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Permit 4'' °�' l i BUILDING PERMIT CITY T I GA R D PERMIT #: BUP2005 -00339 mai-6' il DEVELOPMENT SERVICES DATE ISSUED: 7/19/2005 `' -' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 12 B D -00100 SITE ADDRESS: 14620 SW 76TH AVE ZONING: R -12 SUBDIVISION: BONITA VILLA APARTMENTS LOT: 065 JURISDICTION: TIG Project Description: Re roof. w7 Y9 - REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: a FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,070.00 Owner: Contractor: WASHINGTON CO. HOUSING AUTHORITY CARLSON ROOFING CO INC 111 NE LINCOLN ST 560 SW MAPLE AVE #200 -L, MS63 HILLSBORO, OR 97124 U.1LL BORC�, m7; Phone: 503 - 846 -1575 FEES Reg #: LIC 159686 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/19/2005 $328.30 [TAX] 8% State Surcharp 7/19/2005 $26.26 Total $354.56 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 than 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 -0100. You may obtain a copy of these rules irect questions to OUNC by calling 503 -24 99 or 1 800 -332 44. Issued By: � �.�.,,(,c_Gc-z -�ti Z44 Permittee Signature. , if. - Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. /A J Re, Roof Building Permit A9uArt‘ f FOR OFFICE USE ONLY City of Tigard Received .... sy Permit No.: ` }�y �/ 5 `J g Date /B ©� dJ V G(.( d� 13125 SW Hall Blvd., Tigard, OR 97223 11 r 19 2005 Plan. Review • Phone: 503.639.4 71 Fax: 503.598.19 0 v 4 I l Date /Bv: Other Permit: Inspection Line: 503.639.4175 CIT OF T IGAR0- J' �� Date Ready /By: OM El See Page 2 for Internet: www.ci.tigard.or.us Ett� Notified /Method: Supplemental Information , BUILDING 1�t G D I e`II SI . ND�2- FAMILY DWELLING TYPE OF WORK REQUIRED DATA: -1 A' " ❑ New construction ❑ 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 ❑ Other: 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: $30,070.00 ❑ Accessory building ® Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION, Total number of floors: Job site address: _ /t40.0 tsL.R) `7,1t1 New dwelling area: square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet Suite/bldg./apt19 -60 ) Project name: Bonita Villa Apartments Covered porch area: square feet Cross street/directions to job site: 217 south to 72 72' south to Bonita, west on Bonita Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: 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 equipment, materials, labor, overhead, and the profit for the DESCRIP 1 LON OF WORK, ' work indicated on this application. Remove existing roofing, install new roof and gutters Valuation: $ Existing building area: square feet New building area: square feet ►1 PROPERTY OWNER , I], TENANT. Number of stories: Name: 1-lousing Authority of Washington County Type of construction: Address: 155 N. First Ave Suite 210 Occupancy groups: City /State /ZIP: Hillsboro, OR 97124 Existing: Phone: (503)846 -480.5 Tax: ( ) New: ® APPLICANT ❑ CONTACT' PERSON; NOTICE'., Business name: Carlson Roofing Company Inc All contractors and subcontractors are required to be Contact name: Greg Carlson licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 560 SW Maple Ave jurisdiction in which work is being performed. If the City /State /ZIP: Hillsboro, OR 97123 applicant is exempt from licensing, the following reasons apply: Phone: (503) 846 -1575 Fax: : (503) 640 -4840 E -mail: gcarlson@bobcarlsonroofing.com - ,. CONTRACTOR • , Business name: Carlson Roofing Company Inc. BUILDING PERMIT FEES* Address: 560 SW Maple Ave Please refer to fee schedule. City /State /ZIP: Hillsboro, OR 97124 Fees due upon application Phone: (503) 846 -1575 Fax: (503) 640 -4840 Amount received CCB lic.: 159686 Date received: Authorized signature: This permit application expires if a permit is not obtained • l within 180 days after it has been accepted as complete. Print name: Greg J. Carlson Date: 7/18/05 * Fee methodology set by Tri- County Building Industry Service Board. is \ Building \ Permits \[tOOF- PermitApp.doc 12/03 . 4404613T(11/02/COM/WEB) f' r CITY OF TIGARD BOLDING DIVISION PERMIT #: BU 200 0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005 Phone: (503) 639 -4171 - _� Inspection Requests (24 Hrs.): (503) 639 -4175 -' INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7 :09AM PAGE: 80 SITE ADDRESS: 14620 SW 76TH AVE CLASS OF WORK: SUBDIVISION: BONITA VILLA APARTMENTS LOT #: 065 TYPE OF USE: PROJECT NAME: BONITA VILLA APTS. DESCRIPTION: Re roof. Units 49-60 OWNER: WASHINGTON CO. HOUSING AUTHORITY, PHONE #: 503 - 846.4794 CONTRACTOR: CARLSON ROOFING CO INC PHONE #: 503- 846.1575 Inspection Request Scheduled For: Date: 8/11/2005 Pour Time: Code # Inspection Description Confirm # Contact Message 299 Final inspection 013300 -01 503-849-8607 Y Corrections /Comments /Instructions: t 72— S)— PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL — CALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED AI Inspector: • , T Date: / I hone #: (503) 718 -