Permit "� '4` '' CITY OF TIGARD REROOF PERMIT
a COMMUNITY DEVELOPMENT Permit #: RER201000013
4 Date Issued: 07/23/2010
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102AB01001
Jurisdiction: Tigard
Site address: 11950 SW LINCOLN AVE 17
Subdivision: Lot: 0
Project:
Project Description: Reroof. Remove and replace. Units: 17 -22.
Owner: FEES
SERES, JOEL L TRUST Description Date Amount
4175 SW GREENLEAF DR Permit Fee 07/23/2010 $225.80
PORTLAND, OR 97221 12% State Surcharge - Building 07/23/2010 $27.10
PHONE:
Contractor:
OREGON ROOFING CO
PO BOX 42223
PORTLAND, OR 97242
PHONE: 503 - 236 -0065
FAX: 503 - 557 -9770
Specifics:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $252.90
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 O • r : ' - 001 -0100. You may obtain a co• • e R' - • - •ns to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: i_ /_ ` � Per • ittee Signature: / A /`-'
Call 50 • ti :00 a.m. for an inspection that b iness • ay.
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 ()II i c i.: us!: o N L.1
Ci}� of Ti and � Received
`J g A\ ��® y DateB : 1 � � Permit No.: 46 ° r � i 1
; I ° 13125 SW Hall Blvd., Tigard, 0 ry Plan Review lIl Phone: 503.639.4171 Fax: 503. 60 CA . Date/B : Other Permit:
i -1 G A It D Inspection Line: 503.639 � ' ���) Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov / t � � a Notified/Method: Supplemental 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.
❑ 1- and 2- family dwelling u on: $
❑ Commercial industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / / 7 5 O W L N C _a L,/../ New dwelling area: square feet
City /State /ZIP: 773 A az Oa- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: itioNr6 e_ sia Covered porch area: square feet
Cross street/directions to job site: 1 '7 _ A a ( . 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.
—
/Z n- 7C '-t5 l.15 7 c M
/ 46". LS, , 514 /Avj tlij Valuation: $ .5vo
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: O ( (Q.5ot i /600 Ft v3 CD . All contractors and subcontractors are required to be
Contact name: J kit_ S� M t �^l /C J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: P® 6 X y 2,7 , Z '1 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: - p o rc 7 t , Q T / D/ Oa_ 9 Z y
apply:
Phone: (co)) ) 6- QO (o 5 Fax: : (( )- - -- --- -- _
E -mail: di 5 a 3) 5 7 2, - 6 0 9
CONTRACTOR
Business name: C A M . BUILDING PERMIT FEES*
Address: J (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) ti f e e (if applicable): ) 7 l 0
CCB lic.: 1 3 0 5 Total fees due upon application: ;-)_.5 - .7e)
} 'l,ii Amount received: ,2- 5.'1(, ,_.f Aut ze s ig n ature: This permit appl expires if a permit is not obtained
r1 � ,..0)A4 within 180 days after it has been accepted as complete.
/1 Print name: a t kn.) kb Date: — 1,3— lin * Fee methodology set by Tri -County Building Industry
....Ai Service Board.
1:\Building\Pennit - it g.do 1 /01/09 v 440- 4613T(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. Please make
an appointment by calling the Building Division at (503) 718 -2439.
❑ 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