Permit (123) CITY OF TIGARD REROOF PERMIT
111 41
,, - COMMUNITY DEVELOPMENT Permit#: RER2017-00046
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2017
Parcel: 2S 101 AA09108
Jurisdiction: Tigard
Site address: 12559 SW 69TH AVE
Project: R&D Property Management Subdivision: WEST PORTLAND HEIGHTS Lot: 23-28,P
Project Description: Reroof building with IB roof system,50 mil class A fire rated roof system.
Contractor: WESTERN PACIFIC ROOFING LLC Owner: R&D PROPERTY DEVELOPMENT LLC
10824 SE OAK ST 350 12559 SW 69TH AVE
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503-659-7663 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 12/18/2017 $393.11
Specifics: 12%State Surcharge-Building 12/18/2017 $47.17
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $20,737.00
General Information
Building Area:
Re-Roof Area: 6600
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $440.28
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 a - s- .rth.7in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 51 or 1.800.3 .2
Issued By: df2/4‘i --C----
Permittee Signature: cr.,/ /
Call 503.639,4175 by 7:00 a.m.for the next available inspectio i :ate.
This permit card shall be kept in a conspicuous place on the job site until completion .f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVE "
Re-Roof FOR OFFICE USE OINI.N
City of Tigard DEC 1 8 2 017 RDeactee/Bived, /2 // /7 „It
Permit No/ 7/7--0, of e ...,
"Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' 1 Phone: 503.718.2439 Fax: 503.598.1961TY OF TIGARD Date/B : Other Permit:
TI GAR D
Inspection Line: 503.639.4175 ,
Date Ready/By: Juns 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIOotified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 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
gr Addition/alteration/replacement 1=I Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
7.,z› f . eD
0 1-and 2-family dwelling X Commercial/industrial Valuation: $ 2 ' -7..
Number of bedrooms:
0 Accessory building El Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /02.5:3—'2 .,..n-i ) q .7.A aia New dwelling area: square feet
City/State/ZIP: / /9/U67 (0/? q 7d)"3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ) ,40,a4 ‘401.1.;/ 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK , '". work indicated on this application.
e-A) Valuation: $ c2 e_,, 73 7 oC)
6-O
e/e_ez 1 4 a,/ le, "1-,, /Ai/h fz-.--2„Qcz,ists 4,
Existing building area: ).0 square feet rn, / /rk_5-,...s A c;.4-e .t24 ha' ial---)cf)cyderk-t
New building area: square feet
Az.,PROPERTY OWNER , , 0 TENANT, ' Number of stories: e-) e
Name: BeA,A,.e.A/ ' j e,e I s Type of construction: i&£cz,/
Address: /,...2 559 .5t) z::,c% J.'A, /VA, Occupancy groups:
City/State/ZIP: -77 4,e,/ 0,0 .-77dd 3 Existing:
Phone:(563) . /e) —39 t?.9 Fax:( )
New:
'31Z APPLICANT ,f,..' '''''' q' ''''0 CONTACT PERSON '.'
NOTICE
Business name: it)eLs le,e /15-3,„(::;4t) 2 4. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: ,- 9 ; , att-)A le
under ORS 701 and may be required to be licensed in the
Address: /e)g,3 6-../-3-- e2,4,4 ,S 7/ /3 SZ.) jurisdiction in which work is being performed.If the
City/State/ZIP: /A-tia
&-e- , 6,4 7,) pplicant is exempt from licensing,the following reasons
apply:
Phone:6-63 )6,3-1—7o o.3 Fax::( )
E-mail:CY10,72,,e3e g ei,ceeive., 730 t: cz,4-,—... ,-,-,,,----
CONTRACTOR
Business name: -•4 z- 45 4,6,7 -
BUILDING PERMIT FEES*Address (Please refer to fee schedule) ,
:
Structural plan review fee(or deposit):
City/State/ZIP:
FLS plan review fee(if applicable):
Phone:( ) Fax:( )
CCB lic.: /7D g ,,5"-- Total fees due upon application: 9'9'0,
, AP
Authorized signatur ,c0IL...12_ -
Amount received: 9 go,t;ZP
This permit application expires if a permit is not obtained
..----7-- within 180 days after it has been accepted as complete.
Print name: joa ....?„tez_.dfkt,... Date: 4,11,52/7 . Fee imethodologylogy set by Tri-County Building Industry
Service
Board. ry
I\BuildingTermus\ROOF-PermuApp doc 10/01/09 440-4613T(I 1/02/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)
ms)
RE-ROOF: Pre-inspection
forcode295 isMiscerequired forllaneous all roofs
inspection slopedafter 2:12peranmitdis less.issued.Call
503.639.4175,
❑ 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.l6D 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