Permit CITY OF TIGARD REROOF PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: RER2014 00031
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2014
Parcel: 2S112DA00700
Jurisdiction: TIGARD
Site address: 15333 SW SEQUOIA PKWY
Project: Coke Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Reroof
Contractor: PACIFIC ROOFING COMPANY INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1728 ATTN: N PIVEN
BEAVERTON,OR 97075 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-647-2894 PHONE:
FAX: 503-647-2894
FEES
Description Date Amount
Permit Fee 06/09/2014 $789.69
Specifics: 12%State Surcharge-Building 06/09/2014 $94.76
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $57,960.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: No
Overlay: Yes
Existing Roof Layers:
Parapets:
Total $884.45
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 • : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 •010 through:-R 952-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-
Iss =d By: - 1 I Permittee Signature: /f`/
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
RECF1vEr I,rod 1, I . 1 , ,
City of Tigard Date/B : (�Qafeum Permit No.: = -J`� —6100 3
IN • 13125 SW Hall Blvd.,Tigard,OR 9734 _ 9 2O 14 Plan Review
a Phone: 503.718.2439 Fax: 503.598.7966e /B : Other Permit:
1 i „ 11 Inspection Line: 503.639.4175 CITY�/ P Date Ready/Ely: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CIT1 (Jr I(]PIHL) Notified/Method: Supplemental Information
BUILDINc!Ini!4IOP
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
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: S
❑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: 15333 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Tigagd,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Coke 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Reroof Valuation: 5857,960.00
Existing building area: 22600 square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates Type of construction: tilt
Address: 15350 SW Sequoia Pkwy Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing:
Phone:(503)6244300 Fax:( ) New:
0 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
applicant is exempt from licensing,the following reasons
City/State/ZIP:beaverton OR 97075 apply:
Phone:(50364) Fax::( )
E-mail:prc97075@aol.com
CONTRACTOR
Business name:Pacific Roofing BUILDING PERMIT FEES*
(Pkese refer ksjee seise**
Address:PO box 1728 ): ?g 9•
City/State/Z1P:Beaverton OR 97075 p
Phone:(503)647-2894 Fax:( ) J V. 7
CCB lic.:41571 Total fees due upon application: 9 g"[•4c
\_4 (J Amount received:
Authorized signature: J, 1Z9...5— This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Guy Belt Date:6-9-14 * Fee methodology set by Tri-County Building Industry
Service Board.
t\Buildivg\Permits\ROOF-PermitApp.doe 10/01/09 440.4613T(I1/02/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
15333 SW SEQUOIA PKWY, TIGARD, OR, 97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2014-00031
Chip Barnett
Violation Summary:
Inspector Contractor