Permit CITY OF TIGARD REROOF PERMIT
IIIIII
11 , COMMUNITY DEVELOPMENT Permit#: RER2013 00024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2013
Parcel: 25101 DC03800
Jurisdiction: TIGARD
Site address: 7180 SW SANDBURG ST 100 •
Project: McCormack Properties Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Installing new TPO roofing system.
Contractor: PACIFIC ROOFING COMPANY INC Owner: MCCORMACK PROPERTIES LP
PO BOX 1728 7190 SW SANDBURG ST
BEAVERTON,OR 97075 TIGARD, OR 97223
PHONE: 503-647-2894 PHONE:
FAX: 503-647-2894
FEES
Description Date Amount
Permit Fee 09/24/2013 $608.23
Specifics:, 12%State Surcharge-Building 09/24/2013 $72.99
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $38,220.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: No
Overlay: Yes
Existing Roof Layers:
Parapets:
Total $681.22
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.
l
— 111111111111b
Issued By: rmittee Signature:
dereiriel .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 At1C) FOR (11:1:1( r I SI:OA1,1
City of Tigard Received `
�. Date/B : I Permit No.: ► E .�• l "2�l C�,
13125 SW Hall Blvd.,Tigard,O'.,, 2..• q) Plan Review
C Phone: 503.718.2439 Fax: t3a`: .:,! psrL�1 Date/B : Other Permit:
7. �`D Inspection Line: 503.639.4175 ' \, ® Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov 't S�-e eG�� A Notified/Method: ;TCp Supplemental Information
TYPE OF W O�C�cv�\%
®O REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑t .,,t i ition 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.
❑ 1-and 2-family dwelling ®Commerciallindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 /¶-u S S 4,, b J r . New dwelling area: square feet
City/State/ZIP: _T 1 G U& 9 1 a). Garage/carport area: square feet
Suite/bldg./apt.no.: its Project name: ry c (o rlhc' i. Pnpr.-c Covered porch area: square feet
Cross street/directions to job site: 5(..,_) -7)_n 4 e 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.
Tom)\-,-,..-\\- �e.W rt (3 ��,)�... Valuation: $ 3 ��
Existing building area: i a sCl(7 square feet
New building area: bt '- square feet
IA PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: f ►c C,r' fT\U.C\L Q (A U c-. ■e-S Type of construction: -f-,\ j--.
Address: fl t-() S.J Ste& \ rccS Occupancy groups: 6.,41w<<-,K\
City/State/ZIP:T\ (50.1_c, Q e_ ' 1 aa3 Existing: h
Phone:( ) Fax:( ) New:
[if APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: f U,c c\` (?--o 0 c.: J All contractors and subcontractors are required to be
Contact name: a licensed with the Oregon Construction Contractors Board
n e � under ORS 701 and may be required to be licensed in the
Address: C O `.�u, \--)_% jurisdiction in which work is being performed.If the
City/State/ZIP: �, applicant is exempt from licensing,the following reasons
�c<L��c A. �,Q- X11 U- apply:
Phone:(5tz, ) (.a'-i1-a -c /- Fax::( - 1
) (2-1 - 14-i(j
E-mail: ee_C a10115'l' f76 ) .Ct0\
CONTRACTOR
Business name: PG.c..b ` C--oo-(--, J BUILDING PERMIT FEES*
Address: P() C- 9 7_ \1 O (Please refer to fee scheduler
,.
City/State/ZIP: 6 .„,-'eta_ O (Z Cl—1 .0 7 S Structural plan review fee(or deposit):
Phone:(-5 ) (Q 4.1.. in y Fax:(S'$5) (DI-11 --]�-(,1-� S plan review fee(if applicable):
CCB lic.: L) 1 Total fees due upon application: ( �-)_)..
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
%-.) .3....s?)
Print name: � - Date: y a 3-`� • Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doe 10/01/09 440-4613T(I I/02/COM/WF.B)