Permit CITY OF TIGARD REROOF PERMIT
it COMMUNITY DEVELOPMENT
Permit#: RER2017-00022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2017
Parcel: 2S 110DB00201
Jurisdiction: Tigard
Site address: 15268 SW ROYALTY PKWY A
Project: Arbor Heights Apartments Subdivision: WILLOW-BROOK-FARM Lot: 8
Project Description: Building A-Tear off and reroof
Contractor: CARLSON ROOFING CO INC Owner: SPUS7 ARBOR HEIGHTS LP
PO BOX 1695 BY CBRE GLOBAL INVESTORS LLC
HILLSBORO, OR 97123 800 BOYLSTON ST#2800
BOSTON, MA 02199
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 06/14/2017 $509.05
Specifics: 12%State Surcharge-Building 06/14/2017 $61.09
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $29,910.40
General Information
Building Area: 0
Re-Roof Area: 10400
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $570.14
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: j � Permittee Signature: �,/�/ /4(&A-7-7M/
Call 603.639.4175 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.
uilding Permit A_
Bp lication RECEIVE
Re Roof
City of Tigard JUN 8 2017 Received FOR�lrr rc 1, l sr o�i_�
;� 13125 S W Hall Blvd.,Tigard,OR 9722 '1-�� DateB . 42 /7 !,i. Permit No.
e Phone: 503.718.2439 Fax: 503.59� `(i�ryi rrn��F�+� Pan Revi � ��OC�l� �
TI G A R D Inspection Line: 503.639.4175 LLJII ! � I I`-- Date R : Other Permit:
Internet: www.tigatd-orgov Date Ready/By;
No fied/Asethod: Ma 0 See Page 2 for
Supplemental Inforvratioa
TYPE OF WOE
New construction ❑Demolition REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 Indicate the value(rounded to the nearest dollar)of all
Other.
CATEGORY OF CONSTRUCTION workequiindnt,icated
materials,labor,overhead,and the profit for the
work indicated on this application.
❑1-and 2-family dwelling
Commercial/industrial Valuation: S
❑Accessory building Ir I Multi-family Number of
❑Master builder bedrooms:0
Other: Number of bathrooms:
JOB SITE INFO' a.ON AND LOCATION
Job site address: OV . � Total number of floors:
ab.
tilitrAMMIIII New dwelling area:
PIM���( � ��
a� el , square feet
Suite/bldg./apt.no.: [•�•�„�, Garage carport area:
t� Project name: ��i 1 M square feet
Cross street/directions to job site: "`��'`�� Covered porch area: square feet
Deck area:
square feet
Other structure area:
square feet
Subdivision: REQITatED DATA:COMMER
Lot no.: CIAL-USE CHECKLIST
Tax map/parcel no. Pemrit fees*are based on the value of the work
Indicate the value(rounded to the nearest dollar)of
all
��� DESCRIPTION OF WORK.
work ent,materials,labor,overhead,and the profit for the
C!�(`;'��`Ii't_ � � `, , work indicated on this: lication.
IP'IV .,�iL Valuation:
Existingbuilding4"1/
67ffir-lai all
area:l' ,it.uare feet
fl PROPERTY OWNER New building area:
square feet
��r ± �,..,�,�� _: 0 TENANT Number of stories:
\ �`! ` _ .� Type of construction:
Address:::t ;
e/ZIP � �� a � t�
II nggroups:
! Occupancy
�, i "l 1 Existing
II APPLICANT
Business name�LT_ '� i `��/ �, 'A�CT'PERSON = NOTICE
Contact name: X.61 e t �,l. All contractors and subcontractors
�� licensed with the Oregon Construction
required to be
Address: �i,'�1 w � Construction Contractors Board
` r , ` , under ORS 701 and may be required to be licensed in the
§111110ijr� �.$ jurisdiction in which work is being g performed.If the
applicant is exempt from licensing,the following reasons
E-mail: a , r441 „ 1i I t •tl4.-' 1111111111111111111111.....
sNTRACTOR [ ' 111111111111111111.......
Ad name
li t M ` M ,I
Business n °.
INIIII
BUILDING PERMIT FEES*
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City/State/ZIP:Ini�'�.'R . . M�'���±�11�'��.����1,) ► `� .ae ee ro esacbedrile
Phone: Int � �� Structural plan review fee or deposit):
IM
�I�iT ��� r � L1 -S plan review fee(if applicable).
1 AtTotal fees due upon application: 111111111
Authorized Signa
i Amount received: 1.11111111111
' ( IS 110 0 n
•`• �� L- A , -� This permit application expires If a ermi
'-k i M, t a Date: IMMO within 180 days atter it has been accepted as complete.
t:uiuud' tP * Fee metho^d,,oJlogy set by Tri County Building Indtrshy
m& ermitsUt00E-PermitApp c 10/01/09 Ili - Service Board.
440.4613T(1 1/02/COM/WEB)