Permit CITY OF TIGARD REROOF PERMIT
111- Permit#: RER2015-00042
COMMUNITY DEVELOPMENT Date Issued: 10/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11396 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 $256.22
Specifics: 12%State Surcharge-Building 10/08/2015 $30.75
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $11,449.44
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $286.97
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: (jAJ rt/9,Z,/e.'7—mod
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 Applieatio R ECEIVEP
Re-Roof FOR OFFICE ISE ONLY
City of Tigard OCT 8 2015
- , ,I, ,„....
R): ed 712, le/r/k5 Oitsli---- 11.0,9i,N. A67420/5-„evoy.2_
;,.13,1,25 sOA Hall Blvd, Tigard,OR 9i3lAist,
Ili
sae 503"18.2419 rd1 co 54,,,,my OF fIGARD Plan kr.)t..,
Datt its i °lion Permit
I
L
31
XNI10n Line 503.439.417.5
TIGARD in BUILDING DIVISION Dalt'tract!. It.,. scc Pace 2 for
Internet wtxtf tigaut-or gin Notilini Mrthod 1lippirmt ntal Information
.1..
_......
L.r-- ,
;
TYPE OF WORK _____ j 11_,. REQUIRED DATA I-AND 2-FANULV OWELLING
El \c ,,,n,ouction I 12 Deniohm al i 1 Permit tees*arc based on the\aloe of the work performed
,. 1 I Indicate the salue(rounded to the nearest dollar)of all
\ddimai alteration replaement El(inter I equipment. materials.labor,oserhead.and the profit for th
CATEGOR OF -UCTION —1 t I work indicated on this application,
Y CONST R
---4 i
dellin oin m 'aluation„ S // 911 V* el(f.
‘121,I-and 2-tamily wg 0(' erci al,industrial 4
i .....
N
El Accessor) building 0 Xtulti-fannly umber of bedrooms:
Number of bathrooms.
[,:j ‘taster builder : c)Other
Lim _ Ins s i l l, r,„0,01(,ti ,...I t o,,,, ,k,,,n I 0( ‘1 10.„, Total number al floors:
Job site address: /1 3 ci 6, ,5,,L; l ) 1 i'vk New dwelling area: square feet
....,-
( it■ State ZIP. t k epri, (i ciz, C'(1 2, z 9 Garage/carport area: squat c feet
Suite bldg.apt,no.: 1 Project name:
i ' Cos ered porch area-. square feet
(ross street directions to Job site:
; Deck area .
square feet
1 Oth- stru ' c square feet
, _. ....„ . .
RUQ1. IBLI)I)Xi 1:(01E111%12(I ki -1 ...i..CilEt 1,1.00
Subdis:'ion Lot no.: I Permit fees*are based on the Nalue of the work performed
' Ind,-ate the value(rounded to the nearest dollar)of all
1 ..... ..
I as map,parcel no
i equipment. materials,labor,oserhead.and the profit for th
.:,„, ,,,- - ,4( ,444..' .- .'_.,„'r' . I work rixiicated on this application,
H.--
! 1.'aluation: :4
1 cf f
h\Astute building area; square feet
---
New building area: square feet
,...... .4,' ',.1,-_ -.,---',„"7- 01, ,-4-4,--, Lr.„ fflr014,11;, ..,'Or ., • ((,,s,stories:
i ' PR()Pi:R I ()%\\I 11, „,;A,,.,1, '''''' -: 'c'''': l'; '''0 t'.. A.1 ,,, ,, ,•,,, ,;!4,, Nutme T,totte„.
Nanic: _ik i.ilr-) 1 tvi CI-v) r:-.1-f il _tAtifie,40,,,ve rut- Type of constructton:
Address. I i 1 At^ ‘5111 /4-iff . bk„,-.... 3 C 122,_______________________1 Occupancy groups:
City Stale ZIP, PG 1-4-0 rAd, OR_ 9-7 Zo(I _ _ 1 mctiti,,
.. _...._......._____
Pikme:(r)03) 5i41 2. 00 el 1 i Far I \co.
______
' 0 C'ONTACT PERSON NOTICE
. ,
L-"Bu-siness name.- L.'1"te-„- ,5„,,,.//I'- "- ---00--- -k-::417: - CLA...-1,7","-SyxC ..s I I,, 111;71,tor .a u-ii 7.ut\ort11::71,71e reunite:to be
censed wth i the t gon Construction(ontractors Board
Contact name, 7)o n kt" 4Aft V i'l LT'„2.., licensed
. - - ; --1 under()RS"Nil and may be required to be licensed in the
_.,_.
Addiess !-- 5r, „4",,,L,L) moi I,7 3,- jurisdiction in which work is being performed. If the
it. State LIP a —
applicant is exempt from hcensing.the following reasons
i ; 1-h 11.f.. cor,(3. 0,1<1 4:11 i 2,,,,,
Phone,t':-.)7 1) 5&,3 93i s Fax: .i,5Z3 I &,11 0 2 t Z2...
i -c- -',i' -'
ma, L en.-1- c t c"k C.,,, COr"" 01-1reC) . -C,t- T" _
CONTRACTOR F - - —
Butanes,name: ea -13(; b rN...,.. r Cc , .„„-,h/NC.... ..1 BUILDING PERMIT EELS
t
(Proo.91-0.iff Ica4.4.44____...nu,....a..........
Address: ,,..„..,)5t--31; ---r--„, ty\ p _ik_., ...:4-
— 1 ,iructural plan res ten tee or deposit
City State 7IP: fill , 5 jo,Qd-o Qi2,- cki
._
1 1 VI.S plan review fee(if applicable)
' Phone:(St 5)8q t.) /S-7 5 Fav(51,3i iri'2iZ,,2- 1 1 --- _ ,..,--
---- —I 1 'I otal fees due upon application: ,Jel, 7 /
,
CCB lie,.
_...1 ti-----
AMP. 1 _____
-- _
thonr ed signature• 4,
tiff,' 1 Amount receise&
Au l
, --,7---- ; , -- , ,
. 1tIOTI ex ires ir II permit is not on
This permit liplike p pc
,,,-1 ' nithin 130 days after it has been Accepted as compitat:(7.4
Prim name:
e h(-W.- .-1 -7( 5 1 Date i‘.1.;7;5 1 - Fee methodokig y set by'In-County Building Industry
Sere it Hi lord
I ri,,a‘i,ag Knoll 14.4 00I.PermgApp 3, ', .: , 441 ,4r.-!■FM.:'WM¶51 40
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
11396 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00042
Chip Barnett
Violation Summary:
Inspector Contractor