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Permit
CITY OF TIGARD REROOF PERMIT $11 E' - COMMUNITY DEVELOPMENT Permit#: RER2014-00028 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/29/2014 Parcel: 2S113AC00101 Jurisdiction: Tigard Site address: 16655 SW 72ND AVE 200 Project: Stash Tea Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37 Project Description: Reroof-remove and replace. Permit is for entire building. Contractor: PACIFIC ROOFING COMPANY INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1728 ATTN: N PIVEN BEAVERTON, OR 97075 15350 SE SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 503-647-2894 PHONE: FAX: 503-647-2894 FEES Description Date Amount Permit Fee 05/29/2014 $940.29 Specifics: 12%State Surcharge-Building 05/29/2014 $112.83 Type of Use: COM Class of Work: OTR Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $77,580.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $1,053.12 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 in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: (0-c-9‘2:1----- .839.4175 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. I`._ Building Permit Application Re-Roof FOR OFFICE t sl 1 City of Tigard �j`� Received: / ,L Permit No.: dito ■ 13125 SW Hall Blvd.,Tigard,OR 972 r l'M� Plan Review I a Phone: 503.718.2439 Fax: 503.598.1 `� Other Permit: Date/B : Inspection Line: 503.639.4175 014 Date Ready/By: 0 See 2 for TIC,ARD 2 Page Internet: www.tigard-or.gov �pI 2 Gp Notified/Method: f�i Supplemental Information TYPE OF WORT j1``©� t OR�� 11dr`�"�� 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 ® m Comercial/industrial Valuation: S ❑Accessory building ❑Multi-family Number of bedrooms: ID Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:16655 SW 72"d Ave New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:J Project name`'Bl `` - ,6y(& Tt Covered porch area: square feet Cross street/directions to job site:Durham �� Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. Reroof Valuation: $S77,580.00 Existing building area: 36500 square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: I Name:Pacific Realty Associates Type of construction: tilt Address: 15350 SW Sequoia Pkwy Occupancy groups: City/State/ZIP:Portland,OR 97224 Existing: Phone:(503)624-6300 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name:Pacific Roofing All contractors and subcontractors are required to be Contact name:Guy licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:PO box 1728 jurisdiction in which work is being performed.If the City/State/ZIP:beaverton OR 97075 applicant is exempt from licensing,the following reasons apply: Phone:(50364) Fax::( ) E-mail:prc97075@aol.com CONTRACTOR Business name:Pacific Roofing BUILDING PERMIT FEES* Address:PO box 1728 (Please►efn to fee schedule) Structural plan review fee(or deposit): City/State/ZIP:Beaverton OR 97075 FLS plan review fee(if applicable): Phone:(503)647-2894 Fax:( ) Total fees due upon application: CCB lic.:41571 l ./01, Amount received: Authorized signature: }� X This permit application expires if a permit is not obtained 'J within 180 days after it has been accepted as complete. Print name:Guy Belt Date:5-29-14 * Fee methodology set by Tri-County Building Industry Service Board. 1:Building\Pennits\ROOF-PenntApp.doc 10/01/09 440-4613T(l1/02/COM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 16655 SW 72ND AVE 200, TIGARD, OR, 97224 Commericial - Reroof 299 Final inspection PASS - No C of O March 25, 2015 at 9:18:36 AM RER2014-00028 Chip Barnett Violation Summary: Inspector Contractor