Permit CITY OF TIGARD REROOF PERMIT
Permit#: RER2015-00044
1 COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
TIGARD 13125 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 for office.
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 $149.75
Specifics: 12%State Surcharge-Building 10/08/2015 $17.97
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $4,134.52
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $167.72
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 99552-001-0090. 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: 6-2,\-/ P/nG-tee9-77e
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 Applicati°i('EC IVEP
Re-Roof ��(( 11 '' 1 UR 01I1( 1. t sl. 0\l.\
Received
City of Tigard G c Permit No /S�p
13125 SW Hall Blvd.,Tigard.OR 9722300 8 2015 Plan Recir�� `�� ��
• Phone: 503.718.2439 Fax: 503.598.1960 Nate,By: Other Penult:
TIGARD Inspection Line: 503.639.4175 C1rlY Of I'IGAR lD Date Ready 11.). kris 55 Sec Page 2 for
Internet: www.tigard-or.gov ����� �������/�A Notified Method: _ Supplemental Information`
, —_TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees*are based on the value of the work performed.
— — Indicate the value(rounded to the nearest dollar)of all
.j23.Addition/alterationlac
ire ement Other: equipment.materials,labor,overhead,and the profit for the
p CATEGORY OF CONSTRUCTION TR/CTION
work indicated on this application.
C
Valuation: Sao
S /3(./. S
Ng I-and 2-family dwelling ❑Commercial/industrial /f
❑Accessory building ❑Multi-family
Number of bedrooms:
1pr tl
Number of bathrooms:Master builder ❑Other
lrD NR�111 _r 1 I f t N i Vr " il " , �Y r1 I I II I,r Total number of floors
:
a 1 1 4 1 I i., u 1 tl II i u, 11. i
Job site address: ' (y 3 G 5U-) U u 1 I M o 0 r11-0.-6r) -R 0.ck New dwelling area: square feet
City.'State ZIP. •G(6Pt.G, o R. R`t Z Z y Garage/carport area: square feet
r�
Suite/bldg./apt.no.: GTf l'at Project name: Covered porch area: square feet
Cross streetidirections to job site: Deck area: square feet
Other structure area: square feet
r REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees`are based on the■alue of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
equipment,materials,labor,overhead,and the profit for the
�a I '., Ir, a 7,.:I 4 1 V p' Pf ''HVA n l u lIR 1 v
}, N Vu t 141 ..N ,Ilwtp,p ; I Y i i x� 'r work indicated on this application.
ep r J 4 O.vxd (''e- j- yl Valuation: S
Existing building area: square feet
New building area: square feet
m
dht " akin r a r. ' v 1�.i r I' 1+ 11M1rifi r Nr 4
. b;"''4� m R f Igl�e;.r*'tl 3' X111'' ��.,11 I��III�III(Gdy, _,x,,,,.'.4,,,.1,;: . :pull if4n Pu,:,tl.'`'�"' Number of stories
rrw. �� dM1t' - �.�w 1 1 1. 1 1.�. 111 ht .+. �Ih11`... a ,- III, ---
LNante: A— ��I P� MQ Type of construction: --
Address: II II t ji,�_J f1 i4—vz - 3M.-. I Occupancy groups:
City/State/ZIP: Par-ear.S, OR. 9-7 20''1 Existing:
Phone:(550.3) $a Z DO 9 9 Fax:(
�m �1I � I, New.
xt1 I' 411+illa4N 1 pll 11p a p1
1'1 III V € 6 {fY P""' Il 1,, re .',!.11:''',t 1 aV :11,1 1 ;7:-.__ i,. ..,. r.. 00,11 1.l1' ,_:^ 1 1" , IWW l�'I I 140 'fiMM 1 4'dH: .101 1,!%., -
', i i.�u . � �� -. ,, I 1 yry ��0 �1 #. I Y�RI,'W 't!1��N0 1�''�rylMi ijIN9k" �s 0'4..K er l ll"O�' , -'
Business name: CrIJ'on e._(:)(:), CO . 3-14.C.... All contractors and subcontractors are required to be
Contact name: '�� ( Munoz.
licensed with the Oregon Construction Contractors Board
`l�n t under ORS 701 and may be required to be licensed in the
Address: SST.) J(.1) ,r lai, 5f jurisdiction in which work is being performed. If the
City/State/ZIP: �'�t , 0 eZ 9l I Z3 ppicant is exempt from licensing,the following reasons
Q apply':
Phone:(17/1+56 3 9.3/s Fax: :(5b3) 6)c1C L-I Z.
F-mail: Lefct0.e Carlson roof .C-onn
CONTRACTOR
Business name: 0.,Ct t 1.rJe% 4 'fa I..y� a
--� Structural plan review fee
�� �� �� �� I�V" `: 4"�,x�' d�, ,�I 6° �rum,`.,�' ... ,
i Address:
City/State/ZIP: -`t 5b.06-0 O2 C�'' (Z3 P (or deposit):
Phone:(5p3)8146 (5-----5--- Fax:(�3 (o L(Oa I ZZ FLS plan review fee(if applicable):
CCB lie.: , — Total fees due upon application: fi/10 7 .. ,;,t.—
Amount received:
Authorized signature: � v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: `61 t_ r(45 Date: 10/ 7?----1 • Fee methodology set by Tri-County Building Industry
Service Board.
1 nuitdm5 Permits ROOF-Permit App.do 10 01 04 440-401?T(1 I OZ'COM:WEB)
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
RER2015-00044
Chip Barnett
Violation Summary:
Inspector Contractor