Permit CITY OF TIGARD REROOF PERMIT
Permit#: RER2015-00035
111 COMMUNITY DEVELOPMENT
Date Issued: 10/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11368 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 $256.22
Specifics: 12%State Surcharge-Building 10/08/2015 $30.75
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $11,449.44
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $286.97
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Special Codes and all oth-r 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 i. uance, or if work i suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificat• Center. Those •les 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 50 7.232.1987 or :00.332. c44.
Issued By: 44 Permittee Signature: ( �'
1• Ili
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 /6)/21,0/2,i 7
Re-Roof KEttiSitEP
l'OR OFHCE LSE ONLY
City of Tigard Received i ,
: 1.3 12.5 sik1 Hall 131k4,1. (yard,OR 97223
• a mon, 503 718.2439 fax 501 598 1960
III OCT 8 2015 .:„.:::eR,...,::,,,,,,,e, „fie,; t i omit%••,e672020/5,--0003.5"
Iothcr Permit
„
TI CARD Inspection Eine. 503.639.4 I 75
CITY OF 11( ARI) Dale gcad 0? l i.,.. 63 Nt r r Art.!i«1
Internet www tigard-or is Notified Method ..1.1.i.incoi,i)In loin Ai..
. . ..
7--- —
T1 PE ()F --"""-----TW7-7"."7"----" ' REQI MED I)\i A: I-'\N.I)2-F OW N Ir■NELLIst;
\B‘110ILKDING DIVISION
. ,
... , _
0 \e ,onstniction 0 I Dr..nolition
Permit tees*arc based on the\attic=of the work performed
Indicate the .aloe(rounded to the nearest dollar)of all
p_Addition alteration replacement I [3 Other: equipment. materials,labor.overhead.and the profit for rh
. ._,
c‘rri:OR\ 01. ( 0s, Tin--(--rio\ ,.,-1 work indicated on this application.
(iq gy
14 1.and 2-family d 0 welling Commercial,industrial aluation: S // 4
_
0 Accessory building 0 Multi-family
0 Master builder 1 0 Other: F-- Number of bedrooms:
Number of bathrooms.
Total number of floors:
Job site address: I I 3GS 5t.„.1 i3u i 1 ivk co o fa,, , ;<,,,,, o New dwelling area: square feet
C it> State ZIP. 1-‘6p.",:lc„ c iz, cri2zLi Garage carport area. square feet
Suite bldg apt.no ___1_r -
d
, Project naniatc.,'it,tovi--/f/At it .7,e, 1 Covered porch areas. square feet
_
i------ - , .
,
Cross streetdirections to job site I Deck area _ sqirdi L. tee;
___
Other structure area square leo
[—REQUIRED DA'I'At COMMERCIAL-t ISE CIIECK.1-1S1
Subdix ision: ----- Lot no.: . Permit lee are bawd on the%aloe ,I the work performed
. . .
I :I Indicate the saluc(rounded to the nearest dollar)of all
lax map parcel no
equipment.materials,labor,o‘erhead.and the profit forth
DESCRIPTION OF WORK '''L'' ''S'il,P I workindicated on this vplIcatIon
--7,---
1 f ' Valuation; s
..... .........
Existing building area: square feet
I _
I New building area Aluare feet
A PROPERTY OWNER i a TENANT ----- i i Number of stones:
'Same: A.4.6),, ,1 vi ,e'- =..= c-=--1 INACtvtC()4,-' .1,) ,in, t— I Type of constructton:
1---- _ ,
x(Idress, / (I ,„,,L,L,' "e571,j ill Vt".7 fC-- 3 e:.,e I 0 1 (kcu lnor groups:
__
1 its State ZIPP , ,. ,... _ (."( 7 -0 V
Fmsting:
—
- _
c ,,,, =. ,, e-› e
' ? f-,. '
Phone. 1 ).'I,_, ‘.., ( 7
(5'; I:I, ( 1 \e,
, . -ff ,
L..
PPLICANT
Ot A 1 :.
0 CONTACT PERSON ' NOTICE
i'' -- - - '
Business name Ca r.I 5„...,i 1 (. i- !
....ILL, ,.. -• (Lc •
ci ■,c- _
All 0,1111aitof,dltd:..ubt kmmtctors arc required to be
licensed w ith the Oregon Construction t'ontractors Hoard
Contact name. :Dan CC't ild LICIO a.
under ORS 7111 and may be required to he licensed in the
Addrcss. 5751:,, t"...>0.2) Pillar 47 3-fr— jurisdiction in which work is being performed. If the
- 1 applicant is exempt from licensing,the following reasons
City State ZIP: jii I If, -,..,:0-‘3, ,, C Al.) Ci 1 „?..-".'3 apply: _
1 .-
Phone:t(117/) ":)6,3 93/,8 [ Fax: =151 6.-,V C( / Z2_
F-mail L.ei',(i a (6, c(J r 1',0/-1 1,--=(' c
r
_
.----- ....._
L..
_
Business name: _elf_tr-l=.:;=,(L„,t 1 ,t.-ZCO+)Fs,.;-* 6,..(2., = :..F—Y\-C.. suit DING rEtwirr rims*
-.- '
Address: 55.1;) tt".:t., t"si lit\ itt-€._ t"..St"
j Structural plan re■lew fee(or deposit).
cityStatel.IP: t--,u 51LArc> (,:ek. cti (2- -2 ....,
1.1 S plan review fee(if applicable I: ,
Phone:(4)t 5)81-1,4-, (c-; -5----- i Fax:t 51)31 _.-.,t-i 4,22 i z z 1 li -.--
--I I
CCB 14... /sq 647, 4-. ,, ...... _ji Jowl fees due upon application: 1 7.14.1 7
.. ,_____.
i/11
Amount receised
Authonied signature: ,A t - I
t
This permit application expires if a permit is not obtainer
-- ------ within let)class after it has been accepted as complete.
Print name. e.[..„''0 cc '' ----t-,ei s -T.--..... - i . kx=methodology.set by Tri=t'ounty,Buildine Industry
_
Ser(ict:131,ard
I (4.‘fing Yamn,54 till P,,,,,,,'km J,, 44,4,:,!■1'.II<5::COM N't ii,