Permit (118) 14 N
}.
City of Tigard
August 9, 2019
Roof Toppers, Inc
5709 NE 88th St
Vancouver, WA 98665
Re: Permit No. RER2019-00024
Dear Applicant:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 16700 SW 72nd Ave B16
Project Name: Pac Trust
Job No.: N/A
Refund: ® Check#232948 in the amount of$91.00.
❑ Credit card "return" receipt in the amount of$
D Trust account"deposit"receipt in the amount of$
Notes: Refund overpayment of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Coordinator
Enc.
I:\Building\Refunds Wriunis aW\��iRefundV6ver�•ay T c 6�regon 97223 • 503.639.4171
TTY Relay: 5C3.684.2772 • www.tigard-or.gov
Ili
0 City of Tigard
T I G A R D Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Roof Toppers, Inc. DATE: 8/2/2019
5709 NE 88th St
Vancouver,WA 98665 REQUESTED BY: Dianna Howse
TRANSACTION INFORMATION:
Receipt#: 424955 Case#: RER2019-00024
Date: 7/29/2019 Address/Parcel: 16700 SW 72nd Ave B16
Pay Method: Check Project Name: Pac Trust
EXPLANATION: Check payment for(4)re-roof permits was over by$91.00. Refund overpayment.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example. 2300000-43104 $Amount
Cash Over 100-0000-48001 $91.00
TOTAL REFUND: $91.00
APPROVALS: SIGNAT ES TE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,000 Department Manager
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: j='�,2_7/ y By: 1G
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
CITY OF TIGARD RECEIPT
41
IN
f ft ' 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T[GARD
Project Name: Pac Trust OBPI#16(127)36735
Site Address: 16700 SW 72ND AVE B16
Receipt Number: 436080 - 08/27/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
RER2019-00024 $-91.00
Total: $-91.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 232948 DHOWSE 08/27/2021 $-91.00
Payor: Roof Toppers Inc
Total Payments: $-91.00
Balance Due: $91.00
I
Page 1 of 1
71 CITY OF TIGARD RECEIPT
-i • 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
1 I(_.;A 1t C)
Project Name: Pac Trust OBPI#16(127)36735
Site Address: 16700 SW 72ND AVE B16
d%i 6/A/Cir_____.
I Receipt Number: 424955 - 07/29/2019
I
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
RER2019-00024 Cash Over 100-0000-48001 $91.00
Total: $91.00
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 49164 DHOWSE 07/29/2019 $91.00
Payor: Roof Toppers, Inc.
Total Payments: $91.00
Balance Due: $0.00
Pane 1 of 1
Dianna Howse
From: Dianna Howse
Sent: Friday, July 26, 2019 4:49 PM
To: emilyr@rooftoppers.com
Cc: #Building Permit Technicians
Subject: Pac Trust - Re-Roof Permits Ready
Attachments: SKM_C554e19072616350.pdf
Hello Emily,
The following permits are ready to issue. See attached invoices for a list of permit fees for each address and building.
• RER2019-00021-$1,529.55 7/.. 0-0 cf-V/V,-
• RER2019-00022-$1,179.63 S 3
• RER2019-00023 -$1,401.02 y ��� � �
• RER2019-00024-$1,455.14 - ,4,4-9-1/S
tar., s S��S 3,/)
The permit fees can be paid online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record
number under the Building tab, or in person when you pick up the permits Monday-Thursday,8:00 am to 4:00 pm. We
are closed on Fridays.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
1
Dianna Howse
From: Dianna Howse
Sent: Monday, July 29, 2019 5:40 PM
To: Emily Rogers
Cc: #Building Permit Technicians
Subject: RE: Pac Trust - Re-Roof Permits Ready
Hello Emily,
Your check was for$5,656.34 which was over by$91.00 for the total permits listed below ($5,565.34). We have applied
the $91.00 to cash over on RER2019-00024 and we will process a refund within the next 2-3 weeks.
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Emily Rogers<emilyr@rooftoppers.com>
Sent: Monday,July 29, 2019 8:55 AM
To: Dianna Howse <Dianna@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Pac Trust- Re-Roof Permits Ready
Caution! This message was sent from outside organization.
anization.
yourg
Perfect, I will be there later this morning.Thank you again.
Roof Toppers, Inc.
Emily Rogers I Project Administrator
P (360) 574-7248 I F (360) 574-7905
From: Dianna Howse [mailto:Dianna@tigard-or.gov]
Sent: Monday,July 29, 2019 8:09 AM
To: Emily Rogers<emilvr@rooftoppers.com>
Cc: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Pac Trust- Re-Roof Permits Ready
One check for all four permits is acceptable.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
1
503-718-2430 Direct 1503-718-2439 Permits
From: Emily Rogers<emilvr@rooftoppers.com>
Sent: Monday,July 29, 2019 7:32 AM
To: Dianna Howse<Dianna@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: Pac Trust- Re-Roof Permits Ready
Excellent, thank you Dianna. Would it be acceptable to pay in person with one check?Or do you prefer separate checks
for each permit?
