Permit (61) CITY OF TIGARD REROOF PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: RER2016-00031
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2016
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN
Project: Trane Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 5
Project Description: Installing new TPO roof
Contractor: PACIFIC ROOFING COMPANY INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1728 ATTN: N PIVEN
BEAVERTON,OR 97075 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-647-2894 PHONE:
FAX: 503-647-2894
FEES
Description Date Amount
Permit Fee 09/26/2016 $902.64
Specifics: 12%State Surcharge-Building 09/26/2016 $108.32
Info Process/Archiving-Sm$0.50(up to 09/26/2016 $0.50
Type of Use: COM 11x17)
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $72,720.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: No
Overlay:
Existing Roof Layers:
Parapets:
Total $1,011.46
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
952-00 010 throug a A R 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.
Issu By: / Permittee Signature: Ae j:1,13.6,6Ley-
Call 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-RoofRECEIVEI) FOR 01 Fi( 0\1.1
City of Tigard R -dDate/B : 9 i / ebr Perron No: ► 49.0 C -oGY>3/
NI 13125 SW Hall Blvd.,Tigard,OR 971,7p 2 6 2O16Plan Review
■ Phone: 503.718.2439 Fax: 503.59817w Date/B : Other Permit:
TR,ARD Inspection Line: 503.639.4175 tit \J g y Date Ready/By: Iuris: ® See Page 2 for
Internet: www.tigard-or.gov CITY 1 t1D Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7257 sw kable In New dwelling area: square feet
City/State/ZIP:portland,or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Trane 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.
Valuation: $$72,720.00
installing new tpo roof Existing building area: 39300 square feet
New building area: square feet
I PROPERTY OWNER 0 TENANT Number of stories:
Name:pacifci realty associates Type of construction:
Address:15350 sw sequoia pkwy Occupancy groups:
City/State/ZIP:portland,or 97224 Existing:
Phone:(503)624-6300 Fax:( ) New:
►5 APPLICANT 0 CONTACT PERSON NOTICE
Business name:PACIFIC ROOFING All contractors and subcontractors are required to be
Contact name:guy belt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:po box 1728 jurisdiction in which work is being performed.If the
City/State/ZIP:beaverton,or 97075 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)647-2894 Fax::( )
E-mail:prc97075@aol.com
CONTRACTOR
Business name:pacific roofing BUILDING PERMIT FEES*
Address:po box 1728 (Please refer w fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:beaverton,or 97075
FLS plan review fee(if applicable):
Phone:(503)647-2894 Fax:( )
CCB lic.:41571 5 /34 $
Total fees due upon application:
Amount received: Yf o,'/ .g4;1
Authorized signature:
x3.5� This permit application expires if a permit is not obtained
C/ � ` within 180 days after it has been accepted as complete.
.)Print name: �0,3 e- � Date: ti-a( -`b * Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building\Permits\ROOF-PermitApp.due 10/01/09 440-4613T(11/02/COM/WEB)
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