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Permit C ITY O TI REROOF PERMIT COMMUNITY DEVELOPMENT Permit #: RER2010 -00005 ,T1 GiARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/11/2010 Parcel: 1S136 DB00200 Jurisdiction: Tigard Site address: 11595 SW PACIFIC HWY Subdivision: Lot: 0 Project: Bed Mart Project Description: Remove existing roof and install new built -up roof Owner: FEES KBF II LLC & Description Date Amount JGF II LLC, 602 THIRD ST STE #94107 Permit Fee 05/11/2010 $377.90 SAN FRANCISCO, CA 94107 12% State Surcharge - Building 05/11/2010 $45.35 PHONE: Contractor: PACIFIC ROOFING COMPANY INC PO BOX 1728 BEAVERTON, OR 97075 PHONE: 503- 647 -2894 FAX: 503 -647 -7415 Specifics: Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: 1 Height: 1 ft General Information Building Area: 0 Re -Roof Area: 5400 Roof Class: A Tear Off: Yes Overlay: No Existing Roof Layers: Parapets: Yes Total $423.25 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246,6699 or 1.800.332.2344. I Issued By: / , _e — Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 Re -Roof RECEIVED FOR OFFICE USE ONLY City of Tigard Received s DateB �� `Ir ►• Permit No. 7 70 DD , I Tigard, ° 13125 SW Hall Blvd., Ti , OR 97223 MAY 1 1 g Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready /By: See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified /Method: �' Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY 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 111 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling g Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11c1 54U Q0.c. }-e 4v-a5 New dwelling area: square feet City /State /ZIP: "I cya- 6 t. J Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: a a A cy\. C 4 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. Valuation: $ g\. *C-4-4..) (2av ` k J e g..aF Existing building area: S square feet New building area: square feet Qa PROPERTY OWNER ❑ TENANT Number of stories: I Name: IF 4 . ,‘„,,,...5,,,,,,-, l" r a R cc Vs. c-„5 Type of construction: Q ` Address: CaO 1htra.. 3 1. S v ; i"I• C i Occupancy groups: City /State /ZIP: 3 c ., CA... 4'&4 Lcri Existing: Phone: ( N)y) 4,,1b — I }Qa Fax: (ISIS) '47'I " 6 (o New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: 1 6,L � (Co j' .,,---3 All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board V v"J under ORS 701 and may be required to be licensed in the Address: e 6 t?„. 1 , t ' ) jurisdiction in which work is being performed. If the City /State /ZIP: q - Q e 1 a-ys- applicant is exempt from licensing, the following reasons apply: Phone: ( 2 ; Ctrl -14ct L( Fax:: ( 5 7 1 ) ) L , . L c 2 1 1.65 -- E-mail: e e . C 97th Act • c v\ CONTRACTOR Business name: flax. t:b. BUILDING PERMIT FEES* Address: eo 6,., -1- ..5r (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: �� e^ �GQVY 1,70Z / Phone: (93 ) (. t .. a. L( Fax: ( l) (dt{T— ,(� FLS plan review fee (if applicable): tl, CCB lie.: !i S", l 3/3// 2-- Total fees due upon application: (J t/ I T rey- (,Amount received: VA 3 , ,S Authorized signature: ` ' . �. This permit application expires if a permit is not obtained \7 � . � within 180 days after it has been accepted as complete. Print name: ( ...6 (2 Vi Date: * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits\ROOF- PermitApp.doc 10/01/09 440- 4613T(II/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. 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 \guy \AppData \Local \Microsoft \Windows \Temporary Internet Files \12ow \Content.IE5 \VJQ6ZPB3 \ROOF- PermitApp[1].doc RECEIVED rk �,r' as � �;' City of Tigard Building Department I,,. ` 1{i ` :`r �,, so MAY 11 20131 25 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 - 4171 a k 4 �, a CITY OFTIGARD eD o Pre-inspection Report Form � BUILDING DI IO �T `RD? Requested by Telephone e ( >) 7 -- 5.--'5 6 r)---- Job Address (1 cG ?-4_ G Z. C___ Roof Access Location / 0 4. Date Requested t Le 1 0 Time Requested 1. ' Type of Existing Roof V 1. Slope of roof deck !l( / foot (ratio) % 2. Roof/Penetrations/General Condtions ❑ Fair Ld Poor 3. Are there blisters? [J Yes ❑ No 4. Are there cracks? 0 Yes ❑ No 5. Is there evidence of water pondng? ❑ Yes ® No 6. Is moisture present under roofing (leak)? ❑ Yes 51 No 7. Is roof insulation existing? l Yes ❑ No 8. Is roof insulation wet? ❑ Yes 5d No 9. Property line setbacks on all sides > 10 feet ® Yes ❑ No 10. Roof Area ❑ < 6000 sq. ft E > 6000 sq. ft 11. Building height ®< 2 Stories ❑ > 2 Stories 12. Class of roof required ❑ Non -rated Md' A. ❑ B. ❑ C. 13. Type roof deck 0 Combustible ❑ Non - Combustive 14. Roof drains ❑ Provided ❑ Required 2 Adequate 15. Overflow drains ❑ Provided ❑ Required 13 Adequate 16. Attic ventilation ❑ Provided ❑ Required ® Adequate 17. Roof listing Eil Provided ❑ Required 18. Scope of work ❑ Tear off p Overlay To re - roof this structure the following conditions must be met pL6(.4 e V 1 a)617, ()& 4 - Ka, 15-4 Ceiw. 1,-,. 'm I The re -roof proposal i pproved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the Building Division for i nspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. F r a built -up roofing p system (overlay), e IM, the first inspection is at a start the job. After the re -roof is complete, a final inspection is required. c>6„ m BOA.— . Inspector V/A J 12 )0 \I--/ Ext. a' Date V(Pi\ a Ieudd, Remolarers. . . . . . . . • • • . . . . . 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