Permit (39) . CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2017-00040
-F[G.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/18/2017
Parcel: 1 S 135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 100
Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Reroof-remove and replace.
Contractor: COLUMBIA CONSTRUCTION SERVICE INC Owner: LINCOLN CENTER LLC
18525 SW 126TH PL BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-684-9123 PHONE:
FAX: 503-684-1458
FEES
Description Date Amount
Permit Fee 10/18/2017 $1,661.63
Specifics: 12%State Surcharge-Building 10/18/2017 $199.40
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $191,789.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,861.03
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.
111111111M
Issued By: `arm?' 1_�- ermittee Signature:
r?"---12 1,9/4-e-e41:1. . '
al• : .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-RoofFOR OF1'1C1 USL OM N'
4
City of Tigard ri
n 13125 SW Hall Blvd.,Tigard,OR 97223 ry ' <Lt1 �'/ Perrnit No: /l
Phone: 503.718.2439 Fax: 503.598.1960 (�C T i '' 20�t Other Permit:
T{f A RC7 Inspection Line: 503.639.4175 Date Ready/By:
Internet: www.ti and-or, ov y y ±Rld See Page 2 for
g g ,I 1 V� �l�A" w' Notified/Methd:
3UILD NG DIVISI' `, Supplemental{ntormaHon
TYPE OF WORK �j REQUIRED DATA:1-AND 2-PAI ILLY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work p= ormed.
Indicate the value(rounded to the nearest doll.• of all
❑Addition/alteration/replacement 0 Other:Reroof
equipment,materials,labor,overhead,and to profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
dOB SITE INFORMATION AND LOCATION Total number of floors:
M
Job site address:10200 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223
Garage/carport ea: square feet
Suite/bldg./apt.no.:-- t/0 I Project name:Lincoln 5 /L ,
tY YC ti t1V CCjOir-r. Covered p, h area: square feet
Cross street/directions to job site:SW Greenburg Rd&SW Locust St
Deck. a: square feet
0 er structure area: square feet
t i
Subdivision:-- I?EQUIEU DATA:COM ERe1 CJSR CI > CL"ST.4 l
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.Remove ballast river rock,dispose of old single-ply EPDM membrane and Valuation: $$191,789.00
insulation,replace with new EPDM membrane,put ballast river rock back evenly Existing building area: 16,95 square feet
across roof.See attached. New building area: N/Asquare feet
-t PROPERTY OWNER
TENANT - Number of stories: 7
Name:Shorenstein Realty Services L.P.
Type of construction: Cetnenet/Metal
Address:10200 SW Greenburg Rd
Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing: N/A
Phone:(503)619-3200 Fax:(N/A)
APPLICANT re CONTACT PERSON New: N/A
Business name:Columbia Construction Services,Inc. NOTICE zi
All contractors and subcontractors are requ' ed to be
Contact name:Brandon Smith(Project Manager) licensed with the Oregon Construction ntractors Board
Address:18525 SW 126`a Place under ORS 701 and may be required ,. •e licensed in the
jurisdiction in which work is being,.erformed.If the
City/State/ZIP:Tualatin,OR 97062 applicant is exempt from licensi•.,the following reasons
Phone:(503)707-0145 I Fax::(503)684-1458 apply:
N/A :t
E-mail:brandon@reroofnow.com ,1, Lael . t t
CONTRACTOR
h.
Business name:Columbia Construction Services,Inc.
Address: 18525 SW 126th Place BUILDING PERMIT FEES*
(Please referee fee sahsdak)
Ci Tualatin,OR 97062 Structural plan review fee(or deposit):
Phone:(503)684-9123 I Fa -
x:(503)684-1458 FLS plan review fee(if applicable):
CCB lic.:116607 Total fees due upon application: i cr�i: ,3
0
Authorized signature: Amount received:
This permit application expires If a permit is not obtained
Print name:Brandon Smith Date:8/10/17 j within 180 days after it has been accepted as complete.
f * Fee methodology set by Tri-County Building Industry u
I.',.Building,Pernuts'3RmF-PermitApp.doc 10.'01109 Service Board.
440.4613T(11/02lCOM/WEB)
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