Permit (210) CITY OF TIGARD REROOF PERMIT
7,1 COMMUNITY DEVELOPMENT Permit#: RER2018-00024
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2018
Parcel: 2S 101 AC90022
Jurisdiction: Tigard
Site address: 7125 SW HAMPTON ST
Project: Special Districts Association of Oregon Subdivision:-IAMPTON STREET BUILDING CONDC Lot: 2
Project Description: Reroof-remove and replace.
Contractor: ROOF TOPPERS INC Owner: SPECIAL DISTRICTS INSURANCE SVCS
5709 NE 88TH ST PO BOX 12613
VAMCOUVER,WA 98665 SALEM, OR 97309
PHONE: 360-574-7248 PHONE:
FAX: 360-574-7905
FEES
Description Date Amount
Permit Fee 07/23/2018 $1,558.95
Specifics: 12%State Surcharge-Building 07/23/2018 $187.07
Type of Use:
Class of Work: Type of Const:
Occupancy Load:
Stories: Height: ft
Project Valuation: $175,000.00
General Information
Building Area:
Re-Roof Area:
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,746.02
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth OAR
952-001-0010 through OAR 952-001-0090. You may obtains or direct questions to OUNC by calling 03.232.1987 or 1.8 .332.2344.
Issued By: ./� -i ittee Signature:
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503.639.4175 by 7:00 a.m.for the next available insp ction 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 FOR OFFICE I SE O\I.A
Received
City of Tigard Permit No.: ,,i--
ihi `J g i Date/f3 �� r._ r
t "t 13125 SW Hall Blvd.,Tigard,OR ct t ,4.,�' Plan Review
.�7 $
Phone: 503.718.2439 Fax: 503598 1960 t 3 w Date/B : Other Permit: �� i' "� �1
T 1 GA R D Inspection Line: 503.639.4175 3 ` Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov I Lit.i 2 7 if l 8 Notified/Method: iM, Supplemental Information
i '-
� �� `� � ri- a QIITID YG\ \�� 6 � A � D,t � 4.4, U
0 New construction '' trbemolitfon Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ig5 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
, bl coicISTRUcn<r r. tili* work indicated on this application.
0 1-and 2-family dwelling J Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JEOB SITE INT'ORI''' T'jok1 A " QIT' r. Total number of floors:
Job site address: 7125 SW Hampton New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: SDAO Reroof Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUJRETJ DA *OM R .E t4.CKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 101 AC90000 Indicate the value(rounded to the nearest dollar)of all
equipment,4*\ '; ,,. DEs .., O i 1} R �% work indicatedton this erials,lapplication.abor, ea ,and theprofit for the
Roof replacement Va cation: $ 175,000
Existing building area: 8600 square feet
New building area: N/A square feet
(,d PROPERTY OW 1ER , `�kAN .et��t4T`4Ca kei o, Number of stories: 2
Name: Special District Association of Oregon/Jens Jensen Type of construction: Brick
Address: 7125 SW Hampton Occupancy groups:
City/State/ZIP: Tigarn, OrAgnn 97223 Existing:
Phone:( ) 971293-6247 Fax ( ) New:
i APPLICANT `�4 `' 0 NT4g1 R r i 1���t 4\t4��A444�`,
HMK K Company � %� s.,.���,,,. a w �,�����,�,�..,��.�"�
Business name: All contractors and subcontractors are required to be
Contact name: Ken Gruenwald licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 695 Commercial St SE Suite 116 jurisdiction in which work is being performed.If the
City/State/ZIP: Salem, Oregon 97301 applicant is exempt from licensing,the following reasons
apply:
Phone:( ) 971 304-0014 Fax::( )
E-mail: ken@hmkco.org
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Business name: Roof Toppers Inc. nutt44 E;f lT
MMe `e�, cheru t :
Address: 5709 NE 88th St
City/State/ZIP: Structural plan review fee(or deposit):
Vancouver. Wa. 98665
FLS plan review fee(if applicable):
Phone:(360) 574-7248 Fax:( )
CCB lic.: 93567 Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Ken Gruenwald Date: 5/10/18 * within 180 days after it has been accepted as complete.
Print name: Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7125 SW HAMPTON ST, TIGARD, OR, 97223 March 14, 2019 at
10:54:22 AM
Record Type: Record ID:
Cornmericial - Reroof RER2018-00024
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor