Permit CITY OF TIGARD REROOF PERMIT
111 COMMUNITY DEVELOPMENT Permit #: RER2011 00003
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/05/2011
�i"�� Parcel: 1S136CA01601
Jurisdiction: Tigard
Site address: 11665 SW PACIFIC HWY
Project: Key Bank Subdivision: FAIRVALE Lot: 6
Project Description: Re - roof - covering existing roof.
Contractor: PACIFIC TECH CONSTRUCTION INC Owner: HALL, DONALD W & GRACE L &
1401 INDUSTRIAL WAY #400 HALL, JOHN G ET AL
LONGVIEW, WA 98632 BY FIRST AMERICAN REAL ESTATE TA
DALLAS, TX 75247
PHONE: 360- 414 -8084 PHONE:
FAX: 360- 414 -8196
FEES
Description Date Amount
Permit Fee 05/05/2011 $729.45
Specifics: Plan Review 05/05/2011 $474.14
12% State Surcharge - Building 05/05/2011 $87.53
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 2 Height: 0 ft
Project Valuation: $49,878.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: No
Overlay:
Existing Roof Layers:
Parapets:
Total $1,291.12
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 9 - 001 -0090. You may obtain a • • • erect questions to OU !ling 503.232.1987 or 1.800.332.2344.
Issued By: i< dig ol1. 11F Permi' ee• Signature:
C� c 175 by 7:00 a.m. for the next available inspection date.
This permit card be kept in a conspicuous place on thObb-site-uutiLcumpletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re -Roof RECEIVED FOR 01.1.1( I. I iI :O \I.1
City of Tigard M AY 5 2011 R r,i PermitNo.: ae, ,_ ��c
A 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
11. Phone: 503.718.2439 Fax: 503.598. I Y O Date/By: Other Permit:
TI �, R H Inspection Line: 503.639.4175 F TIGARD Date Ready/13y: ® y: Juri s: See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: D 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 (rornded to the nearest dollar) of all
E( Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CON
SS work indicated on this application.
ID 1- and 2- family dwelling E t, ommercial/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: l ` etos so H,1 l New dwelling area: square feet
City /State /ZIP: 115 I CI. T9 3 I Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: = ■ k .. • /, • • Covered porch area square feet
Cross street/directions to job site: Deck area: 5,0 d1 square feet
Other structure area: 5,07,4;00 square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF W work indicated on this application. Ie� B p 8
4 Ze G ." U tY 1 SAk _� CO Valuation: $ !�„ � , 7 ! 5 �.G V�/+[/t ��l/� Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: Two
Name: f ea Type of construction:
Address: P VA W t 5 Occupancy groups:
City /State /ZIP: 1 Cd(:) 1 0 H 1.4 2 o 2\ Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: PQC .1;i C TeC ( "1g' ' („'j1 All contractors and subcontractors are required to be
Contact name: S� ` MC. / �Q licensed with the Oregon Construction Contractors Board
� ^ \ T � A `- �� under ORS 701 and may be required to be jurisdiction in which work is being performed. If t in the
Address: km o‘ -f\ ed. If the
City /State /ZIP: C, s ( �IJ I� a) ( W�1 a bw c. a is exempt from licensing, the following reasons
2I� , 1 [�1, 1 1 Q f I apply:
Phone: 6w L��'1 • I Fax:: O )l �I�i� �� 1 �P
E-mail: ` " C rCW Cl
■ k Ic- C . \n
'CONTRACTOR
Business name: Pa C 1 AC \ Q C ■ \ r Qy' BUILDING PERMIT FEES*
Address: t 4 U ' ut S k T ii. vorAll -" 00 (Please refer to fee schedule)
e Structural plan review fee (or deposit):
City/State /ZIP: LU u `e .. ' W V 9
Phone: 3? 100) L.4 1 4 e Fax: Au) y l _ el 9 I _ FLS plan review fee (if applicable):
CCB lic.: 1 `010 q 1 �P Total fees due upon application:
Amount received:
Authorized signature r .
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name J ` 1...kC G � Date: MA s' L 2,0 \ * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\ROOF- PermitApp.doc 10/01 /09 440- 4613T(1I /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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