Permit CITY OF TIGARD REROOF PERMIT
1,
: COMMUNITY DEVELOPMENT Permit #: RER2012 -00020
Date Issued: 07/18/2012
T I GARO 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101AA08700
Jurisdiction: Tigard
Site address: 12511 SW 68TH AVE
Project: Heitzberger Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 34
Project Description: Remove and replace existing roofing system.
Contractor: CASCADE UNITED ROOFING INC Owner: BEVELAND BUILDING LLC
6950 SW HAMPTON ST #240 12511 SW 68TH AVE
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -2711 PHONE:
FAX: 503 - 643 -0489
FEES
Description Date Amount
Permit Fee 07/18/2012 $509.05
Specifics: 12% State Surcharge - Building 07/18/2012 $61.09
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $29,500.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $570.14
Required Items and Reports (Conditions)
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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. A • • • '. =gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 : -0010 through OA •52 -' I -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1 / .7 or 1.800. 32.2344.
I s ued By: t Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available !nape date.
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 RECEIVED
Re -Roof JUL 1 8 2012 roll OFFICE iisl•I (7N1,1
City of Tigard DatReceived 7 l' /P- 11 Permit No.: 0 £ /�00
° 13125 SW Hall Blvd., Tigard,OR 972 . OFTIGARD Plan Review
' Phone: 503.718.2439 Fax: 503.59 Other Permit:
T 1 G A K u Inspection Line: 503.639.4175 Date Ready /By: �INGDIVISIO Date/By:
y: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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
.ddition/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: $
❑ 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-7/ 5' 6 re 1 A New dwelling area: square feet
City /State /ZIP: /7-G �U ) 0 v- ` C 7 z 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: ( Prroject name: / Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
72 bi.J 1-c., f G. n , J c CS ? rf "'"0 6 C/) 1 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 indicated on this application.
7 p/'F- n "5 �v rot, i _ / I L P l Valuation: $ �' .5-40 O t
rso . y /J e„i co lt r i ; 4-1, g Existing building area square feet
7 (j l per -C C /C e;
/ New building area: square feet
Po Y .0,2 ,r►.°I
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: / f - z - Qe tr , e' V — PA./ yl� Type of construction: -
Address: /7_ 6-71 S w 4 -p 1_4 Occupancy groups:
City/State /ZIP: T' 5 cp 2r. ! 97223 Existing:
Phone: (564) s77_ 163 7 Fax: ( ) New:
El APPLICANT ❑ CONTACT PERSON ` NOTICE
Business name: ' J a r — e p ri Q f —. 1i & C + 2 „ �` � I)„. �� All contractors and subcontractors are required to be
Contact name: ' I �,�, 441e -�„ I // f ete N / l' it-1 l with the Oregon Construction Contractors Board
--� 1. under ORS 701 and may be required to be lensed in the
Address: �(7S� 5-4/ ��a � /10.4,1 , v r� jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP:
1 , a...,././ , d r . 7 7 2-Z-3 apply:
Phone: ( r5 )620 ^ 2,7/1 I Fax: : (5273) 6 - Uysr fr
E -mail:
CONTRACTOR
Business name: /j � S4 �� � I L 1 _ J 1 f ROOce " k BUILDING PERMIT FEES*
(� (Please refer to fee schedule
Address: AG>� 4- Lf�. � /0 � �
b0 7 ! "' Structural plan review fee (or deposit):
City /State /ZIP: T ^
Phone: ti / �r 7� 3) FLS plan review fee (if applicable):
( 5b3 ) 6 ad .. 2 71/ Fax: 6` — /3 y ,gs Total fees due upon application:
CCB lie.: gel tj
/�
Authorized signature: ' Amount received: 76 • f l
T his permit application expires if a permit is not obtained
Print name: ' Date: within 180 days after it has been accepted as complete.
,, . it4 Date:
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\ROOF- PennitApp.doc 10/01/09 440.4613T(II /02/COM/WEB)
City of Tigard: 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: $
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1:\Building\Permits\ROOF- PermitApp.doc 2