Permit CITY OF TIGARD REROOF PERMIT
1111 �+
8 COMMUNITY DEVELOPMENT Permit #: RER2011 -00002
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/19/2011
Parcel: 25101 AC00700
Jurisdiction: Tigard
Site address: 12700 SW 72ND AVE
Project: Pauly and Rogers Subdivision: BEVELAND NO. 2 Lot: 13
Project Description: Reroof over one existing roof per attached plans and specifications.
Contractor: GRIFFITH ROOFING Owner: ROGERS, ROY R
6815 SW 111TH AVE 13690 SW TWELVE OAKS CT
BEAVERTON, OR 97005 TIGARD, OR 97224
PHONE: 503 - 643 -1596 PHONE:
FAX: 503 - 644 -1529
FEES
Description Date Amount
Permit Fee 04/19/2011 $241.01
Specifics: 12% State Surcharge - Building 04 /19/2011 $28.92
Info Process /Archiving - Sm Sheet (up to 04/19/2011 $4.00
Type of Use: COM 11x17)
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 2 Height: 0 ft
Project Valuation: $10,700.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $273.93
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: L :; % ` i Permittee Signature:
"Aor Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of . project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial / 2 O/' RECEIVED , ( ) , , ( ) , , ,(F I si Ovl )
City of Tigard n Li rAlli Permit No% F72020// DO el 042„
13125 SW Hall Blvd., Tigard, OR 97223 APR 1 9 2 01 1 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: other Permit:
1 i 4 \ R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. kris: ® 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
❑ Addition/alteration/replacement ® Other: roofing equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® 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: 12700 SW 72 " avenue New dwelling area: square feet
City/State/ZIP: 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Pauly and Rogers 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.
Re roof over one existing roof per attached plans and specifications Valuation: $$10,700.00
I Existing building area: 3000 square feet
r New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Pauly and Rogers Type of construction:
Address: 12700 SW 72 avenue Occupancy groups:
City/State/ZIP: Tigard, Or. 97223 Existing:
Phone: ( ) Fax: ( )
New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Griffith Roofing Company (Please refer m fee sciedale)
Structural plan review fee or deposit): 07 4 // 0/
Contact name: Greg Stone
le):
Address: 6815 SW 111 avenue ?.2.
f Total fees due upon application: V . ez
City/ State/ZIP: Beaverton, Or. 97005
Amount received: ../ , 9 , 3
i Phone: (503) 643-1596 Fax: : (503) 644 -1529
E -mail: greg@griffithroofingcompany.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
{ Business name: Griffith Roofing Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 6815 SW 111` avenue Solar Installation Specialty Code checklist.
Y City / State/ZIP: Beaverton, Or. 97005 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 643 -1596 Fax: (503) 644 -1529 State surcharge (12% of permit fee): $21.60
CCB lic.: 925 // %/2-0/
7--- Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
t •Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PemiitApp.doc 02/2412011 440- 4613T(11 /02/COM/WEB)
I
L
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
roofmg will exist upon completion of the re- roofing.
COMMERCIAL (includes multi - family and condominiums)
E3 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: $
j Q 0 0 sq. ft. of roof area ) 5 j )
? ermit 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 roofmg of commercial projects.)
TOTAL: $
I:\Building\Permits\ROOF- PermitApp.doc 2
Building Permit Application
Re -Roof FOR OFFICE USE ONLY
. City of Tigard Received
Date /By: Permit No.:
11 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T l G A R D Inspection Line: 503.639.4175 Date Ready/By: Ef See Page 2 for
Internet: www.tigard - or.gov 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
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ID Multi-family Number of bedrooms:
El Master builder 1=1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
City/State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors 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: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedale)
Structural plan review fee (or deposit):
City/State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
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: Date: * Fee methodology set by Tri -County Building Industry
Service Board
I: \ Building \Permits\ROOF- PermitApp.doc I0 /01/09 440- 4613T(11 /02 /COM/WFB)