Permit (40) CITY OF TIGARD71
REROOF PERMIT
1 COMMUNITY DEVELOPMENT Permit#: RER2016 00027
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016
Parcel: 1 S136DA01000
Jurisdiction: Tigard
Site address: 11564 SW PACIFIC HWY
Project: Greenland Group Subdivision: FRUITLAND ACRES Lot: 5
Project Description: Reroof-Tear-off and replace
Contractor: LNHS CONSTRUCTION INC Owner: GREENLAND GROUP LLC
1 MASARYK ST PO BOX 1008
LAKE OSWEGO, OR 97035 NEWPORT, OR 97365
PHONE: 503-422-7413 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 08/08/2016 $286.64
Specifics: 12%State Surcharge-Building 08/08/2016 $34.40
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $13,913.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $321.04
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty iodes 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 ist=rice, •r if work isuspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificat i Cen- Those(rules are set forth in OAR
952-001-.: • roug a'R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. r..232.19:7 or 1.800.3+2.2344.
Is-uedBy: k i A. Permittee Signature: 14 `� .
I
.•
\----__ Cali 503.639.4175 by 7:00 a.m.for the next available insp:cti•, da".' ' N j •
This permit card shall be kept in a conspicuous place on the job site until . plet•n of th:v.roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re-Roof
RECEIVEDFOR OFI1( 1. I SL ONLI
City of Tigard Received a // /
13125 SW Hall Blvd.,Tigard,OR 9723�r�7 Date/By: (p Permit No.: l�-000�-7
Phone: 503.718.2439 Fax: 503.598. 8 2 O�6 Plan Review
DDate/By: Other Permit:
a
TI G A R D Inspection Line: 503.639.4175 Date Ready/By:
Internet: www.tigard-or.gov CITY OF TIGARD y y_ Iu�g: I See Supplemental Ifor
nformation Notified/Method: Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
dition/alteration/replacementm
Indicate the value(roded to the nearest dollar)of all
0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTR TION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE FORMATION AND LOCATION Total number of floors:
Job site address: ! (6-4, PA.0 t ��� New dwelling area: square feet
City/State/ZIP:address:
/e�/� p_4.)` `� r`/,�7
ly ( Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:
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(romded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
-^ DESCRIPTION OF WORK work indicated on this application.
—�-
/ -E, �, 4%r/-• 12.y .c__ /7=-- Valuation: $ / 7 9 13 cc.,
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER l 0 TENANT Number of stories:
Name:
Address: Type of construction:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON
Business name: �� / NOTICE
f R' / (i& f/`f- All contractors and subcontractors are required to be
Contact name: CAL: licensed with the Oregon
/ft r &(,7� —�. g Constructionuired Contractors Board
Address: / under ORS 701 and may be required to be licensed in the
�C_ / ? jurisdiction in which work is being performed.If the
City/State/ZIP: f, applicant is exempt from licensing,the following reasons
4-5 i apply:
Phone:(5j 4-A..1,1-74 I Fax::( .r-)---
E-mail: t/ 4_, d,46,a: i A .J 96 C'6n1/'
CONTRACTOR
Business name: !/1,. �
�/ BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
Phone:( ) ..d I Fax:( ) FLS plan review fee(if applicable):
CCB lic.: / e Total fees due upon application: V
Amount received: O
Authorized signature: "3a/,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:iNti � I Date: 18/6(( I * Fee methodology set by Tri-County Building Industry
I:\BuildingTermits\ROOF-PermitApp.doe 10/01/09 Service Board.
440-461310 1/02/COM/W EB)
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
RESIDENTIAL (One- & Two-Family Dwelling)
0 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.
0 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
11564 SW PACIFIC HWY, TIGARD, OR, 97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2016-00027
Chip Barnett
Violation Summary:
Inspector Contractor