Permit U CITY OF TIGARD REROOF PERMIT
I '1 COMMUNITY DEVELOPMENT Permit #: RER2012 -00017
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2012
Parcel: 2S113AA01000
Jurisdiction: Tigard
Site address: 16570 SW 72ND AVE B9
Project: PacTrust Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: Remove and replace roofing
Contractor: PACIFIC ROOFING COMPANY INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1728 • ATTN: N PIVEN
BEAVERTON, OR 97075 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 647 -2894 PHONE: 503 - 624 -6300
FAX: 503 - 647 -2894
FEES
Description Date Amount
Permit Fee 07/10/2012 $993.00
Specifics: 12% State Surcharge - Building 07/10/2012 $119.16
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $84,100.00
General Information
Building Area: 0
Re -Roof Area: o
Roof Class:
Tear Off:
•
Overlay:
Existing Roof Layers:
Parapets:
•
Total $1,112.16
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 ar.r.nrria ce 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: Or -, •n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1 -0010 through OAR 9 -• . 'O.!. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: \ j, ��j iLA.„„Lim• Permittee Signature:
j ... r Call 503.639.4175 by 7:00 am. for the next available inspeon 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 ,
Commercial r(1R (wric i l SF ON1.\
City of Tigard RECEIVED tiyAgigo Permit No.: ' ' ola2
I II 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
0 . Phone: 503.718.2439 Fax: 503.598.196dU L 1 O 2012 Other Permit
Date Ready/By: : Ei See Page 2 for
� Z Inspection Line: 503.639.4175
Internet: www.tigerd oi.gO Notified/Method: Supplemental Information
BUILDING DIVISION
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
0 Addition/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 ® Commercialfmdustrial 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: IGS I(, 1G 5 tij 1a 1 c_ New dwelling area: square feet
City/State/ZIP: r pr-Ni t+U.�L 0 t, 9 i l L Garage/carport area: square feet
Suite/bldgJapt. no.: I Project name: 6‘ I O, 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 work indicated on this application.
(kco oYc- nc� S\�� nodrClv.o o %"(5 . k�A\ II∎tCJ Valuation: $ �����1K1
Ito v� cr y Existing building area: abio square feet
i7' New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: ail5.,
Name: Pc.,:,CstL Q.-e 0.\ At 4550sZteC5 Type of construction:
Address: 1 S 3s6 S LI Sc 1 v6 t). P kt+.t S>' OccuPanCY groups:
City / State/ZIP: 01,r (y? 6 11)a ti S Existing:
Phone: (5t) (.) t - COS5C) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(� „ (Please refer to fee schedule)
Business name: ^
• G�.�L o ∎in Structural plan review fee (or deposit):
Contact name: b V �� ■
Q O \,�$ FLS plan review fee (if applicable):
Address: e.
City/ State/ZIP: �e Y u -�► p A O 9 14 l� Total fees due upon application:
v Amount received: I T / // 2. /(O
Phone: (513 ) 641 - y , I Fax:: ( 5 1 -V 641 - 14 15
E -mail:
P ikC- 1 O 1S - LpttA PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
o (2) sets of roof plan with connection .
Business name:
eurj,. - , and fire • ..: ..., access, along with the 1 Oregon
\
Address: 0 bo ' Solar Installation . •, lty Code 1 : a 1st.
6 - Cl , ols Permit fee (inch • ,. :.. review $180.00
City/State/ZIP: J Cr �vn 1 and slrative
Phone: (5p'5) turd •a1t4 I Fax: (503) (o 14'11$ Slates . • :: a 12 %of
( permit fee): $21.60
CCB lic.: LI I 51 1
Total fee due upon application: $21 .0
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: v (y t Q e . ` k Date: , ^' ).: ,. • Fee methodology set by Tri-County Building Industry
Service Board.
I :\Building\Permits\BUP -COM PermitApp.doc 02242011 440- 4613T(11/02/COM/WEB)