Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit Support Document (18)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEECEIVED 111 Request for Permit Action MAY 8 2019 TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.ti aYo c iGARD �t III flihl �1 ,oi iiN TO: CITY OF TIGARD V 0 I D Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 �'fi g Phone: 503-718-2439 Fax: 503-598-1960 TigardBuil gPermits@tigard-or.gov FROM: ❑ Owner ]] Applicant D Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) CO)1,4 n big Con -r 1c .,i 011 3rä- 5 ::i < . Mailing Address: 11 5Z 124 I4- /2/4:,:e City/State/Zip: ,t ickch A ©V 706'2- Phone Phone No.: 'SQ 3-'6'f-Cl'j2�j PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): !� CANC (1D PERMIT APPLICATION. ri 41 UND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: ,E j r--GrXj;,3J' Site Address or Parcel#: FOLtJ ,OZGy !41 Project Name: Pcic .-Cil/cin Cr" c r Subdivision Name: - Lot#: EXPLANATION: %2-r , 4,4 ncedG'c) as 4:10 r4L '-c p€rhiy*r) i.if of 2t j-Gr atro,..¢ Q4,. ,.s -tz-f' d2c,7 Vel 73 —,401 L fa.e. .vr,.4. /eieKvv) 61- NII.-: c�y1r37i++Chc.V� ciA)i+�r//�4 _ 1 f 'V'eAv-il 4� ►b-tj /fity .-/'/ S -% Signature: ✓ Date: �/,r//I Print Name: Sa✓►� poh€d-ce.._. " 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date 5"/ /y By ,i"7) Route to Records: Date J� /9 Byl Refund Processed: Date A//4 By Invoice Processed: Date / By Permit Canceled: Date p/i.J/y By .-. Parcel Tag Added: Date By I:\Building\Forms\RegPemutAction_1 051 .doc Building,Permit Application \ki 0 1 1:;),"(/ 444,------ Re-Roof FOR OFFICE USE 01.1' City of Tigard 'g Received III ll ryq Date/B : / a�l .t= 1 13125 SW Hall Blvd.,Tigard,OR 97223 � L��rJ Phone: 503.718.2439 Fax: 503.598.19 t.. rJ Plan Review T I G A R n Inspection Line: 503.639.4175 Date/B : Other Permit: n Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov CiTY i` C ' IGAF.gD. Notified/Method: Supplemental Information BUILDING DIVISION ��. . REQUIREDmATA 1 7iiNfi 2- 'AII6 DWEiI.4G `, ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Addition/alteration/replacement 0 Other. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF•CONSTR o work indicated on this application. 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ElAccessory building ❑Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: 0SLP TO * Total number of floors: Job site address:8040 SW Durham Road New dwelling area: square feet City/State/ZIP:Tigard, OR 97224 Garage/carport g arport area: square feet Suite/bldg./apt.no.: I Project name:Durham Educational Center Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Job site is located off of SW 79th Ave&SW Durham Road, next to Durham Other structure area: square feet Elementary School. roti^ ,i r . , t i.: r:: Cid 4 .R 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 0' % i E '°ii 0 - a r o _ .. ' , , . work indicated on this application. Furnish and install 1 layer of 2"faced polyisocyanurate board,install 1 layer of 1/2"Secure Rock gypsum board over Valuation: $352,500.00 insulation,ensuring joints are staggered.Install 1 layer of Carlisle WIP 300 HT ice and water shield over secure rock.Install Existing building area: 14,410 square feet Taylor Metals 18'Versa Span panel in 22 gauge according to manufacturers specifications. New building area: 14,410 square feet . .‘,41.: . ' Number of stories:2 Name:Tigard-Tualatin School District Type of construction:New Construction Address:6960 SW Sandburg Occupancy groups:Education City/State/ZIP:Tigard, OR 97223 Existing:Education Phone:(503) 431-4000 Fax:( ) New:Education Business name:Columbia Roofing &Sheet Metal*, All contractors and subcontractors are required to be Contact name:Sam Robertson licensed with the Oregon Construction Contractors Board Address:18525 SW 126th Place under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP:Tualatin, OR 97062 applicant is exempt from licensing,the following reasons Phone:(503) 684-9123 Fax t 5�684-1458 apply. _ E-mail:sam@reroofnow.com Business name:Columbia Roofing & Sheet Metal Address:18525 SW 126th Place r • .' k `„I rleasING1 EfMI. F> �* 4- �+referlefeeschedule), „, City/State/ZIP:Tualatin, OR 97062 Structural plan review fee(or deposit): Phone:(503) 684-9123 I Fax:(503) 684-1458 FLS plan review fee(if applicable): CCB lie.:116607 Total fees due upon application: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Sa44,1„6.64 �� I Date:12/13/2018 I within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\ROOF-PennitApp.doc 10/01/09 440.4613 T(11/02/COM/WEB) City of Tigard: Re-Roofing Permit Checklist Page 2-Supplemental Information itE SIDE F.74 P Onti et . + Fi.r • 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. ®` t i - int do211E, 11W ral ❑ 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. ❑ 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: $ C:\Users\Sam\Downloads\ROOF PermitApp.doc 2