Permit CITY OF TIGARD REROOF PERMIT
111 a COMMUNITY DEVELOPMENT Permit #: RER2013 00005
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Date Issued: 05/06/2013
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9322 SW MAPLEWOOD DR 222
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: 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 97124 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 05/06/2013 $317 06
Specifics: 12% State Surcharge - Building 05/06/2013 $38 05
Info Process /Archiving - Sm $0.50 (up to 05/06/2013 $9 00
Type of Use: MF 11x17)
Class of Work: OTR 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 $364 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 • - - rules are set forth in OAR
952-001-1: a through 0 • 52- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling - •87 • 1 800 3i2 234
'' �,Q
Issued By: I i Permittee Signature: - •• (
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.
Buildin Permit A li in ED
. ,
Re -Roof MAY 0 6 FOR OFFICE USE ON
2013
City of Tigard Date/B i / Oa ' ieEao /5- ro5 '
■ ' Permit No .
13125 SW Hall Blvd., Tigard, TIGikAG
Plan Review
'� �}R • C Phone 503.718.2439 Fax: 503!5
DIVISION Date /B Other Permit:
Inspection Line: 503.639.417B1J1 Date Ready /By: Jun ® See Page 2 for
T I C. A R D N otified/Method: S
Internet: www.tigard- or.gov pplemental Information
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.
❑ 1- and 2- family dwelling Valuation: $
❑ Commercial /industrial
❑ 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 1 . f t. e ` . 9 3aa , / y g o « ,,,, 6 ,,,,„, ' , Q ,, New dwelling area: square feet
City/State/ZIP: Tly(t,,rd O R 1722.3 22.3 Garage /carport area: square feet
Suite/bldg. /apt. no.: V Project name: Covered porch area: square feet
Cross street/directions to job site: M Deck area: square feet
OR- 'IV C1'0.G41 c N lo� \ ] 5' 5W M C fl S , + Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
Valuation: $ IS t 352. 00
Roof -ove,r (ho nil poSb. Ican rooF, with CP-f.ttliYafili
Lc n mL%x k. 40 u-r Sivn (31,es . Existing building area: TI V 0 square feet
New building area: N' A square feet
CK PROPERTY OWNER ❑ TENANT Number of stories: 2 .
Name: WA S.I1fe¢k Il 11 Type of construction: gooc— OV.e.r' I
Address: 12(0 50 SuJ Y'ltu A S:+ Occupancy groups:
City/State /ZIP: 'TI GC, V (r.X, d'IZ 91223 Existing:
Phone: (503) ( - 6,24 6 Fax: ( ) New:
kil APPLICANT ❑ CONTACT PERSON NOTICE
Business name: C 1 S01\ Roo cin l .GCY1p(t1\ (� I Lh C1 All contractors and subcontractors are required to be
Contact name: �jt�rc�tn �,� J J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: P() (50x 40015 jurisdiction in which work is being performed. If the
City/State/ZIP: 4 q b crco 0,K ql Z3 applicant is exempt from licensing, the following reasons
apply:
Phone: ( M(4 5.-1S Fax:: (503) (o-f0 2I Z.Z.
E -mail: 5r 4FL ®C scnn0,- . Cf31rY1
CONTRACTOR
Business name: n t BUILDING PERMIT FEES* Cc (sal h (i Cowl Q � �
Address: P0 box I &95 (Pkaserefer ,o fee schedule)
1_ n � (I-1123 Structural plan review fee (or deposit):
City/State /ZIP: H( I(s100 C
Phone: Fax: FLS plan review fee (if applicable):
( 5' ) 8 1 575 (5 03 )(oti0 2122
CCB lic.: 1, -_ - WA, ! Total fees due upon application:
_ ��� (
' Amount received: ��[ r/
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: j .' _ i / f/ \ Date: 1 / 2 * Fee methodology set by Tri-County Building Industry
V Service Board.
I \Buddmg\Permits\ROOF- PermiApp dot 10/01/09 440- 4613T(I1/02 /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 roofmg of commercial projects.)
TOTAL: $
C:\DOCUME— I \jmartens\ LOCALS --1 \Temp\ROOF - PermitApp -I.doc 2