Permit CITY OF TIGARD REROOF PERMIT
` - a , COMMUNITY DEVELOPMENT Permit #: RER2010 00014
1 3125 SW Ha ll Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2010
T [ G AR L?; Parcel: 2S 103 DC01100
Jurisdiction: Tigard
Site address: 11075 SW GAARDE ST A
Subdivision: Lot: 0
Project: GRACE POINT COMMUNITY CHURCH
Project Description: Reroof - remove and replace.
Owner: FEES
FIRST BAPTIST CHURCH OF Description Date Amount
TIGARD, THE, 11075 SW GAARDE Permit Fee 08/18/2010 $408.32
TIGARD, OR 97223 12% State Surcharge - Building 08/18/2010 $49.00
PHONE:
Contractor:
WHITE ON CONSTRUCTION INC
2835 SW 209TH ALOHA OR 97006
ALOHA, OR 97006
PHONE: 503 - 593 -3723
FAX:
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 $457.32
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 adopte• • • Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR • - 001 -0100. You may obtain a copy of --- t questions to OUNC by 699 or 1.800.332.2344.
l
Issued By: /� / Permittee Signature: ..-/.)
Call 50 . 5 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 �� Folz OFFlct: hlsl ()Nl
Ci}�r of Ti and Receiv
Permit No.:
•J g �• f ro Date/B : �.1 ti / "" .... �CJO
° 13125 SW Hall Blvd., Tigard, OR 97223 Y '
C Phone: 503.639.4171 Fax: 503.598.1960 r \ SS +b � . : Other Permit:
Inspection Line: 503.639.4175 S) \ ' \.) I I 6ARD S ,c0: :: • Ready/By: luris: See Page 2 for
Internet: www.tigard -or gov ® G � �� .
c" 'kv. ti �(p Supplemental Information
'
TYPE OF WORK V) `AA.- 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
❑ 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 Valuation: $
❑ Commercial /industrial
12 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / / O 7 ,c), 1J , , ,Ai-t2._D 's-t New dwelling area: square feet
City /State /ZIP: /C A. C2--0 7 224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ct I fAce, vp-t. Conk r.1-4v Covered porch area: square feet
Cross street/directions to job site: // 7 #" Au,. , -E-; Deck area: square feet
'r �� �) J Other structure area: square feet
? I REQUIRED DATA: COMMERCIAL -USE CHECKLIST
' Jr
Subdivision: ( Lot no. Permit fees* are based on the value of the work performed.
Tax map /parcel no.: r Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Q ()
DESCRIPTION OF WORK work indicated on this application.
e\ fi --th( kl.PLff CC„ K n F Valuation: $ �r 00CJ
` .� Existing building area: square feet
A 4E- ft e� D� o F tm5�t cat
5i-% (4 IJ �" /t ,, . New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ( 2 -AC.i= i%bl u-T corm v'i vv I+ + Y Cl- kc.'e_c_ (-•1 Type of construction:
Address: (( c . ‘, (-jA tar) E s- r-k.e-._ Occupancy groups:
City /State /ZIP: - r-rc._,A a D O,e_ , r7 22 Existing:
Phone: (503) 63 G 1- 3813 Fax: (503) .k.1 - / 9,55- New:
❑ APPLICANT TR CONTACT PERSON NOTICE
Business name: All con and subcontractors are
Contact name: J 6,..., 6,..., I ( SOit -, 0. U) C.� A0I44I !t`J t/rd 1(I l icensed with tractors the Oregon Cons C required to be on Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: (5!) ) 3 1 q � 734 3 Fax:: ( )
E -mail: Jl V1it eo (,' k>C-c- C4.l`U'f - .A I Vc7, C'1Jtv1
CONTRACTOR
Business name: co 1-4 1 tE - 00 0_005-t2uci 1 ` 0 0 JI BUILDING PERMIT FEES*
Address: a F3 s gw /�' -4+ (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Ac_t.) k.A A b12.„EGoit__ �I7oo6
Phone: 3 F ax ( ) FLS plan review fee (if applicable):
(50) 5 -- 3 7 2 3
CCB lic.: /6" 7 ,C-.. Total fees due upon application: 57,:..
Amount received:
Authorized signature:)( /' T his permit application expires if a permit is not obtained
/ \ c within 180 days after it has been accepted as complete.
Print name: VAuG I.„' A..) friex3/ - • Date: 3'_ ( 7_ /r) * Fee methodology set by Tri -County Building Industry
Service Board.
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- FamilyDwelling)
❑ 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: $
I:\Building\Permits\ROOF- PermitApp.doc 2