Permit (116) CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2019-00022
T FG;A R.i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019
Parcel: 2S113AA01100
Jurisdiction: Tigard
Site address: 16580 SW 72ND AVE B11
Project: Pac Trust OBPI#11 (124)36733 Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Building#11 -Commercial roofing;removing existing and installing new roof.
Contractor: ROOF TOPPERS INC Owner: PACIFIC REALTY ASSOCIATES
5709 NE 88TH ST ATTN: N PIVEN
VAMCOUVER,WA 98665 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-574-7248 PHONE:
FAX: 360-574-7905
FEES
Description Date Amount
Permit Fee 07/29/2019 $1,053.24
Specifics: 12%State Surcharge-Building 07/29/2019 $126.39
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 1 Height: 0 ft
Project Valuation: $92,720.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $1,179.63
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 he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , �r Permittee Signature: -
Call 503.639.4175 by 7:00 a.m.for the next available inspecti'rate. i
This permit card shall be kept in a conspicuous place on the job site until completion oft e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re-Roof BEGS v\r
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rot(of l Ic is l sF,ONE)
City of Tigard ?019 Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 ,�� t" DateB : /,..,
� " PernutN�� /c� nClo2
11111
Phone: 503.718.2439 Fax: 503.598.1960 r-c1Gp,''Film Other Permit:
I Inspection Line: 503.639.4175 GrTY 01 I-11-\I IS -0:i-Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov 130-DING Notified/Method:? 2- 'r. Supplemental Information
� #j, . GV/Ly
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑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 ElOther:Commercial roofing tear off equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-familY dwellin Valuation: $
g ❑Commercial/industrial
ElAccessory 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:16580 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:#11 Project name:PacTrPacTrust OBPI#11 (124)36733 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.
Commercial roofing, removing existing and installing new roofing..See-- Valuation: $ (:I /-� OD
IIS. ---- ;(c'Z"S f // Existing building area:17205 square feet
New building area:NA square feet
0 PROPERTY OWNER a TENANT Number of stories:1
Name:Pacific Realty Associates Type of construction:Commercial roofing/tear off
Address:15350 SW Sequoia Parkway#300 Occupancy groups:Warehouse/Offices
City/State/ZIP:Portland, OR 97224 Existing:Warehouse/Offices
Phone:(503 ) 403-9518 Fax:( NA ) New:NA
❑+ APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Roof Toppers Inc. All contractors and subcontractors are required to be
Contact name:Emily Rogers licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5709 NE 88th St. jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98665 applicant is exempt from licensing,the following reasons
apply:
Phone:(360 ) 574-7248 - - _Eaxi( 3601-5747905- -- _ -
E-mail:emilyr@rooftoppers.com
CONTRACTOR
Business name:Roof Toppers Inc. BUILDING PERMIT FEES*
Address:5709 NE 88th St. (Please refer to fee schedule)
City/State/ZIP:Vancouver,WA 98665 Structural plan review fee(or deposit):
Phone:(360 ) 574-7248 Fax:(360 ) 574-7905 FLS plan review fee(if applicable):
CCB lic.:93567 Total fees due upon application:
'°� Amount received:
Authorized signature:; ��.-,. f K* ___
0 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Emily Rogers Date:7/23/19
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemuts\ROOF-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Re-Roofing Permit Checklist
Page 2-Supplemental Information
RESIDENTIAL(One-&Two-Family Dwelling)
0 REPAIR(major)plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re-roof if not more than two (2) layers of
roofing will exist upon completion of the re-roofing.
COMMERCIAL (includes multi-family and condominiums)
❑ RE-ROOF: Pre-inspection is required for all roofs sloped 2:12 and less. Call
503.639.4175, for code 295 Miscellaneous inspection after permit is issued.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre-inspection,plans may be required
to address any non-conforming items.
VALUATION OF PROJECT: $
sq.ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
U:\Assistant Project Manager SOP's\Permits\OR-Tigard\Permit application.oc