Permit (18) IN4. CITY OF TIGARD REROOF PERMIT
'' COMMUNITY DEVELOPMENT Permit#: RER2016-00029
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2016
Parcel: 2S103DD00500
Jurisdiction: Tigard
Site address: 13727 SW PACIFIC HWY
Project: Wilson's Tigard Retail Center Subdivision: MELROSE Lot: 7-8
Project Description: Reroof-remove and replace.
Contractor: JIM FISHER ROOFING&CONST INC Owner: WILSON'S TIGARD RETAIL CENTER IN
13580 SW GALBREATH DR PO BOX 347
SHERWOOD, OR 97140 BEAVERTON, OR 97004
PHONE: 503-625-2586 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 08/29/2016 $718.43
Specifics: 12%State Surcharge-Building 08/29/2016 $86.21
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $48,825.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $804.64
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 mayhe rules or direct questions to OUNC by calling 503.23 87 or 1.800.332.2344.
Issued By: �• Permittee Signature:
-4•..rst _ _ s
all 503.639.4175 by 7:00 a.m.for the next available inspe ion date.
This /ard 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 ,
-1 FOR OFFICE USE oNLI
City of Tigard Received i
i Date/By
pT—) Ito Permit No.: f / 1
13125 SW Hall Blvd.,Tigard,OR 97223 ,,`` tl 9 L u�h Y 1/� i--` p�
Phone: 503.718.2439 Fax: 503.598.196 3 U !�1114
Plan Review
Date/By: Other Permit:
Inspection Line: 503.639.4175 k'' 4r '= Date Read/B
Y Tuns H See Pge t
for, 5 Internet: www.tigard-or.gov a < „< s dt ! Notified/MethodSupplemental Info
rmation.1 a a /e „-2,0,
S ts a sl
11;
TYPE OF REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
El Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all
P ®Other:Reroof equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder
El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13727 sw Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: ;, Project name:Subway Building
�j ifili ) %-i yc,..a, Covered porch area: square feet
Cross street/directions to job site: f-rr>'d
SIV Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Install 1 layer of 1/2”R-Tech fanfold over existing BUR roofing Valuation: $$48,825.00
Install 60miI TPO membrane roofing Existing building area: 11750 square feet
remove and replace coping cap New building area: square feet
El PROP RTV OWNER I 0 TENANT Number of stories:
Name:Wilson's Tigard Retail CTR Vince Wilson
Type of construction:
Address: 1300 sw 5th Suite 3000
Occupancy groups:
City/State/ZIP:Portland,OR 97201
Existing:
Phone:( ) Fax:( )
New:
►®® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Fisher Roofing
All contractors and subcontractors are required to be
Contact name:Bob Bruce licensed with the Oregon Construction Contractors Board
Address: 13580 sw Galbreath dr under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP:Sherwood,OR 97140 applicant is exempt from licensing,the following reasons
Phone:(503)227-7663 apply:
Fax: :(503-)625-0528
E-mail:bob@fisherroof.com
CONTRACTOR
Business name:Fisher Roofing
BUILDING PERMIT FEES*
Address: 13580 sw Galbreath dr
(Please refer øfee schedule)
City/State/ZIP:Sherwood,OR 9714 Structural plan review fee(or deposit):
Phone:(503)227-7663 Fax:(503)6250528 FLS plan review fee(if applicable):
CCB lic.:45970 - Total fees due upon application: W Cl. 64
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: r Pj ��i,u(—La Date:8-29-2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
7:\Building\Permits\ROOF-PermitApp.doc 10/01/09
440-4613T(I 1/02/COM/WEB)