Permit „ CITY OF TIGARD REROOF PERMIT
111- 2 - COMMUNITY DEVELOPMENT Permit#: RER2015 00043
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2015
Parcel: 2S110AC01200
Jurisdiction: Tigard
Site address: 11460 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: /s� ,'7 '/ , ',y-77
,<(. 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.
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Building Permit Api)licatiotRECEIVE1 /
Re-Roof FOR OFFICE USE ONLY
.16 . City of Tigard OCT 8 201.-) keeemed
Dim 11 / 6 ---/it 4dlie"— ' Penn"' 6.-le.20/5'. 19
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13125 S' Hall Blvd. I tgard.OR 97W,
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Phone 5 vo 03 718 2439 Fax col O R
f fIGAD Plan Ro ir.
138ic It■ Other Permit
TIGAItI) Inspection Line. 503.639..11 7 3UILDING DIA/ISIOlk paw Roth it Nos 0 tier Pate 2 for
Internet %%IA tip:int-or trios Notified method Sopperaeotal tailor motion
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I T1'PE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
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0\em construction 0 Demolition Permit Ices'arc based on thc%attic of the wort performed
Indicate the value(rounded to the nearest dollar)of all
ddition'alterationfreplacement
1 0 Other.
CATEGORY OF CONSTRUCTION .. ; equipment.matenals.labor.osetisead,and the profit lot di
work indicated on this application.
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I-and 2-family(Welling 0 Commercial industnal Valuation: S ii t Li V(7- 'I T
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Number of bedrooms:
0 Accessory building 0 Multi-family
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0 \taster builder II 0 Other: Number of bathrooms:
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I JOB SITE INFORMATION AND LOCATION Total number of floors:
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Job site address: I 1(../ 60 :....) ,' i.3u i I i's,k t .( , i -1-v) (,..(k New dwelling area: square feet
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t it) State ZIP. 1 k 6p.„4.c.: c 1.2._ c(1 ? 2- Li Garage carport area: square feet
Suitebldg.apt.no.: I Protect name: ■ Cos creel porch area: square feet
(ross street directions to Job sit, Deck area: square feet
Other structure area: square feet
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-,_ ER QUIRED DATA:COMMEKCI k I.-1 sE CH ECKLIBT1
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Subdis ision- I Lot n°.: P
Permit tee-•are based on the%aim-of the Ns ork performed '
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Indicate the value(rounded to the nearest dollar)of all
tax mai,rat.el no.
equipment.materials.labor.oserhead.;Ind the profit for th
DESCRIPTION OF WORK 71 work indicated on this application
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Valuation: $
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Existing building area square feet
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New building area: square feet
; :g PROPERTY OWNER L 0 TENANT —,
-4 Number of stories:
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Address: I I/ ii,.(__, 5711 4 w 4c---- ci CH Occupancy groups
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phone-(,:-f;3) r..,-ci? 00 ell ! Fax.( 1 _ Ness.
cPPLIC
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APPLICANT 0 CONTACT PERSON
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NOTICE
Business name CA.(f t;---)',---,/1 ic c—__ - -, • "rt,.___ , \.<-_ All contractors and subcontractors arc required to be
licensed with the Oregon Construction Contractors Board
Contact name: „pan%-c,L. Ait v n oz. under ORS 701 and ma) be required to be licensed in the
Address- SS(2 4")LA.) f1,1CLf,47 5-t- itinsdiction in which work is being performed. If the
applicant is exempt from licensing.the following reasons
Cat) State ZIP: 1.--ti 1 1.e.2, :yec , 01<.. CI-I 1 2,3 aPPIY. _
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Phone:(CI 7i) .. /..>3 9_.3i, S i Fax: :(5b3) (2CIG 2 i z.2__
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Business name. LI,,,__„(,L.,,,,, ,_ . , 4.__, ...,,15. (A,_,-, ., . ,i-y‘,C... 0th DING PERMIT FEES*
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, Address: 37--5L; ''') 6 N.–) _ /\4)4.4.2.- ., — fifyese r_sikr tojee ttehethill
' Structural plan review fee(or deposit):
City.State/IP i-h 5 19(dec, c,,,40-__ cki (a -- I Li--
FTS plan resiess fee(if applicable): 1
Fax.(51;3 Gtic,21z.z. i
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- _ Total fees due upon application: iltocat, q7
CCB lic.. ,
L_ /04 ye _
.Amount receised.__I i
Authonied signature: ,1 4A i* This permit application expires if a permit is not ot,tains4
althin IRO days after it has been accepted as complete.
Pnnt name' _. _ _ e...fi 1 Da i e /0/51/-S: -1 • Fee methodolovs set h. In-County Building Industr.
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Sets ke Board
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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
11460 SW BULL MOUNTAIN RD, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00043
Chip Barnett
Violation Summary:
Inspector Contractor