Permit z �
CITY OF TIGARD REROOF PERMIT
.; COMMUNITY DEVELOPMENT Permit #: RER2009 -00005
TIGAR
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2009
,, ... Parcel: 1S1356C01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Subdivision: Lot: 0
Project: CIDA Inc
Project Description: Reroof
Owner: FEES
ROBINSON FAMILY TRUST Description Date Amount
BY E LEE & EVELYN L ROBINSON TRS, PO Permit Fee 08/11/2009 $212.65
BOX 91305 12% State Surcharge - Building 08/11/2009 $25.52
PHONE:
Contractor:
ROBINSON CONSTRUCTION
21360 NW AMBERWOOD DR
HILLSBORO, OR 97124 -9321
PHONE: 503 - 645 -8531
FAX: 503 - 645 -5397
Specifics:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
General Information
Building Area: o
Re -Roof Area: o
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $238.17
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 set forth in OAR
r
952 -001 -0010 throu h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by cal ng 9 or 1.800.332.2344.
Issued By:
tauv 1 Permittee Signature: L JI
Call 3.639.4175 by 7:00 a.m. for an inspection that business day.
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.
` Bunding`Permit Application
Re -Roof REC
FOR OFFICE USE•ONLY
City of Tigard , i �.g 1' �
" � g 1 DateB Received Permit No.: f a ' 000 J 5
•
13125 SW Hall Blvd., Tigard, OR 97223
y
g 1 Review
a .. Phone: 503.639.4171 Fax: 503.598.1960 1 ) i Other Permit: e' I
Y F T10 r�R Date/By: pop2/00q ' 00 I T I G A RD Inspection Line: 503.639 e 1`� o D I V ]Shi ate Ready /By: Juris: ee age 2 for
Internet: www.tigard- or.gov BU1LDIN Notified/Met fi I (5 Supplemental Information
• TYPE OF WORK REQUIREDDATA: 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 KjCommercial /industrial Valuation: $
El Accessory building . ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I I i 0 ‘ Ik.i 61 yep et Ipwer New dwelling area: square feet
City /State /ZIP: tvi VA / ip 1 1 2 —r Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: e eY11�1.n�[� J Covered porch area: square feet
Cross street/directions to job site: ,(" F J Deck area: square feet
1i � • o 0 I fL (P / I _V�c L) j( P,- Other structure area: square feet
J-� � , C 4 )I 1 eC l vt j REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 Lot no.: I I 0 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: p Indicate the value (rounded to the nearest dollar) of all
r equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
6" 0 6 bY- o' , l_ 00 it' up Valuation: $
Vnab 4, i n50 v.,(_ -- oval
Existing building area: square feet
New building area: square feet
'PROPERTY OWNER ❑ TENANT Number of stories:
Name: K .1 f . ,. `t _aill �: j . 1 -:- Type of construction:
Address: `;(,, 1 `J ' �
O I �- - v . ., Q 1,-- Occupancy groups:
City/State /ZIP:: I I' Uo ' �� . r , .b4) 3i ( 1) 41 j el Existing:
Phone: 2 2:2 , t is 2 i Fax: �) ea 1.15 c3 35°1 New:
- APPLICANT ❑ CONTACT PERSON NOTICE •
Business name: L ! rJ I l All contractors and subcontractors are required to be
Contact name: j 1 l �.� jet licensed with the Oregon Construction Contractors Board
V under ORS 701 and may be required to be licensed in the
Address: Li Li 9 - `� • env V A v� 0 jurisdiction in which work is being performed. If the
y " �• --7 -� r- applicant is exempt from licensing, the following reasons
City /State /ZIP:'
Ry i / t \ - i 0 j2 1, / 2- ) �j apply:
Phone: (� ) � _.
� l2 1 Z 6 3 Fax: :553) , L . 1 (--,(111-4 0
E -mail: K.D 0 'i7 Y...4 6 1 a ). i ✓Y c , c Owl
CONTRACTOR
• Business name i <^ BUILDING PERMIT FEES*
Address J� b - Yl i`�tf x (Please refer to fee Schedule)
�' 4" St ructural plan review fee (or deposit):
City /State /ZIP: ° f\ ► z C)1 5 1 I L (
Phone: �" 2 e\ r Fax: (i Lj _ FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature: ` ,�
ja/ This permit application expires if a permit is not obtained
� JJ / 7
within 180 days after it has been accepted as complete.
Print name: /�( /�. y' t£ '7 `f�t llate: +1 * by Industry
L ! f � / Y Tri -Conn tY Building
Service Board.
I'\ Buildine�Permits\ROOF- PermitApp doc 06/26/ 4 40- 4613T(11/02 /COM/WEB) Fee methodology set
•
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
cave 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 -2433.