Roof Toppers, Inc.
Emily Rogers I Project Administrator
P (360) 574-7248 ! F (360) 574-7905
From: Dianna Howse [mailto:Dianna@tigard-or.gov]
Sent: Friday,July 26, 2019 4:49 PM
To: Emily Rogers<emiyjrooftoppers.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Pac Trust- Re-Roof Permits Ready
Hello Emily,
The following permits are ready to issue. See attached invoices for a list of permit fees for each address and building.
• RER2019-00021- $1,529.55
• RER2019-00022-$1,179.63
• RER2019-00023-$1,401.02
• RER2019-00024-$1,455.14
The permit fees can be paid online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record
number under the Building tab, or in person when you pick up the permits Monday-Thursday, 8:00 am to 4:00 pm. We
are closed on Fridays.
Thank you.
2
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
3
CITY OF TIGARD REROOF PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: RER2019-00024
I G A It f 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019
T
Parcel: 2S 113AD01800
Jurisdiction: Tigard
Site address: 16700 SW 72ND AVE B16
Project: Pac Trust OBPI#16(127)36735 Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1
Project Description: Building#16-Commercial roofing;removing existing and installing new roof.
Contractor: ROOF TOPPERS INC Owner: PACIFIC REALTY ASSOCIATES
5709 NE 88TH ST ATTN: N PIVEN
VAMCOUVER,WA 98665 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-574-7248 PHONE:
FAX: 360-574-7905
FEES
Description Date Amount
Permit Fee 07/29/2019 $1,299.23
Specifics: 12%State Surcharge-Building 07/29/2019 $155.91
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $131,485.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,455.14
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 btain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
i ji„ k Cr--
Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate. (,,J
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.
0
Building Permit Application
Re-Roof rot(orFicE l:sh.ONL)
City of Tigardj/fir`'/�\) ..e. � �76,ReceivedIii 14 /� `� j/�
13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
Phone: 503.718.2439 Fax: 503.598. 9 Date/B : Other Permit:
T t l;;\l;11 Inspection Line: 503.639.4175 Date Ready/By: la See Page 2 for
Internet: www.tigard-or.gov JUL 2 5 2019 J Notified/Method:._.2- /9 1''''-n. Supplemental Information
TYPE OF Y,OF TIGARD 014-'4- e2•-•//c-Y
DING DIVISION REQUIRED DATA:I-AND 2-FAMILY DWELLING
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ElOther:Commercial roofing tear off equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
1:11-and 2-family dwelling ❑� Commercial/industrial
ElAccessory building ElMulti-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16700 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:#16 Project name:PacTrust()BPI#16(127)36735 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.
Commercial roofing, removing existing and installing new roofing.- Valuation: $ 1-` i 46 j
r Ell p,_,E7//E7i Existing building area:26914 square feet
New building area:NA square feet
0 PROPERTY OWNER 0 TENANT Number of stories:1
Name:Pacific Realty Associates Type of construction:Commercial roofing/tear off
Address:15350 SW Sequoia Parkway#300 Occupancy groups:Warehouse/Offices
City/State/ZIP:Portland,OR 97224 Existing:Warehouse/Offices
Phone:(503 ) 403-9518 Fax:( NA ) New:NA
El APPLICANT 0 CONTACT PERSON NOTICE
Business name:Roof Toppers Inc. All contractors and subcontractors are required to be
Contact name:Emily Rogers licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5709 NE 88th St. jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98665 applicant is exempt from licensing,the following reasons
apply:
Phone:(360 ) 574-7248 Fax: 3601 574-7
[ ,
E-mail:emilyr@rooftoppers.com
CONTRACTOR
Business name:Roof Toppers Inc. BUILDING PERMIT FEES*
Address:5709 NE 88th St. plan review fee(or deposit):
(Please refer to fee schedule)
City/State/ZIP:Vancouver,WA 98665
Phone:(360 ) 574-7248 Fax:(360 ) 574-7905 FLS plan review fee(if applicable):
CCB lic.:93567 Total fees due upon application:
' -K Structural
Authorized signature._ '
Amount received:
( � This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Emily Rogers Date:7/23/19 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
RESIDENTIAL(One-& 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.
COMMERCIAL (includes multi-family and condominiums)
❑✓ RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Call
503.639.4175, for code 295 Miscellaneous inspection after permit is issued.
❑ 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: $
U:\Assistant Project Manager SOP's\Permits\OR-Tigard\Permit application.oc