Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00338
t� �l� � DEVELOPMENT SERVICES DATE ISSUED: 7/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BD 00100
SITE ADDRESS: 14660 SW 76TH AVE . ZONING: R -12
SUBDIVISION: BONITA VILLA APARTMENTS LOT: 065 JURISDICTION: TIG
Project Description: Remove existing roof, install new roof and gutters.
REISSUE: C(LC■ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK 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: 45 30 .070
Owner: Contractor:
WASHINGTON CO. HOUSING AUTHORITY CARLSON ROOFING CO INC
111 NE LINCOLN ST 560 SW MAPLE AVE
#200 -L, MS63 HILLSBORO, OR 97124
HILLSBORO, OR 97124 -3082
Phone: 503 846 - 4794 Phone: 503 - 846 -1575
Reg #: LIC 159686
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2005 $328.30
[TAX] 8% State Surcha 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 or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: - 7, - Z 0 42 ...4. Permittee Signature: ,1 , eee_
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.
Re-Roof
Building Permit Applic trlon FOR OFFICE USE ONLY •
City of Tigard ` bLREIVE
Received i U � ,.r ✓ r� Permit No.� " �- p
Date /B : / % ty j p (J`��� � 30
1 3125 SW Ball Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUL 19 201 y _ '�II Date /B : Other Permit:
Inspection Line: 503.639.4175 Date Ready /By: IIMI ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGA Notified/Method: Supplemental Information
BUILDING DIVISION
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
® Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $30,070.00
❑ I- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ® Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - Total number of floors:
W'
Job site address: 70 - SiJ iii a Road Vein) l� `
S -7 4 .\__. New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 ( Garage /carport area: square feet
Suite /bldg. /apt. no.: 73 -84 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.
Indicate the value (rounded to the nearest dollar) of all
Tax neap /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION 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
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Housing 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 -4805 Fax: ( ) 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
applicant is exempt from licensing, the following reasons
City/State/ZIP: Hillsboro, OR 97123 apply:
y:
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 0 g. \ c / - 0 2 - 3 ' A
Date received:
Authorized signature: 1 ) r 1,4 This permit application expires if a permit is not obtained
t within 180 days after it has been accepted as complete.
Print name: Greg .1. Carlson Date: 7/18/05 * Fee methodology set by Tri- County Building Industry
Service Board.
is \Building \Permits \ROOF- PermitApp.dac 12/03 440- 4613T(11 /02 /COM/WEB)
C!TILQF_TJGARD
BUILDING DIVISION PERMIT #: BUP2005 00338
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005 /
Phone: (503) 639 -4171 fll II /N i NPt ill
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/11/2005 TIME: 7 :09AM PAGE: 77
SITE ADDRESS: 14660 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: BONITA VILLA APARTMENTS LOT #: 065 TYPE OF USE:
PROJECT NAME: BONITA VILLA APARTMENTS
DESCRIPTION: Remove existing roof, install new roof and gutters. Units 73-64
OWNER: WASHINGTON CO. HOUSING AUTHORITY, PHONE #: 503 - 846 -4794
CONTRACTOR: CARLSON ROOFING CO INC PHONE #: 503 -84 &1575
Inspection Request Scheduled For: Date: 8/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013300 -04 503 -849 -8507 N
Corrections /Comments/ Instructions:
.-(,,; 1,0-7 Oli.
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACC ESS
❑ FAIL ❑ CALL FOR IN PECTION ❑ ADDITI ' NA FEES ASSESSED
Inspector:
rid t
Date:
U 1 W Phone #: (503) 718 -