❑ 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: $
l: \Building \Permits \ROOF - PermitApp.doc 2
,
Commercial Re -Roof Permit Fees
State Structural Total
Project Valuation Permit Fee Surcharge Review Re -Roof
From: To: 12% 65% Fees
1 2,000 62.50 7.50 40.63 110.63
2,001 3,000 69.65 8.36 45.27 123.28
3,001 4,000 76.80 9.22 49.92 135.94
4,001 5,000 83.95 10.07 54.57 148.59
5,001 6,000 91.10 10.93 59.22 161.25
6,001 7,000 98.25 11.79 63.86 173.90
7,001 8,000 105.40 12.65 68.51 186.56
8,001 9,000 112.55 13.51 73.16 199.22
9,001 10,000 119.70 14.36 77.81 211.87
10,001 11,000 126.85 15.22 82.45 224.52
11,001 12,000 134.00 16.08 87.10 237.18
12,001 13,000 141.15 16.94 91.75 249.84
13,001 14,000 148.30 17.80 96.40 262.50
14,001 15,000 155.45 18.65 101.04 275.14
15,001 16,000 162.60 19.51 105.69 287.80
16,001 17,000 169.75 20.37 110.34 300.46
17,001 18,000 176.90 21.23 114.99 313.12
18,001 19,000 184.05 22.09 119.63 325.77
19,001 20,000 191.20 22.94 124.28 338.42
20,001 21,000 198.35 23.80 128.93 351.08
21,001 22,000 205.50 24.66 133.58 363.74
22,001 23,000 212.65 25.52 138.22 376.39
23,001 24,000 219.80 26.38 142.87 389.05
24,001 25,000 226.95 27.23 147.52 401.70
25,001 26,000 232.54 27.90 151.15 411.59
• • • 26,001 27,000 238.13 28.58 154.78 421.49
27,001 28,000 243.72 29.25 158.42 431.39
28,001 29,000 249.31 29.92 162.05 441.28
29,001 30,000 254.90 30.59 165.69 451.18
30,001 31,000 260.49 31.26 169.32 461.07
31,001 32,000 266.08 31.93 172.95 470.96
32,001 33,000 271.67 32.60 176.59 480.86
33,001 34,000 277.26 33.27 180.22 490.75
34,001 35,000 282.85 33.94 183.85 500.64
35,001 36,000 288.44 34.61 187.49 510.54
36,001 37,000 294.03 35.28 191.12 520.43
37,001 38,000 299.62 35.95 194.75 530.32
38,001 39,000 305.21 36.63 198.39 540.23
39,001 40,000 310.80 37.30 202.02 550.12
40,001 41,000 316.39 37.97 205.65 560.01
41,001 42,000 321.98 38.64 209.29 569.91
42,001 43,000 327.57 39.31 212.92 579.80
43,001 44,000 333.16 39.98 216.55 589.69
44,001 45,000 338.75 40.65 220.19 599.59
45,001 46,000 344.34 41.32 223.82 609.48
46,001 47,000 349.93 41.99 227.45 619.37
47,001 48,000 355.52 42.66 231.09 629.27
48,001 49,000 361.11 43.33 234.72 639.16
49,001 50,000 366.70 44.00 238.36 649.06
I: \Building \Fee Schedules\Fees COM Re -Roof 01- 01- 08.doc 1
AUG, 4. 2009 ' 5: 01 PM 5036455357 l,i( 2009,0005 N0. 5211 P. 2r.) :-.t.'
C Y Ur I llaiiii : ' . - Vi .
J 1LDING DIVISIO*1. � T #: i i'
13 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 6394171 S at-
..';— II -
I section Requests (24 Hrs.): (503) 639 -4175 s.� � '1
INSPECTION WORKSHEET FOR DATE: C ' 4 , , ,) TIME: PAGE:
f
SITE ADDRESS: 1116i Q , " • CLASS OP WORK: RECEIVED
SUBDIVISION: OT #: TYPE OF USE:
PROJECT NAME: AUG 11 ?O
DESCRIPTION:
CITY OF TIGARD
OWNER; PHONE #: BUILDING DIVISIJN
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Descriptiekl Confirm # Contact # Message '
' ( p4 . ,
Correctio /C mments /Instructions: f i 1
�. , f A J — ,,
'IT-- 5 \ , A 6.L.A , < -4— ,.. ... ,
• . '4,1frz,n,l''': 4 ' 4Vx.:
1:7j....j ‘ -
q t°
yyy •
„ P F'ry y ke-'
it u ._ y
i
4 . y ,
--------7- e_rej 4.,..' :..:::" ,
C + 11 , 1r.4 . r ,
..':; ', 7 "A '° ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS. •
• ❑ FAIL ❑ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ' ''r •'
Inspector: 7 Date: '"'�' . 7) Phone #: (5a3) 71 g- r7k^
y �)
CITY 0F Y .g
BUILDING DIVISION P MIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:S Phone: (503) 639 -4171 u� i ii d' � v
Inspection Requests (24 Hrs.): (503) 639- 4175�''ll. 121-&___,-3- • I INSPECTION WORKSHEET FOR DATE: O TIME: PAGE:
SITE ADDRESS: l ' I b ` C� 1 CLASS OF WORK:
SUBDIVISION: OT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
'ere/ CO-15#
Correction /Comments /Instructions: ( /
... 4.41 / , .4 -.A AAL.....A J—C I e t) 1, C ----' ' Z, .
T/i,s 5) Gt A L. 5-1 ... ...
) - 9---Az--2
1
kC 6'1-- ( c i a -- ' (--6---0--P
IP PASS ❑ PARTIAL APPROVAL • CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
*(il � Date: 2 Phone #: (503) 718-
r