Permit CITY OF TIGARD REROOF PERMIT
III II ° COMMUNITY DEVELOPMENT Permit#: RER2015-00034
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 11344 SW BULL MOUNTAIN RD
Project: BULL MOUNTAIN HEIGHTS Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Reroof-remove and replace.
Contractor: CARLSON ROOFING CO INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1695 ATTN: N PIVEN
HILLSBORO, OR 97123 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
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: $11,767.00
General Information
Building Area: o
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. 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 i 1 ante, or if wo' is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati•MI Center. Th• e rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c•- : •- ules or direct questions to OUNC by calling 503.^32.1987•r 1.800. 32.2344.
Issued By: _ _� ••rmittee Signature: Alik/r -,
.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 Applicatio irate (0a /7
Re-Roof Rn ECEI110 FOR OFFICE LSE ONLY
City of Tigard i luveived i hitil ,
_.- 1312;SW Hall Blvd. ligard.OR n72ACT
111114
Mom: 503 718 2439 fax 510 598 1946 8 2015
! Plan Row.
LI)aw B■ I onwt l'crwit
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TIGARD Inspection Line. 503.639..1175 CITY(*FIGARO Mat;licad■ It!. ' `‘, 63 Set Page 2 for
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311ILDING DIVISION
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,,',Isiah:Lion . 0 Demolition Permit tees"are based on the%ante of the work performed
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- ,_.. i — Indicate the value(rounded to the nearest dollar)of all
0.1dchtion alteration repla:ement El Other equipment,materials,labor,merhead,and the profit for th
C ST ,,,All work indicated on this application.
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141-and 2-family dwelling 0 Commereialiindustnal Valuation: $ /1 767,
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0 max,icx builder 1 0 Other 1 Number of bathrooms.
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i . JOB SITE INFORMJATION AND LOCATION
1 otal number of floors:
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Job site addre,,s I 13 Cj 9 "3 ti,,,:, i 3 u ( 1 IA c 0 ,)1 a,, ,.1 isi.2 ckck New dwelling area: square feet
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Cit. State ZIP. 1 6/..),,, , r‘.› ct--1 2 2 Li 1--'—{ agecarix,rt area ',while feet
Sulte'bIdg.apt.no.: 1 Project name: ' Cox ered porch area: square feet
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Cross street directions to job site:
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Other structure area: -quare feet
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Subdixision: 1 Lot no,: Permit fee '''are based on the\aim of the work performed
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Indicate the x alue(rounded to the nearest dollar)of all
I as map parcel no
equiptnent,materials,labor.oserhead.and the profit for th
pork indicated on this application
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Valuation:•n +■ 7 f
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Emsting building area: square feet
Ness budding area square feet
7 Number of stories:
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Name-
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Address: I I i ,..54,0 r57-6 A ,z7 -,D+c. 3 Cf/'o _ I Occupancy groups:
Cii State ZIP: 10 orffel yv,,,,e, CZ c i 7 csPc),-/
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Phone:(.5931 ci 2. OC)cl 1 I Fax'( )
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ra:APPLICANT ,
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110 lids'.name. Ca rity.„. /l 1,.. ,,,,:...C.s..-i-IYNS Le , .c.a Y‘.C..- 1 Ail cu n mi.tors alid subcontractors are required to he
licensed.0.111,the Oregon Construction Contractors Board
Contact name: ,....fekty-1 cek fo L;0 c:2_ -
— under ORS "1 1 and nia,x be required to he licensed in the
Addre'' 577:)-E, ,- 4 , rvic4,,4'. 151- jurisdiction in which work is being performed. If the
applicant Is exempt from licensing.the following reasons
( it stare ZIP. it i r,1/4-.;_,, 0 liZ eil i 1 ' 7 apply.
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Business name. etkir.{3c,ii AL:,;)- --,,-,,,-- c, , ,., , „„,:=_ BUILDING putsirr FEES*
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Address - , __ _. (Meow teir.r.otfce schoimiq
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i Structural plan rex less tee for deposit).
('Ity:StatelIP: hk ir.„0„-,0 y.',2L. 91 (2 -2) 4----
FLS plan review fee(if applicable): 11
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Amount receixed: i
Authorized signature: ,'s 40
- l This permit application expires if*permit i_s no
t obtain_e
within IRO dais after it has been accepted as complete.
Print name: j,e ho a - / C1 * Ice methodologr set r -c outty a tt id;I I d ustr■
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Service Road
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