Permit (13) CITY OF TIGARD REROOF PERMIT
IN I ' COMMUNITY DEVELOPMENT Permit#: RER2016-00003
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2016
T[GAR" r) 9 Parcel: 2S102BD00601
Jurisdiction: Tigard
Site address: 9785 SW MCKENZIE ST
Project: Lil Tots Daycare Subdivision:RTH TIGARDVILLE ADDITION,AMENE Lot: 50
Project Description: Reroof—remove and replace.
Contractor: DIVERSIFIED ROOFING&CONSTRUCTION LLC Owner: ADRANGI, FARID
16509 NW SELLERS RD 4289 ORCHARD WAY
BANKS, OR 97106 LAKE OSWEGO, OR 97035
PHONE: 503-828-4644 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 03/14/2016 $195.38
Specifics: 12%State Surcharge-Building 03/14/2016 $23.45
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $8,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $218.83
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 1.800.332 344.
Issued By:6g,.... ermi ee Signature:
Aurk
Oolh303.639.4175 by 7:00 a.m.for the next available in-. c n date.
This permit card shall be kept in a conspicuous place on the job site unt ompletion of. e project
Approved plans are required on the job site at the time of/ ch inspection
Building Permit Application
Re-Roof
Received `
City of Tigard C Date/By:ive (e PermitNo.: I ` • y ,,,
13125 SW Hall Blvd.,Tigard,Cl� �pl �✓ + Plan Review11f§§§ `� Other Permit:
Phone: 503.718.2439 Fax: 50 60 1 �� DateBy:
I I t :\R i Inspection Line: 503.639.4175 `,P� 1 g� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Ct` 0�.`O�Pt�`�ON Notified/Method: -Qt Supplemental Information
TYPE OF ,y t'Y,70d' REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
ddition/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 on�rcial/industrial Valuation: $
,
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9 783. 5/4/mei44.47z'C New dwelling area: square feet
City/State/ZIP: r�Qr," s,Q 972,13 Garage/carport area: square feet 1
Suite/bldg./apt.no.: > Project name: 72771-5 f7rt54.40/ 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: Lot no.: Permit fees* are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/ Valuation: $ Or C;1 )
/1C,00
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: ,Q de/ 41 ` Type of construction:
Address: '765 _s1.3 m`/ler.9 z i e Occupancy groups:
City/State/ZIP: 7;da� 0)z) 97x.23 Existing:
Phone:(503) 70S SSS`/ Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be liensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR
Business name: _ I vNrSi p e
d ,4,o/4 'vNSh'u ci,i ON G LC BUILDING PERMIT FEES*ES*
(Please
to fee
schedule)
Address: /A5-69 Ni/ Se/7pi_deo/ , Structural plan reviewfee(ordeposit):
City/State/ZIP: 2F4,,//e.5 c5As 97/e 6
Phone:(503) 82k_ tt/4 y5/ Fax:( ) FLS plan review fee(if applicable):
CCB lic.: /90f�02 11 /ii / E(i Total fees due upon application:
Amount received:
Authorized signature: 41%2C—
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �e�r!/iw �-e Date Z p/b * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-46131(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: $
I:\Building\Permits\ROOF-PermitApp.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9785 SW MCKENZIE ST, TIGARD, OR, 97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2016-00003
Jeff Grove
No ladder for access
Violation Summary:
Inspector Contractor