Permit 1111- CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2013 00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/26/2013
Parcel: 25111 DD00201
Jurisdiction: Tigard
Site address: 15995 SW HALL BLVD
Project: Plaid Pantry Subdivision: SUMMERFIELD NO.7 Lot: N
Project Description: Partial reroof to complete total reroof,see RER2012-00030. Install new 60 mil TPO single ply roof system. No
tear-off.
Contractor: ROOF USA LLC Owner: ROSEHILL INVESTMENTS LLC
412 S BEAVERCREEK RD SUITE 605 2001 SIXTH AVE STE 2300
OREGON CITY, OR 97045 SEATTLE,WA 98121
PHONE: 503-557-0640 PHONE:
FAX: 503-557-0642
FEES
Description Date Amount
Permit Fee 08/26/2013 $180.17
Specifics: 12%State Surcharge-Building 08/26/2013 $21.62
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $6,925.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $201.79
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. • ENTION: . -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .01-0010 through OA' t52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I- ued By: I Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspects 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
%
Re-Roof i FOR OFFICE USE ONLY
r, ,
City of Tigard � Received Date/By: b �6 3 ,• Permit No.: �g/LOZp!3—(K)L9
III ° 13125 SW Hall Blvd.,Tigard,OR 9 ., �% Plan Review
_°__ Phone: 503.718.2439 Fax: 503.5'10N".. y�0 Date/By: Other Permit: /Q�j�4-0O�
Y
TIGARD
Inspection Line: 503.639.4175 \(") ∎� S-- Date Ready/By: June ® See Page 2 for
Internet: www.tigard-or.gov P 0AN., '` Notified/Method: Supplemental Information 54 IV 4
TYPE OF WORT \ REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Dead ition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement er: 1 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Comercial/industrial Valuation: $
m
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION N ANDi 'LOCATION Total number of floors:
Job site address: 15-Ctq c S I,u �wl 1 bl V 0. New dwelling area: square feet
City/State/ZIP: N C,� cj�- 0 R 9'Z 2.2 Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: Gil U` iG..,, f r # 1 C\ Covered porch area square feet
Cross street/directions to job site: `�v�.L�� c�t„� c��,` Deck area: square feet
5� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Kret\-c,k 1A/U(akoa) 5 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
DESCRIPT ON OF WORK • work indicated on this application.
1.e.' oCo� ( - (j r IA 5 to (( t/fR� L0 Q Mt'' Valuation: S 62 125,
5 tw l a O(�gt 5 S ✓►^ Existing building area square feet
5 Y New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: 5eL'l l ,re 3 i-tM-tr\ {--5 ((C Type of construction:
t
Address: 'tool S 1 jt Ave. S ryb_ z 3 60 Occupancy groups:
City/State/ZIP: 5 e u,- /� �/4, qe.l'2...1 Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR
Business name: pco-p (_C
S/� L BUILDING PERMIT FEES*
Address: b/2_ s „{,•J'C tree K RI �,�1`.F e (52 U (Please refer to fee schedule,
Structural plan review fee(or deposit):
City/State/ZIP: 0 ftct�, e l.�y 0 R G 7 pt-l�
5-5-7(� FLS plan review fee(if applicable):
Phone:(SU3) 069,-10 Fax:(SU.1) 5-5-7 C..)C2
CCB lic.: Total fees due upon application:
Amount received:
Authorized signatur-: This permit application expires if a permit is not obtained
��, IA within 180 days after it has been accepted as complete.
Print name: ep� jc-11..ce Date: 8/'Z(� j/5 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permit0ROOF-PermitApp.doc 10/01/09 4404613T(1 I/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