Permit _ CITY OF TIGARD REROOF PERMIT
11111 ii,sII - COMMUNITY DEVELOPMENT Permit#: RER2015 00037
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
TIGARD Parcel: 25110AC01200
Jurisdiction: Tigard
Site address: 11424 SW BULL MOUNTAIN RD
Project: Bull Mountain Heights Subdivision: 2003-083 PARTITION PLAT Lot: 2
Project Description: Tear off and re-roof
Contractor: CARLSON ROOFING CO INC Owner: ANDREWS MANAGEMENT LIMITED
PO BOX 1695 5845 JEAN RD
HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 10/08/2015 $180.17
Specifics: 12%State Surcharge-Building 10/08/2015 $21.62
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $6,837.86
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $201.79
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other pplicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of iss nce, or if work is spended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio Center. Those ru s are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 or .81.332.2 4.
Issued By: �� Permittee Signature: A I emkt x n n n
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �/ �l\
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit 2Application RECEIVE!)
Re-Roof
OCT 8 2015 ,PIIIIIIIMIIMPIMIIMIIIIII,
City of Tigard
1312.5 SA% Hall Bled. figard,OR 47223
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I.. Phone. 503"I x 2434 Fax 501 398 Icor&
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TIGARD In,spection Lin; 503.639.4175 I lure
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BUILDING DIVIS101$ 7:
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TYPE OF WORK 7 r RE-OLTIRED DATA:I.AND 24AMILV DWELLING
Dotwillion . Permit tee,."are based on the%aille of the work performed
Indicate the\aloe(rounded to the nearest dollarl or all
Addition alteration replacement
f ! 0 Other:
CATEGORY OF CONSTRUCTION '3,110e, . 1 equipment. matenals.labor,(I\erhead.and the profit lot ili
I work indicated on this application,
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:
_____
—I Valuation: $ 6 8'34
\la 1. .ind 2-tamily dwelling 0 Commercial.industrial
0 Accessory building , 0 Ntulti-family Number of bedrooms:
0 Al SSicr build er i 0 Other 1 , Number of bathrooms:
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1 JOR IiiTE INFORMATION AND LOCATION I otal number ot floors:
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Job site address, ( L42 9 ,, ivk c 0 (\fat: ) ....kc ads_ New dwelling area: — square feel
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I. its State ZIP. t \6p412 f2_ ci 1 2 Z Li I Garage,carport area square feet
Suite bldg apt.no.: 1 Project name: it Lz___Liiye A77 /A.01-1Fir- x Co\ered porch area: square feet
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Cross street directions to job site 1' 1 Dect'vet. square feet
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Other structure area: square feet
R.EQuiRED DATA,:COMMERCIAL-USE CRECKLIS1
suhdi%ision-. ' 1 01 no.: 1 Permit fees*are based on the\Mire of the A ork per-formed
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Indicate the\aloe(rounded to the nearest dollar{of all
I a\map.pareel no..
equipment.materials. labor.ON erhead.and the profit for th
DEsolopTION Or WORK l%ork indicated on this application
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, Valuation: S
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Existing building area: square feet
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1 New building area square feet
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-- — I iiioPERTY OwNiR ' jgtfV, I; Number of moncs:
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, Occupancy groups.
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Coy Slate/IP. 190 r-fea ,.$9, (., C.-- ,ct"7 47.k...-,' V Existing:
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Business name. C c(f--1 ty,2_n ts..,...` -.4.2,,,,! ---)'ir r. --.,.3 Cc . - 'N.C.,- i All contra‘i., .oid subcontrd,tors ate required to he
I Contact name: ,-0c(rIt`C,L, IV V il(.:2- ' 1 licensed with the Oregon Consiructkm C ontractors Board
1 under ORS 7111 and may be required to be licensed in the
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Address. 57-5r, LA....; f1,10,1)47. .51- , jurisdiction in w Inch work is being performed. It the
applicant is exempt from licensing,the following reasons
City State ZIP- i-h ti...ers,c, , C rc. (11 r 2_,,'
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Phone:i'17/1 .5t,- 3 ci.:3/S I Fax: :(57;3) 6,-,V(t 2
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application: 911D 1 7 I
cca k Total fees due upon
Amount reee\et!
Authoted signature. ,,.
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thhperniit r-tosapplitatioo spires if a permit is not obtainer
ssilhia 180 dass after it hal,been accepted as complete.
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11424 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00037
Chip Barnett
Violation Summary:
Inspector Contractor