Ariel Beattie Type of construction:
Address:PO Box 382 Occupancy groups:
City/State/ZIP:Gresham, OR 97030 Existing:
Phone:(503 )489-9968 Fax:( ) New:
® APPLICANT ❑ CONTACT
Business name:Carlson Roofing Company, Inc. All contractors and subcontractors are required to be
Contact name:Megan Wheelhouse licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:550 SW Maple Street jurisdiction in which work is being performed.If the
City/State/ZIP:Hillsboro, OR 97123 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503)846-1575 Fax: :(503 )640-2122
E-mail:megan@carlsonroof.corn
CONTRACTOR
Business name:Carlson Roofing Company, Inc.
�,! 3$�1�I,DIlVG PERIVIFTF'EES
Address:550 SW Maple Street lerto fee schedule' ''
Structural plan review fee(or deposit): �q 6j/o
City/State/ZIP:Hillsboro, OR 97123 I cl C)
FLS plan review fee(if applicable):
Phone:(503 )846-1575 Fax:(503)640-2122
Total fees due upon application:
CCB lic.:159686
� '-4AA. LA)R QXA 3(V)e� Amount received:
Authorized signature: ff This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Megan Wheelhouse Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2 - Supplemental Information
ESiDENT \42-'°"011,1,11
❑ 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.
Tingludes mutt fa$$ a $ $. p ,1 >
VRE-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: $ 210,292.00
sq. ft. 7,584 of roof area
Permit Fee based on valuation: $ 664.40
(see Building Permit Fees chart)
12% State Surcharge: $79.73
65% Plan Review Fee: $ 431.86
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $1,175.99
I:\Building\Permits\ROOF_PermitApp.doc 2