Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2015-00045
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
TIGARD Parcel: 2S 110AC01200
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 9-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 $134.54
Specifics: 12%State Surcharge-Building 10/08/2015 $16.14
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $3,498.44
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $150.68
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: oA
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.
litiildin2 Permit ApplicationIECEIVEP
Re-Roof
OC:T 8 2015 FOR OFFICE CSE ONLY
74. ; city of Tigard I Received
dig
, ._ • 13125 SW Hall Blvd. !lizard.OR 072C . „
1.1111 OF 116AKD , nate . . i •
Plan Rose. 4 ir41 Vollul
' Phone. 503 718.243 ()Met Permit
TIGAR D Inspeetton Lone 503.639.4175 Da Hy
4 5913MDINGDIVIS101\ 1)°,7R",`,,,y ILO. 0 Set Page 2 for
Internet %sou tiparil-or poi, Notified Method ...1 sappielreniai information
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• TYPE OF WORK REQUIRED DATA: I-AND 2-FAMILV MN ELLIN(.
i---
0 \e 0 Demolition
Permit tees*are based on the salue()Idle ssork performed
kk ,onstruction
. , Indicate the salue(rounded to the nearest dollar)of all
A,\Minors alteration replacement
, 0 Other: equipment. matenals.labor.medical,and the profit lot th
CATEGORY OF CONSTRUCTION cork indicated on this apphcation.
A'
and 2-family duelling 1 0 Commercial/industrial aluation
S 3r 9
\umber of bedrooms:
. .
0 Accessory building 0 Multi-family • _
—_.._ ------- -- ,
0 Master builder I 1 0 Othe t_
r: : . Number of bathrooms:
— --
I
JOB SITE INFORMATION AND LOCATION Total number of floors:
1
--------
Job site address: I 14 0 5 k.,,,',, 6u t 1 t',..■ . (', , , -1").c (",e 1 NOS dwelling area: square lees
1' - ..
- .
(ity State/IP: 1 i 6 p.64,1,. ,.._ ,,. ql 2 2 ,i Garage carport area: square feet
Suitelbldgdapt.no.: ct-a( 6. Project name. Cos ered porch area: square feet
Cross street directions to Job site
i Deck area: square feet
Other structure area
square feet
_
REQUIRED DATA:COMMERCIAL-USE CHEC'KUS1
Subdis'stow Il -ot no.: Pm
eut fees•arc based on the s alio-of the‘sorl,performed
_ -; Indicate the‘,11UC(rounded to the nearest dollar)ot all
las map parcel no
equipment. materials,labor,oserhead.and the profit for lb
01...,c kff.1107, Of "0", iNA.,...,:.),:, . , work indicated on this application.
. . ,. .. _ ...____..._
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Valuation: S
_ ...1.c...),..i, - 4 a v d re-L(.2c_ , ____,
1 Existing building area: square feet
INew building area- square feet
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`: t''., . ',' ir,;,'', k'w,, ' ,'. :1:...,,•.' ".;,'?,','„..!'"t:-,1,. ',i,;=- '"`: ,l':, " Number of stones
Name: AIL 1--) 1 i-V1 Pa') fsei'-i-li 1Vta tA.1.47y-s-c-i-t t--- , Type of construction.
--- 1._____:-----------.- ----------- .. _
Nddress. 1 11 ,_)1),,, e:57-11 4 vr, it"..-- 3 . Occupancy groups
City State LIP: 10 C.,rife-1 ,4, ck. 91 2,GLI Existing:
Phone-(Cy .-._1)I 9 z 00 ei 9 I Fa :( t s.e■1:
IT cx APPLICANT
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0 ( ON I XCI Pl..R■oN ' ,
NOTICE __a_
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Business name Cad.5kji y) i(..),C:;k2:4-NV-Ns.3 CA,. . SYx•Cm.. All contra,:tor, .11Id suh‘ontractors arc required to hc
-- licensed ss nth the Oregon Construction(ontractors Hoard
Contact name: ipay'll't IAA v o(-- 2.-- - __ under ORS'01 and may be required to be licensed in the
. -
Address 51.--1:-E _....L.)Lk_, yvictio 4-, 3-1.-- junsdiction in which work is being performed. If the
. ,
/ (11 applicant is exempt from licensing.the thllowing reasons
, apply
I Fax: :(5t3) &VC 2,./ z 2_ I
Phone:('1 7/) 9_3/ ..?
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F-nialf Lc1-qc,61--.) c orkon rc c4: -CC.,..VY-■ I
CONTRACTOR
Business name.
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1 111 II DINC PERNIIT 111S
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Address: ,45-51:.) _,•_'..• oN...) rik _,4Le ,,,,;'.... __
, ---------------------- Structural plan re%urn% tee(or deposit): '
City State ZIP' ffl it 31C.,,str-ci '''' `1,1 (2_ 72, .--
FI.S plan reviev. fee lif applicablei:
Phone:t.SD 5 I 5et-/‘.:.• /,S3-5— Fa"51.3 ---'''/‘72.1ZZ- --7-
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- 7 tl Total fees duc upon applicauon:
Amount received:
4"
Authored signature: 4 44.
n
This permit application expires if a permit is nut nbtainet
• within I0 m
/1 days after it has been accepted as coplete.
Print name: /ell'c-I a -- t 1-'a s 1 Dew fe.)/51, s-* 1 • Fee tnethoslolog■ .et bs I ri(ount■ Buildinv Indusir■
Sc,'ice Board
I fiv11.1./4v Partly,.50 M11.rcrrnd"km a, ,. .1.- 44o.4,Itii il v:1 OM\VIP.
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
RER2015-00045
Chip Barnett
Violation Summary:
Inspector Contractor