Permit CITY OF TIGARD REROOF PERMIT
Q' COMMUNITY DEVELOPMENT Permit #: RER2009 -00004
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2009
Parcel: 2S102BD02600
Jurisdiction: Tigard
Site address: 12965 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Kim
Project Description: Reroof - Tear -off and replace.
Owner: FEES
KIM, PENNEY Description Date Amount
395 NW SILVERADO DR Permit Fee 08/05/2009 $112.55
BEAVERTON, OR 97006 12% State Surcharge - Building 08/05/2009 $13.51
PHONE:
Contractor:
H & B ROOFING
PO BOX 20466
PORTLAND, OR 97294
PHONE: 503 - 667 -7977
FAX:
Specifics:
Type of Use: COM
Class of Work: OTR 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 $126.06
Required Items and Reports (Conditions)
This per ' • .. ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do : in accordance w • 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
day ATTENTION: Oregon re• • fires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OAR 95 • 0 01 -010ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.661 or 1.800.332.234• /
Is - ed By: A / 4, I �� A.■_e J . Permittee Signature: . ...IV
Call 503.839.4175 by 7:00 a.m, for an inspection that bus ness d .
This permit card shall be kept In a conspicuous place on the job site until corn. etlon of e proje
Approved plans are required on the job site at the time of each Ins • ection
Building Permit Application
Re -Roof FOR OFFICE USE ONLY
City of Tigard RECEIVED Date/By: 0 01 . ! Permit No.: P t , , /r 9400
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Ill . Phone: 503.639.4171 Fax: 503.598 960 Date/By: Other Permit:
TI G n li D Inspection Line: 503.639.4175 RU I) 0 5 2009 Da Ready/By: y: rurt • See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ((j> Supplemental Information
CITY OF TIGA TT``
TYIIMAICAP 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 (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: I7 76 S' . 5y . ,..) _4((_,) 9' 7 New dwelling area: square feet
City /State/ZIP: c,.� /( �1 / F7 Z 7 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ,U Cu / i ' IIC� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COME ERCIAL -USE CHECKLIST
Subdivision: I 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.
0/7 _ C' _ //t-1,5 e---4-(c. Valuation: $ e�� 0 p
7 � /2C>° Existin building area: t square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: /e—/t o 06 ,//7 Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: (5 6Q / 7' V
ZOO Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 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 f
Business name: e c c / -' 7 BUILDING PERMIT FEES*
Address: G /,GX / 6 (Please refer to fee schedule)
an review fee or ep ): / M , 3
City/State /Z[P: at1400 77 7 Z 9 f
le): ` 2 , S 7
Phone: i 'j3 V C J' - o �( 7 I F : ( )
CCB lic.: / 3 3 c J
6 I / 314 / 0 Total fees due upon application:
Amount received: / 24- ow
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�?j� Print name: [ f q rz Date: t� /0 l * Fee methodology set by Tri -County Building Industry
Service Board.
L\Building\PermitstROOF- PermitApp.doc 06/26/06 440-4613T(11/02/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 -2433.
