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Permit • q_ o l 6 s2/ Ali BUILDING PERMIT CITY OF T I GARD PERMIT #: BUP2006 -00436 �.rVit- DEVELOPMENT SERVICES DATE ISSUED: 9/8/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AA -00500 SITE ADDRESS: 16100 SW 72ND AVE B18 ZONING: I - L SUBDIVISION: • : • N BUSINESS PARK I LOT: OOA JURISDICTION: TIG Project Description: Re -roof REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: IS g- J SD() Owner: Contractor: PACIFIC REALTY ASSOCIATES PACIFIC ROOFING COMPANY INC 15350 SW SEQUOIA PKWY #300 -WMI PO BX 1728 PORTLAND, OR 97224 BEAVERTON, OR 97075 Phone: Contact #: PRI 640 - 3163 FAX 503 - 647 -7415 Reg #: LIC 41571 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/8/2006 $678.66 [TAX] 8% State Surcha 9/8/2006 $54.29 Total $732.95 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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: 6=4.. Permittee Signature: Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day. 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. • t I Re- Roe-`s Building Permit A r.: II `N � ® FOR OFFICE USE ONLY City of Tigard E Received .: permit No.: ,p 13125 SW Hall Blvd., Tigard, OR 9722.3 P Plan Revie Ob�� aQQ t � t ��3(� Phone: 503.639.4171 Fax: 503.598.1960 0 2006 ilMfA Date/By: Other Permit: Inspection Line: 503.639.4175 ell I Date Ready/By: torts: ® See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ New construction © Demolition equipment, materials, labor, overhead, and the profit for the ❑ Addition/alteration/replacement ❑ Other: work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $87,500.00 ❑ 1- and 2- family dwelling © Commercial/industrial Number of bedroom: ❑ Accessory building ❑ Multi- family Number of bathrooms: ❑ Master builder ❑ Other: Total number of floors: JOB SITE INFORMATION AND LOCATION New dwelling area: square feet Job site address: 16100 sw 72nd ave Garage /carport area: square feet City/State /ZIP: tirard or 97224 Covered porch area: square feet Suite/bldg. /apt. no.: I Project name: bldg 128 Deck area: 31,900 square feet Cross street/directions to job site: '4 I( s Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Permit fees* are based on the value of the work performed. Subdivision: I Lot no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Tax map /parcel no.: work indicated on this application. DESCRIPTION OF WORK Valuation: $87,500.00 remove exsiting roofing and install new roofing Existing building area: 50,000 square feet New building area: square feet • Number of stories: 1 © PROPERTY OWNER I ❑ TENANT . Type of construction: Name: pactrust Occupancy groups: Address: 15350 sw sequoia parkway #300 Existing: X City/State /ZIP: portland or 97224 New: Phone: (503 624 6300 ) Fax: ( )503 624 7755 NOTICE © • APPLICANT 0 CONTACT PERSON All contractors and subcontractors are required to be Business name: pacific roofing co licensed with the Oregon Construction Contractors Board Contact name: guy under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed. If the applican s exempt from licensing, thf�following reasons Address: 29191 nw west union rd apply: 'f r lel/ . '_ f� City/State /ZIP: north plains or 97133 -rk sq. zq Phone: (5036472894 ) I Fax: : (503 647 7415 ) Y 7 E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: pacific roofing co Please refer to fee schedule. Address: 29191 nw west union rd Fees due upon application City/State /ZIP: north plains or 97133 Amount received Phone: (503 647 2894 ) Fax: (503 647 7415 ) CCB lic.: 41571 --'1 3 -0e+ Date received: This permit application expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. t Print name: N 46 4 Date: el, •-■ er ex, • Fee methodology set by Tri-County Building Industry REQUIRED DATA: 1- AND 2- FAMILY DWELLING Service Board. i:\ Building \PermitsNROOF- PermitApp.doc 12/03 440- 4613T(t 1 /02/COM/WEB)