Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2014-00033
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2014
Parcel: 2S 112 DD00701
Jurisdiction: TIGARD
Site address: 15842 SW UPPER BOONES FERRY RD
Project: A-1 Installations NW LLC Subdivision: 1994-006 PARTITION PLAT Lot: 2
Project Description: Reroof-Tear off and replace with new TPO roofing
Contractor: PACIFIC ROOFING COMPANY INC Owner: PACIFIC REALTY TRUST
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 06/30/2014 $1,148.23
Specifics: 12%State Surcharge-Building 06/30/2014 $137.79
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $106,640.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $1,286.02
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. ATTE : •re!•• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-r: 0 through OAR 95-00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu:d By: . S4attaiLl 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 RECEIVED R FOR OFFICE USE ONLI
City of Tigard � : Permit •No.:A f/_
" 13125 SW Hall Blvd.,Tigard,OR 9722311 N 3 U 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/B : Other Permit:
T I G ARD Inspection Line: 503.639.4175 CITY OF fIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov n�� p ^ Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction Permit fees*are based on the value of the work performed.
❑ ❑Demolition 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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 111 Multi-family
Number of bedrooms:
❑Master builder ❑Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15842 SW Upper Boonse Ferry Rd New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 972035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:A 1 Installations NW LLC 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.
Reroof Valuation: $$106,640.00
Remove rooing in place and install new TPO Roofing Existing building area: 27000 square feet
New building area: square feet
® 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)624-6300 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
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 refer to fee schedule
City/State/ZIP:Beaverton OR 97075 rt). j� ,,,(j
Phone:(503)647-2894 Fax:( ) ) 3.7�7�,
Total fees due upon application: If �rp e?CCB lic.:41571 /�o`u w-
A Amount received:
Authorized signature: �J°1�,',X, $C This permit application expires if a permit is not obtained
lJ( within 180 days after it has been accepted as complete.
Print name:Guy Belt Date:6-30-14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building Wermits\ROOF-PermitApp.doc 10/01/09 440-46I3T(I 1/02/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
15842 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2014-00033
Chip Barnett
Violation Summary:
Inspector Contractor