Permit CITY OF TIGARD REROOF PERMIT
k'! ' COMMUNITY DEVELOPMENT Permit #: RER2011 00018
T 6GARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 11/01/2011
Parcel: 2S102AA04201
Jurisdiction: Tigard
Site address: 8955 SW COMMERCIAL ST
Project: SPEC SPACE Subdivision: TIGARD HIGHWAY TRACTS Lot: 2
Project Description: Reroof - remove and replace
Contractor: PACIFIC WEST ROOFING LLC Owner: KING ELAINE HOLDINGS
9360 SW TUALATIN - SHERWOOD RD 8305 SW CREEKSIDE SUITE A
TUALATIN, OR 97062 BEAVERTON, OR 97008
PHONE. 503 - 635 -8706
PHONE' 503 - 624 -6700
FAX: 503 - 691 -2249
FEES
Description Date Amount
Permit Fee 11/01/2011 $241.01
Specifics: 12% State Surcharge - Building 11/01/2011 $28.92
Info Process /Archiving - Sm Sheet (up to 11/01/2011 $2.00
Type of Use: COM 11x17)
Class of Work: OTR Type of Const: Hourly 12% State Surcharge 11/01/2011 $10 80
Occupancy Load: Hourly Building Rate 11/01/2011 $90.00
Stories: Height: 0 ft
Project Valuation: $10,800.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers
Parapets:
Total $372 73
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 2 1987 or 1 800 332 2344
Issued By: ee_Signature:
Oi iE• 39.4175 by 7:00 a.m. for the next available inspection date.
This permit c. • s _ a 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 ,,..a. , FOR'OFF USE ONLY
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City of Tigard ; i " .. , /k ,74,0i,. Rece Date/B ived li)� �'� Permit No ' 6._ _ 't?
'i 13125 SW Hall Blvd , Tigard, OR 97223 .••ni s, ': . ; • t Plan Review
• Phone 503 718 2439 Fax • 503 598.1'960 011 Date/By Permit
TIGARD Inspection Line• 503.639.4175 '`\ k � `�'. et8 DateReadyBy runs El See Page 2 for
Internet www.tigard- or.gov �V l`� ,o® � Notified/Method o Supplemental Information
TYPE OF WORIG1� olikc"• )V ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING
tU` ition fees* of Permit ees* are based on the value o the work performed.
❑ New construction ❑ Demolition p
Indicate the value (romded 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 (Commercial /industrial Valuation. $
El 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: A S 5 5 W c O w• vv.-e v' C i ,,A. c.. F New dwelling area square feet
City /State /ZIP: Z'..) 0%.....- c 0 . A. Z Z. 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: 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 WORK work indi ted on this application.
,^� � Valuation• $ ,0
1Z¢.tM�v..Q_ e .... sec s `t t v 12.9-64 � �t- ���'h./� to >P�
�4, -14... k A.� (_- d oti e ,.,,ti `t i Existing building area square feet
o New building area: square feet
❑ PROPERTY OWNER ❑ TENANT '' rr t r Number of stories:
Name: C V' o . . W\ o‘ e 'r i t� t .'+ Q t ( ...�, YiiO iC I v Type of construction:
Address: '& j V1/ Cf %C. S A . C .. ' `Le. r Occupancy groups:
City/State /ZIP: S e,,..- {, v(.Oh 0.-- Existing:
Phone: ( 5.0 CO2 t{ - G7 O O Fax: ( ) New:
tECAPPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1?D. -e..• 4 .� v,.../.. -C. 20-rkytc All contractors and subcontractors are required to be
Contact name: PD 4 - v:".t� 0% 4 - v' s licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Q 3 cpO -C,o..12. - S L t2.et jurisdiction in which work is being performed. If the
City /State /ZIP: c,,,_g. D d1, - 70(02 applicant is exempt from licensing, the following reasons
apply:
i PP Y:
Phone: ( 5D 5`'Iq ^Z\S t; Fax:: (S k"<< -ZZ c( 1
E -mail: br Q p/.- c..L.c wL1-; V%9a'A i' . C O c'✓I
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) Fax.( )
CCB lic.: 1 (/�� Pi Total fees due upon application: 4'1 )
�" Amount received: 3 7) i .73
Authorized signature: j
This permit application expires if a ermit is not obtained
P PP P P
Print name: 1
`yx i I� f' ` 'I j Q C�LV �`'`S Date: 1 `^ `_ ‘ * Fee methodology set by Tn- County Building Industry
Service Board.
1 \Budding\ Permits \ROOF- PermitApp doc 10/01/09 440- 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. Call
503.639.4175, for code 295 Miscellaneous inspection after permit is issued.
❑ 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: $
•
I \Building\Permits\ROOF- PermitApp.doc 2