Permit CITY OF TIGARD REROOF PERMIT
� COMMUNITY DEVELOPMENT Permit #: RER2013 -00009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9399 SW MAPLEWOOD DR 150
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building N. 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 $317 06
Specifics: 12% State Surcharge - Building 05/09/2013 $38.05
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: $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 Those rules are set forth in OAR
952- 001 - 0010th h OAR 952- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 88 332 2344
/
Issued By: ( Permittee Signature: .! / +■•••
Call 503.639.4175 by 7:00 a.m. for the next available Inspe tion 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 roiz use ONLY Cl of Tigard ., Rece ived
ill g ,
Plan Review , Date/B 6 �AFAO Permit No. OE L2
1312 SW Hall Blvd., Tigard, OR 97223 v
C Phone 503.718.2439 Fax 503.598.1960 Other Permit
MAY 0 6 2013 Date/B :
; - I G n, „ D Inspection Line: 503 639.4175 Date Ready /By tuns 65 See Page 2 for
Internet: www.tigard - or.gov Notified/Method. • 4 Supplemental Information
CITY OF TIGARD
TYPE OF WOIIkUILDING DIVISION j t / Wt 6 44141/
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
I 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 ❑ 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: V -iz e! ^ i- 9 3 %9 4 4 1757)e-■ New dwelling area: square feet
City/State/ZIP: 1 i j ce . rcl Q P. 6 1'1 2 3 � Garage/carport area: square feet
Suite/1211$./apt. no.: (4 Project name: 11/4/4 Y1a flaf / 9p 7 3 Covered porch area: square feet
Cross street/directions to job site: M Deck area: square feet
OR - RM IA/ CPaet.fl 4 IAN) fr 5W M CUY1 S Wed- 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.
C
Ro ov'PX' ('o rnPos('Ncm roo, wVFYl ulctiYaep.d Valuation: $ I
Land `w _ f O wr S r ,en9(s Existing building area: , 900 square feet
J New building area: N t I\ square feet
IX PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: MCLA4 VI 1tare/ Type of construction: g0�- Ova
Address:
12.(050 5vJ tNAtt-lr Sir. Occupancy groups:
City/State/ZIP: '"\ - te3cur a pg_ 9l 223 Existing:
Phone: (503) (039 -- (0 2 C Fax: ( ) New:
NI APPLICANT ❑ CONTACT PERSON
Roo NOTICE
Business name: C 1 Son Roo clil ('. pf it i It c.” All contractors and subcontractors are required to be
Contact name: S �r�� Cear ( scsr J licensed with the Oregon Construction Contractors Board
I � Q under ORS 701 and may be required to be licensed in the
Address: Q6 ( It0 jurisdiction in which work is being performed. If the
City/State /ZIP: `( ���� O� C, 1123 applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 54 (0' 1�J 5 Fax: : (5D3 ) (.o 4O .. Z( L2
E -mail: 5 - ga ko ly - 04.. coyy„
CONTRACTOR
Business name: O c i sm Roofing COM p Inc, 1li t BUILDING PERMIT FEES*
Address: Po box l fo s (Please refer to fee schedule)
V `_ i r� Structural plan review fee (or deposit):
City/State /ZIP: H (I' S KJ(l1) O -11 /2
FLS plan review fee (if applicable):
Phone: (553 8 4Gr 1 5`1 5 Fax: ( 503 ) (aq O ZI 2_2_.
CCB lic.: 5GJ Total fees due upon application:
�r �j
Authorized signature ,• —� Amount received:
`� This permit application expires if a permit is not obtained
Print name: /
within 180 days after it has been accepted as complete.
�S vY � D ate: lJ /I 2 * Fee methodology set by Tri- County Building Industry
Service Board.
1 \ Building \Permns\ROOF- PermiApp doc 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 roofing of commercial projects.)
TOTAL: $
C:\DOCUME— I \jmartens\ LOCALS —I \Temp\ROOF - PermitApp -l.doc 2