Permit Y q CITY OF TIGARD REROOF PERMIT
11111111 ft COMMUNITY DEVELOPMENT Permit#: RER2015-00016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S 102AC00201
Jurisdiction: Tigard
Site address: 9323 SW MAPLEWOOD DR 182
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building Q: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: o
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 a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �`— Permittee Signature:
'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
City of Tigard RECEIVED ��°`�°'��'"�'� I. �r�°"�'
,Rzi,ed
13125 SW Hall Blvd.,Tigard,OR 97223 Date By; 3 , J15-- �Tr Permit Nu.:2� y�i r�f 1
t Phone: 503.718.2439 Fax: 503.598 1960 MAR 2 5 2015 Plan Re.iew 7V
Date%. Other Permit:
1 1 t.A RI) Inspection Line: 503.639.4175 Date Ready My:
Internet: www.ti and-err. t,. CITY OF TIGARD S raR. for
g 8 Notified McIIxW: S Se.Pratat faformscion
— - --- RUIJ DING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
Addition'alteratioNreplacement Indicate the value(rounded to the nearest dollar)of all
❑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: $ ,5; 52
❑Accessory building ,l Multi-family Number of bedrooms: 7 e
❑ Master builder ❑Other: Number of bathrooms:
J SITE INFO T N AND LK�'1ON Total number of floors:
Job site address: el3 u` ,(7�aJ-mil ` (/ice J
��11,t.titl 1 c' �- — �IG1 a Q New dwelling area: square feet
City/State/ZIP: ( i 6 A rl '7 z z 3 Garage/carport I C g rport area: square feet
Suiteibldg./apt.no.: 1 Project name: moth) J-7: ur rl v - Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
�, � REQUIRED DATA:COMMERCIAL-USE CHECKLIST
��j
Subdivision: (5h-eel-- 0 J( 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
equipment.materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1-C.0 t:)1/41€1– . -- Valuation: S
Existing building area: square feet
,,� New building area: square feet
(f PROPERTY OWNER --� ❑ TENANT Number of stories:
Name:L./15/1 LA V'EA AS:x-)C. t::,
A / ��n I� Prop• /l4 crnt_ Type of construction:
Address: I I I ,5�tw ..fti A bt 44 3�• 1
/� J Occupancy groups:
City'State'ZIP: t"t' "I c.(r i , Or': q 1 f(
g Existing:
Phone:(i.71 ) 2 2/c 2c !/ g Fax:( )5) r,(?° f' f 1 4 f'n
Er APPLICANT ❑ CONTACT PERSON -.
I
Business name: (1 ) i NOTICE
`'ct 1 ,5c3i 1 _ �-'-i�V\C (.C J .. .. ' All contractors and subcontractors are required to be
Contact name: L -h C L f.---c-4 r t �� licensed with the Oregon Construction Contractors Board
Address: 5�Z> ��Lti� under ORS 701 and may be required to be licensed in the
"�`_p(c .,) jurisdiction in which work is being performed.If the
Cit State/ZIP: I( c,► - ` Ci-j I Z- 3 applicant is exempt from licensing,the following reasons
Phone:(SZJS 1 j4(�-' 15 1 5 ( Fax::(51)3 ) 6�7 O 21 Z Z apply:
E-mail: Le_--(l (t.(fit Cs-,-) C n I--I' r,,i 1 COs )-( - C.2)ry
CONTRACTOR
Business name: (Ltr (`�c',-rte +hex.. - -- . r. —
l,t...... BUILDING PERMIT FEES*Address: ��� --_503 ( 'k_as....e e ,r'
(Pkese refer*the tr4'kt1+del
4City StateiZIP: (Ai11.� �.j� Lae._ '") I Structural plan review fee(or deposit):
Phone:(5Z%';) L}{c S Fax:(S�;5) FLS plan review fee(if applicable):
i CB lie.: �--t � 7 �.• �1�
17 Total fees due upon application: /35-57q
Authorized signal ^� ' Amount receised:
��+.`: This permit application expires if a permit is not obtained
Print name: t ��` is ithin 180 days after it has been accepted as complete.
Date: t!
-t� /- Zt_ � i ` Fee methodology set by Tn-County Building Industry
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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
9323 SW MAPLEWOOD DR 182, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00016
George Heimos
Violation Summary:
Inspector Contractor