Permit CITY OF TIGARD REROOF PERMIT
II I C COMMUNITY DEVELOPMENT Permit#: RER2012 -00019
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2012
Parcel: 25101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Triangle Pointe Subdivision: VARNS ACRES Lot: 9
Project Description: Reroof - remove and replace existing roof system.
Contractor: SD DEACON CORP OF OREGON Owner: TRIANGLE POINTE LLC
901 NE GLISAN ST SUITE 100 901 NE GLISAN ST, #100
PORTLAND, OR 97232 PORTLAND, OR 97232
PHONE: 503 - 297 -8791 PHONE: 503 - 297 -8791
FAX: 503 - 297 -8997
FEES
Description Date Amount
Permit Fee 07/17/2012 $1,830.75
Specifics: 12% State Surcharge - Building 07/17/2012 $219.69
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $220,000.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $2,050.44
Required Items and Reports (Conditions)
This perm' ' 'ssued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be d• e in actor• _ = 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
day ATTENTION: 0 = eon law requires you to follow the rules adopted by the Oregon Utility Notification nter. Those rul =: -re = forth in OAR
95 - 001 -0010 through OAR . 52 : ' 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .1987 or 1.800.33
Iss d By: / I i' / Permittee Signature: f / ,�T
Call 503.639.4175 by 7:00 a.m. for the next avallab Ins . ction da = r
This permit card shall be kept In a conspicuous place on the job ='te until • • etion of the project
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application
Re -Roof 1 ��� FOR ol•rlcl•: USE ONLY
City of Tigard RECEI r YJE/ Dat Received ��� Permit No.: e. 1 _ ` di
111 n 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review
: C . Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Pemut:
TIGARD
Inspection Line: 503.639.4175 9U L 1 7 2012 Date Ready/By: 3 tuis: 65 See Page 2 for
Internet: www.tigard Notified/Method: Notified/Method: Supplemental Information
CITY
TYPE O lR y � '�V+('fRK- 'O D IVIS � Iu0N
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 1 Other: - (L(rt equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ l- and 2- family dwelling B Commercial/industrial Valuation: $
• ❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder • 1:1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (3333 SWJ (o E3 P414 u„wA i New dwelling area: square feet
City/State /ZIP: '1 pt.., Garage /carport area: square feet
Suite/bldg. /apt. no.: ` Project name: Ttt•.rp..Y 7 u z e "I'M M 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK L work indicated on this application.
It I£- I.t..iSIZ/dt&, r bil SVIIRA Valuation: $ 7
Existing building area square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: -j 0. . r ! h U... `E POI1 c Type of construction:
Address: q b \ _ (`E C - s AZ ,S . Occupancy groups:
City /State /ZIP: QC_'r 1 .L ok q 7 2,31-- Existing:
Phone: (')) 19 7 -e t 6 _ I Fax: (�)) "Li Z - lb ? 7 New:
pit APPLICANT 13 CONTACT PERSON NOTICE
Business name: S . (), C All contractors and subcontractors are required to be
Contact name: `�� / / 1,; ... ,•, , , µA lYNI(`(�'�_ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be Ikensed in the
Address: iV i nom.. Z` t,s41/41 Sr- jurisdiction in which work is being performed. If the
City /State /ZIP: fi ' / CL- 4 7-1-3— ' applicant is exempt from licensing, the following reasons
p apply:
Phone: (b,3) Z91.- t1 I Fax: : (�) L97- 8 597
E -mail: MiAT, W .IJ1�\., - 1 . 10eAC.&j . C.cwL
CONTRACTOR
Business name: S />y &t / A,j&t...tc_A. %jV BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: ' 3y , , 8 Total fees due upon application: E Z , pso ,y y
"� Amount received: ., ,,Oa. ( IV
Authorized signatu : 1 i
This permit application expires if a permit is not obtained
/�
�, within 180 days after it has been accepted as complete.
Print name: 4, L.� LaAAJ Date: 0 71 L * Fee methodology set by Tri-County Building Industry
l ` Service Board
1:1 Building \Pennits\ROOF- PermitApp.doc 10/01/09 440-4613T(II /02/COM/WFB)
a
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) J.
12% State Surcharge: $
65% Plan Review Fee: $ v' • • • • ,
(Required for major repOs of residential and 1
special purpose roofing of commercial projects.)
TOTAL: $ , . _ .,
•
•
: \BuildingWermits\ROOF PermitApp.doc , •