Permit CITY OF TIGARD REROOF PERMIT
- '• COMMUNITY DEVELOPMENT Permit #: RER2011 00011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 09/20/2011
Parcel: 2S101AD01100
Jurisdiction: Tigard
Site address: 6745 SW HAMPTON ST
Project: Pacific Four Sales Subdivision: WEST PORTLAND HEIGHTS Lot: 28
Project Description: Reroof - complete tear - off and install new thermoplastic membrane
Contractor: BUCKAROO THERMOSEAL INC Owner: J &M HAMPTON LLC
5410 NE 109TH AVE 6745 SW HAMPTON ST #100
PORTLAND, OR 97220 PORTLAND, OR 97223
PHONE' 503 - 254 -5881 PHONE. 503 - 805 -7214
FAX: 503 - 257 -6007
FEES
Description Date Amount
Permit Fee 09/20/2011 $408.32
Specifics: 12% State Surcharge - Building 09/20/2011 $49 00
Info Process /Archiving - Sm Sheet (up to 09/20/2011 $3.50
Type of Use: COM 11x17)
Class of Work: OTR Type of Const: Hourly 12% State Surcharge 09/20/2011 $10.80
Occupancy Load: Hourly Building Rate 09/20/2011 $90.00
Stories: Height: 0 ft
Project Valuation: $21,947 00
General Information
Building Area' 0
Re -Roof Area. 0
Roof Class'
Tear Off:
Overlay:
Existing Roof Layers'
Parapets'
Total $561 62
Required Items and Reports (Conditions)
Thi ermit is issu-• subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
b done in accordance , th 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
ays ATTENTION Oregon aw requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 - 001 -0010 hrough OAR 952 -1 s r.1 •u may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 4
/ � � Issued By: / � i Permittee Signat re: `�� �,��J /, 4 � J
Call 503.639.4175 by 7:00 a.m. for the next availabl • ection d /
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 � n FOR OFFICE USE ONLY 4 = jrn
City of Tigard Date /B / / of0 Permit No : i E f -. —6001
13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
Phone. 503 718 2439 Fax. 503.598 1960 Date /B Other Permit -
TI GA R D Inspection Line 503 639 4175 Date Ready /By inns ® See Page 2 for
Internet www tigard or.gov Notified/Method Supplemental Information
°j: .TYPE :.OF ' WORK, ' , `" iEQUIRED DATA: 1410 2-FAilii D '
❑ 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: Re -Roof equipment, materials, labor, overhead, and the profit for the
° -- -,, -» work indicated on this application.
. ,. • ;CATEGORY' OF CONSTRUCTION- ° : - _r' t�; • 5 *- -:,
"� "�.' " Y " . ��� • .
r Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms.
❑ Master builder ❑ Other: Number of bathrooms:
- , Total number of floors:
' - ' ` ''' _ ' „ TOR S SITE :INFORMATION AND ,<LOCATION °, . _ b r°
Job site address 6745 SW hampton st. New dwelling area: square feet
City /State /ZIP: 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Pacific Four Sales Covered porch area: square feet
Cross street/directions to job site: SW 67 Ave. 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
+:'' " <P0 - -. " ' `r work indicated on this application.
DESCRIPTION;:OF -WORK, , "
Complete tear -off of the existing roof membrane, install new thermoplastic Valuation: $$21,947.00
membrane. Existing building area: 4000 square feet
New building area: 0 square feet
°µ : w ' I "PROPERTY' w ...P ❑ TENAN Number of stories: 2
Name: Harold James Type of construction:
Address: 6745 SW Hampton st. Occupancy groups:
City /State /ZIP: 97223 Existing:
Phone: (503)805.7214 Fax: ( ) New:
A APPL ' ,.' ,. CON TAC T , :' , ' S .O N: . - ;
Business name: Buckaroo Thermsoeal INc. All contractors and subcontractors are required to be
Contact name: H. Greg Gowing licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 5410 NE 109 Ave. jurisdiction in which work is being performed. If the
City /State /ZIP: Potland OR. 97220 applicant is exempt from licensing, the following reasons
apply.
Phone: (503) 254.5581 Fax: : (503) 257.6007
E -mail: greg @buckaroo - thermoseal.com
, • , ,3' s ,,, t T . CONTRACTOR = ? m ., > ,''
,,_ s :, . • : :,
Business name: Buckaroo Thermoseal Inc. ,
4 ;�• ;` - �� " BUILDING PERMIT ,FEES * °`. :7 z �: `• i , A,
Address: 5410 NE 109 Ave. : :.- 5.`.° : - . .( Plea's e refei to ' fee' schedfile5 . . , x: .: ..
Structural plan review fee (or deposit):
City /State /ZiP: Portland OR. 97220
FLS plan review fee (if applicable):
Phone: (503) 254.5581 II �t, Fax: (503) 257.6007
CCB lie.: 454 (6 `S L� l Total fees due upon application:
/ r` Amount received: X5,/ �°L'
Authorized signature: . ' / This permit application expires if a permit is not obtained
111 L • • f within 180 days after it has been accepted as complete.
Print name: H. Greg Gowing Date: 9/16/2011 * Fee methodology set by Tri- County Building Industry
Service Board.
tABudding \Permits \ROOF- PermitApp dec. 10/01/09 440- 4613T( 1 1/02 /COM /WEB)
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAti(01*= .& :Two- Eamily Dwelling ), ;:. : a
❑ 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); s ''`
® 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: $ 21,947
sq. ft. 4000 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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