Permit •
CITY OF TIGARD REROOF PERMIT
: COMMUNITY DEVELOPMENT Permit #: RER2009 -00002
T I GAR n 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/05/2009
Parcel: 1S135DD05102
Jurisdiction: Tigard
Site address: 11993 SW PACIFIC HWY
Subdivision: Lot: 0
Project: 1st Choice
Project Description: Tear off and reroof.
Owner: FEES
GLADSTONE, HELENE D FAMILY TRUST Description Date Amount
BY JEFF PAINE, 9155 SW 69TH AVE Permit Fee 06/05/2009 $205.50
TIGARD, OR 97223 12% State Surcharge - Building 06/05/2009 $24.66
PHONE:
Contractor:
R & R ROOFING •
2510 NW 119TH ST
PORTLAND, OR 97229
PHONE: 503- 969 -3346
FAX: 503 - 747 -4786
Specifics:
Type of Use: COM
•
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
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General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay: .
Existing Roof Layers:
Parapets:
Total $230.16
Required Items and Reports (Conditions)
This permi sued su . = 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 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 18.
day= ATTENTION: Oregon law,req • -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95. 001 -0010 through OAR 95. • ' 1-0 00. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 •1.80• . c .234
Is ued By: / 64/44 Permittee Signature: L •
_J
Call 503.639.4175 by 7:00 a.m. for an Inspection that bu Mess d
Ai . r
This permit card shall be kept In a conspicuous place on the job site until comp of the project
Approved plans are required on the Job site at the time of each Ins ••, tion.
•
uilding Permit Application
Re -Roof FOR OFFICE USE ONLY
Received / _ 6 .--- e k lk O09..e y
City of Tigard Received (-Q Permit No.: G Qt(a(J «.(•W
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C . Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
1 I G n 1: Il Inspection Line: 503.639.4175 Date Ready/By: duns' 0 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: S upplemental Inf
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 (rounded to the nearest dollar) of all
si Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling pCommercial/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: /a fyf 3 5 w /46i-cm. Y y New dwelling area: square feet
City/State/ZIP: .� d t. f722 3 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Inc 4. „c, u.-y ff Deck area: square feet
e , -- - c1J fly/( 7 f tce tJFj u /I Other structure area: square feet
I 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 (rounded to the nearest dol ) of all
equipment, materials, labor, overhead, and de profit for the
DESCRIPTION OF WORK work indicated on this application.
. -rit A nGeo Valuation: $ 6 0
r� Existing building area: A200 square feet
i
New building area: square feet
p PROPERTY OWNER ❑ TENANT Number of stories:
Name: / t( F S Top os , Type of construction:
Address: /f'6 71' S - /3 011.- /t”` - Occupancy groups:
City /State /ZIP: e,/t ctigt 4 . O� • 970 /5 -- Existing: x
Phone: (/p3,) t;f6— 1760 — Fax: ( ) New:
❑ APPLICANT gI CONTACT PERSON NOTICE
Business name: /57" e4;16 4 r , 4 $t /✓,-tr All contractors and subcontractors are required to be
Contact name: AP/ S o f- G � . licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /56 79 fc 7 5I t` jurisdiction in which work is being performed. If the
City/State /ZIP: /f applicant is exempt from licensing, the following reasons
t✓� (` A A„+A) 0 p' apply:
Phone: ( fv) ) C - d 70 0 - Fax:: ( )
E -mail:
CONTRACTOR
Business name: Z 3 /2. Rotrri46 BUILDING PERMIT FEES*
Address: q !/O 4 AJ t) 11f ri` (please refer to fee schedule) fr
Structural plan review fee (or deposit):
City/State /ZIP:
rd 4 7 — O A 97LZ FLS plan review fee (if applicable):
Phone: (0 ) 1 3 3 y 4 Fax: (le ) 74/ 7 y 196 —
CCB lic.: i6 3 / z ( b Total fees due upon application:
/ Amount received: A5C) . 16 '
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: e-/C/ii rj L J I Date: 6�.i p 9' ,_ * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits\ROOF- PermitApp.doc 06 /26/06 440.4613T(I1/02/COM/WEB)
0
fir
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) 7 -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. b 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\Perrnits\ROOF- PermitApp.doc 2
City of Tigard Building Department
13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171
Re-Roof Pre-inspection R . _
Requested by (._ . >fi tt S ! L ia._
Job Address Telephone t ��Y
Roof Access Location : ,` c71� ie • /c
Date Requested _ ....!_e„
Time Requested
Type of Existing Roof , ,. A
1. Slope of roof deck
/ foot (ratio) %
2. Roof/Penetrations/General Conditions
3. Are there blisters? .Fair ❑ Poor
❑ Yes ) 1;1 No
4. Are there cracks? ❑Yes
p(No
5. Is there evidence of water
policing? t 14. Yes No 4.8-2A-,-6, v c
6. Is moisture present under roofing (leak)? ❑ Yes `
No
7. Is roof insulation existing? .
8. Is roof insulation wet? Yes ❑ No
0 Yes ko
9. Property line setbacks on all sides > 10 feet ❑ Yes
_ 10. Roof Area cg; o
❑ ` 6000 sq. ft P 6000 sq. ft.
