Permit II
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111111 CITY OF TIGARD REROOF PERMIT
3 ' COMMUNITY DEVELOPMENT Permit#: RER2015-00010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9304 SW MAPLEWOOD DR 230
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building W: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 P ET AL
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 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 $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: Permittee Signature: `'.10Krei 03.639.4175 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.
►uildin2 Permit Application
' Re-Roof
FOR OFFICE USE ONLY
City of Tigard R cn CD Received e By:
• 13125 SW Hall Blvd.,Tigard,OR 97223" 'C l�E�VC Hate 1� Pencil No.: 4... +I .
'� B Phone: 503.718.2439 Fax: 503.598 1960 Plan lte.iew
Ihre'13y. Other Permit:
1 I(i.�u 1 Inspection Line: 503.6394175 MAR 2 5 2015 Date Ready Sy:
Internet: www.ti ardor. in ��'47 0 tiee Page 2 fur
1 >' Notified Method: l Supplemental Information
CITY OF TLCARD
TYPE OF' 4416PING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees"are based on the value of the work perforated.
,ZI Addition'alterdtioNreplacement 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 duelling ❑Commercial industrial Valuation: $ sf JrZ _
El ..Accessory building Multi-family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
�JOB.S.�ITE INFORMATION AND LQ(;ATIO,N Q 'J Total number of floors:
Job site address: 5(.�' -- -t: - J IU w New dwelling area: square feet
City/State/ZIP: '1 6-A r t\ Garage/carport
C.-:... g 7 Z z 3 g rport area: square feet
Suite/bldg./apt.no.: I Project name: „��
/�?alw .5�. 1//m Covered porch area: square feet
Cross street.directions to job site:
Deck arca: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /14d.py 65-(I- VI)age- , Lot no.: Permit fees'are based on the value of the work performed.
Tax map.lparcel no.: Indicate the value(rounded to the nearest dollar)of all
- - equipment.materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK j work indicated on this application.
( kc_ir- t--C.C.tj?lie Valuation: S
Existing building area: s9 uare feet
__ New building area: square feet
CI PROPERTY OWNER ❑ TENANT Number of stories:
Name:t.ASA LA VETA A55xC, Ij, 06,0 Prop.t� 1( cirti-t Type of construction:
Address: I t 1 30.) .51-6.. A 6t #f 3 - - -
J Occupancy groups:
City/State'ZIP: R -1 al,Act d.; c?--, y
Phone:I i71 ) 226 2G Ll g Fax:(5 J) `1 H. o / n - Existing:
Ne11:
' APPLICANT
❑ CONTACT PERSON
NOTICE
Business name: at i- 0t 1 r2_CO-i7V N C) (,, • -) All contractors and subcontractors are required to be
Contact name: L (; ( L t c� U r I a.11, licensed with the Oregon Construction Contractors Board
Address: < under ORS 701 and may be required to be licensed in the
�Z) -�lti) i�' t :_yt jurisdiction in which work is being performed. If the
City/State/ZIP: I` �,� C rTU 9-� Z 3 applicant is exempt from licensing.the following reasons
Phone:(5Ti”,1 4 l., 15 1 5 I Fax::(5Z3 ) 6 y 0 Z I Z Z apply':
E-mail: Le--4-4(co. cc) CCi r-ISC,t, f-0C)-(- Corr-)
CONTRACTOR i -
Business name: (Ur(`�c-1> 0`��X r1l,C�C? �A , �1V1G I -
��� ;�� BUILDING PERMIT FEES*
Address: c) Mime refer refee:dialo ) —
L
City/State/ZIP: i-k l\t low L 0. 'i -'1 I 2- 3 Structural plan review fee(or deposit}:
I Phone:1513) 5Z-4 1 5-3 S Fax:(S 151 6 y/` 72_122. FLS plan review fee(if applicable):
C CB tic.: 15-9 fr...... ..6.57•
'Total fees due upon application: 3537 //
Authorized sienaiure: Amount receded:
���� _�- This permit application
Pe expires if a permit is not obtained
Print name f I L_ Date: _'3 1,c j within 180 days after it has been accepted as complete.
J " Fee methodology set by Tri-County Building Industry
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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
9304 SW MAPLEWOOD DR 230, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00010
George Heimos
Violation Summary:
Inspector Contractor