Permit CITY OF TIGARD REROOF PERMIT
■ COMMUNITY DEVELOPMENT Permit#: RER2021-00010
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/23/2021
TtGr\R - g Parcel: 1S135CD00900
Jurisdiction: Tigard
Site address: 11511 SW 98TH AVE
Project: Glacier Lily Apartments Subdivision: None Lot: None
Project Description: Multiple units: 11511, 11513&11515.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: Holly VwvvDe,Wege Permittee Signature: OwAppidcatt, -
rt
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 urn01 I ICI t SF:MIA
City of Tigard '1!N 2 2 2021 t3Ya LP\2-3\Z, 1.1\) Permit No.:RsR?hz1- co0\o
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
III Phone: 503.7187439 Fax: 503.5984ih501'OF TIGARD Date/By: otherPcosic
1 1 c;,,a h Inspection Line: 503.639.4175 F3 U Internet: www.tigard-or.gov LDING DIVISION NDotified/MR rev-?l4b ' gau k® ioonnaaun
TYPE OF WORK
REQUIRED DATA:I•AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
iglAdditioNalteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF COAJ8IROCTION work indicated on this application.
❑1-and 2-family dwelling pz Commercial/industrial Valuation: $
❑Accessory building CII Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addres � 98 t Ave,. New dwelling area: square feet
City/State/ZIP:: O ff, / a -1
V GarageJcarport area: square feet
Suite/bldgfapt.no.: Project name: 6
'216 E 94- ..l lV�{
l k,,,e6ilorlfsCovered porch area: square feet
Cross street/directions to job site: Deck area: square feet
1 1 5 1 1 J I) 5 1 3 ! l) 5 1 ,S Sid Cif fr 4-tie Otter structure area: square feet
REQUIRED DATA:COMMERCIAL-USE 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.
—Tear - 0` r 4 in coot- Valuation: Q \
1 1� (\OW CeX \ ONN < building a
Existingarea: (}square feet
SC.S New building area:27.) hJ ) square feet
I] PROPl ITY OWNER�J7 0 maxi. Number of stories:
Name:T clAli.2f - Mcimp�c..rs�rrt��111— Type of const uction: _ Ten c
Address: t] /.� t�1 ,gt rirr �]1 Occupancy groups:
City/State/ZJP:'Rosso o a\ 'U 9100( Existing:
Phone:E0 ) 3‘0, _Li ax.s. Fax:( )
p New:
APPLICANT 0 CONTACT PARSON
Business name: c 1 lk* n r
NOTICE
�} �C�WG.RY 1(c All contractors and subcontractors are required to be
Contact name: `o-xQ • a t licensed with the Oregon Construction Contractors Board
Address; 5� y e, under ORS 701 and may be required to be licensed in the
5� c 1 '�, 1(g96 jurisdiction in which work is being performed.If the
City/State/ZIP: Vkttl\S (Q o ick 91 4'�"y applicant is exempt from licensing,the following reasons
Phone: )g G - 169E l `\ fly
v� ,, ll__ \ Fax::( )
E-mail: \iQYc cc 'VYw(\COOV. l om.
CONTRACTOR Business name:C ( t,o ' a` Coro. (1`cs_c. BUILDING p$RMIIFIFE$*
Address:rjrjn (9\V S . Y0 L'{6 *view ee(o de
City/State/ZIP: Vlli�l s bar o p k 91. 1)3 Structural plan review fee(or deposit):
Phone:(� ' 4(a _ 1 V 5 Fax:( ) FLS plan review fee(if applicable):
1 CCB lia: 15IZI 6,$ Total fees due upon application:
Authorized signature: - 7� e- Amount received:
1i• , _ r/r1��/ This permit application expires K a permit Is not obtained
Print name: `` within 180 days after It has been accepted as complete.
Elt 7j p I 7, v r Date: 6,- 21 ..�s.��jr,"( . Fee methodology set by Tri-County Building Industry
Service Board.
lAnuildiag1Pesmas\ROOF-PesmitApp.doc I a/01/09 440.l613T(l 1/02/COM/WEB)
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)846 1575 • F:(503)640 2122 www.carlsonroof.com • CCB#159686