Permit n CITY OF TIGARD REROOF PERMIT
lig • COMMUNITY DEVELOPMENT Permit#: RER2015-00025
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2015
Parcel: 2S112AC01500
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN
Project: PACIFIC REALTY ASSOCIATES Subdivision: FANNO CREEK ACRE TRACTS Lot: 23,PT 2
Project Description: Reroof-remove and replace.
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:
FAX: 503-647-2894
FEES
Description Date Amount
Permit Fee 06/04/2015 $1,468.35
Specifics: 12%State Surcharge-Building 06/04/2015 $176.20
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $159,160.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,644.55
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= -• • e rules or direct questions to OUNC by calling 503.232.1987 or 11�.8000.�.3332�2.2344.
Issued By: '- ittee Signature:
a 03.639.4175 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 CV�
N � i l i , /l i i/ ( .i ,
City of Tigard Yv..) , 7 Permit No.:
, t"
.. _
N. • 13125 SW Hall Blvd.,Tigard,OR 972 Man Review
I Phone: 503.718.2439 Fax: 503.598.1960 ,,\\ 4 015 DaWB : Other Permit
1 �,1 Inspection Line: 503.639.4175 .�.�`V il Date ReadyBy: 0 See Page 2 for
Internet: www.tigard�r.gov �ly� Notified/Method: Supplemental Information
TYPE OF WOI1I REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
rep 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: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7319 SW Kable Ln New dwelling area: square feet
City/State/ZIP:Portland OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: L :t J L hi 1�A. e At.j Covered porch area: square feet
Cross street/directions to job site:72nd 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.
install new tpo roof Valuation: $$159,160.00
Existing building area: 97472 square feet
New building area: 0- square feet
® PROPERTY OWNER [
❑ TENANT Number of stories: 1
Name:pacific realty associates Type of construction: tilt
Address:15350 sw sequoia prky Occupancy groups:
City/State/ZIP:portland,or 97224 Existing: commercial
Phone:(503)624-6300 Fax:( ) New: -
® APPLICANT 0 CONTACT PERSON NOTICE
Business name:pacific roofing All contractors and subcontractors are required to be
Contact name:coty belt 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:(503)647-2894 Fax::( )
E-mail:prc97075@aol.com
CONTRACTOR
Business name:pacific roofing BUILDING PERMIT FEES*
Address:po box 1728 " 's° � k
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: /lic.:41571 'i ti. �3
Amount received:
Authorized signature: ,4,)t-4PJ" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Coty Belt Date:6-3-15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildingTermiu1ROOF-Pe mitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)