Permit CITY OF TIGARD REROOF PERMIT
2 COMMUNITY DEVELOPMENT Permit #: RER2013 -00006
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
g Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9451 SW MAPLEWOOD DR 24
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building C Roof -over composition roof with Certain Teed Landmark 40 year shingles
Contractor: CARLSON ROOFING CO INC Owner: CASA LA VETA ASSOCIATES
PO BOX 1695 HIGHLANDS ASSOCIATES LTD ET AL
HILLSBORO, OR 97123 BY AFFINITY PROPERTY MANAGEMENT
111 SW 5TH AVE #3690
PORTLAND, OR 97204
PHONE 503 - 846 -1575 PHONE.
FAX: 503 - 640 -2122
FEES
Description Date Amount
Permit Fee 05/09/2013 $393 11
Specifics: 12% State Surcharge - Building 05/09/2013 $47 17
Info Process /Archiving - Sm $0 50 (up to 05/09/2013 $9 00
Type of Use: MF 11x17)
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $20,410.00
General Information
Building Area 0
Re -Roof Area: 0
Roof Class:
Tear Off:
Overlay
Existing Roof Layers:
Parapets
Total $449 28
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 ATT • a •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -00 .010 through OA 952- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or e 32 2344
Issu d By: / / I Permittee Signature: �// . / L
Call 503.639.4175 by 7:00 a.m. for the next available ins • action 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 Application
Re-Roof FOR OFFICE USE ONLY
of Tigard RECEVED Received Permit No. /D1c !
Date /B 511.4111111111M / I 0 � „ ,040 0 4 0
3
13125 SW Hall Blvd , Tigard, OR 97 Plan Review
_ Phone. 503.718.2439 Fax. 503.598 0 6 2013 Date /By: Other Permit:
TIGARD P ection Line: 503.639.4175 Date Ready/By' Inspection 65 See Page 2 for
/ � .,
Internet: www.tigard -or gov CITY OF TIGARD Notified/Method. 6 / 7 \I�� '✓ Jun'
Supplemental Information
BUILDING DIVISION c-
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I - and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building Multi - family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 a- n - !—P1/4l- l i--S , 9V5/ AO W/t /St.)6a D2. New dwelling area: square feet
City/State/ZIP: I j t,rr , 0 R 1 1 2.2. 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: N4l 13 ,i LIhrof /4 Covered porch area: square feet
Cross street/directions tojob site: ' 1 5W A Deck area: square feet
O R ! r C1a.c ci 1"1 w�) fr Syr M civil S i'Yq + Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: ( )
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Roo:- over no YYl p o I •' 1 cm roo I w .li
Valuation: $ 'j Q t 4 f (� b o —
Land max k -i O hn
Sn1.s . Existing building area: 10 square feet
New building area: N' A square feet
5( PROPERTY OWNER ❑ TENANT Number of stories: 2.
Name: I aAil Vt Rorie. Type of construction:
Rod ()VAX
Address:
(v, 5 5v, Ntt.a,A 91i • Occupancy groups:
City/State /ZIP: 'T 012 9/ 223 Existing:
Phone: (503) (,3C1 - 0A L, Fax: ( ) New:
gj APPLICANT ❑ CONTACT PERSON
p (� rY1 NOTICE •
Business name: 1�?� 1tt7o�li1(� l O�(� tl l� I f . All contractors and subcontractors are required to be
Contact name: St,ra� �,,, ( y � licensed with the Oregon Construction Contractors Board
�1 under ORS 701 and may be required to be licensed in the
Address: Po box 1(oa c jurisdiction in which work is being performed. If the
City/State /ZIP: 4 l 1, „ (A q-1 (•23 applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 3410' 1515 Fax: : (503) (o4 0 '• 2 Z2.
E -mail: 5C & A & dsartrlx4 . Cr fs
CONTRACTOR 1 4/1/?/ 9-
Business name: n
1 � h(. `L5wI V631, In C, BUILDING PERMIT FEES*
Address: PO bO X I VII �J (Please refer m fee scl redulej
� r' Structural plan review fee (or deposit):
City/State /ZIP: H 111 bl 1 vl � jZ Z 2
li
Phone: FLS plan review fee (if applicable): .84 ,-157 5 F ax: ( 5O3) (oy 0 2122 . —
CCB lic.: i Gj G Total fees due upon application:
Amount received:
Authorized signature: , - application expires if a permit is not obtained
+�i -� -r permit PP P ires ermit lication
This P
n_ � within 180 days after it has been accepted as complete.
Print name: 0.-ts ri f1� /_ Date: — (13 * Fee methodology set by Tn -County Building Industry
(Lt! Service Board.
I \Bmlduis\Permits'ROOF- PermdApp doe 10/01/09 440- 4613T(1 I /02 /COM/WEB)
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One--& Two-Family Dwelling)
❑ REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re -roof if not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi - family and condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at 503.718.2439.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre - inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
C:\DOCUME -I \jmartens\LOCALS- 1 \Temp\ROOF- PermitApp -I.doc 2