Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2015 00041
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11430 SW BULL MOUNTAIN RD
Project: BULL MOUNTAIN HEIGHTS Subdivision: 2003-083 PARTITION PLAT Lot: 2
Project Description: Reroof-remove and replace of 4-car garage
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 $93.95
Specifics: 12%State Surcharge-Building 10/08/2015 $11.27
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $1,681.30
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $105.22
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: Permittee Signature: q
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 arprivi
Re-Hoof FOR OFFICE USE ONLY
a0 C T D �'� �� Prnntl 1 n — r
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13125 SU Han Bled.Tigard.OR u7?23 8 C U '� P
Phone t13,7I$2419 Fax 501 598 19b0�+,/ rj Date I., ' t)tiut Perini!
Inspection Line CITY OF fj' ' � Notified _l_tut :0 Page
I I t;,1 l:t� � str3.b3y.•t!, ' v ^ Usti Read. f3 Set 2 for
�, !' �� Supplemental Information
Internet wuu nt red-t)r I'm BUILDING Mrtlwxl \u.-.
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f. TYPE OF WORK-_- - — r REQUIRED DATA:1-AND 2-FAMILY DWELLING
T
❑ New Construction . ❑ Demolition Permit tees*arc based on the value of the work performed
- - _ -- - - ----------- Indicate the value(rounded to the nearest dollar)of all
'I' ❑ Cr equipment.matcna{s,labor,overhead,and the profit for I
ddttton�attcratton r� la CATEGORti' OF C DNSTIt
h
UMON work indicated on this application.
Valuation: S / 68/. 3D
..,?-family duelling ❑Commercial-industrial
❑Accessory building ❑ Multi-family Number of bedrooms:
-__ --------_---_ .-- - - - Number of bathrooms:
❑Master builder ❑Otht
JOB SITE INFOR'tI U lit\ t\try I (x t I It)7. -- .total number of floors:
1oh-.tic eddies New dwellin•area: square feet
1 430 5iu full Moo i�c ac __ -
Cih.State 71P -"rk 6A-.G y e R cj`Z Z Z y Garage carport area: square feet
f
Suite____ ��:apt.no.:� Protect name: Coxered porch area: square feet
Cross street,directions to job site: -� j Deck area: square feet
Other structure area: square feet
__ _.�_ -- - --� REQUIRED DATA COMMERCIAL-USE CHECkLIS1
Subdivision J Lot no.: Permit fees•are based on the value of the work performed
fat map panel no. � Indicate the value(rounded to the nearest dollar)of all
. 1)t.\c l<11.110\ OF MIRK tlth..--.._ equipment.matenals.labor,overhead and the profit vile forth
cork indit.aied on this application.
.- i Valuation: S
t.LR,r -`� C.I_i'.\.ri t ' r'.t.`z...T
I Existing building area: square feet
New building area: square feet
t --
[-__. PROPERTY OWNER - - ❑ TENANT Number of stones:
dame__l l# 1!� J Ave K ���� Type of construction;
.lddress._ I 1 1 5}G- 3 1 Q -� Occupancy groups:
City State ZIP: cc,,��po.r-far S. C'� C-7 20 ci Existing: .
Phone:(.f)31 92, D g Fat:( 1 New
M" APPLICANT ❑ CO\I ,(.1 pi 1t\t)♦ _
L_________ .__ _a NOTICE
tlustnes,name: Ca T.--1 rjc(' k_o� v All,:unu,i,lOrs and subcontractor,are required to he
(-ontact name: n tt,t 'A tJ n CZ -- —_ _ undelicensed 1%1111 the Oregon Construction Contractors lice Board
under ORS 7(11 and may be required to be licensed in the
Address ,_t_.) 'Hap IC 61- I jurisdiction in which work is being performed. If the
City SteteZlP. � applicant is exempt from licensing,the following reasons
1'1111 ,. jf (Z `1 �' __ apply: --------....._-_._...__---_-____----- .-----, Phone.t c, 71) 5t,3 9._31 1 Fax (5z 1 ,c/ C' Z-? Z 2_,..
f-mail
LcA-i<tRC' co cor1.f,Onrec)-F .c:.(:�
CONTRACTOR ' ---- -- ------ -_-_Business name: c i ___
_._...u. . ..1 ,,,,,,1 _1^ice_, r LL-: , cj-r�, BUILDING PERMIT FEES*
1—.-- _--_______(Please+tylir wire Patelf*f_— _.___.—
—__ --_—. - Structural plan rev ie■ fee(or deposit):
City'State17.IP: al I t 5 L.706--(, . Q'2. 9.1 (l I a 1
.Phone:( b5)314(6 is-9-5 Fax:(51,-) G -("d i 7 Z FLS plan review fee t if applicable): 1
`C I3 tic.. 'Total fees due upon application: .,,
rV
�tuttronied signature: n �// - _— Thin permit trppliratioAmount fres If a permit is not obtarnrc 400,
Pint name: t�T"1 (Q /'r zi ! pelt— �C7 N ithin ISO days after it has been accepted of complete.
_--- --. / ,.._ _1 • Fee int:thtrda1ol y Net M.'Fri-County Building industry
�� Stn ice Btrard
I R.nWny Patmr,R/M1t-Pamt:xpn-da. I,,I t■■ J4--1^IZtt fl Er't(Ni Wilt.
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
11430 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00041
Chip Barnett
Violation Summary:
Inspector Contractor