Permit CITY OF TIGARD REROOF PERMIT
' COMMUNITY DEVELOPMENT Permit #: RER2012 -00033
T [GAR. L) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012
Parcel: 2S112DB00200
Jurisdiction: Tigard
Site address: 15255 SW 72ND AVE
Project: Pittman & Brooks Subdivision: FANNO CREEK ACRE TRACTS Lot: 45
Project Description: Reroof last (2) sections of old roof.
Contractor: BOB CARLSON INC Owner: BROOKS & PITTMAN RENTALS
PO BOX 63 15255 SW 72ND AVE
HILLSBORO, OR 97123 PORTLAND, OR 97224
PHONE: 503 - 640 -3623 PHONE: 503 - 684 -9233
FAX: 503 - 640 -4840
FEES
Description Date Amount
Permit Fee 12/17/2012 $362.69
Specifics: 12% State Surcharge - Building 12/17/2012 $43.52
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $18,726.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $406.21
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 do = - • • - • .- 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
day . ATTENTION: Oreg. • law requ -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 ' -001 -0010 through OAR 952-211 !I90 o may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
� --7--
-sued By: 1111 , � Permittee Signature:
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
Received / ��
City of Tigard � l Date /B : Permit No.:
1V ED � •�,?oc�3
13125 SW Hall Blvd., Tigard, OR 972. lk Plan Review
: � ll Phone: 503.718.2439 Fax: 503.598. . i t Date /B : Other Permit:
R 17 Inspection Line: 503.639 DEC 1 7 2 12 Date Ready /By: Juris: ® See Page 2 for
I I t
Internet: www.tigard or.gov DEC Notified Method: Supplemental Information
14 1 OF-TIGARD
TYPE OF r r MC. nnr1Slnl MED 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
)8,[ 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 14 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: ' a cS A , - ) - 41h 4 A t. New dwelling area: square feet
City/State /ZIP: "'re �( /A, 0 Garage /carport area: square feet
Suite/bldg. /apt. no.: �"' " Project name: T l a►r► { &rtok, Covered porch area: square feet
Cross street/directions to job site: 3.a wit cxaci sto acluxeci L+1 , 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.
co
Re. - p oot
L Z G
SCl O1.S G.r
-k- Q Valuation: $ tq) , TV
Q1.4, Existing building area: s , 000 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 'Z
Name: 144309 re,
rbok5 Type of construction: (2
1■40.
Address: i SZ S'S- yW .9 Are Occupancy groups:
City/State /ZIP: T,S4,4 l b "to q 3224 Existing: I
Phone: 5o3 ) G84 ' 9233 Fax: ( ) New:
ig APPLICANT ❑ CONTACT PERSON NOTICE
Business name: San Car :•fV All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
.& .2.. 66. .4.S under ORS 701 and may be required to be licensed in the
Address: S60 St.J0 1' /byte. ' f jurisdiction in which work is being performed. If the
City/State /ZIP: \ \\ f O e. CR 23
applicant is exempt from licensing, the following reasons
Phone: (60 3) (4O - vca:s FF (S03) 69 O — $
E -mail: ; ✓a bob(V,.rIbon l°OOCLtt . Cnm
CONTRACTOR
Business name: Si,t, AS Onmu a BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 57 i 19 c// the Total Total fees due upon application:
Amount received: l O6 , sZ1
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . I al aleo S p YLrrt"XJ[,,T Date: 12 - I 1 _1-4._ * Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \ Permits \ROOF - PermitApp.doc 10/01/09 440- 46t3T(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)
g 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. 1,800 of roof area S 4
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: $
http: / /www. tigard- or.gov /ci ty_hal l /departments /cd /docs /ROOF- PermitApp.d2c