Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2015 00038
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
TIGARD Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11418 SW BULL MOUNTAIN RD
Project: BULL MOUNTAIN HEIGHTS Subdivision: 2003-083 PARTITION PLAT Lot: 2
Project Description: Reroof-remove and replace.
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 $225.80
Specifics:, 12%State Surcharge-Building 10/08/2015 $27.10
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $9,541.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $252.90
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 the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 11..ealiP4a Permittee Signature: f/.1 ,52-"/OG/e 9-/ICJ
•
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 ApplicationRECEINE1)
Re-Roof
City of Tigard
. -4 1312.5 SW Hall Blvd. I igard.OR 97'13
14 OCT 8 2015 1 it:',','' hi 23- /5--_47 ..._ i Prnmt NO ea,..4.V.2.OCt)30
Plan Re:sc,,,, i
• a Phone 503 718.2439 Fax 50:3598 1960 I rnher retina
Daly iiii:,,,h ii,
Inspection Line 503.639.4175 11,,,.
TIGARD ' CITY OF TIGAROn
1=iisL■upple 1 ij SerntePateatal floartormation.
Internet nun tigard-or tun
NC DIVISIIIN st,thrlett iartml
R1111.1)1 1
TYPE OF WORK [ REQUIRED DATA:I.AWRAIAPIRAIRINISLLING
L \Ok t..,,nstruction 0 Demolition Pemut tees•are based on the Value of the work performed
, Indicate the value(rounded to the nearest dollar)of all
L3 3d1ition alteration replacement ! 0 Other equipment.,materials.labor.oserhead,and the profit fin ili
CATEGORY OF CONSTRUCTION work indicated on this application.
.et
1 91 c>2
, I. ind ,.family dwelling
0 Commercial industrial Valuation: S 54/ 0/
0 .Accessor■ budding 0 Multi-family 1 Number of bedrooms:
0 Master budder , 0 Other: Number of bathrooms:
I .4..'
JOE sill: INFORNIAFIC/N liND LE/CATION Total number of floors:
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t ( LI 1 t ,5 t,)1: 1))u :,,,act Neu dwelling area: square feet
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City State ZIP. I ‘6/4.4k, C ) ci -1 2 z Li I (iarage carport area: squat c iccl
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Suite bldg.apt.no.: 1 Project name: l Co ered porch area square feet
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("ross street directions to lob sue:
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Other structure area -.quark.tC,:t
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REQUIRED DATA J COMMERCIAL-USE CDECKLIS1
'sub&‘ision: Lot no.: —1 1 Permit feesi are based on the salue a the NS ork performed
Indicate the value(rounded to the nearest dollari of all
1.is ;liar parcel no.-
equipment,materials,labor,oserhead.and the profit for th
DES('ItiPTION OF 33ORK it)::::;`'"''Lleirrn.';' 1.ara l work indicated on this application.
r 1 Valuation; S
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Misting building area: square feet
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New building area: square feet
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1 14 PROPERTY" OWNER '' 0 TENANT j Number of stories:
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Name: _Allaci_I-r-1 aer..\-;. fi1-1,i jAc.t.1. ..fic ,i rt.e-fiLt-... Type of construchon.
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Address: / 1I 4ii;/,.r) 51/1 '4 VC..u.....!:;017. ....11.1C) ........ ....,...,,......* Occupancy groups.
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Cit.x State ZIP: loo rift,:t nd, L,z , (i ') zo V Existing:
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BUstiless rtaffle. c jar 3,,:,0 1, i;;,:- ----),,,, Cc,, ,, ' All contractors and subcontractors ate required tube
Con , — licensed with the Oregon Construction t ontractors Board
tact name: Detrlfctit„ M u ri ,..L
under ORS 701 and ma.s, be required to be licensed in the
Address :43,Th---"L _::::.2',.:,..t..) //liar le :5'1- j jurisdiction in ts Inch moil is being performed. If the
i 1 applacant
('its State ZIP t• ,,,r, is exempt from licensing,the following reasons
: 1- Lf.:., .::,,, j.: , 0,,,:,1
Phone:(C77/1 , _.-,-,3 9,3i S I Fax--t fit 3) (2'1 C 2 i Z 2_,..
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CONTRACTOR -
Business name: ea r4 c..,,i-.1 Als")_L,,,,,,-,111,--,,si 0.-, . .--i-Ac.. BuluiiNG PERAITr FEES*
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_ _ __ ______tilwaxe ovefirr k,fec as-Wart
Address: r-- 1,-, .,e- ,..s,j 3,..(:::44- td-. _
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Structural plan res less fee or deposit): ,
t'ityStatelIP' 1-h it 51. 4....4,ro QP- CA.1 (2. '-'2,
-1 1 I S plan res less fee if applicable):
Phone:i'it.)5 i 814‘..1: 159-5— I Fa,-(5-1) 6: i 4,2 1 z,z. 1 — ...t_ __.,_ ...
s'CB lie : ,. I mai fees dot upon application: li 2$-62 ' O
:_._. Amount receis ed:i
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Authorized signature: 6 tAfill .-- —
This permit application expires if a permit is not()Maine(
_______,
within 180 class after it has been accepted as complete.
Print name+. eti cIct - ---r f 4,3 __.1 Date' '7(0
,77.72-4,:`..,(:-.7 ' Fee mettidtilog■set h) In-Count!. Building'Music)
Sers ice li,tard
f4,,i1.111.*Prrowr Will Irma NTT,I, I i ,,t 0: 44-4,:rtHI.C.(OM Ski trr
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
11418 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00038
Chip Barnett
Violation Summary:
Inspector Contractor