Permit CITY OF TIGARD REROOF PERMIT
"11 ' • COMMUNITY DEVELOPMENT Permit#: RER2015-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11336 SW BULL MOUNTAIN RD
Project: BULL MOUNTAIN HEIGHTS Subdivision: 2003-083 PARTITION PLAT Lot: 2
Project Description: Reroof-remove and replace.
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 $241.01
Specifics: 12%State Surcharge-Building 10/08/2015 $28.92
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $10,336.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $269.93
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty odes 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 is- ante, or if wor is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio Center. Tho-- rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• of the rules or direct questions to OUNC by calling 503. 2.1987• 1 :00. '2.2344.
Issued By: Permittee Signature: 'A 4 8 j
x'39.4175 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.
liiiildin Permit Application /4 / 0 2 f
Re-Roof RECEIVED i OR OFFICL LSI:ONLY
City of'Tigard 'teemed
1 13125 SW K1111310. Tigant.OR 07
11111
2 Phone 503'Is 2.09 fax 501.5082412:0V,-CT 8 2015 oak it, i a 14.. .„.....3"72—. l'crinit Ntt eigpSgoi 57._Ocz..7342
Plan Row%
Date ny Other Ferran
TIGARD Inspection Line. 503.639.4175 Bate Read)ti) i r.r. til-'c t iiieliiiT—--
Internet ixu.vi tig:iid-or gin CITY OF MAIO Notified Methxt l7.-G ,,iildcmerinif tarnranoi"n
BUIVOING DIVISION
TYPE Or WORK F-1-1.E9lirlfti.D I)VI A: I-,VSO 2-I l‘111.1.MAUI 1Nt.
k — .
'
\e !1,1rtidnn 0 Demolition
: Permit tees•are based on the value of the v.ork performed
ID ,, -. ' '
Indicate the value(rounded to the nearest dollar)of all
ii alteraton replacement FA ! 0 Other.
equipment. matenals.labor,in erheati, and the profit for ill
- - .'.41113P ., .' c ', %lark indicated on this application.
1 CATECORi° OF CONSTRUCTION '''', '' l'- " .
Valuation s /o 3 3 c3p
.-91,i..and 2-family dykelling 0 Commercial rindustnal ./_... '
-4 1
i Number of bedrooms:
0 Accessory building 0 Slultt-family
. Ntliriber of bathri+oms:
0 Master builder
0 Other:
- :-
.10FI sI IF I\FORNI \.I ION V'sO I Or 1,1 ION Total number of floors:
Joh site address: / 1 3 3‘, 51 (5 ui 1 AA c 0 ,-,fa, - 4.<<,extiL 1 Nen dri,citing area: square feet
_ ----.
t
to State ZIP. t ‘6/Ne c iz cri 0, z Li ! garage carport area: square feet
---i
' Sutte.tIdg.apt.no.: I Project name: i ('o%ered porch area square feet
Cross streetdirections to Job site: Deck area square feet
1 Other
. O structure area: square feet
Sutxiixision: Lot no.: ' Permit fees are based on the value of the work performed
Indicate the salue(rounded to the nearest dollar)of all
Tax map,parcel ii,
, equipment.materials,labor.overhead.and the profit for th
DESCRIPTION OF WORK , work indicated on this application.
_
1 Valuation: $
1 e,„kr- (."...) a vld re-frit-m(3
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•_..- - _ , ____ __ _, _ 1 Existing building area: square feet
New building area square feet
L.f__ 1RR;PERTY OWNER ---/- ---- 0 TENANT --------T.A"'; Number of stories:
Name: _,A411.11 fl ei, i-il ,,,,Ack q:) -r, 4,-,- t.--
.
_,,,,.of construction.
Address: 1 1 1 „XL), ..)ft) 14-ve bk.-. r'r?C.) Occupancy groups.
-(-it) State ZIP: Pori-( ) fle4, Cle... ct 7 ?..C.:,L., Existmg:
1
P hOne:(593) (1.3 9 2 oc = ri 41 I Ea+, i ■
Ness
a en
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NOTICE
Business name. Ca r 1 ty„..:.0 i() --c.,....:JA-)1, cc , A Y ._ All ct our tor,and subconmictor,at required to be
Contact name: Da rk, t licensed 1k ith the Oregon Construction Contractors Board
n I i'V't l../1-1e Z--
-- under ORS 701 and may be required to be licensed in the
Address: 57:$D .45 Lk) ACA-f 4''' 31- I jurisdiction in which work is being performed. If the
Cit State ZIP: ti il
1 applicant is exempt from licensing,the following reasons
y i- t 1.e>1 .-.)„,-,-,(3 o 1 a ,
I apply: _
Phone-.t+17/I f,)(. 3 9' 3 z 8' Fax::(5Z 4) , ,,i c 2. i z ,,,"1
r`niall' I_e+$(to, 6.? co r 1 50ri Y•12";C)-( -C.1.24"fm .
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CONTRACTOR ' —
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F Ri't',DING PERIVIIT FEES*
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, Ifie.oe rejir hijew seheduk.
Address 7t; 'f',.., .,'..) fACL1) --. -1 Structural plan rertox. fee Or deposit :
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City State ZIP: 1.1)1 .>l',,,,,c4--,c,„ ' ctt I i ;' -..› 1
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' ELS plan review fee(if applicable): l'
Fa,-I 3-1,3) G t-1 c 7 2,1 Z.,2_ .
-1 I CCB lie., Total fees due upon application: , 02to I. i3
1 -----
Amount received
Authorized signature: , 4i,,,vii
This permit application expires if a permit is not()Maine(
,. 1 r., _ within tall days after it has been accepted as complete,
Print name: ' e-h(..-41°L --- ---r t a -) ; —ate r - IL:Y.51;S j - fee inethodolog)Net 11) In-C'taintk Budding IndustrA,
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Ser4 il:e Biiard
1 FiutItimg Yei no,Ftl 01 Ii re.,,,,,,,A,pp,i.. I' , .4,1{ 4e I+lull IC,(f)WWI H.