Permit CITY OF TIGARD REROOF PERMIT
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_ - COMMUNITY DEVELOPMENT Permit#: RER2015-00046
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 7-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 $119.33
Specifics: 12%State Surcharge-Building 10/08/2015 $14.32
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $2,703.34
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $133.65
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: ,yk/
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.
Iltii Iditig Permit ApplieationacEivEp
Re-Roof
I oR OFFICEJUSE 0\I 1
,• (i ;Iliti) f Ti s.s?% HalIgr Halvdd
RIP rigard.oR g722 3 OCT 8 2015
• Plum- Sol-1S 24:144 Fat 51)3.598 1%0 Itesvired / .a. e.,
1 Datc H.. 40 /••••7
Plan Rcs lc.
13atc 13 ■ I•ctinit N..ier72.,:20,6"lee°y'‘.
I Other Permit
TIGARD in.pection Line 503,639.4175 Cif t OF fIGARD Datc Kcath B. I ,„, ,-
thlethel a a a op:int-or gm
BUILDING i
DIVIS101 Notified Mcftiiif
_____ — —I __L_slimthnferthal Information
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TYPE OF WORK r REQUIRED DATA:I-AND 2-FAMILY DWELLING
1 -
0 New construction ED Demolition Permit fees•are based on the value of the work performed
........___._.. -- - Indicate the value(rounded to the nearest dollar)of all
Addition alteration replacement
1., ..._
_______________
_ DI Other
CATEGORY OF CONSMUCTION equipment. materials,labor.overhead.and the profit lot th
work indicated on this application.
02 f .
I-Alai 2-family dwelling 0 Commercial lidustnal Valuation: S 703 3 cf
- --
0 Ac \umber of bedrooms cessory building 0 Multi-family ------------
_
[1 Master buildei 0 Other: L Number of bathrooms:
_
JOB SITE INFORMATION AND LOCATION 1 Total number of floors:
—
11 site address: rig 30 ,5c,._., 1.3u i 1 IA c, ,, . , . , ' ■4 k New dwelling area: square feet
.. : .
..„.„...____.._. ......_...___
i iis State?IP. 1 (6/1,41....G (...;R Cr l Z Z 9 t larage'carpon area: .square feet
uite.bldg.apt.no.1-CO r- 1 6- r Protect name: Covered porch area: square feet
• . . . .
( ross street/directions to job site Deck area- square feet
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I .
. . Other structure area square fret
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[ RE
___i QUIRED DATA:COMMERCIAL-USE CHECKLIS1
•
subdi■ision lot no.- 1 Permit tees*arc ba:.ed on the value of the‘%orl,performed
- --I Indicate the value t rounded to the nearest dollar)of all
I as map park.el no
i . equipment.matenals.labor.overhead.and the profit for th
DESCRIPTION OF WORK. work indicated on this application.
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re-CO-t:
4 aVC1 -f Valuation: S
Existing building area: square feet
New building area square feet
[- :141,PROPERTY OWNER
Number of stones.
11 Name: A4....fis: i tii Pro raLuif\ActRafle.4-yvevv..t- Type of construction:
-- .. . .
Address: f I I LI 4 4f....-- 3C/0 .._ Occupancy groups:
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City State ZIP: PO4,--t-ea md, C.Ve. C' '7 20 ci Existing:
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Phone:I 5')3) 5' ? 00 e>1 I Fax:( )
New
:
tit APPUCANT 0 CONTACT PERSON
--1,,,,--- i r NOTICE _
Business name: ca r t 3;)/1 ic.'_.C.,.,_ 1-1 lr-N Cc . ,...C1A.c... . All co„,,,,,,,s and suNontrators arc required to he
ontact name licensed w ill)the Oregon Construction Contractors Board
1 (' : _Day-lc-Ct. INA v il c 2._
under()RS 701 and may be required to be licensed in the
Address: 55r, 4-2L.t..) yviar 4.7 :e.--i-t- .._ jurisdiction in which work is being performed.,If the
ppicant is exempt from licensing.the following reasons
(its stale LIP [-hi tf..T. r-scl:, , 0 02 cil i 2:-5 a appll)
Phone (C'7 71 i .5-tr-,3 93/ I Fax ..( 7)3) .-.)(1 021 z 2._
- F-mail: i ,i
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L-- I C.i a t.? C.-CZ r 15 On re-()-c .CADi-r",
, •7'1'... CONTRACTOR •
__________ - ---- ----
Business name. ea t.--(EiL.:,j i :t.,LL-u-61-..\_ Cc, , ,..}-,,.c.... [ RI(JpgavvILDIN reGferP io E J R ee M selThedF mic EF 4-.V'_
• Address: 3-7-3t) ._S",4.Q /:.:X41_k_ .:_S . 7 —
—t, Structural plan review fee(or deposit).
City..State.,7.1P: f-I-N it 51 .C.:jero cdc.a_ 9.-1 (2, ---.) I -
• FLS plan review fee(if applicable):
• Phone:iji)5)8c.{ t s9-5— ) 1
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_i FaX!(51,31 6._t.1,92 1 z i
-- -----1 1 I otal fees duc upon application: „fi /3 . 49.s-
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CCB lic.. - i ■
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Amount received.
Authorized signature: e 4A 4(0.'
—7Fli.is-Wr-n-iit application expires if a permit is-not orii;inei.
•.._..._—..
,.... ' it ithin 181)days after it has been accepted as complete.
Pnnt name: e...ii 0 a -Mr r r.et s Date. /0 If/ 5__ J . I,c methodokv.) ,.4..th■Tn-Count:,. Building Industrs
Service Bilaid
I 1501411N Nunn it(k'II-Pet maApr..le, 14. -I ..,4 444—1,.-1,if 11.i."((1■,1141H,
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
RER2015-00046
Chip Barnett
Violation Summary:
Inspector Contractor