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Permit (43) CITY OF TIGARD REROOF PERMIT a COMMUNITY DEVELOPMENT Permit#: RER2017-00030 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017 T f' 1 Parcel: 1 S136DB02501 Jurisdiction: Tigard Site address: 11632 SW PACIFIC HWY Project: Westside Dance Academy Subdivision: None Lot: None Project Description: Tear off and reroof portion of roof with new Class A roofing. Contractor: GRIFFITH ROOFING Owner: WESTSIDE HOLDING CO LLC 6815 SW 111TH AVE BY MELLANIE HENIFF BEAVERTON, OR 97005 11632 SW PACIFIC HWY TIGARD, OR 97223 PHONE: 503-643-1596 PHONE: FAX: 503-644-1529 FEES Description Date Amount Permit Fee 06/21/2017 $393.11 Specifics:, 12%State Surcharge-Building 06/21/2017 $47.17 Info Process/Archiving-Sm$0.50(up to 06/21/2017 $4.50 Type of Use: COM 11x17) Class of Work: OTR Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $20,779.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Yes Overlay: Existing Roof Layers: Parapets: Total $444.78 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. ATT -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 %e 10 through OA' 1,52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: I /l / ` / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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-RoofpEc c f vi oyLl FOR OFFICE L'SE O\L1 City of Tigard ., * . Received - / '� PermitNo.: i��!..—/260f. III11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' C Phone: 503.718.2439 Fax: 503.598.1960 J V�1 201/ Date/B : Other Permit: T I CARD Inspection Line: 503.639.4175 Date Ready/By: Jurist 0 See Page 2 for Internet: www.tigard-or.govCI % #,' r Notified Method: Supplemental Information TYPE OF ARK Dt4 GIV DIVISION l REQUIRED DATA:1-AND 2-FAMILY DWELLING WO ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement :d Other: equipment,materials,labor,overhead,and the profit for the CATEGORY'OF CONSTRUCTION work indicated on this application. dwellingValuation: $ .©. 7.1-q ❑ 1-and 2-family 0 Commercial/industrial ❑Accessory building gi Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1/6(2, F) PIACI r 1tc w‘7. New dwelling area: square feet City/State/ZIP: 't c^O>- d OR Garage/carport area: square feet Suite/bldg./apt.no.: Project name:,,�)t25.,S'ide i)fl OCi= AcikDernx Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 'P 11;L i FT c_ i1 W ( A,08 2_I'4. k4 U,}yOther structure area: square feet ( s UIRED DATA:COMMERCIAL-USE HECKLIST 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 '' x .. R s ; equipment,materials,labor,overhead,and the profit for the "g; ''''''''k'' OF oRIf ' .; work indicated on this application. ( otv©F a 11 cl \'e YQQ 13.1 t V\ i,Z U) Valuation: $ Existing building area: square feet c 1cz` r S A Roo ', New building area: square feet 0 PROPERTY OWNER ,❑ TENANTX42�. Number of stories: 1 Name: µ /co N P Type of construction: Address: /J(o 2 5 uJ .Pc t c c C 03>, Occupancy groups: City/State/ZIP:-t. i Ga.( © lie, ! 7 Z 2.... Existing: • Phone:(503 ) ,7 5-1,zs Fax ( ) New: El APPLICANT -4:.','':55t31-''CONI"'.ACT PERSON :''" Business name: (,,',1- i FF 1 i-h fano fit' 0 6 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board i 1 I\Q v•4'e A 1 F fl'�lS under ORS 701 and may be required to be licensed in the Address: 6 g/,5 S (,,J ill T),N Aq c jurisdiction in which work is being performed.If the rr �0 applicant is exempt from licensing,the following reasons City/State/ZIP: eC°@V 4 v "hd 0 R l apply: Phone:($b3) lf, ... . c9, ' � , ` Fax::(So3 ) (4///-is-21 E-mail:(o1`ijc4 0 0 6t :Fgoo oy c;Jwt CONTRACTOR Business name: .V 1 F Pik R o f 0 ( BUILDING PERMIT FEES* Address: % I S C.0 iii --1-)...‘ cf P (Please refer afee eJ step City/State/ZIP: Structural plan review fee(or deposit): ty ��o J2 v .� o 9 00%. Phone:( Fax:( ) FLS plan review fee(if applicable): �d3) Q 4.3 I scp c5c�3 a 44�_./3-27 Total fees due upon application: CCB lic.: a S e l Amount received: 7q Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ;1 10,,,✓t C1 p1 C o,y Ui Date:6-./‘,—Z O/ 1. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\ROOF-PermitApp.doc 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) ❑ 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