Permit CITY OF TIGARD REROOF PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: RER2014-00003
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 2S 102AC00201
Jurisdiction: Tigard
Site address: 9491 SW MAPLEWOOD DR 1
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building A-Reroof,roof-over composition roof with Cerain 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 03/06/2014 $317 06
Specifics: 12%State Surcharge-Building 03/06/2014 $38 05
Type of Use: MF
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 5355 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 t OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 800 332_2344
Issued By: �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.
.1
Building Permit Application
ED,Re-Roof
FOR OFFICE USE ONLY
City of Tigard Received ,
Date/13 e� mit: Per.No.: _ i +-ear 4
AR - 6 2014
• 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.59 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 &1 OF TIGARD Date Ready/By: kris 0 See Page 2 for
Internet: www.tigard-or.gov 9111 ntwz nnitpom Notified/Method: Supplemental Information
TYPE OF WORK I` 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
®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 El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9491 SW Maplewood Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suit=di,.pt.no.:A Project name:Main Street Village Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
OR 99W(Pacific Hwy)&SW Main Street
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Roof-over composition roof with CertainTeed Landmark 40-year shingles. Valuation: $15,352.00
Existing building area: square feet
New building area: N/A square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Casa La Veta Associates/llighlands Associates Ltd Type of construction: Roof-over
Address: 111 SW 5t6 Avenue#3690 Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing:
Phone:(503)892-0099 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Carlson Roofing Co.,Inc. All contractors and subcontractors are required to be
Contact name:Opal Main licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 1695 jurisdiction in which work is being performed.If the
City/State/ZIP:Hillsboro,OR 97123 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)846-1575 Fax::(503)640-2122
E-mail:opal @carlsonroof.com
CONTRACTOR
Business name:Carlson Roofing Co.,Inc. BUILDING PERMIT FEES*
Address:PO Box 1695 (Please refer to fee schedule)
City/State/ZIP:Hillsboro,OR 97123
Structural plan review fee(or deposit):
Phone:(503)846-1575 Fax:(503)640-2122
FLS plan review fee(if applicable):
CCB lie.: 159686 Total fees due upon application:
Amount received:
Authorized signature: A I iw This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Opal Main Date:02/26/2014 • Fee methodology set by Tri-County Building Industry
Service Board.
1.\Building\Permits\ROOF-PermitApp.doe 10/01/09 440-4613T(1 I/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9491 SW MAPLEWOOD DR 1, TIGARD, OR,
97223
Commericial - Reroof
299 Final Inspection
2014-04-04 00:00:00
RER2014-00003
PASS - No C of O
Violation Summary:
Inspector Contractor
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
10791 SW MURDOCK CT 13, TIGARD, OR,
97224
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2014-00038
Chip Barnett
Violation Summary:
Inspector Contractor