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Permit • i t V CITY OF TIGARD REROOF PERMIT II 2 . • COMMUNITY DEVELOPMENT Permit #: RER2009 -00010 TIGARD_ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/09/2009 Parcel: 2S110AA01200 • Jurisdiction: Tigard Site address: 14300 SW PACIFIC HWY Subdivision: Lot: 0 Project: Dr. Wilson Project Description: Reroof, tear -off and replace. Owner: FEES CAIN, JAMES L Description Date Amount 27775 NW WILLIAMS CANYON RD Permit Fee 09/09/2009 $232.54 GASTON, OR 97119 12% State Surcharge - Building 09/09/2009 $27.90 PHONE: Contractor: GRIFFITH ROOFING 6815 SW 111TH AVE BEAVERTON, OR 97005 PHONE: 503 - 643 -1596 FAX: 503- 644 -1529 Seecifics: Type of Use: COM Class of Work: OTR Type of Const: Occupancy Load: Stories: Height: 0 ft General Information Building Area: o Re -Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $260.44 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 n accordance . 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 ys. ATTENTION: Oregon • r' • • ••` ; you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 9. -001 -0 • • ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: / '` Permi ttee Signature: 41. _ _ _ S Call 503.639.4175 by 7:00 a.m. for an Inspection that b - Iness day. This permit card shall be kept in a conspicuous place on the Job site until completion of Ir Approved plans are required on the Job site at the time of each Inspection. 1 Re -Roof Ete_geef. cog-57 Buildin_ Permit A D FOR OFFICE USE ONLY Received I • / f , City of Tigard 00 9 DateB : ? ` o ' Permit No.: , ii - i •. 13125 SW Hall Blvd., Tigard, OR 97223 p 0 9 2 Plan Review Phone: 503.639.4171 Fax: 503.598.196 ' `i\ B l��l�I Date : Other Permit: .on Inspection Line: 503.639.4175 �.�+� F' SG W _ �ay ''' Date Ready/By: See Page 2 for Internet: www.ci.tigard.or.us Cil i MIMI ' Notified/Method: MN Supplemental Information BUILD1N 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 ❑ Addition/alteration/replacement 141 Other: r 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: $ ❑ 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: /4/30 S 1 , J ?q 1 � f G t4 w y New dwelling area: square feet City/State/ZIP: q4 r © Garage/carport area: square feet Suite/bldg. /apt. n o.: � Project n ame: r Covered porch area: square feet Cross street/directions to job site: .-- PIP-. I I L »..3 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 DESCRIPTION OF WORK work indicated on this application. / Valuation: $ 2-000, rt nn .' a. o tr 4,46. 1 � t re I VY c .. /�i/4S 411 re S / f Existing building area: p900 square feet �, tip " C CC f'""__ New building area: s sic square feet *PROPERTY OWNER ❑ TENANT Number of stories: ' Name: J) r I - 1 , (S Type of construction: � Address: 2 7 7 7S u L) w l .11 t tkw C 4Kt/ t- ei pj Occupancy groups:Dc41. fs) 07 ('t 1 ce City / State/ZIP: e © - 1 y r q 7)� Existing: Phone: j5-0 3 ) 9 Ers _ 3- 7 Fax: ( ) New: APPLICANT / ❑ CONTACT PERSON NOTICE Business name: G ; IT; 4 goo V 1 1 8.0 All contractors and subcontractors are required to be LL licensed with the Oregon Construction Contractors Board Contact name: 6PC � TO,'� under ORS 701 and may be required to be licensed in the Address: ei' 57) w ig A jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/ State/ZIP: / A ee ver i.„ H Off-Tor/ /�/L/ apply: Phone: ($ 3) b y.3 /S 4 I Fax: 4T) b / 7 - 132? E -mail: rt r ri t��if-I" ea n V J V li }/ n /� 1 CON • Business name: G r is : i t /, UC O C 1 ( O 1 vt y BUILDING PERMIT FEES* Address: a f / S SW ill Ave_ / Please refer to fee schedule. City/ State/ZIP: g e4 ver % o n ©r Fees due upon application Phone: 6-63) 6I/3 - /5 Fax: cSa,3 )Z 9V- -/s2 9 Amount received CCB lic.: 00 92S— Date received: Authorized signature: - !���r/!LC This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name /�� Date: 7 _ e _ Q * Fee methodology set by Tri-County Building Industry v xe / q Service Board. i:\ Building \Pemuts\ROOF- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) w RE- ROOFING PERMIT CHECK LIST 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) El RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make an appointment by calling the inspection line at (503) 639 -4175. ❑ 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) 8% State Surcharge: $ 65% Plan Review Fee: $ (Required for major repairs of residential and special purpose roofing of commercial projects.) TOTAL: $ i:\Building\Forms\Re-RoofChecklist.doc 12/24/03 , ` ,. • City of Tigard Building Department 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 6 ,T • Re-Roof Pre-inspection Re ort Form I . I . b p T D- Requested by ag-t //' Telephone ( ?j t /4,4S- . 5 �7 Job Address (4 300 4 .t.0 1: r r C j 7 "DerJT4L pc-E%rCfe•.. Roof Access Location jj;; Date Requested 11 1 1 i q/4/ C I Tune Requested ?:0 P 1 Type of Existing Roof i, - ; 1i' 1. Slope of roof deck 7 I foot (ratio) % 2. RoofiPenetrations /General Donations r ❑ Poor 3. Are there blisters? ❑ Yes ago - © --f!�-- 4. Are there cracks? ❑ Yes Ergo . 5. Is there evidence of water panting? ❑ Yes a f r o 6. Is moisture present under roofing (leak)? ❑ Yes • [allo 7. Is roof insulation existing? ❑ Yes ( 1lo 8. Is roof insulation wet? ❑ Yes (j-lgb 9. Property line setbacks on an sides > 10 feet [fifes ❑ No 10. Roof Area 0-5:i3000 sq. ft ❑> 6000 sq. ft. 11. Building height ❑K2 Stories ❑ > 2 Stories 12. Class of roof required ❑ Non -rated g"A. ❑ B. ❑ C. 13. Type roof deck nbustible ❑ Non-Combustible 14. Roof drains glirovided ❑ Required ❑ Adequate 15. Overflow drains M4rrovided ❑ Required ❑ Adequate 16. Attic ventilation (1rovided ❑ Required ❑ Adequate 17. Roof listing • (provided ❑ Required 18. Scope of work off ❑ Overlay To re-roo this cture the followin conditions must be 1 Q 4 5 Cv ( 41,.\--e ) k, - Li \A/t.t. .1/ CAA ( 24/ 5 .11-r 76,2_ - -Cr o_AcfiL__. U 0 v:-. ( - C } i l The re proposal is Approved for permit issuance if the conditions listed above are met. After obtaining your permit you must contact the Building Division for an inspection when the roof deck is ready for the first inspection. The first inspection for a complete tear off is the deck inspection. 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 required. Inspector i 1 C1 1 [� 0 - 17 . Ext 2 i Date 7 g - Ir&dEingtRelod Premseection Report Form