Permit CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2014-00010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2014
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9398 SW MAPLEWOOD DR 91
Project: Main Street Village Apartments Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building I(Units 91-102))-Reroof.roof-over composition root with Certain I eed 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 $31706
Specific,: 12%State Surcharge-Building 03/11/2014 538 05
Type of Use: MF
Class of Work: OTR Type of Const:
Occupancy Load:
Stories: Height: 0 it
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 wit 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 throu h OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800 332 2344
Issued By: /J� 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.
Building Permit Application
Re-Roof RECEIVEPFOR OFFICE USE ONLY
LY
LAO ICity of Tigard Received �Datc/B : : l
y�,, Pcnnit No.: E
N • 66r!e
13125 SW Hall Blvd.,Tigard,OR 97223 D _ 6 2014 Plan Review
B Phone: 503.718.2439 Fax: 503.598.1960 ' Date/B : Other Permit
1 G A R U Inspection Line: 503.639.4175 Date Ready/By: Jun. ® See Page 2 for
Internet: www.tigard-or.gov GI 1 y Or flGARD Notified/Method: Supplemental information
-O "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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-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:9398 SW Maplewood Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suit-el apt.no.:1 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/Highlands Associates Ltd Type of construction: Roof-over
Address: 111 SW 51).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:Millsboro,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
Structural plan review fee(or deposit):
City/State/ZIP:Millsboro,OR 97123
Phone:(503)846-1575 Fax:(503)640-2122
FLS plan review fee(if applicable):
CCB lic.: 159686
Total fees due upon application:
i Amount received:
Authorized signature: LJ I /J / �� ■∎
War — "Phis permit application expires ifs 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.
I\t3udding\Permits\ROOF-PermitApp doc 10;0109 440.46131(11/02/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
9398 SW MAPLEWOOD DR 91, TIGARD, OR,
97223
Commericial - Reroof
299 Final Inspection
2014-04-04 00:00:00
RER2014-00010
PASS - No C of O
Violation Summary:
Inspector Contractor