Permit CITY OF TIGARD REROOF PERMIT
'�1 COMMUNITY DEVELOPMENT Permit#: RER201500009
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9338 SW MAPLEWOOD DR 214
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building U:Roofing over existing roof. No tear-off.
Contractor: CARLSON ROOFING CO INC Owner: CASA LA VETA ASSOCIATES
PO BOX 1695 HIGHLANDS ASSOCIATES LTD
HILLSBORO, OR 97123 BEAN,TERRENCE PETAL
1303 SW 16TH AVE
PORTLAND, OR 97201
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 03/26/2015 $317.06
Specifics: 12%State Surcharge-Building 03/26/2015 $38.05
Type of Use: MF
Class of Work: ALT 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 $355.11
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 1.800.332.2344.
Issued By: `/i`�� ! • "'Me Signature: w t
•9.4175 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.
Bui:Jing Permit Application
Re-Roof
FOR OFFICE USE ONLY
tCity of Tigard 2 DECEIVED Received 3 /62. ,.• 13125 S W Hall Blvd.,Tigard,OR 9722 Irate B `f Permit No.:R�Q ��1i� ���q
Phone: 503.718.2439 Fax: 503 598 1960 Plan Review �/c (JV[ J
1 I .A It I) Inspection Line: 503.639.4175 Dewily. Other Permit
MAR 2 5 2015 Detc Rcady'D): .1'urn 0 Ott Page 2 for
Internet: www.tigard-or.go+ Notified Method:
(� Sapplemrntat laf 'Nen
—-- CITY OF TIGARD
TYPE OFAUILDING DIVISION REQUIRED DATA: I-AND 2-FAMILY DWELLING
•
❑Nev, construction ❑Demolition Permit fees*are based on the%alue of the+cork performed.
Addition`alteration replacement Indicate the value(rounded to the nearest dollar)of all
❑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: g
15r 3 52 cis
❑Accessory building R Multi-family Number of bedrooms:
I: Master builder ❑Other: Number of bathrooms:
I SITE INFORMATIO AND L CATION Total number of floors:
Job site address: t 2 ;rte 3�.0 )L,t ` Q I ? few dwelling area: square feet
City/State/ZIP: 7-1- c c 7 Z z U C.r� sq
Uf1�I� � Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:
G /1i „ /, , Covered porch area: square feet
Cross streetdirections to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: MQ.I h 5 of v(-y(" / w
e- f Lot no.: Permit fees"are based on the value of the ork 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.
�IJ:') t C" C- l '( Valuation: S
—_ Existing building area: square feet
New building area: square feet
II PROPERTY OWNER I ❑ TENANT Number of stories:
Name:C-(15A 1,A1 vETA AssuC, I„y Prop,n j� /49 erl . Type of construction:
Address: III Abe 3 t- y 6w -��A�� �J � Occupancy groups:
City/State/ZIP: P C r\CQ Orr:. —
Phone:671 ) 2 2 tG 2 O Z r' ' o Existing:
Fax:(�)�) �t!s� / r)�rn Nevi:
I APPLICANT ❑ CONTACT PERSON
Business name: LC( NOTICE
i 5011 ?_�-ti�1Y\C ' <_ __ _ All contractors and subcontractors are required to be
Contact name: L�fi ci Ct FU r t�a c..., licensed++ith the Oregon Construction Contractors Board
Address: c — under ORS 701 and may be required to be licensed in the
`7Z) -�l~) i N'L`- 3�- "j± jurisdiction in which work is being performed. If the
City/State/ZIP: �` c� (�' Lj I Z applicant is exempt from licensing,the following reasons
Phone:(5)`)8) 81 15 1 5 I Fax::t 3Z> ) 6 y o 2-1 Z Z apply: —
E-mail: Le 4t (i'Ct Cs) C(1i-ISi,rl Foe.:)-c (.0ry'1
CONTRACTOR i
Business name: ( U r I`)c�-r)
Rcx�; Cc s� t�
`'�� )`� nn ' BUILDING PERMIT FEES*
Address: l Y �� nP e I? (Please refer m fee tehedal q -----_I
City/State'ZIP: (-k- \\,)r3�1— 04 C.")-7 I 3 Structural plan review fee(or deposit):
I Phone:(5ti'�1 .'514 I - S J Fax:(�p ) t ^ FLS plan review fee of applicable):
1 /�. 2.122.
1 CCH lie.: 1,3---9 (, x � I Total fees due upon application: J3� i/
Authorized signatur Amount received:
+���li� N,/ — This permit application expires if a permit is not obtained
Print name: ^ �/� Date: S I within 180 days after it has been accepted as complete,
! f ' Fee methodology set b) Tri-County Building Industry
I lioldny;Perron.1(1X/1-Palm*;'+pr.da 10(H lrlr�)/^���, ,,-I/�, �sD.,, Service Board.
(I 6�c:I' I3(� i t ' ` c3:1• J1!4.1n1!i(Ir i�.(YI\(wtnr
G Prizikc
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
9338 SW MAPLEWOOD DR 214, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00009
Chip Barnett
Violation Summary:
Inspector Contractor