Permit CITY OF TIGARD REROOF PERMIT
° 2 COMMUNITY DEVELOPMENT Permit#: RER2015 00040
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
TIGARD Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11382 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 $180.17
Specifics: 12%State Surcharge-Building 10/08/2015 $21.62
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $6,360.80
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $201.79
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 0,(,/ , /�joG/(+1f Tlp
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
tRtiildina Permit Application
Re-Roof RECEIVED
City of Tigard
L it„71
, /0////5 mil
iiN t pj 7oQJV' SW A7 Tigard.(R2
B a Pr131$ 439 OR 97223
I 'T 8 ?015 "Platt R ,rw
I>1e1 <hlxrPermit
TIGARD Inspection Line. 503.639.4175 Date Reath. Ih i rLIr. I 0 See Pans 2 for _.-
Internet www Tigard-or gm L sont'icd Method ' Supplemental Information
r"4,
+;`-. TYPE i REQUIRED DATA I-AND 2-FAMILY DWELLING
❑Neu construction El Demolition Permit fees'are based on the a alue of the work performed
— — - --r Indicate the ealue(rounded to the nearest dollar)of all
�.Addmon alteration replacement ❑Other equipment.matcnals.labor.oeerlead,and the profit for Ih
... __— work indicated on this application.
__ -_ .__ -_.......W..:. �._.__.._...___-_.. Valuation: S 6 360, OV
jai.and 2-family duelling ❑Commercial industrial
❑Accessory. building ❑Multi-family _ Number of bedrooms: - —
❑ \faster builder i ❑Other: Number of bathrooms: �_
_ i
I JOB SITE INFORMATION AND LOCATION J Total number of floors:
Job site address: i I 82 ',, i ' , ;,v e < t t New dwelling area square feet
( it% State ZIP. `vf ic'... - ci~-1 Z 1 t'( Garageicarport area: square feet
Sum bldg. apt.no.: ( Pm)ect name: Covered porch area square feet
("rosy street dtrecttons to job site: Deck area square feet
Other structure area square feet
l REQUIRED DATA.COS1 F RCI -USE CHECKLlS1 L
Subdivision. , Lot no.: Permit fees'are based on the salue of the work pelt—united
1 av n1,1 parcel teas, Indicate the value(rounded to the nearest dollar)of all
r�. __._.. y� equipment,materials.labor.overhead,and the profit for th
1 DESCRIPTION OF WORK ! i, work indicated on this application.
t Valuation: S
L. . 1 3:�- J !' t f_- L I
Existing building area: square feet
New building area: square feet
14 PROPERTY OWNER 0 TENANT i Number of stones:•Name ___ t t
r W L^ E e l le" i t [y is of construction:
Address: J I 1 ,)( '2 I1 1 14 fi :) - 3
t , t.. t �ICZtitc..t
(kcupamy groups:
City State ZIP: 190 V 'CZ�1 CR. 93 2....C.)(I Existing:
Z L C Fax ( ) Neu:
( ,APPLICANT 0 CONTACT PERSON NOTICE
Business name �+ • r•-'.3c,'l K_.C�„_- •lY
-_ Ca --- �� ' ��t ill contractors ale!aubeontraetor,are required to be
(Contact-tame: Dan irk k. 0 v Z. hcensed a nth the Oregon Construction Contractors Board
( under ORS 7111 and may be required to be licensed In the
5$ L.A_r YVIcLp k,' �7± jurisdiction in which work is being performed. if the
`ddrStatt ZIP: � d t {? c —`�..._.._.� applicant is exempt from licensing,the hallowing reasons
1`h[1 1.::,t,- )r-s , (_:," 1 t 1 2'- apply:
Phone.t e- 7 f t ' Fax::( � ) �;-. C 2.1 Z Z
I mail' L eTiC_tC1 6' CO
I CONTRACTOR
Business name ` ' _ ____. _. ___.._
- `�iA,) ...... ck.4.• : _-.... y __.� _ 6 itl if o Iii;PERA1tk doki _
.^Address. ��",� 1 f~ ( eNtseeshemJltrs,seAkldr�
/_ q ! Structural plan rev less fee(or deposit): l
(City State.?Z.IP: U 'J c' _ 1 l 2.. ! �.
Phone:4',251 8446 (S -5 I Fax:1 S-1ii31 ( ((�2 i L Z I FLS plan review fee(if applicable):
- -- --- — — ;- /- 79
CB hr: ! � Total fees due upon application:
r
4(4Amount received: l Authorized signature: '� Y This permit application expires if a permit is not obtainer
-'—` "- ' within IRO lass after it has been accepted as complete.
• Pnnt name: e_Ho ct - Lr�'r t a ' I Date /0 I ++
7"--- ._-.. 1 Fee meKhcdalrrgy .et h) Trill."ount. Building Induan_
St-nice Board.
I RMd.,Perna,ROMII A.ornnApp do, 19i. .I■.■ 44+.41111111 u:1'tAAI WI 111,
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
11382 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
April 8, 2016 at 9:55:18 AM
RER2015-00040
Chip Barnett
Violation Summary:
Inspector Contractor