Permit 9 CITY OF TIGARD REROOF PERMIT
11 1, : ' COMMUNITY DEVELOPM Permit #: RER2011 -00010
Date Issued: 09/14/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439
Parcel: 1 S136DCO2503
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 200
Project: Petsmart Subdivision: Lot:
Project Description: Reroof - overlay existing.
Contractor: COLUMBIA CONSTRUCTION SERVICE INC Owner: LURIA, MARK T
18525 SW 126TH PL WHEELES, DOYLE E
TUALATIN, OR 97062 BY PETSMART INC, PROPERTY MGMT
19601 N 27TH AVE, 4TH FLOOR
PHOENIX, AZ 85027
PHONE 503 -684 -9123 PHONE:
FAX. 503 - 684 -1458
FEES
Description Date Amount
Permit Fee 09/14/2011 $1,015.59
Specifics: 12% State Surcharge - Building 09/14/2011 $121 87
Info Process /Archiving - Sm Sheet (up to 09/14/2011 $4.00
Type of Use: COM 11x17)
Class of Work: ALT Type of Const: Hourly 12% State Surcharge 09/14/2011 $10.80
Occupancy Load: Hourly Building Rate 09/14/2011 $90.00
Stories: Height: 0 ft
Project Valuation: $87,756.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class
Tear Off'
Overlay. Yes
Existing Roof Layers
Parapets:
Total $1,242 26
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 cop oft iu1e or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: ermittee Signature:
`
_ row
Call 503.6 fi � by 7:00 a.m. for the next available inspection date.
This permit card • - . - 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 49
Re -Roof �� ��\ FOR OFFICE USE ONLY
City of Tigard 44 C �' Received D Permit No
I - q 13125 SW Hall Blvd , Tigard, OR% 23 N. eQS Date /B 1 ( / .. ��� .: 'e� �J
g w Plan Review
Phone 503 718.2439 Fax. 503.598.i9 JJ _`�S Date /B Other Permit
TIGARD Inspection Line. 503 639 4175 Q � Date Ready /By Juns l0 See Page 2 for
Internet www.tigard gov Nottfied/Method � Supplemental Information
ctio
T OF WOR
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction El 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
. CA TEGORY OF CONSTRUCTION., work indicated on this application.
1=1 K 1- and 2- family dwelling Commercial /industrial Valuation: $
CI Accessory building El Multi-family Number of bedrooms:
1:1 Master builder El Other:
Number of bathrooms:
' ' J OB • SITE INFORMATION AND LOCATION Total number of floors:
Job site address: "150( SW Q Get pm 5t- f New dwelling area: squate feet
City /State /ZIP: ri, 4 � OL� 9'7 2,2-,3 Garage /carport area: square feet
V
Suite/bldg. /apt. no.: d.. Project name j'3x5, y .,, 4-r t # 3e"7 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.
A o
I . V $ ,F7 7 s6 �oo
c7ve,• lc Y ;si''^S Qu } - u� rvr, � fr. fh 1 12. 4 tl� i
c.,,- F>1( E Pa c X1.4 bO v.,: + r t yA (p,. ( 6 p Qp l c, ii Existing building area: 26, 19,0 square feet
yN/ V ∎ 1^ kr∎I Gti /4/ C., f'f'e c d. New building area square feet
BI PROPERTY OWNER , ❑ TENANT ' Number of stories:
Name: Pt f S in C, r • LAC, Type of construction: R r 00 f
Address: (q b0 ( J, 2,, f" Avt Occupancy groups: IQ eke .„, ; 1 / rat it
Cit /State/ZIP pi,p y I Az 2, 5 0' 7 Existing.
Phone: ( ) Fax: ( ) New:
®. APPLICANT. I CONTACT PERSON NOTICE'
Business name: Co((..34. Ic , Gj✓1S f , ,SQJ" V;cgS All contractors and subcontractors are required to be
Contact name: CA, ei.d; C, licensed with the Oregon Construction Contractors Board
JJ under ORS 701 and may be required to be licensed in the
Address: / O. 525 5W /2v - k. j 7/, jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP r i, L 4 10.fi n 0R 91
apply:
Phone: (5 g..18-22 Fax: : (5 ) b 9 68 1JP Y
E -mail: CA 1 a & r Croo f roo, CO✓ti
CONTRACTOR' y
Business name: to/ b Q e 1.1 4 , se,- ✓+ ,,,tS BUILDING_PERMIT FEES*
Address: /0 5'2 So / 2 67' ` PC_ (Please refer lo fee schedule)
City /State /ZIP: T Ia. l i k\ 6 R 1 A'76 b
I Structural plan review fee (or deposit)
Phone: (5d3) bail - 9 I �3 Fax: (543) ktit(_ 1 ii 62, FLS plan review fee (if applicable) ,
cc6llC.: !l b lo c? C/ � '
Total fees due upon application: /�
�' 4
4,,M f Amount received:
Authorized signature: li -0-"�� This permit application expires if a permit is not obtained
�/ within 180 days after it has been accepted as complete.
Print name CA.1,66 64J; Date: 9■l 1 4 / gou * Fee methodology set by Tri- County Building Industry
Service Board
I \Building \ Perms \ROOF- PcrmitApp dm. 10/01/09 440 -46 t 3T( I 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)
X. 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: $
2l0, '7 V-0 sq. ft. Zit a'1 , "756 '77,
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: $
http: / /www.tigard -or gov /city_hall/departments(cd/docs /ROOF- PermitApp.d2c