Permit CITY OF TIGARD REROOF PERMIT
, Permit#: RER2015-00039
��JJ � - COMMUNITY DEVELOPMENT
Date Issued: 10/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110ACO1200
Jurisdiction: Tigard
Site address: 11452 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 $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. 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: L ry Permittee Signature: (j,k/ l_f3j / ,( 9-7-7d"Ji
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 Applicatioft
ECEIVEI
Re-Roof )
FOR OFFICE ISE oNly
City of Tigard
I. . 13125 SAW Hall Bled.`I igard,OR 0 722@
I
C T 8 2015
Phone 503.718.2.09 rin 503 5M4 14o0
; Received j 1 p027
r Dm th / 5 -- _ Penni'No
gry4Roiczt.063/
Plan lit;ritev.
Date IP, Other Permit
Ti(;A iz 1.) trivet:non Line. 503.639.4175 CITY OF FIGARO Date Read. in ha n a See Page 2 for
Internet WV,W tigard-or pot Notified Method Suppiemeatai iatormation
BUILDING*DIVISION -- _
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TYPE or WORK . REQUIRED DATA:I-AND 2-.FAMIVIESIIIVIEWNG
, -i I
E, \e,, construction 1 1_,j Dominion ; Pernut ft-es*are based on the value of the work performed
Indicate the%alue(rounded to the nearest dollar)of all
ddi non alteration replaement l 0 Other equipment. materials,labor,oyerhead.and the profit lot th
CONsTRI C
C STEGORVI 01, TION ,,S,_,.„144,A,11,.,t, t,4 work indicated on this application.
t....... _ 'tsitiatIllAttie .",
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'la I-and 2.heltily dv.elling ; 0 Commercial industrial Valuation: S 1/ 9 / 9'
,..
Number of bedrooms:
0 Accessory building 0 Multi-family -
0 Master billidcr 1 0 Other Number of bathrooms:
1
JOB s111. IN Ve tit Ni k IL ioN v.0) 1 0( t-i ic \ '111,11t1034:111"4.1.11 Total number of floors.
,..,
Job site address ., 1,‘11,5 Z .• 2,_ 1.) 1..INA..,0 oil i a,,,' ...*,,2.0,!_t_ New dwelling area: square feet
( its State 7IP. I %6ps...1._(.,, ,L, / ci 1 2. re.. Li Gantge..carpon area. square feet
,.. I's'
i
Sultebldg..apt.no.: Project name: j l Cos ered porch area: square feet
Cross street directions to Job site Deck area square feet
—II h-
iOther structure area s()11 at c feet
REQUIRED DATA:(ONINIERCIALUSE I DECKLES]
1 ,
!Nuncio.i i sion- Lot no.: _) Perttlit I i.N.:-,*:tic n..ised on the value of the work performed
' , Inditate the value(rounded to the nearest dollar)of all
I ay map.parcel no. [ equipment.materials,labor,overhead and the profit for th
r 1-117,-714.1.1 11'17 ,11:,1,,r:4iiiitifort4iijv'''L'''''''L 7 ''7474'r',-?--7'0)Nirf r--AllglirAP--'' ssorkindii.itedon this .ation
I Valuation: S
a vd_ rt :7L17:-.J._. ___ __ _ . _ .. ... .._....4 _____
L.1 basting building area: square feet
I Ness building area square feet
I _ _P.,_PROPERTY OWNER 1_ 0 TENANT , Number of stories'
\311e. A...41.12I.I.LL4 _e_C.Lif.titl t\itaiIk.Ct.e.: .IIII vloe il-t- i _Type ofconstructIon:
Address I ( 1 ,‘,..)tiu '57-6 4z 3 te- -3 ,ei o
Occupancy groups:
-
('I!)'State ZIP: pci r+ea 1144 c z <ri 3 a:,t-i ,,.
fyisting:
Phone:(51)3) (:)i(1 Z LX el ej 1 Fay.; )
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1-----"---- 32:1kPPLICANT t"------ 0 CONTACT PERSON ,
i NOTICE
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Business name: Ca r 1,5 ii K c,...-„2 1,,r--.. CO ,. 5S-A,c_. All.... ntrictor,.1mo,LIKontractors are required to he
Contact name: pan CC"...1 M 47 il OZ -------I --IIII---II licensed, with the Oregon Construction Contractors Board
. ,.
under ORS'Nil and may be required to he licensed in the
Address- 57-5, ..c.? ::, Mar k?i, 51- 1 jurisdiction in w Inch work is tieing performed. If the
-1 applicant is exempt from licensing,the follow ing reasons
City State ZIP: rhi i›trj...x.,r-.\..; , 0 iz.. 91 i 2,,
I apply.
Phone i'-)7/1 `D(r,- „3 93,i,.? I Fax 't 5-t 4 I
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CONTRACTOR
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--)t C:,c, , ) , -,_... __.__ r " BUILDING PERMIT FEES*
Address. 5513 _f.,,,,,,j pe\ck_p,Lc. :.?.,
-N„..c .,
frlefor ft:fir to fee St'keduki
Structural plan rev Jew fee(or deposit):
City State/I? I-hit 5l9Qtro C1,42_ 9,-1 ( -2. ''')
H plan review tee I If applicable):
Phone (4Z 5 i 84_16; i 53-5— F as-O5C..31 4...:-.;'''1 P2 i z.2. i , -+-
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'Total fees due upon application. 211. 77
M _1 .
IF A
Amount receised: I
._____L_________
Authorized signature: rife,"
This permit application expires if a permit is not obtainet
within IRO dais after it has been accepted as complete.
Print name: e-ii c:i a .... r(-a ;' ..,- -7-6-a—te- 10/5/I ss" —1 . 1,,,e methodoing,.set by Tri-County Building Indusm.
Service Bliard
I itmki Ay Pernm,4(5 4,NI frmApt,4, I,, ,r 1, 44,4,1zilil 02t(4,1V1I4k
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
11452 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00039
Chip Barnett
Violation Summary:
Inspector Contractor