Permit (111) CITY OF TIGARD REROOF PERMIT
71111COMMUNITY DEVELOPMENT Permit#: RER2017-00044
-r t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017
Parcel: 2S 104AA90011
Jurisdiction: Tigard
Site address: 12666 SW KAREN ST 1
Project: Bellwood Terrace Subdivision: BELLWOOD TERRACE CONDO Lot: 1
Project Description: Reroof-remove and replace for carport.
Contractor: DEPENDABLE BUILDING IMPROVEMENTS LLC Owner: BELLWOOD TERRACE LLC
12500 SW KAREN ST 1 PO BOX 189
TIGARD, OR 97223 YAMHILL, OR 97148
PHONE: 503-858-4392 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 11/21/2017 $80.39
Specifics: 12%State Surcharge-Building 11/21/2017 $9.65
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $1,255.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $90.04
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 r -s 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 503.232.1 or 1.800. . '344.
Issued By:
�y or
Signature: „/'''''
/ � ,/7CCC///
all 503.639.4175 by 7:00 a.m.for the next available ins 40. ate.
This permit card shall be kept in a conspicuous place on the job site until completion .fthe,pr ject.
Approved plans are required on the job site at the time of each inspecti.
Building Permit Application
Re-Roof RECEIVED FOR OFFICE CSE Om.)
City of Tigard Received /
III 41 `�017 PlanDate/BR : tC� JI PermitNo.:
13125 SW Hall Blvd.,Tigard,OR 97223 NO V
Review �� -
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: ;� f:01 7-1 j?
T I GA R D Inspection Line: 503.639.4175 CITY T OF TIGARO Date Read/B
Internet: www.tigard-or.gov t\/��'�� Notified/Method:y S See Page 2 for
BUILDING D v Supplemental Information
TYPE OF WORK 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
0-Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building0-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 6,4:: Svt/ yl-a'V'..0,A. j 7 New dwelling area: square feet
6
City/State/ZIP: —
A, 0 E? 7.Z Z--3 Garage/carport area: square feet
Suite/bldg./apt.no.: U Project name: BeUi 'It`(acc Covered porch area: square� q e feet
Cross street/directions to job site: lz —
.r.d'-t A 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
_: DESCRIPTION OF WORK, work indicated on this application.
--..:------
./<!..&---. 2C0/ l'/,y2 Pc ,e7- s%/2,.E C-TZf7z Valuation: $ / S S
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I '' 0 TENANT '' Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
v New:
-APPLICANT 0 CONTACT; PERSON
`
Business name:
_. NOTICE C b ..
�` l 1J'`1 let.A t.•vl f�i/ Cv{,ct, All contractors and subcontractors are required to be
Contact name: m ✓1 `Y ( 4,Zr 1licensed with the Oregon Construction Contractors Board
Address: - under ORS 701 and may be required to be licensed in the
Z'S S 'gid`-C -/ jurisdiction in which work is being performed.If the
City/State/ZIP: rr r� ,U ( l7 Z Z applicant is exempt from licensing,the following reasons
t I apply:
Phone:(563) 8- c./ f:r__ I Fax::( ) —
E-mail:
CONTRACTOR
Business name:
��`-4"'-"� BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Phone:( ) I Fax:( )
1T CCB lic.: 'L D 5 C 1✓ Total fees due upon application:
Authorized signature:_/-= ---r.--e_. Amount received:
This permit application expires if a permit is not obtained
Print name: Ci--- 'LAN ( Y z-Ecv ,-'1 I Date: I * within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
I:)Building\PermitsUtOOF-PermitApp.doc 10/01/09
440-4613T(1 t/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: maybe required
Note: Depending on the conditions noted at the pre-inspection,plans
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