41. Building height
_< 2 Stories - ❑ > 2 Stories
`" .12. Class of roof required ❑ Non-rated
,.,13. Type roof deck ❑ A. ❑ C.
tiCombustible ❑ Non-Combustible
14. Roof drains
_ ( Of Provided ❑ Required ❑ Adequate
15. Overflow drains $ t
Provided ❑ Required
16. Attic ventilation ❑Adequate
Provided ❑ Required ❑ Adequate e ,
17. Roof listing ,,��.�/
provided ❑ Required
18. Scope of worts
Tear off ❑ Overlay
To re -roof this structure the following conditions must be met
The re -roof proposal is PA . 'proved for permit issuance if the conditions listed above are met. After obtaining your
3uilding Division for an inspection when the roof deck is ready for the first ins g y permit you must contact the
y inspection. The first inspection for a complete tear off is the deck
nspection. For a built -up roofing system (overlay), the first inspection is at the start of the job. After the re -roof is complete, a final inspection is
equired.
nspector .1 .' . ii
a
Ext. �c� Date � D
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.....nW.r...J Ple:..
05/22/2009 WED 8:48 FAX 0001 /001
DEALERS SUPPLY QUOTE
110 S.E. WASHINGTON STREET
PORTLAND, OREGON 97214 Customer Copy
D E A L E� R S/• C Phone: 503- 236 -1195 .,___ - _::;:_::_:::-_;;;
=MJ9'`!j ' Ll - : :: 000540
1! 1 (/ FAX NUMBER: 503 -236 -4314 `:"`'``:- =; ° =:. . =_;
:Deter;:; :_ ;'+�� 05/27/09
Website: www.dealerssupply.com _;
- ^ Ship T q; R & R ROOFING INC . = _ -' .. o _:- R & R ROOFING INC
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- ` PE _NI = -; .; - : 2510 NW 119TH PLACE
- =€ PORTLAND, OR = -_ _ _ - PORTLAND, OR 97229
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TPO ROOF 07/31/09 MR 2%1OTH, NET1ITH 01 PREPAID DELIVERY
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GFTPO.0604X100 GF TPO .060 4'X100' 9 RL 240.00 RL 2160.00
• GFTPO.0608X100 GF TPO .060 8'X100' 8 RL 480.00 • ' RL 3840.00
DENSIJ4 1/4" DENSDECK 4X8 86.08 SQ 38.65 SQ 1 . 3326.99
1231 -5/8 'PHILLIPS #12. #3 1- • 2 BK • 47.25 BK ' 94.50
FSINSPLATE F/S 3" METAL INSULAT
• __ 2 BK 79.20 BK 158.40
GFSCREW2 GF HDX WE. PHILLIPS 2 4 BK 101.20 BK 404.80
GFBARBEDPLATE GF 2-3 /8" BARBED SEA 4 BK 177.50 BK 710.00
GFTPOBOND GF TPO BONDING ADH_ 1 BK 96.25 BK 96.25
GFWATERSTOP GF WATER STOP 4 TB 3.85 TB 15.40
GFPPOTERMCAULK- GF TPO TERMINATION C 25• EA 8.50 EA . , 212.50
GFTPOEDGESEALWIIITE GF TPO EDGE SEALANT 2 EA 18.35 EA 36.70
• GFTPOBOOTS GF TPO STANDARD 1 10 EA 22.00 EA. 220.00
GFTPOINCORNERSWHITE GP TPO INSIDE CORNER . 10 EA 4.25 EA 42.50
• GF FPOOUTCORNERSVVHIT& GP TPO OUTSIDE CORNE 20 EA 7.00 EA 140.00
GFTPOTJOINTWHITE GP TPO T -JOINT WHITE 100 EA .75 EA 75.00
UFLOW4 U-FLOW DRAIN 4" BUR 2 EA 213.00 EA .! 426.00
THROUGHWALLSCUPPER THROUGH WALL SCUPPER 2.00 EA 80.00 EA 160.00
GFTPOTAPEKITWIIITE GF TPO 5" WHITE COVE - - - 1 KT 332.15 KT - 33
GFTPOPRJMER GP TPO CLEAR PRIMER • 1 BK 77.50 BK 77.50
TURBINEBROWN -. -TURBINE VENT BROWN 1 - -' .'--- -7 . EA- ------ _........._.......38.60 EA 270.20
' 12 "TPOVENTFLASHING 12" TPO VENT FLASFHI 7.00 EA 50.00 EA 350.00
•
GENCLE GENERIC CLEANER 1 GA • 2. GL 19.85 GL 39.70
RAGS BAG OF RAGS 10 EA 5.00 EA 50.00
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