Permit (41) 71 CITY OF TIGARD REROOF PERMIT
S., COMMUNITY DEVELOPMENT Permit#: RER2016-00017
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2016
Parcel: 2S103DD00500
Jurisdiction: Tigard
Site address: 13707 SW PACIFIC HWY
Project: Meineke Subdivision: MELROSE Lot: 7-8
Project Description: Reroof-remove and replace.
Contractor: COLUMBIA CONSTRUCTION SERVICE INC Owner: WILSON'S TIGARD RETAIL CENTER IN
18525 SW 126TH PL PO BOX 347
TUALATIN, OR 97062 BEAVERTON, OR 97004
PHONE: 503-684-9123 PHONE:
FAX: 503-684-1458
FEES
Description Date Amount
Permit Fee 06/07/2016 $542.11
Specifics: 12%State Surcharge-Building 06/07/2016 $65.05
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $32,482.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $607.16
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 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 co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
_Th
Issued By: �/ — Permittee Signature: jam,
�J��_ .II 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
Received /
I - City of Tigard Date/By: (� 7 /� Permit No.: 16R�t6-e a�1i7
II • 13125 SW Hall Blvd.,Tigard,OR 97223 V Plan Review tx•l
Phone: 503.718.2439 Fax: 503.598.1960�0 O� Date/By: Other Permit:
T I G A li D Inspection Line: 503.639.4175 ��// r� '� Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov �� 1. �� �otified/Method: TA, Supplemental Information
TYPE OF WORK .( a 0`GQ`V REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑D ti 1hie Permit fees*are based on the value of the work performed.
` Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑O ' equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
IiiI-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13707 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Meineke Covered porch area: square feet
Cross street/directions to job site:Pacific Hwy and SW Watkins Ave 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Roofing recover-see attached scope. Valuation: —4349,1211°—,13?ti
jiga
Existing building area: 6,720 square feet
New building area: 6,720 square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name:Norris and Stevens Type of construction: Roofing
Address:900 SW 5th Ave,17th fl Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing:
Phone:(503)223-3171 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:Columbia Construction Service,Inc All contractors and subcontractors are required to be
Contact name:Erin Warrick licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:18525 SW 126th Place jurisdiction in which work is being performed.If the
City/State/ZIP:Tualatin,OR 97062 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)684-9123 Fax::(503)684-1458
E-mail:erin@reroofnow.com
CONTRACTOR
Business name:Same as applicant BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State/ZIP: Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Phone:( ) Fax:( )
CCB lic.:116607 Total fees due upon application:
Amount received: ,......5-541
Tr
Authorized signature: Z _t.._-
Q�� This permit application expires if a permit is not o tained
/ `
/ within 180 days after it has been accepted as complete.
Print name: CA•v ,�(�,4 ev Date: —7 L Y� * Fee methodology set by Tri-County Building Industry
v+ Service Board.
I:\Building'J'ermits\ROOF-PermitApp.doc 10/01/09 440-4613T(I 1/02/COM/WEB) Coo?, I