Permit •
- "CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00340
;�hI DEVELOPMENT o -639 -4171 DATE ISSUED: 7/19/2005
13125 SW Hall
PARCEL: 2S112BD - 00100
SITE ADDRESS: 07520 SW BONITA RD ZONING: R -12
SUBDIVISION: BONITA VILLA APARTMENTS LOT: 065 JURISDICTION: TIG
Project Description: Remove existing roof, install new roof and gutters.
REISSUE: ,�(k, FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: V FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR. LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:$30 6
Owner: Contractor:
WASHINGTON CO. HOUSING AUTHORITY CARLSON ROOFING CO INC
111 NE LINCOLN ST 560 SW MAPLE AVE
#200 -L, MS63 HILLSBORO, OR 97124
HILLSBORO, OR 97124 -3082
Phone: 503 - 846 -4794 Phone: 503 - 846 -1575
Reg #: LIC 159686
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2005 $328.30
[TAX] 8% State Surcha 7/19/2005 $26.26
Total $354.56
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: � Permittee Signature: 4
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
Re -Roof
4.
Building Permit Application FOR OFFICE USE ONLY
Cl of Tigard c I VE D Received _ � _
`J g Date /By: 77 G �� ���' �' Permit No' '� 494)3' y 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 juL 1 *►' "' I 'I� i /�li Date/By: Other Permit.
1
Inspection Line: 503.639.4175 9 200 �_ W Date Ready /By Juris: ei See Page 2 for
Internet: www.ci.tigard.or.us CITY OF Notified/Method. fn�!
f/ Supplemental Information
V f TIGARD
B UILDING orosioN • .
TYPE OF WORK - , • REQUIRED DATA:•I- 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
- . CATEGORY OF CONSTRUCTION . :.', ' -
1 , . work indicated on this application.
Valuation: $30,070.00
❑ I- and 2- family dwelling ❑ Commercial /industrial
El Accessory building ® Multi - family Number of bedrooms:
1=1 Master builder ❑ Other: Number of bathrooms:
JOB .SITE INFORMATION .LOCATION • . - Total number of floors:
Job site address: 7520 SW' Bonita Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: 1 -12 Project name: Bonita Villa Apartments Covered porch area: square feet
Cross street/directions to job site: 217 south to 72 " 72 " south to Bonita, west on Bonita 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
work ind icated on this ' ' DESCR IPTION" OF WORK � ° - application.
Remove existing roofing, install new roof and gutters Valuation: $
Existing building area: square feet
' New building area: square feet
- ' ® PROPERTY OWNER o. ' - '- ' • ❑ TENANTS ° - Number of stories:
Name: Housing Authority of Washington County Type of construction:
Address: 155 N. First Ave Suite 210 Occupancy groups:
City /State /ZIP: Hillsboro, OR 97124 Existing:
Phone: (503)846 -4805 Fax: ( ) New:
® APPLICANT' ' , ' • ❑ `CONTACT PERSON = : - ••• , ,
NO TICE
Business name: Carlson Roofing Company Inc All contractors and subcontractors are required to be
Contact name: Greg Carlson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 560 SW Maple Ave jurisdiction in which work is being performed. If the
City /State /ZIP: Hillsboro, OR 97123 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 846 -1575 Fax: : (503) 640 -4840
E -mail: gcarlson @bobcarlsonroofing.com
• CONTRACTOR
Business name: Carlson Roofing Company Inc. -.BUILDING PERMIT FEES* '
Address: 560 SW Maple Ave
Please refer to fee schedule.
City /State /ZIP: Hillsboro, OR 97124 '
Fees due upon application
Phone: (503) 846 -1575 Fax: (503) 640 -4840
Amount received
CCB lie.: 159686
Date received:
Authorized signature: . i . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Greg J. Carlson Date: 7/18/05 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \ROOF - PermitApp doe 12/03 440 4613T( 1 1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005
Phone: (503) 639 -4171 eAdips 11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7:09AM PAGE: 78
SITE ADDRESS: 07520 SW BONITA RD CLASS OF WORK:
SUBDIVISION: BONITA VILLA APARTMENTS LOT #: 055 TYPE OF USE: •
PROJECT NAME: BONITA VILLA APARTMENTS
DESCRIPTION: Remove existing roof, install new roof and gutters. Units 1 -12
OWNER: WASHINGTON CO. HOUSING AUTHORITY, PHONE #: 503 -846 -4794
CONTRACTOR: CARL SON ROOFING CO INC PHONE #: 503 - 846.1575
Inspection Request Scheduled For: Date: 8/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013300 -03 503. 049 -8507 N
Corrections /Comments /Instructions:
•
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
lAf
Inspector: Date: 8 it Phone #: (503) 718-