Permit (42) CITY OF TIGARD REROOF PERMIT
rIll
2 - COMMUNITY DEVELOPMENT Permit*: RER2017-00024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017
Parcel: 2S110DB00201
Jurisdiction: Tigard
Site address: 15284 SW ROYALTY PKWY C
Project: Arbor Heights Apartments Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Building C-Tear off and reroof
Contractor: CARLSON ROOFING CO INC Owner: SPUS7 ARBOR HEIGHTS LP
PO BOX 1695 BY CBRE GLOBAL INVESTORS LLC
HILLSBORO, OR 97123 800 BOYLSTON ST#2800
BOSTON, MA 02199
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 06/14/2017 $509.05
Specifics: 12%State Surcharge-Building 06/14/2017 $61.09
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $29,910.40
General Information
Building Area: o
Re-Roof Area: 10400
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $570.14
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: �ZL 2 Permittee Signature: l
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
1 .e-Roof �
EC I C.. 1 FOR OFFICF USI:f)\LA
.111 City of Tigard �y Received
41 13125 SW Hall Blvd.,Tigard,OR 97223 4'1 i �� Permit No�Q /7�1�0�
_ Phone: 503.718.2439 Fax: 503.598.19 Plan Review
T I c,A R 1) Inspection Line: 503.639.4175 �y t Date/B : Other Permit:
Internet: www.tigard-or.gov OF cpl�l kld-10 Date Ready/By: NM 10
Said cgov r 1<;t ; Notified/Method: U See Paye 2 for
BUILDING Snppiemeatalinformatioa
TYPE OF WORK
REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling
❑Commercial/industrial Valuation: $
❑Accessory building Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFOON AND LOCATION Total number of floors:
1,4Job site address: 1 ` 'at)
New dwelling area: square feet
RMily2::
City/Staten CD `-'1
t ^11� Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:c))l-'- .x AC4Cross street/directions to job site: Covered porch area: square feet
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMII�RCIAL-USE CRE , T
I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the
work indicated on this...lication.
$ IlIfillotn ' 0 1 , 0,a, ` Valuation: SilliliailThenal
dab NI
Existing building area: , uare feet
New building area: square feet
0 PROPERTY OWNER I , , 0;TENANT
Number of stories:
Name: P 1
Address:\ 1 Type of construction
' C{1
City/State/ZIP: st 1 Occupancy groups:
VillitC4-&f2X-1-"iP-►kit,„ •
Phone:( ) ���� Existing:
Fax:( )
a APPLICANT CONTACT PERSO
N
New:
Business name I l �bdir NOTICE
['�
Contact name: , ,11)....___) . All contractors and subcontractors are required to be
� ` `+ licensed with the Oregon Construction Contractors Board
:�, �,� under ORS 701 and may be required to be licensed in the
Address:dsate/ZIP *>�j 1 jurisdiction in which work is being performed.If the
• , . _ ) `'] _ aPPlicant is exempt from livens'
Phone: "-"� t � t� I '� a..ly: m$,the following reasons
—_ Fax:
E-mail: Q 0. ' 0 • ` I 1 -0_43Y"1
Business _ . , a NTRACTOR :* . * ,
nameme�j a .11 4, -/ it
Address: .,��"i' 1�s a! � ' ( � BUII:DING=PERMIT FEES*,
------- m.71111...1
A�1 � ism- a sae,*�
Cityess:/State/ZIP: ��
l , °��� Structural plan review fee(or deposit):
Phone: 0:110115.1.111011r i � �•�` FLS
�jr���� ��r/� � �,� plan review fee(if applicable): MI
/23
CCB lic.: '""'�� CO*s p ��
Total fees due upon application: 1111111111
IMMO
Authorized signatur �' 4 -)1, Amount received:
Jy a�� This permit application
Print na . + / within 180cation expires if a permit is not obtained
`4 �� Date: days after it has been accepted as complete.
* Fee methodology set by TriCounty Building Industry
L-1BuildmP\PcrmitetROOF-PermitApp.,,a 10/01/09 Service Board.
440-4613TO 1 n2/COM/WEB)