Permit CITY OF TIGARD REROOF PERMIT
• COMMUNITY DEVELOPMENT Permit#: RER2021-00009
13125 SW Hall Blvd.,Ti Date Issued: 6/23/2021
TIi- and OR 97223 503.718.2439. 9
Parcel: 1S135CD00900
Jurisdiction: Tigard
Site address: 11505 SW 98TH AVE
Project: Glacier Lily Apartments Subdivision: None Lot: None
Project Description: Multiple units: 11505, 11507&11509.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: n� VawDe wege Permittee Signature: O r qpp liCtittlACT1.
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 1c31t(li.rlc Chi OvI V
City of Tigard lze�i (DV3 t W PermhNc.:S Zot1- onDoct
114 • 13125 SW Hall Blvd.,Ti2 2 2 0 21 �n Rev
gard,OR 97223;' '' / Plan Review
Phone: 503.718.2439 Fax: 503398.1960 faie/By: Other Permit:
l I,,,i:n Inspection Line: 503.639,4175 CITY OF TIGARD Date Ready/By: (e 12,alLA 1'h) tom: la sec Page 2 for
Internet: www.tigard-or.gov {� 't, r, Notified/Method: Supplemental Information! n , DIVISION iws,:1e a
TYPE OF WORK REQUIR DATA.I-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
♦RAdditionnalteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling g.Commerciallindustrial Valuation: $
❑Accessory building CI Multi-familyNumber of bedrooms:
❑Master builder ❑Oiler: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address;- `�' ci S li"1/4- 1;02.-. New dwelling area: square feet
City/State/ZIP: ((tQrvv 0 t 2 ". Garagelcaiportarea: square feet
Suite/bldg./aptno.: Project name: nw+c�";it_ L1 4 i ► .Yt :r 1+10 Covered porch area: square feet
C�rossstreet/directions to job site: i Deck area: square feet
(f✓ 1 5 0 E f 5 7 I s 0 S yt) j rf �j-�/� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CBECICLIST
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
- co� Valuation: • $ Cl 1 tC? O e9
41 nQiv�Ce-A0 Ca square feet
�A���� Existing building area: ��
.c 7`C _ + New building area:2S30 square feet
PROPERTY OWNED, j ❑;TENA'NT Number of stories: l -- 7
Name:' RQ A-s 8 Type of construction: 1'�l —. C C
Address: 2ilt5 Sk s IR2 nJi l . Occ
upancy groups:
City/State/ZIP: OCiA.C\C)\_ ( 9100 G Existing.
Phone: )3) -2j,p —_f Qi�c V Fax:( )
New:
1 a1,I'PLICANF (3 CONTACT PERSON NOTICE
Business name: C/;s\,E � °`r'� iS,Y
�y c \{ All contractors and subcontractors are required to be
Contact name: ,o7chP J \ licensed with the Oregon Conduction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 5 m S� ,„\e_ it.... ,(9�b jurisdiction in which work is being performed.If the
City/State/ZIP: VVIWSoo(e Q� G- t'Z's applicant is exempt from licensing,the following reasons
I ` apply:
Phone:)1Z)Q(,{C — 1 59 E Fax::( )
E-mail:_'eA.1 b42Yh. Q1 Cac�O<\c 00c. CC M
CONTRACTOR
Business name:CQ r he s.k CQ iY1.94 I tie. BUILDING PERMIT FEES*
Address: 55E() kA, N1a41Q . `�'o�ve L96 reviewalms rtdpaofeea
C5ty/State/ZIP: �,.,+);\AS br c o �a }i�!; S� plan fee(or deposit):
Phone:803) g{,.1& ^ 1 i 4F Fax:( ) F7 S plan review fee(if applicable):
Ct;B lie.: tSCI.&R Total fees due upon application:
Amount received:
Authorised signature:
This permit application expires If a permit is not obtained
Print name: within 180 days after it has been accepted as complete.
. ,(t'V�sow Date: .- , .�/' Y.I I * Foe methodology sc4 by Tri-County Building Industry
"'' *�y Service Beard.
r:1Bu0dozTemitARpnF-PermitApp.dx 10/e1/09 4404613TO!/022bMlwEB)
INCARLSON 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 8159686