Permit n CITY OF TIGARD REROOF PERMIT
IIII
I • COMMUNITY DEVELOPMENT Permit#: RER2015 00030
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015
Parcel: 2S 1120000701
Jurisdiction: Tigard
Site address: 15802 SW UPPER BOONES FERRY RD
Project: PacTrust Building B Subdivision: 1994-006 PARTITION PLAT Lot: 2
Project Description: Reroof-remove and replace for building B.
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:
FAX: 503-647-2894
FEES
Description Date Amount
Permit Fee 07/09/2015 $880.05
Specifics: 12%State Surcharge-Building 07/09/2015 $105.61
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $69,490.00
General Information
Building Area: 0
Re-Roof Area: o
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $985.66
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.---2 Issued By: rmittee Signature:
C . 39.4175 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 I ()1( ()1 I I. I I ,,
� � Received / n n� JS3 Q
City of Tigard tl�f'►V Date/By: Permit No.:K i
114
13125 SW Hall Blvd.,Tigard,OR 97223.\����YY''' I�t Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 % O\i DateBy: Other Permit
Inspection Line: 503.639.4175 �` Date Ready/By: Juris I ® See Page 2 for
Internet: www.tigard-or.gov tt'' W Notified/Method: Supplemental Information
TYPE OF WOKK-- l -VI *Sit O REQUIRED DATA:1-AND 2-FAMILY DWELLING
All
El New construction ❑Dem 1 rtlon 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.
El I-and 2-family dwelling ®Commercial/industrial
Valuation: $
El Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15802 sw upper boones ferry rd New dwelling area: square feet
City/State/ZIP:lakr oswego or 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:bldg b obp 3 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.
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.
remove roofing and install new Valuation: $$69,490.00
Existing building area: 19800 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:pacifc realty Type of construction: tilt
Address: 15350 sw sequoia prky Occupancy groups:
City/State/ZIP:portland or97223 Existing:
Phone:( ) 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:(503)647-2895 Fax::(
E-mail:prc97075&aol.com
CONTRACTOR
Business name:pacific roofing BUILDING PERMIT FEES*
Address:po box 1728 (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:beaverton or 97075
Phone:(503)6472894 Fax:( ) FLS plan review fee(if applicable):
CCB lie.:41571 Total fees due upon application: 4.,
Amount received:
Authorized signature: 1._„1 J (2 �, O S This permit application expires if a permit is not obtained
\, within 180 days after it has been accepted as complete.
Print name: �� Date:7-9-15 * Fee methodology set by Tri-County Building Industry
Service Board.
I\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-4613T(I l/02/COM/WF.B)