Permit (78) CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2016-00028
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2016
Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: Fred Meyer Subdivision: None Lot: None
Project Description: Reroof-Tear-off 1 layer BUR,leaving 2nd layer and all existing insulation. Mechanically attach 1"polyiso, 1/2'
cover-board and 60miI TPO membrane.
Contractor: ARROW ROOFING Owner: FRED MEYER STORES INC
PO BOX 55097 STORE#375
PORTLAND, OR 97238 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 503-460-2767 PHONE:
FAX: 503-460-2768
FEES
Description Date Amount
Permit Fee 08/18/2016 $5,527.41
Specifics: 12%State Surcharge-Building 08/18/2016 $663.29
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $894,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $6,190.70
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. ATTE). •• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 :'10 through 0'' 952-001-1.'0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. 2.2344.
Issu•d By: �� r / Permittee Signature: A.
Call 503.639.4175 by 7:00 a.m.for the next available inspection te.
This permit card shall be kept in a conspicuous place on the job site until comp etion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re-Roof FOR OFFICE USE ONLY
City of Z lgard Date/Bd Q O RECEIVED ��4 I Permit No.: 41 f P •j o g
- " 13125 SW Hall Blvd.,Tigard,OR 97223Q Plan Review
Phone: 503.718.2439 Fax: 503.598.19649U G 1 O 2016 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF- TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
: OF WO `. tFQUIRED DATA 2 F Y G
D New construction ®Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ®Other:TO 1 layer equipment,materials,labor,overhead,and the profit for the
CATEGO Yz'.OF C(� STR �Cy ' 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:
mugV o e
OB STIE INFO TION 0 T O Total number of floors:
Job site address:11565 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR.97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard Store#375 Re-Roof Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
I-5 to exit 294(Hwy 99W)go west.7 miles.on north side of HWY 99. Other structure area: square feet
Q D I COMMERCIAL CHECKLI T
Subdivision: 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
IDE 0'TIO O ,® work indicated on this application.
Tear off 1 layer BUR,leaving 2"d layer and all existing insulation. Valuation: $$894,000.00
Mechanically attach 1"polyiso,1/2"cover-board and 60mi1 TPO membrane. Existing building area: 14327 square feet
New building area: square feet
® OPEC' YO i� Q. i Number of stories: 1
Name:Fred Meyer Type of construction: Re-roof
Address:PO Box 42121 Occupancy groups:
City/State/ZIP:Portland,Or.97242 Existing: yes
Phone:( ) Fax:( )
New:
►5 APPT ICANT 1.r ❑ C A T'ERSO Aug-
t
Business name:Arrow Roofing&Sheet Metal Inc. All contractors and subcontractors are required to be
Contact name:Glendon Hopkins licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 55097 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,Or.97238 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)460.2767 Fax::(503)460.2768
E-mail:glendon@arrow-roofing.com
s-'1?�..., ��� �. � ::� . qtr '� °-44.n.17
Business name:Same as applicant BINGtPERMIT FEES*
Address: .: •% „. .(Plenserefertofee's4iiiiiel:. . ." "..n
Structural plan review fee(or deposit):
City/State/ZIP:
FLS plan review fee(if applicable):
Phone:( ) Fax:( )
CCB lie.:115153 Total fees due upon application:
Amount received: D
Authorized signature: f of
� /96.70 Qt��7
o-- � This permit application expires if a permit is r{ot obtained
within 180 days after it has been accepted as complete.
Print name:Glendon H kins Date:8/18/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doe 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDETTAL Diie & Twoamil :e g
❑ 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.
ONIIVIIiJCIAII( eludes multi family and ,ndomin><ums� �_
, u ..,c. .. ;.:.,, .. e! s„ # r fee c z r :" , .. 'Vrr'r rA Wete'.,e.t.. _:
® RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at 503.718.2439.
❑ 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. 14327 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: $
http://www.tigard-or.gov/document center/Building/ROOF_PermitApp.doc 2