Permit (46) CITY OF TIGARD REROOF PERMIT
:' . COMMUNITY DEVELOPMENT Permit#: RER2016-00023
Date Issued: 07/13/2016
T IGA.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY
Project: PacTrust Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Reroof over existing roof
Contractor: ROOF TOPPERS INC Owner: PACIFIC REALTY ASSOCIATES LP
5709 NE 88TH ST ATTN: N PIVEN
VAMCOUVER,WA 98665 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-574-7248
PHONE: 503-624-6300
FAX: 360-574-7905
FEES
Description Date Amount
Permit Fee 07/13/2016 $1,148.23
Specifics: 12%State Surcharge-Building 07/13/2016 $137.79
Type of Use: COM
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $106,335.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: No
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. 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:CM6... 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 FOR OFFICE USE ONLY"
City of Tigard �, Received /4' 'I
- ���sss - DateB V Permit No,. 1. „„•16.-000g.
r 13125 SW Hall Blvd.,Tigard,OR 9 "" Q� Plan Review
Phone: 503.718.2439 Fax: 503.598 1960 '�3Other Permit:
Date/B
T I GARD Inspection Line: 503.639.4175 �U 1` y Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov :{1:+ r,e +. Notified/Method: Supplemental Information
4 •
TYPE OF k1 '"• ,- REQUIRED DATA I Ap 2rAIIlD` IItNG
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
V Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
,S. work indicated on this application.
4.1,:-,::,•''• CATEGORY OF CONSTR.vv,1`10N- PP
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
111Master builder ❑Other: Number of bathrooms:
' TOB SITE INFORMATION AND-TAXATION Total number of floors:
Job site address: 15 O5�a 5- 52,0,0 tzv.:w-r New dwelling area: square feet
City/State/ZIP: "-rl&,,14e...el, , oj(�Q ((t1-4-2�� Garage/carport area: square feet
Suite/bldg./apt.no.: !00 Project name:/ "?A{,,t Z.,051-, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,:.REQUIRED uATA , ERcL& C >E.,IST
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 O1'•WORIF s`.., work indicated on this application.
Valuation:e
Existing building area:Li 02.5c,„square feet
New building area: square feet
ROPERTY 0'iI ❑ Number of stories:
Name: VPrl.l'T'll. Q,5 A- Tti RS50C.I+ TSS , Type of construction:
Address: i S-q-�j SW E cZ ac y b i pc P iLA 't Occupancy groups:
City/State/ZIP: ''ip cT(_L J 0 0 i".- G+ 2 c4 Existing:
z
Phone:( l- )6„)t' -- 4,2)-1- 4-3-b I Fax:( ) New:
APPLA.ANT 0 CONI' CT-PERSO
1�10TYCE
Business name: 1- i
I>pP e Q 5 \1 C . All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
��� ����' under ORS 701 and may be required to be licensed in the
Address: 64-00\ RE 7E5-#v‘ c-o—' jurisdiction in which work is being performed.If the
City/State/ZIP: U NtACt3vv Q v.'�14 e t�t�.5 applicant is exempt from licensing,the following reasons
f apply:
Phone:(3 ti.Q r -1-24e../ Fax: :(, C)6 y - 7qOS
Email: ,A fit^1 a t---04.4-4-D e pC c
4
Business name: i"'c TC rt' z Cfp .T"j- C... t I'IUIUAIN4,$_.. 1 * 4a
Address: i4 E 8 i^th c.� �. ....v(Please re r = + . : ''',41 O,
/,� �- Structural plan review fee(or deposit):
City/State/ZIP: \I A i�1 C..0l9u �. r„ p„ 12(;„Phone:("(Fa) Fjl-4••qZ� / ax:( 6+4 jI-"ip FLS plan review fee(if applicable):
CCB lic.: q'S(QTotal fees due upon application: /(c;),F U
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ' r y�.i Date: 1
��hdN� (/�+�`�T� /'?jj to Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 . 440-4613T(1.1/02/COM/WEB)
ti
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
7;EIENTIAL (One J&Two Family Dwelling).
❑ REPAIR(major)plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re-roof if not more than two (2) layers of
roofing will exist upon completion of the re-roofing.
CO1 ER IAL(includes multifamilyLand condominiums)
ka,
❑ RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at 503.718.2439.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection,plans may be required
to address any non-conforming items.
VALUATION OF PROJECT: $
sq.ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
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