Permit CITY OF TIGARD REROOF PERMIT
• - - COMMUNITY DEVELOPMENT Permit#: RER2015-00020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05114/2015
TIGARD Parcel: 1 S135BB00501
Jurisdiction: Tigard
Site address: 10575 SW CASCADE AVE
Project: Multiple Tenants Subdivision: OAKBURG Lot: 27
Project Description: Roof replacement by overlaying existing roof with new 60 mil TPO
Contractor: PROGRESSIVE ROOFING Owner: ICON OWNER POOL 3 WEST LLC
13021 NE DAVID CIRCLE BY INDOCOR PROPERTIES
PORTLAND, OR 97230 TWO NORTH RIVERSIDE PLAZA, STE 2
CHICAGO, IL 60606
PHONE: 503-436-6060 PHONE.
FAX: 971-2255-6563
FEES
Description Date Amount
Permit Fee 05/14/2015 $2,181.07
Specifics: 12%State Surcharge-Building 05/14/2015 $261.73
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $277,260.00
General Information
Building Area 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $2,442.80
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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . .1987 or 1.800.332.234
Issued By: it /Z ,i, Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available in .ec date.
This permit card shall be kept in a conspicuous place on the job sit 1•• i completion oft project.
Approved plans are required on the job site at the ti of each inspectiop
Building Permit Application
Re-Roof RECEIVED FOR OFFICE USE ONLY
City of Tigard Received 44-4_____
rTil
'� 13125 SW Hall Blvd.,Tigard,OR 9722(S11AY 14 2015 Date/By:e /y '� Permit N�,� ael/�4000,E
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Other Permit:
TIGARD U Inspection Line: 503.639.4175 CITY OF TIIGARDr�� DateReadyBy: Juri7: ® See Page 2for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 77 — 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(romded 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 12 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: 1 0575 SI.i cast dl€. (kvQ, New dwelling area: square feet
City/State/ZIP: ry is A 0 e 97)).3 v� Garage/carport area: square feet
11 1
Suite/bldg./apt.no.: Project name: 10575 CScAdkG 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: l Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ X77 D 6 0
Roo Repte,cevv,tv`� — 0Vr.t )01:11 ,eN e.xis ,� ��i� w�� �—
he f a t,1•` TPu Existing building area 5/ 3444 square feet
1' 1 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: i
Name: Type of construction: Rerou-F
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT ❑ CONTACT PERSON ( NOTICE
Business name: Proo�re,55;,P. ryvicGS INS• �R fetf�SS,vf. Eov�; All contractors and subcontractors are required to be
Contact name: II 3 licensed with the Oregon Construction Contractors Board
C hr i S 50VIv0br t f under ORS 701 and may be required to be liensed in the
Address: 13O)1 Ne, „,a chicle jurisdiction in which work is being performed.If the
City/State/ZIP: for..}Luna > 0 R 1 a3V
applicant is exempt from licensing,the following reasons
Phone:(503) 436- ,O(vO I Fax::(q7())55-6563
E-mail: (ills won 2.AQiq@ pro( reSS:vtuS_'-OIM
ICONTRACYOR
Business name: YVtZ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
Phone:( ) Fax:( ) FLS plan review fee(if applicable):
CCB lic.: I$G'Q$7 11/j/(,o Total fees due upon application:
1/t -:,. "-- -1/-' Amount received: O //S2, F-()
Authorized signature: This permit application expires if a permit iinot obtained
I within 180 days after it has been accepted as complete.
r
Print name: l ✓ 5 o, P vLd en Date: 5/1 y/15
■ Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permita\ROOF-PennitApp.doe 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)
R/ 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: $ �77 �0
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