Permit CITY OF TIGARD
REROOF PERMIT
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II a . COMMUNITY DEVELOPMENT Permit#: RER2016-00016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016
Parcel: 1 S 136AD06100
Jurisdiction: Tigard
Site address: 11419 SW PACIFIC HWY
Project: Buster's BBQ Subdivision: None Lot: None
Project Description: Reroof-remove and replace.
Contractor: WESTERN PACIFIC ROOFING LLC Owner: SCHOLIBO, GEORGE E JR&
10824 SE OAK ST 350 SCHOLIBO, STEPHEN A
MILWAUKIE, OR 97222 12241 SW TERWILLIGER BLVD
PORTLAND, OR 97219
PHONE: 503-659-7663 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 05/25/2016 $993.00
Specifics: 12%State Surcharge-Building 05/25/2016 $119.16
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $85,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,112.16
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 suspen ed for m the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those es r= s= f 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 • .' . 987 0 1.80,3
,..... ..„.
Issued By:X-2....e.4.,_..Z__ 2____ Permittee Signature:
II 503.639.4175 by 7:00 a.m.for the next available in-•: .- .
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.olz orrlcE 151:011.1
}�, g � Received �
Cit of Tigard �� Permit No.: • , . •
Date/B
13125 SW Hall Blvd.,Tigard,OR ) 1 . Plan Review
Phone: 503.718.2439 Fax: 503. 1. Date/B : Other Permit:
I I G A R D Inspection Line: 503.639.4175 5 `1Q\6 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov MPS $ Notified/Method: 'gm. Supplemental Information
TYPE OF �*(%N.‘ 11,'"
REQUIRED DATA,:I-AND 2-FAMILY DWELLING',
0 New construction ■ ;t- 1h Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement r Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSt'KUCTION: work indicated on this application.
❑ 1-and 2-family dwelling ®CommerciaUindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SRTE INFORMATION'S LOCATION >, Total number of floors:
Job site address: $I4 II sty vo.c.,,Q i ci tivi. New dwelling area: square feet
City/State/ZIP: T1 �.,rGarage/carport�o - 97ti23 area: squareuare feet
Suite/bldg./apt.no.: Project name: ��1.5yX,�,1(� 86 T1 �,f� Covered porch area: squareuare feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQU bATA COM141 RCIAL=`USE C1l1EC':1 L.IIST
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.
(eJioCfQ Valuation: $ 85I 000 .DD
Existing building area: 113 b square feet
New building area:il( square feet
-PROPERTY OWNE1t 6 '':'?rr 0!TENANT"* Number of stories: I
Name: 3 4 y s Coot I.6 Type of construction: (timer(
Address: LI bt -2),d st ck 101 Occupancy groups:
City/State/ZIP: i QS D t 1102 y Existing:
Phone:(503) 1 ii 1. Ztt.i'1 Fax:( ) New:
b . . �J APPLICANT ,, ,Q:CONTACT:.PERSON . 1'4 NOTICE �.
Business name: 11si`e$i.e/ry`, 2 kl G t0 e.1 J All contractors and subcontractors are required to be
Contact name: ¢�,,�, 5 �� �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Ibibeol i;(. Oak. , A 3 5D jurisdiction in which work is being performed.If the
City/State/ZIP: M,1 I wa'i.1✓ t 0f- Q1ti2L applicant is exempt from licensing,the following reasons
apply:
Phone:(5b3) t,51 1 ,L3 Fax::(5o3) (\kg. lib'l
E-mail: C MT w2� y i O— & �- ?AA-Ir-bb,f, 1�"Q,
CONTRACTOR V
v N ,
Business name: Wp1'Xo„ pa f,�i L �Ot CLQ BUILDING PERMIT FEES*
Address: 101�U S(�' 04 sk it .36k) 7 Manse rear tfee schedate)
Structural plan review fee(or deposit):
City/State/ZIP: MAW 2i,c, ,d- q--,�1�
1 ' FLS plan review fee(if applicable):
Phone:(6e1;) t,5q- 1 IA;3 Fax:(51)3) q`y' ilbq 1
CCB lic.: 110 8 Gs j/,„?. ./6 Total fees due upon application: $/ )))...r to
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
<< (AI F within 180 days after it has been accepted as complete.
Print name: 1 -t, �/ Date: t 4-L9. I L * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\ROOF-PermitApp.doe 10/01/09 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11419 SW PACIFIC HWY, TIGARD, OR, 97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2016-00016
Jeff Grove
Violation Summary:
Inspector Contractor