Permit � p CITY OF TIGARD REROOF PERMIT
COMMUNITY DEVELOPMENT Permit#: RER2015-00011
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 9356 SW MAPLEWOOD DR 103
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Building J: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 $332.27
Specifics:, 12%State Surcharge-Building 03/26/2015 $39.87
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $16,328.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $372.14
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:
503.639.4175 by 7:00 a.m.for the next available inspec on 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
FOR OFFICE USE O\I 1
City of Tigard kttC1v�
---� 2 D.ta'By: 3 .1r//`) ��- Permit No.:PPQ Pv1s �(!
- 1315 SW Nall Blvd.,Tigard,OR 9722 �1 C I\/ED Plan Review /—'�"
Phone: 503.718.2439 Fax: 503.598.19 N E G V Date/By. Other Permit_
i t t;A R i) inspection Line: 503.639.4175
Date ReadyrBy: 1 0 See Page 2 for
Internet: www.tigard-or.gov MAR 2 5 2015 Notitied,Me(hod: Supplemental Informatlo•
lM ��Permlt fees*are *..11 I• n ., k TIrtn^m lo
r,OF WO -(� , r',k4 =
Q � Pt a '
❑Nev. construction °�vy�'O 4'`t "
re 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
. "°4i't''' :" '., work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: S , 32g-00
❑Accessory building ,I Multi-family Number of bedrooms:
❑ \1a,,1cr builder ❑Other: Number of bathrooms:
JO SITE INFOR CATION AND I.p�,�TION Total number of floors:
Job site address:43 S *1C(Plcvex{ Utr. .
t'o5t5' 3W Ilikat'r A J/t Lrl — 61C1.5 J New dwelling area: square feet
City/State/ZIP: -F-&A 6 . Q,2 47Z z 3 J Garage/carponarea: square feet
Suite/bldg./apt.no.: I Project name: t Covered porch area:
�l- /N .�/f V./�(�(� Po square feet
Cross street/directions to job site: Icy t,
area:
square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: /\4 `i\ 1t -+ U t l/a�� Lot no.: Permit fees•are based on the value of the work performed.
Tax map/parcel no.: u Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
_4 P'''7)`'
yr ' work indicated on this application.
oof rC[-o v"e,- Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER
[] TENANT,TENA Number of stories:
Name:CJ\5A LA VOA A 350, 1.x/
.� 'iT�
y n i 4-1 Pi'ep• M OXvtt• Type of construction:
Address: I C I 5w S-� Ave 0- 3 6 9 0 U Occupancy l p y groups:
City/State/ZIP: P Ct IACQ r OR q 12-0
Existing:
Phone:( 7/ ) 2Z6 201/ g Fax:(503) 9 / 0g6
•
New:
Ft�APPLICANT ❑ CONTACT PERSON
/��, - NOTICE
Business name: LJI.t.rl5on IC III
��� �� � Sh..G All contractors and subcontractors are required to be
Contact name: L��(�0. r I a S licensed with the Oregon Construction Contractors Board
Address: e 1 - under ORS 701 and may be required to be licensed in the
S�� tom- jurisdiction in which work is being performed. If the
City/State/ZIP: l Il S 601r-p g- 9 1 i Z applicant is exempt from licensing,the following reasons
Phone:(SZ1 j) 84-(o 15 1 5 J Fax::(5D3 ) 6 yo 21 Z Z apply:
E-mail: Le+'ccCl@ cot-Ison rOO- C.or1,-
CONTRACTOR —
Business name: Car(`>� - `7 � Co'
`" ' w __ _ BUILDING PERMIT FEES*
Address: ��� !)� (� n p (Pfeese refer w fee sckefale
City/State/ZIP: (�1`15 Y U 04 Q)^1 1 a 3 Structural plan review fee(or deposit): j
Phone:(9 3) $t L, I. S Fax:( 'p FLS plan review fee(if applicable):
S )3 4 Sf o 2122_
CCB lie.: Total fees due upon application: 1 3�]r PI
Authorized signatu• 4 - � Amount received: O'
' This permit application expires if a permit is not obtained
I Print name: j t f"4.y Date: 3 2. tS within Ito days after it has been accepted as complete.
• Fee methodology set by Tri County Building Industry
Service Board.
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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
9356 SW MAPLEWOOD DR 103, TIGARD, OR,
97223
Commericial - Reroof
299 Final inspection
PASS - No C of O
RER2015-00011
George Heimos
Violation Summary:
Inspector Contractor