Permit yq CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit #: RER2010 -00011
Date Issued: 07/16/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15989 SW 72ND AVE
Subdivision: OREGON BUSINESS PARK III Lot: 38
Project: Oregon Business Park III
Project Description: Reroof.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee 07/16/2010 $782.16
PORTLAND, OR 97224 12% State Surcharge - Building 07/16/2010 $93.86
PHONE: 503 - 624 -6300
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: Height: 0 ft
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $876.02
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 0 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / / �\:. t — Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. iJ
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 FOR OFFICE USE ONLY
City of Tigard r �• D Receia ved 7m l _ - —rrLL�
[> , " Permit No.: , & � KJ
13125 SW Hall Blvd., Tigard, OR 97223 �} -
' II . Phone: 503.639.4171 Fax: 503.598.1960 . K'') . ; Other Permit:
T I G A R D w Inspection Line: 503.639.4175 ��� i ate Ready/By: Juris• See Page 2 for
Internet: ww.tigard or.gov * > . v . J.4 Notified/Method: � Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition .�`l Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement 5 Other: ",'„, ''
C �`<•.,=" equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling FA Commercial /industrial Valuation: $ GO
r
❑ 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: ) S 1 ci 5..0 1) n a 4,1 ,` New dwelling area: square feet
City /State /ZIP:
T lk; Garage/carport e/c
\ b c,-r g arport area: square feet
Suite/bldg. /apt. no.: Project name: 7 ✓�- o .i 1 P.w�� l 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: $
.I. nb i\ Acs-1 r oe S �
Existing building area: y.),/,_.L! square feet
New building area: square feet
Dif PROPERTY OWNER ❑ TENANT Number of stories:
1
Name: p o: tk.c, C 4. 1 5 36 L Type of construction:
Address: ) S' 1 \S 5*kli ectxv CI G, j 4 6 Occupancy groups:
City /State /ZIP: 't lty.-a Q Existing: /Ze-
Phone: (53 ) (OM- ( 360 Fax: ( ) New:
[J APPLICANT ❑ CONTACT PERSON NOTICE
Business name: D �.> Q ,s -S-• All contractors and subcontractors are required to be
Contact name: ''‘Sc_ S.% licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i d e.,, \-(a tS jurisdiction in which work is being performed. If the
City/State /ZIP: ((�� c., applicant is exempt from licensing, the following reasons
{�e_Q if ¢ f } .. t O I -1 Li S apply:
Phone: (5 ) ( 1 IA Fax: : (( ) (o l - `- \ s -
E-mail: r @ C C(1 O 11 ''e i-O l� t CA VA
CONTRACTOR
Business name: PELC-. : , L (2-0„ £� BUILDING PERMIT FEES*
(Please refer to fee schedule
Address: o C)„„ 0 3 k
�)`. Structural plan review fee (or deposit):
City/State /ZIP: 1 -wlef � n v Cr'� ; •1 S
t FLS plan review fee (if applicable): �+^ �
Phone: (s ) lo`l 9 L{ Fax: (93) ( ( - 1 `1 lS
Total fees due upon application: D � l tD, 1
CCB lic.: 1I S-1 I
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name; 0. c Date: 1 -(s •- i0 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits'ROOF- PermitApp.doc 10/01/09 440-4613T( 1 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)
❑ 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: $
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