Permit CITY OF TIGARD REROOF PERMIT
2 COMMUNITY DEVELOPMENT Permit #: RER2012 -00012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/30/2012
Parcel: 2S102AA05100
Jurisdiction: Tigard
Site address: 12155 SW MAIN ST
Project: Main Street Cleaners Subdivision: KINGSTON Lot: 25
Project Description: Tear off 2 built -up roofs and replace.
Contractor: CASCADE UNITED ROOFING INC Owner: P J LAND COMPANY
6950 SW HAMPTON ST #240 10380 SW CANTERBURY LN
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503 - 620 -2711 PHONE: 541 - 684 -8513
FAX: 503 - 643 -0489
FEES
Description Date Amount
Permit Fee 05/30/2012 $542.11
Specifics: 12% State Surcharge - Building 05/30/2012 $65.05
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $32,420.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers: 2
Parapets:
Total $607.16
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 i ccordance • 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. TENTION: Oregon la - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are s: forth in OAR
952 -0 -0010 through OAR 9552 0 %� You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
.
/ —
Iss ed By: ' Permittee Signature: / '
Call 503.639.4175 by 7:00 a.m. for the next available pection 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 F . , 011.1Cl 1151:: c)N I.1
RECEIVED �
II ° 13125 SW Hall Blvd., Tigard,OR 972
City of Tigard Received D Permit No.:
� �� �
2012 Other Permit:
Plan Re i �7
C Phone: 503.718.2439 Fax: 503.598.1 �. i 3 Y D a t e/By:
1 - i < A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OFTIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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 (rowded to the nearest dollar) of all
D , 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 A Commercial/industrial Valuation: $
❑ 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: /2 iSt T S , /mGr 54_ New dwelling area: square feet
City/State /ZIP: 7 1 C ety 1 t 0.-- 1 Garage /carport area: square feet
/,
Suite/bldg. /apt. no.: Project name: j' el 5-1-- C /'-c z ,t,eiys 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: I Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (r to the nearest dollar) of
equipment, materials, , labs s . •er e. s, .... le
DESCRIPTION OF WORK work indicated on th' • •.s .licatio .
Teav o -14 1 bu. V coo Cs I %Z ae .442-w b0ti. tr� Valuation: $ _ ,, f /'01 -X /KSu. (�.�ivh 1741, .e D4,41:Sdec,� Existing building area ' � square feet
1'60 r klain i a60 32 ((/k }--( PUG New building area: square feet
lit PROPERTY OWNER I ❑ TENANT Number of stories:
Name: / i. / /3 / C1 G ✓ Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ($q() gel", f57 .3 Fax: ( ) New:
14 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: /J„ S 4_ a d _ c i, � Q ? 114 1 All contractors and subcontractors are required to be
Contact name: e idi f e t w v�,1,— licensed with the Oregon Construction Contractors Board
1, under ORS 701 and may be required to be licensed in the
Address: C765-D s0 di, it 5 (4. ;-1-e_ .2 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP:
-ri f c,./✓ ov-, 742- 3 apply:
Phone: (f 4 ) 2e _g-7 / , ax: : 3) 4443 - 5/� d s
E -mail:
CONTRACTOR
Business name: c -aS /1 e a,-4_,_) J J I ed c " 7 AdC BUILDING PERMIT FEES*
Address7�6f ' M yt '.ye
(Please refer to fee schedule)
T S p '/ Structural plan review fee (or deposit):
City/State /ZIP: /�r- Arcg3
Phone: (54?) 6 � f Fax: 7 ,g��} ov8r FLS plan rev fee (if applicable):
�' `S D Ally, Total fees due upon application:
` b
CCB lie.: Y'J
Amount received: /697 . /0
Authorized signature: ifL5a--
This permit application expires if a permit is not obtained
f L within 180 days after it has been accepted as complete.
Print name: �l t, 7 17 yU K 7 I Date: 613V, Z_ ' Fee methodology set by Tri -County Building Industry
J t ` Service Board.
I:1Building\Permits \ROOF- PermitApp.dot 10/01/09 440- 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. 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: $
•
l:\ Buil ding\Permits\ROOF- PermitApp.doc 2