Permit CITY OF TIGARD REROOF PERMIT
s COMMUNITY DEVELOPMENT Permit#: RER2021-00008
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/23/2021
TIGARD 9 Parcel: 1 S 135CD00900
Jurisdiction: Tigard
Site address: 11485 SW 98TH AVE
Project: Glacier Lily Apartments Subdivision: None Lot: None
Project Description: Multiple units: 11485&11487.Reroof-remove and replace
Contractor: CARLSON ROOFING CO INC Owner: SHARON DEVELOPMENT CO LLC
PO BOX 1695 5795 SW CRANBERRY CT
HILLSBORO, OR 97123 BEAVERTON, OR 97007
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 06/23/2021 $225.80
Specifics: 12%State Surcharge-Building 06/23/2021 $27.10
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $9,710.00
General Information ,
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $252.90
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: toUv V .vvDe/wege Permittee Signature: 0wAppUC4 t-o-n
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Re-Roof RECEIVED
iT1R 01i�iC'1C I'd E 0\1.1'
City of Tigard 2 2 2021 Received.
B (0I 2,3`Z1 N.1 PenneNo.:RER2°z1-ono°$
13125 SW Hall Blvd.,Tigard,OR 97223
s' Phone: 503.7182439 Fax: 503.598.1960 1H 1C Other Permit
Inspection Line: 503.639A175 CITY OF TIGARD 31 �
1 I l'�:+.I� 2 for
I i Date Rea
Internet: www.tigard-or.gov p.1 H i f1NIfl 0 iv'SIONI Notifed/Metbod:� Z -�"� Supplemental Information
TYPE OF WORK REQUIRED DATA:I=AND 2-FAMILY DWiG
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
IkAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated an this application.
❑ 1-and 2-family dwelling jil Commercial/industrial Valuation: $
❑Accessory building tX Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
TOE INFORMATION,AND TION Total number of floors:
Job site address: I kC..% I 7
"1- /,i o New dwelling area: square feet
City/State/ZiP Cr} D 1 q 2. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: G+Ae7 QK L 1 lj Akiktmcali Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-ME 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.
tr,Ca` - C Cr, x4 4in coot�1 �,t Valuation: • S g i-4 I O - o a
1 v�J �� c\ch � "�Pi 11 �_0, a Existing building area: square feet
lrin . . fY\ New building area: 2300 square feet
❑ PROPERTY OWNER ,]TENANT Number of stories: I .., a.
Name,Tt f cS '" Ilcip n-- Type of construction: ] coo[
Address: ;y�ll5 _c 1t2 nf� Oc l
cuPmlc7'groups:
City/StateEP: j v % O q-4.00 G Existing:
Phone:503) \4 -I- 0,8 Fax:( ) New:
1:41 APPLICANT CONTACT PERSON
('�� NoiCE
Business name: Cn , T( a
y_,- GAY 1 cc,. All contractors and subcontractors are required to be
Contact Warne: �1 i rc � • e � licensed with the Oregon Construction Contractors Board
f�" under ORS 701 and may be required to be licensed in the
Address: 5 Sw C„j�GQ`� S�. '' 1( C t# jurisdiction in which work is being performed.If the
City/State/Zfi: µq`N,S ( �(� applicant is exempt from licensing,the following reasons
apply:
Phone: - Z)Q(, �, 159E Fax::
E-mail: o&per Q..CacV RC00ca Coe rye L
CONTRACTOR
Business name:Copk ' g l.. M. t(`�{' strum NG namrr EF6.
Address: 55f) 5w t \Q n . yo R (As to iejfthedali
enyistaterz>P:
�A �ttAlS'c)r O 0 R q 1 I a3 Structural plea review fee(or deposit):
Phone:t` 031 8/M 6, _ 1615 Fax:( ) FLS plan review fee(if applicable):
CCB tic.: 159 fin$ Total fees due upon application:
Or
Authorized signature: Amount received:
al
/• ` This permit application expires if a permit is not obtained
Print name:E rt�1b p i-h tom ,r.�!- - Date: 6-21 .+2 j` ( within 180 days after It has been accepted as complete.
s `, U4r �r�v • Fee methodology set by Tri-County Building Industry
Service Board.
isleuddiog1PemiMROOS-PermitApp.doe I0/a1l09 440-4612T(11472OOMM'EB)
CARLSON ROOFING
COMPANY INC.
Glacier Lily Apartments
Scope of Work
1.Tear off and remove existing roof.
2. Install Guardian Ridge-it permanent safety
anchors at ridge.
3. Furnish and Install CertainTeed Dimond Deck
synthetic roof underlayment.
4. Furnish and install CertainTeed Swift Start.
5. Install CertainTeed Landmark Architectural
shingles.
6. Install new CertainTeed Shadow Ridge Cap.
550 SW Maple Street • PO Box 1695 • Hillsboro OR 97123 • T:(503)8461575 F:(503)640 2122 www.carlsonroof.com • CCB#159686