❑ 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: $
l:\Building\Permits\ROOF- PermitApp.doc 2
Commercial Re -Roof Permit Fees
' State Structural Total
Project Valuation Permit Fee Surcharge Review Re -Roof
From: To: 12% 65% Fees
1- 2,000. 62.50 7.50 40.63 110.63
2,001 3,000 69.65 8.36 45.27 123.28
3,001 , 4,000 . 76.80 9.22 49.92 135.94
4,001 5,000 83.95 10.07 54.57 148.59
5,001 6,000 91.10 10.93 ,59.22 161.25
6,001 7,000 98.25 11.79 63.86 ' 173.90
7,001 8,000 105.40 12.65 68.51 186.56
8,001 9,000 112.55 13.51 73.16 199.22
9,001 10,000 119.70 14.36 77.81 211.87
10,001 11,000 126.85 15.22 82.45 224.52
11,001 12;000 134.00 16.08 87.10' 237.18
12,001 13,000 141.15 16.94 91.75 249.84
13,001 14,000 148.30 17.80 96.40 262.50
14,001 15,000 155.45 18.65 101.04 275.14
15,001 16,000. 162.60 19.51 105.69 287.80
16,001 17,000 169.75 20.37 110.34 300.46
17,001 18,000 176.90 21.23' 114.99 313.12
18,001 19,000 184.05• 22.09 119.63 325.77
19,001 20,000 • 191.20 - 22.94 - 124.28 338.42
. 20,001 21,000 198.35 ' 23.80 128.93 351.08
21,001 22,000 205.50 2.4.66 133.58 363.74
: 22,001 23,000 212.65 25.52 • 138.22 376.39
23,001 24,000 219.80 26.38 142.87 389.05
24,001 25,000 226.95 27.23 . 147.52 401.70
25,001 26,000 232.54 27.90 151.15 411.59
- 26,001 27,000 238.13 28.58 154.78 421.49
27,001 28,000 ' 243.72 29.25 158.42 431.39
...., 28,001 29;000 249.31 29.92 162.05 441.28
29,001 30,000' ' • 254.90 . 30.59 165.69' 451.18
. 30,001 31,000 260.49 31.26 169.32 • 461.07 .
31,001 32,000 266.08 31.93 172.95 470.96
32,001 33,000 271.67 32.60 • 176.59• ' 480.86
33,001 34,000 277.26 33.27 180.22 490.75
34,001 35,000 282.85 33.94 183.85 500.64
35,001 36,000 • .288.44 34.61 187.49 510.54
36,001 37,000 294.03 35.28 191.12 • 520.43
37,001 38,000 299.62 35.95 194.75 530.32 .
. 38,001 39,000 305.21 36.63 198.39 540.23
39,001 40,000 310.80 37.30 202.02 550.12
40,001 41,000 316.39 37.97 205.65. 560.01
41,001 42,000 321.98 38.64 209.29 569.91
• 42,001 43,000 327.57 39.31 212.92 579.80.
43,001 44,000 333.16 39.98 ' 216.55 589.69
44,001 45,000 , ' 338.75 40.65 220.19 599.59
' 45,001' • 46,000 344.34 41.32 223.82 609.48 .
- 46,001' 47,000 - 349.93 41.99 227.45 619.37
47,001 ' , 48,000. 355.52 42.66 • 231.09 62927 .
48,001• 49,000 361.11 43.33 234.72 639.16 -
49,001- 50,000 366.70 44.00 238 :36 649.06
Building\Fee Schedules \Fees COM -Roof 01- 01- 08.doc 1 '
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CITY OF TIGARD ..} Pre -. Q 4L
BUILDING DIVISION PERMIT #: J .,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 .--cvl
Phone: (503) 639 -4171 :;f4„,0 a `�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -_ ' �
INSPECTION WORKSHEET FOR DATE: C "1 / U I TIME: 12,14 PAGE:
•
SITE ADDRESS: I Vii 1 ( C--;/, 1 -1/0 ` CLASS 00 WORK:
SUBDIVISION. LOT #. TYPE OF USE.
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: • Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corr ctions /Cmments /Instructions: 1
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PASS ❑PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: ,.. 11 L,. -.. - . Date: 5 / ° 4
t . j 6 Phone #: (503) 718t»1 �y.L t
CITY OF TIGARD �� 6L—P'
BUILDING DIVISION PERMIT #: ' "
13 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: "''"5
Phone. (503) 639 -4171 �9�uii;� "
Inspection Requests (24 Hrs.): (503) 639 -4175 !'I �! � ®/ d 0
INSPECTION WORKSHEET FOR DATE: / 0 TIME: )2/4 PAGE:
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SITE ADDRESS: 1 2A S 1 / 4 ' CLASS O WORK:
SUBDIVISION. LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
J
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corr ctions /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4/1 V Dater 4 1) Phone #: (503) 718 I