Permit y y CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit #: RER201300016
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/08/2013
Parcel: 2S113AA00400
Jurisdiction: Tigard
Site address: 16200 SW 72ND AVE B2
Project: PacTrust Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Reroof - tear -off and install new. (Building addresses: 16200, 16240, 16250, 16260, 16270 & 16290 SW 72nd Ave)
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 -7415
FEES
Description Date Amount
Permit Fee 07/08/2013 $2,120.67
Specifics: 12% State Surcharge - Building 07/08/2013 $254.48
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $267,900.00
General Information
Building Area: 0
Re -Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $2,375.15
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. ATT • ' •': •re!• law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 '010 through OAR 952 -' c -00• You ay obtain a copy of the rules or direct questions to OUNC by calling 503232.1987 or 1.800.332.2344.
Iss d By: j, ' 1 , / i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available Inspection 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 yolk 01 l lc:ii: HSI : ONL
Ci }� of Tigard I Pernut No.:
q 13125 SW Hall Blvd., Tigard, OR fig Plan Review
. Phone: 503.718.2439 Fax: 503.598.19� p Date/B : Other Permit:
Inspection Line: 503.639.4175 `' L 0 2013 Date Ready/By: �: ® See Page 2 for
I" I G A R 17 Notified/Method: Supplemental Internet: www.tigard- or.gov CITY OF TI
pp emeotal Information
TYPE MG DIVIS IION . 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
❑ 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 ® Commercial/industrial
Valuation: $
El 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: ) (0 )0(3 5 ( p r. .S,_ 4 e New dwelling area: square feet
City/ State/ZIP: P 6 rN'V,A1 a g i a s 4 Garage/carport area: square feet
Suite/bldg. /apt. no.: --_- Project name: Covered porch area: square feet
Cross street/directions to job site: L L„ As czI T�� Deck area: square feet
(Ii'o.tx2 ((Q.1 5D (, (6,1 � / 6,;. 70 c. /6 2' go) Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
a 5( I C / DO equipment, e the maer (rounded to the nearest dollar) all f of
Tax map/parcel a no.: Y matterials, labor, overhead, and the unfit for the
DESCRIPTION OF WORK work indicated on this application.
5 I ��. Valuation: $ '(Q (i(
OC Existing building area: 9 (,Ca t square feet
New building area: ....6.- square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: P G.dT ( - v k Type of construction:
Address: 1 3SQ S (,,, f S c c (f O 1C.4 P kw . Occupancy groups:
City/State/ZIP: poi- N.` A_ 0 e. " 1 -).L-\ Existing:
Phone: ( Sus) ( a.y -6,1003 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: fu , s.... �ac rn All contractors and subcontractors are required to be
Contact name: Vv 6. ¢. \ \ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: f d ` x \ '7 d--S7 n jurisdiction in which work is being performed. If the
pp G applicant is exempt from licensing, the following reasons
City/ State/ZIP:
pc , tv.._, w C
roS 11 v1 \ apply:
Phone: (9,•5 ) (41 a$`tl-1 Fax:: (TBS) L.-LC/ - 71.15 -
E -mail: (c.c. 9 -1.01 a 6 1 P co WI
. CONTRACTOR •
Business name: 1 c �,C .N BUILDING PERMIT FEES*
Address: , (S 6 ,,, c l -,,, Y (Please refer ro fee schedule)
City/ State/ZIP: 6 v<l k...,,_ Q e 1� y Structural plan review fee (or deposit):
Phone: (e5 ) ( -(_ _ �5 4, I Fax: (5?,3) Ut{ 1 -- -I L, 1 S FLS plan review fee (if applicable):
CCB lic.: j,/ j 5' i Total fees due upon application:
Amount received: fA 3 76". (s '
Authorized signature:r
This permit application expires it a permit is not obtained
within 180 days after it has been accepted as complete. ,
Print name: (.. (\.V Date: ' 7 - 3 -B • Fee methodology set by Tri -County Building Industry
Service Board.
Ii Building \Pennits\ROOF- PcnnitApp.doc 10 /01/09 440- 4613T(11 /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. 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. 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: $
C:\ Users \guy\AppData\Local\Microsoft\Windows \Temporary Internet Files \Qontent.lE5 \SZB6N61Y\ROOF - PermitApp.doc