Permit 4 CITY OF TIGARD REROOF PERMIT
IN 2.- COMMUNITY DEVELOPMENT Permit#: RER2015-00015
TWARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9385 SW MAPLEWOOD DR 162
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building 0:Roofing over existing roof. No tear-off.
Contractor: CARLSON ROOFING CO INC Owner: CASA LA VETA ASSOCIATES
PO BOX 1695 HIGHLANDS ASSOCIATES LTD
HILLSBORO, OR 97123 BEAN,TERRENCE PETAL
1303 SW 16TH AVE
PORTLAND, OR 97201
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 03/26/2015 $317.06
Specifics:, 12%State Surcharge-Building 03/26/2015 $38.05
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $15,352.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $355.11
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature:
II 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 Application
• Re-Roof
FOR OFFICE USE ONLY
N .. City of Tigard Received
• 13125 SW Hall Blvd.,Tigard,OR 97228 ECEIVEC �k By: 3/ �s//r 8/7-
`' Permit No.:p �'1 ,ISM{
Phone: 503.718.2439 Fax: 503.598.1�5(i Plan Rc�iew I` 7rU
lAte'B Other Permit:
T I G A R l.) Inspection Line: 503.639.4175 Date Ready turn
Internet: www.tiganl-or.gov MAR 2 5 2015 S Page i for
Notified Method:
- j 1 Supplemental Information
TYPE OF W try
PHI ' ∎
, * •N REQUIRED DATA:I-AND 2-FAMILY DWELLING
..❑New construction r D molition Permit fees*are based on the value of the wurk performed.
Addition'alteratiodreplacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial'industrial Valuation: $ /5,3 SZ
❑Accessory building ,I Multi-family Number of bedrooms:
❑ \taster builder ❑Other: Number of bathrooms:
J911 SITE INFORMATION AND L ' TION Total number of floors:
Job site address:.{,- j S� ��"`i' 2 p,nq r1 New dwelling area: square feet
City/State/ZIP: T j 6-i ,•..b . c - 47 Z z. 3 J f✓ Garage/carport area: square feet
Suitvbldg./apt.no.: I Project rtattte.
Ma; ,Syreet v 117,1 Covered porch area: square feet
Cross street:directions to job site: a
Deck area: square feet
Other structure area: square feet
ma, REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: t F 5 ,f,-f- U 1 l iaj� Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: - Indicate the value(rounded to the nearest dollar)of all
C - equipment.materials,labor,overhead,and the profit for the
( DESCRIPTION OF WORK work indicated on this application.
k.G 1--c Cvt,'E l-- . - Valuation: S
Existing building arca: square feet
New building arca: square feet
— PROPERTY OWNER ❑ TENANT Number of stories:
Name:(,A5R LA V TA ASSOC. by /*ni Oil Prep 61 e; t , Type of construction: 1
Address: I 1 11 5i..Lt 5114. A lie .0 3 r'"i0 -
Occupancy groups:
Cily'State'ZIP: Pcrd j a rs.d r 0,e q•1 2...o(f
Existing:
Phone:I!71 ) 22 6 2011 g I Fax:(. .') 963 / o g e;
- New
a APPLICANT ❑ CONTACT PERSON I
t NOTICE
Business name: e�Y715001 \.,C) \ �. - __1 h c-
_ All contractors and subcontractors are required to be
Contact name: L e C,1-0. f Q r i GF�� licensed w ith the Oregon Construction Contractors Board
Address: 5 c5-0 e,Lti) , 31- under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
fAlic
City/State/ZIP: I S l g_ I Z 3 applicant is exempt from licensing,the following reasons
Phone:(5713) gi f to I S-1 5 I Fax::(503 1 6 yo .2.4 2 Z apply:
E-mail: Le.-+Is c:C'cc co CO r-I SOil roc)-C, C..O rs- -
yy�� CONTRACTOR
Business name: (�1..�(.-Y 15Q.,n (zCx.+ Cc . i,,,tom
BUILDING PERMIT FEES
f please refer ales se___Address: 'S ..:.-5w� A[i!Q fS
City/State/ZIP: RI\k bc_> U 04 ell 'a 3 Structural plan review fee(or deposit):
--- Phone:(51)3) G 1.5 S I Fax:(Cre-3) .6 Yo'L i LL FLS plan review fee t if applicable):
—
� '
CCH lie.:
Total fees due upon application: �3557/
Authorized signature: ,ifP11 l Amount recei'ed: 1
' This permit application expires if a permit is not obtained
Print name: 7 �� . - lief)----..-1 Date: .'3 J Z J l ! within ISO days after it has been accepted as complete.
- �/ �i J " Fee methodology set by Tri-County Building Industry
I BuiktinF Pertnrt (X
,Ri1'•Pamit1pp.do. 101)1(ri Service 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
9385 SW MAPLEWOOD DR 162, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00015
Chip Barnett
Violation Summary:
Inspector Contractor