Permit (146) CITY OF TIGARD REROOF PERMIT
N -1 - COMMUNITY DEVELOPMENT Permit#: RER2018-00020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
T t t;. I.Z.f r g Parcel: 1S135DD03703
Jurisdiction: Tigard
Site address: 11624 SW LOMITA AVE A-1
Project: Park Place Apartments Subdivision: None Lot: None
Project Description: Reroof-remove and replace. Units A1-A14.
Contractor: A&L ROOFING&GENERAL CONTRACTORS LLC Owner: 1616 SHORELINE LLC
581 LANCASTER DR SE#40 LOMITA WEST LP
SALEM, OR 97317 PO BOX 15516
FREMONT, CA 94539
PHONE: 503-371-0179 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 06/21/2018 $362.69
Specifics: 12%State Surcharge-Building 06/21/2018 $43.52
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $19,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $406.21
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 19: _ :r I - .2344.
Issued By: /14/itlive(A,;_ce.._._,,6_r Permittee Signature: Atiiiiiillio,
Call 503.639.4175 by 7:00 a.m.for the next available inspectio
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
4
Re-Roof I y . . FOR (al 1( 1. 1 '.1: ()NI v
City of of Ti and L., Received
DateB :
( / iM Permi
11/ ♦ � / _��ir�
13125 SW Hall Blvd.,Tigard,OR 97223 JuN 1r,18Plan Review
II Phone: 503.7182439 Fax: 503.598.1960 Date/B : Other Permit:
TI G A K D Inspection Line: 503.639.4175 C a o Date Ready/By: Juris: Ea See Page 2 for
Internet: www.tigard-or.gov ����e , Notified/Method. Supplemental Information
ss 4:i e S3I^J
7 :4 WOIK .., RF,($JMMMDATA:,14AInlD2403t DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
►4 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONTUCTION work indicated on this application.
0 1-and 2-family dwelling ecommercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE:I;I 'bPMA"lr'1ON.AND LOCATION
Total number of floors:
Job site address:11624 SW Lomita Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Park Place Apts. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REOUIRER RATA:comwAteat.usteitzenst
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
D �� .< work indicated on this application.
Roof replacement on one building. Valuation: $$19,000.00
Existing building area: 58 square feet
New building area: square feet
ELPROPERTY RTY 0 1 " . T (4 ANT Number of stories: 2
Name: Type of construction: Roof Replacemen
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
hi4,APPLICANT`; { CONTACT PERSON
Business name:A&L Roofing and G.Contractors All contractors and subcontractors are required to be
Contact name:Luis Hernandez licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:581 Lancaster Dr.SE#40 jurisdiction in which work is being performed.If the
City/State/ZIP:.Salem,OR 97317 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)371-0179 Fax::(
E-mail:Luis@alroofingsalem.com
f ACT.
Business name:A&L Roofing and G.Contractors RIIPBtOA T'Ers*
aveageyertoiecodiedsitio
Address:581 Lancaster Dr.SE#40 "
City/State/ZIP:Salem,OR 97317 Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Phone:(503)371-0179 Fax:( )
CCB lic.:181200 Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Print name:Luis Hernandez Date: �jZ// /' * within 180 days after it has, ted as complete.
I r 7� Fee methodology set by Tri-'County Buil ' g Industry
Service Board.
IaBuildinglPermits\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
RESIDENTIAL(011e-& Dwry
0 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(includ ui -f ar y and condominiums)
11 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.
0 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: $ 19,000.00
sq.ft.58 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: $
C:\Users\Los Hernandez\Downloads\ROOF_PermitApp(1).doc
_ 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11624 SW LOM ITA AVE A-1 , TIGARD, OR, 97223
Record Type: Record ID:
Cornmericial - Reroof RER2018-00020
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor