Permit "
CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2014-00005
Date Issued: 03/11/2014
TIGARD 13125 SW Hall Blvd.Tigard OR 97223 503 718 2439 Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9492 SW MAPLEWOOD DR 39
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building D(Units 39-41)-Reroof,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 503-892-0099
FAX 503-640-2122
FEES
Description Date Amount
Permit Fee 03/11/2014 $317 06
Specifics: 12%State Surcharge-Building 03/11/2014 $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 S355 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 oug AR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by callin 03 232 1987 or 1 800 332 2344
Issuedpy: J�V .ir�O FL`' Permittee Signature: �, G��i}-(6,�
\ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. '' f
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 ONLI'
City of Tigard C "I V '° Received Q �`
tY Date/By: ..J /D I zi ( Penno No:1�-�i N 5
1111 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 — 6 2014 Date/By: Other Permit:
TIGA R D Inspection Line: 503.639.4175 Date Ready/By: i0,Is El See Page 2 for
Internet: www,tigard-or.gov T GARD Notified/Method: Supplemental Information
TYPE REQUIRED DATA: 1-AND 2-FAMILY DWELLING
El
construction ❑Demolition Permit tees`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.
CI 1-and 2-family dwelling CI Commercial/industrial Valuation: $
12 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:9492 SW Maplewood Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suit Idg. pt.no.: D Project name: Main Street Village Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
OR 99W(Pacific IIwy)&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.
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.
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/highlands Associates Ltd Type of construction: Roof-over
Address: Ill SW 5th Avenue#3690 Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing:
Phone:(503)892-0099 Fax:( ) New:
® APPLICANT El CONTACT PERSON
NOTICE
Business name:Carlson Roofing Co.,Inc. All contractors and subcontractors arc required to he
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 a 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 lee(or deposit):
Phone:(503)846-1575 FLS plan review fee(if applicable):
( ) Fax:(503)640-2122
CCB tic.: I59686 Total fees due upon application:
Authorized signature: il , /
Amount received:
Lt*l41`—.1 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:0226/2014
* Fee methodology set by Tri County Building Industry
Service Board.
1.'Building.Permits'ROOF•PermitApp de< 10/01,09 440-4613T(11/02/CO1WWEB)
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
9492 SW MAPLEWOOD DR 39, TIGARD, OR,
97223
Commericial - Reroof
299 Final Inspection
2014-04-04 00:00:00
RER2014-00005
PASS - No C of O
Violation Summary:
Inspector Contractor