Permit (230) CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2016-00038
T-f GAT D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016
Parcel: 2S102CB03101
Jurisdiction: Tigard
Site address: 12950 SW PACIFIC HWY
Project: Henderson Plaza Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: Reroof-Remove and replace with 60mi1 TB membrane roofing.
Contractor: WESTERN PACIFIC ROOFING LLC Owner: HUDSON PLAZA LLC
10824 SE OAK ST 350 11795 SW KATHERINE ST
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503-659-7663 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 12/28/2016 $917.70
Specifics: 12%State Surcharge-Building 12/28/2016 $110.12
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $75,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $1,027.82
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. A ld�le�: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- -0010 through•AR 95 -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By:
I , Permittee Signatur eir
Call 603.639.4175 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.
DEC-27-2016(TUE) 15: 112 P. 002/003
Building Permit A ulication
Re-Roof FOR OFFICE USE ONLY
City of Tigard Received ���e /�o ..a
�
DatelB : f 34'
1II .. 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review
2. Phone: 503.718.2439 Fax: 503.5981AV, 2 7 2016 Daidla , Other Permit:
1't GJ1 R1� Impection Line: 503.639.4175 Date Ready/By: li. El See Page 2 for
Internet: www.tigard-orgov CITY OF •'IGARD Notified/Method: Supplemental Information
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❑New construction ❑Demolition Permit fees*are based on the value of he work performed.
- Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
. .K . °. . ^, E CR�7h Z:;." nw U O . „ , work indicated on this application.
cation
Valuation: $
❑ 1-and 2-family dwelling 0 Commercial/industrial .. -
Number of bedrooms:
❑Accessory building 0 Multi-family _
❑Master builder 0 Other: Number of bathrooms:
i -.:�'a* 10... ,.� ,y �. *'1'. , `,f1# - Total number of floors:
.
Job site address:12950 SW PACIFIC IIWY New dwelling area: square feet
City/State/ZIP:TIGARD/OR/97223 Garage/carport area: square feet
Suite/bldgJapt.no.: 1 Project name:1IENDE'RSON PLAZA Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure urea: square feet
EKE R IIA. i t11 a F iffitkI ii i
Subdivision: I Lot no.: Permit fees*arc based on the value of the work performed.
fax map/parcel no.: indicate the value(rounded to the nearest dollar)of all
rob equipment,materials,labor,overhead,and the profit fir the
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`�'.:.. t. i M. tyI�T'11 �cli1" p)`� f /. '�"' ;1 ... "" �...��,,�ir. work indicated on this application_
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—REMOVING OLD FLAT ROOF MEMBRANE AND REPLACING IT WITH 60MTL Til Valuation: SS75,000.00
MEMBRANE ROOFING
NO STRUCTURAL WORD WILL BE DONE Existing building area: 138.4 square ant-
.
New building arca: square feet
REROOF ONLY
vyp ; ct°"" ,„ kitt r Number of stories: 1
i'
Type of construction: REROOF
Name:MARLAND HENDERSON
Address:11795 SW KATHERN ST Occupancy groups:
City/State/ZIP:TIGARD/ORJ97223 Existing:
Phone:(503)329-0159 Fax:( ) New:
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Business name:WESTERN PACIFIC ROOFING All contractors and subcontractors are required to he
--- licensed with the Oregon Construction Contractors Board
Contact name:MIGUEL NTEVES under OILS 701 and may be required to be licensed in the
Address:10824 SE OAK ST#350 jurisdiction in which work is being performed.if the
applicant is exempt from licensing,the following reasons
City/State/ZIP:MILWAUK'IE/OR/97222 apply:
Phone:(503)659-7663 Fax::(503)914-1709
...
E-mail:PRODUCTION o®WESTPACROOFING.COM
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Business name:WESTERN PACIFIC ROOFING '1 '4:;:".„:P141 t �r
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Address:10824 SE OAK ST#350 Structural plan review fee(or deposit):
City/State/ZIP:MILWAUKTE/OR/97222
_ FLS plan review fee(if applicable):
Phone;(503)659-7663 Fax;(503)914-1709 —
'Total fees due upon application:
CCB lie.:170865
Amount maeived: Z p2-7•e;
Authorized signature: -,ii��� Air 'I'hiac permit application expires if a permit is nut obtained
fid within 180 days after It has been accepted as complete.
--
Print name:MIGUEL 1 VES Date:12/26/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
1.13u11diva1rennita4(O0?4'ermitApp.duti 11/01/0? 410-4613T(11/a7J00M/WeD)
City of Tigard: Re-Roofing Permit Checklist
Page 2»Supplemental Information
■ 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 SPECI.FYING:
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 inthe upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
cave 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-rooting.
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lA 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.
I PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection,plans may be required
to address any non-con orming items.
a.
VALUATION OF PROTECT: $
sq.ft. 138 ofroof 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
specialyurpose roofs of commercialyr jects.)
TOTAL: $
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