Permit CITY OF TIGARD REROOF PERMIT
III �. ' COMMUNITY DEVELOPMENT Permit#: RER2019-00019
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020
T[C A A.C7 g Parcel: 2S110AD90061
Jurisdiction: Tigard
Site address: 14960 SW 109TH AVE
Project: Canterbury Woods,Building 8 Subdivision: CANTERBURY WOODS CONDO Lot: 61
Project Description: Tear off,resheath,and re-roof.
Contractor: JBC ROOFING Owner: DEVRIES, LINDA J
12155 SW GRANT AVE STE B 14960 SW 109TH AVE
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-968-1235 PHONE:
FAX: 503-603-9967
FEES
Description Date Amount
Permit Fee 02/05/2020 $774.63
Specifics: 12%State Surcharge-Building 02/05/2020 $92.96
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $55,311.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $867.59
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.
Issued By: vee.-m4fl Permittee Signature:
Call 503.639.4175 by 7:00 .m.for the next available inspection date.
This permit card shall be kept in a conspic us 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 RECEIVE- FOR OFFICE USE OMLI
City of Tigard JUL 1 0 zoa' Received
1.
� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J
Phone: 503.718.2439 Fax: 503.598.1960 Gz T Y Date/B : Other Permit:
T I G A R D Inspection Line: 503.639.4175 BU ` Y Date Ready/By: luris WI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TyP Q O Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑New construction ❑Demolition equipment,materials,labor,overhead,and the profit for the
X❑Addition/alteration/replacement ❑Other: work indicated on this application.
CATEGORY OF CONSTRUCTION Valuation:
$
❑ 1-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:
❑Accessory building X❑Multi-family Number of bathrooms:
❑Master builder ❑Other: Total number of floors:
JOB SITE INFORMATION AND LOCATION New dwelling area: square feet
Job site address: 14960-14974 SW 109 th Ave Garage/carport area: square feet
City/State/ZIP:Tigard Covered porch area: square feet
Suite/bldg./apt.no.:Bldg 8 Project name:Canterbury Woods Deck area: square feet
Cross street/directions to job site:SW Royalty Pkwy&SW 109 th Ave Other structure area: square feet
REQUIRED DATA: OM1 RC)4L41�CHEMA
Permit fees*are based on the value of the work performed.
Subdivision: Lot no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Tax map/parcel no.: work indicated on this application.
DESCRIPTION OF WORK Valuation: $55,311.00
Tear off,resheath,reroof Existing building area: square feet
New building area: square feet
Number of stories:
II PROPERTY OWNER ❑ TENANT Type of construction:
Name:Canterbury Woods HOA Occupancy groups:
Address:14910 SW 109 th Ave Existing:
City/State/ZIP:Tigard,OR 97224
New:
Phone:( ) Fax:( )
NOTICE "
❑APPLICANTCI-CONTACT PERSON All contractors and subcontractors are required to be
Business name:JBC Roofing,LLC licensed with the Oregon Construction Contractors Board
Contact name:Brad Chisholm under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Address:12155 SW Grant Ave Suite D applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,OR 97223 apply:
Phone:(503)968-1235 Fax: :(503)603-9967
E-mail:bradc@jbcroofing.com
CONTRACTOR
BUILDING PERMIT FEES*
Business name:Same as applicant (Please refer to fee scfiedide)
Address: Structural plan review fee(or deposit):
City/State/ZIP: FLS plan review fee(if applicable):
Phone:( ) Fax:( ) Total fees due upon application:
CCB lic.:98255 Amount received:
This permit application expires if a permit is not obtained
Authorized signature: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name:Jon B Chisholm Date: ?./t 1 l l Service Board.
READ DATA:I'-AND..2:FAMILY DWELLING
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) wrx ;;rF ;
U 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)
Tr- 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.
U 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: $
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C:\Users\bradc\Downloads\Canterbury ROOF_PermitApp.doc 2