Permit REROOF PERMIT
CITY OF TIGARD
• f: >, COMMUNITY DEVELOPMENT Permit #: RER2013 00010
Date Issued: 05/09/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9339 SW MAPLEWOOD DR 174
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building P. 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 -0010 through OAR 952- 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 10 344
Issued Permittee Signature: 1
S■ �-sri• -
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.
Building Permit Application
Re -Roof FOR OFFICE: USE O \L1'
Cl of Tigard Received 5N�a� /7 ti At,/ 1600/!
. `J g 'C � Plan Review
Permit No.. /C
;� 13125 SW Hall Blvd., Ttgari� • 1 9 l 2 Plan Review
C Phone: 503.718.2439 Fax: 50 98.1960 Other Permit
Dat e/B :
I I L. A It D Inspection Line: 503.639.4175 MAY 0 6 2013 Date Ready /By Eli), ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method I / 41 P) 2)1 19 Supplemental Information
CITY OF TIGARD ' 4 ' W l Afo+. '
. 1 I3191 IMIllivistoN ' REQUIRED DATA: I- AND1- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Igl Indicate the value (rounded to the nearest dollar) of all
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: 1 . 9,569 So /k i b 7Y2. New dwelling area: square feet
City/State /ZIP: Tir . OR. c "i 2.2.3 Garage/carport area: square feet
Suite/bldg. /apt. no.: P Project name: Mef 1112tif 2 JLI,>t tw17 Covered porch area: square feet
Cross street/directions , to / job site: `A M Deck area: square feet
OR - ti ! l�1/ Cf0.G,(1 G 14 vu 4) fr 5 V V J M am S i- vf,Q,4- 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.
•
Ro - ov'PX cowl p os 1. 1 on rooF , wiA4 CR I - - tirje.Pd Valuation: $ 15 ! 352
Lan A max 4 0 Slur i,eS Existing building area: —1300 square feet
New building area: N A square feet
IX PROPERTY OWNER - ❑ TENANT Number of stories: 2
Name: Mtuf% 5i-v Vt I Type of construction:
Rooc- ove•
Address: 12(0 5O 5Li'J Mtil ¶ *
Occupancy groups:
City/State /ZIP: ' C2 9i 223 Existing:
Phone: (503) (,3C ' 62.4 c Fax: ( )
New:
I[ APPLICANT ❑ CONTACT PERSON_
/� NOTICE
Business name: ‘s an Roo rt(j l ,ompc:n Li I It C . All contractors and subcontractors are required to be
Contact name: Srtir�h �,,�( J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Pa ( %c c jurisdiction in which work is being performed. If the
�� "fib (JYD O n �. �? applicant is exempt from licensing, the following reasons
City/ State/ZIP: (. " J _ apply:
Phone: (5 )3 )54(„-- Fax: : (go ) (0t{0 - Zl 7-2
E -mail: 5j' QCartsonyvot . Corn
CONTRACTOR '
Business name: 1 j.s . �(il h( C owl pail li t '(''" C - BUILDING PERMIT FEES*
Address: po bo X I (095 l-t l (pleas¢ refer m (et schedule!
City/State/ZIP: 14 ( t j 0 � ci1 11 3
Structural plan review fee (or deposit):
1 [� FLS plan review fee (if applicable):
Phone: (5)3 ) 8'k 1 5 5 Fax: (503) (o j 0 /122
CCB lic.: I Total fees due upon application:
�, _�
/W� Amount received:
Authorized signature: 7
This permit application expires if a permit is not obtained
" ( /L3 within 180 days after it has been accepted as complete.
Print name: � s,..-. Date: (/ * Fee methodology set by Tri-County Building Industry
Service Board
1 \ Building \Pcmuts\ROOF-Permit App doc 10/01/09 440- 4613T(I 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.
J u
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:\DOC —I \jmartens\LOCALS-1 \Temp\ROOF - PermitApp -1.doc 2