Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2017-00041
Date Issued: 10/26/2017
-F-[ a 11.Fd.i~! 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11581 SW PACIFIC HWY
Project: Les Schwab Subdivision: None Lot: None
Project Description: Reroof-remove and replace. Adding an additional 60 mil PVC membrane.
Contractor: COMPETITIVE COMMERCIAL ROOFING INC Owner: FRED MEYER STORES INC
PO BOX 495 STORE#375
HOOD RIVER, OR 97031 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 541-386-7663 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 10/26/2017 $685.37
Specifics: 12%State Surcharge-Building 10/26/2017 $82.24
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $45,730.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $767.61
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 503.232.1987 or 1,800.332.2344.
4141117.9
Issued By: ----Frermittee Signature:
Call 50 .e2 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.
Building Permit Application
Re-Roof FOR OFFICE USE 01E1
'4% `'',�� Received
City of Tigard FlkS,r,— Date/B : .0 ,, 7 15,,d I, Permit No.: i ^;R 7_4,
13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Review
S Phone: 503.718.2439 Fax: 503.598.1960 {' {^n- i) 6 `tu l t Date/B : Other Permit:
T I G ARD Inspection Line: 503.639.4175 j j 1•i Li Date Ready/By: ® El See Page 2 for
Internet: www.tigard-or.gov _ Kii.V.•'`,otified/Method: E`r7. Supplemental Information
TYPE OF WO' III ��—° REQUIRED DATA:,1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
JZAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION f work indicated on this application.
Valuatio •• —0/
❑ 1-and 2-family dwelling Commercial/industrial s-:"',
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:// 7 `7 / Sc?/ i/ -"°tOr c— /f `f' New dwelling area: square feet
City/State/ZIP: ':(5,.r`,(1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: es / Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: e e i i ::cIAL-USErBECKLIST
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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTIONOF Wold .; ,. work indicated on this application.
e_ce 'c:_4f }}��-- '.5.�,t v6-0,,,c-, .f4. (�(9 ,e4 ;( ,�t'C.._ Valuation: $��j..� oG.1LC r ri (
/14 e�??1 /',4 e- - V(o(one Le- Lar, Existing building area: d square feet
New building area: square feet
PROPERTY OWNER rt ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:r
xy.
` 'PLIC < _ yNOTICE
Business name: JJI
�', v, , .el;'T:,....c„ C�)/Yl-.f,7,e'N GI 4 (( 12e` y�`J , l c, All contractors and subcontractors are required to be
Contact name:�-' L licensed with the Oregon Construction Contractors Board
n �2 �� 6 under ORS 701 and may be required to be licensed in the
Address: U- .. (-�,,L,19 C jurisdiction in which work is being performed.If the
City/State/ZIP: ac,/1%`rr T• Gfl C?c-i':.) / applicant is exempt from licensing,the following reasons
apply:
Phone:(5 / ) 'K(�b (2 .7 _- Fax::( )
E mail:5/,G .r',[— /jc=5 : z{bJ USS ,c-G vl
i, .
CONTRACTOR
w
.., 5s< ... k. a:4eM
Business name:
BUILDING PERMIT FEES*
Address: rL. ti t` 4 5 6 L.`;'-<--
(lease refer to fee schedule
Structural plan review fee(or deposit):
City/State/ZIP:
FLS plan review fee(if applicable):
Phone:( ) Fax:( )
CCB lic.: /71j 3j ll i Total fees due upon application. 76'7_ t,,
` Amount received:
Authorized signature:
/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:, , .4 2,...."6-'.e Date: 7 /q * 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 roofmg of commercial projects.)
TOTAL: $
I:\Building\Permits\ROOF_PermitApp.doc 2